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I am a 37 year old woman with a teen, pre-teen and a 20 month old. Mom has been needy all of my life, but was living in her house independently up until about a year and a half ago. I used to take her to doctor's appointments and help her as needed, as I just live down the way. She used to call me with family drama at least once, usually multiple times a day, arguing with her mother and my sister, etc. She has never had boundaries until I had to set them. 3 years ago I had a miscarriage, and her reaction to finding out secondhand was that she was so upset that I didn't tell her, not are you ok, do you need anything, etc, instead it was all about her. Well, about 5-6 months later, I found out I was pregnant with my youngest. It was a high risk pregnancy and I was on modified bed rest part of the time. Mom continued to call me multiple times a day with the drama, despite knowing my pregnancy was stressful. My therapist helped me to set boundaries and I told her several times I could not be involved in the drama or deal with all the stress of her calling several times a day, and cut my contact down to once or twice a week. Mom kept calling crying, and then stirring up drama and trying to put me in the middle to the point that I went no contact. The 16 months of no contact was some of the most happy and peaceful of my life. Well, in the fall of last year, I received a petition by my sister for guardianship over her person and property. No one notified me of anything that was going on. My sister has mooched off of mom off and on for her whole adult life and has borrowed money from both of us that she has never paid back. Apparently after I went no contact, sis had moved in with mom under the guise of helping her and keeping her company. Mom does have insulin dependent diabetes and has been diagnosed with paranoid schizophrenia (which her neurologist and I are now wondering if it is actually early Parkinson's). For years she thought her neighbors were stalking her, etc but had been managed with medication by her doctor and was still able to pay bills, cook, perform ADLs, give herself insulin, etc, pretty much everything for herself. Well, I found out that she had declined to the point that she was not coherent half the time, paranoia and clinginess had gotten worse, etc. I asked to be placed as a co-petitioner and my sis and I agreed we would both handle mom's care. Throughout the course of this process, mom began to tell me that my sister was physically abusive. My sister admitted to hitting her and trying to choke her. The attorneys also discovered that my sister was paying herself, her car payment and had made tens of thousands of cash withdrawals from mom's savings. After my sister admitted to being abusive this last time, I brought mom to my house to live with me since my sister was still at mom's. The court appointed me her guardian, and my sister must move out in a month. Mom has told me she doesn't want to go back home, and has told me this from the beginning. My sister and I were supposed to be working together but I can't have her abusing mom either. So I am really frazzled right now trying to find a solution. Most of mom's savings is gone thanks to my sister, but mom makes a lot too much in retirement ( has job pension as well) to qualify for Medicaid. I want to look for a home health person that could stay with her a few days a week to give me a break. No matter how late I stay up, mom will not go to bed until I do. I have been up at 3 and 4 am with my little one, and mom is right there, sitting on the sofa. She has to be in the living room from the time I get up till the time I go to bed. She has gotten a little better mentally since she's been here and is now doing all of her ADLs on her own. The only things she can't do are cook (can't see that well) and give herself her insulin/take blood sugar. I wouldn't trust her administering her own mess anyway, as she has a history of non-compliance and abusing them (she takes .5 of Ativan twice a day currently but used to be addicted to Xanax and pain pills and would eat them like candy. She also tried to overdose when she was with my sister. Hence, I keep the meds locked up.) Her neurologist took her off of her antipsychotic med for 6 months to try to distinguish if it was the med or if it's Parkinson's or LBD causing Parkinson like symptoms (muscle stiffness, paranoia, movement issues, etc). She has been off of it for almost 2 months now and mentally and physically it seems she is improving some, though she still has the clinginess, anxiety and paranoia, and says she does have trouble brushing her teeth. Doctor put her on Cogentin for muscle stiffness and it too seems to be helping somewhat. I'm just at a loss personally, and can't see the light at the end of the tunnel. I don't get paid or anything. Mom has helped out a little with groceries but that's it. I am not asking for pay, just want my life back.

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I am not one of the "better qualified" people that Countrymouse promises will be along, but I do endorse her statement that your mother "needs skilled support in a structured environment."

Poor Mom. She did not ask for or deserve her disabilities. I'm sure that you sympathize with her. But that doesn't magically qualify you to take care of her, in addition to caring for your young family.

The sale of her house will provide funds for care in an appropriate setting for at least a while. There are also ways to set up a trust so that a person over the income limit can qualify for Medicaid. An Elder Law attorney can help you will this. Definitely see such an attorney before taking steps such as selling the home.

Has your sister been ordered to pay back any of the funds she used inappropriately?

You might call the Area Agency on Aging for advice about an Elder Law attorney. Sometimes they have resources that can get you started.

As guardian, you need to see to it that your mother gets the best care available to her. Through no fault of yours or of hers, that is not likely to be in your home.
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Generally money that is missing and unaccountable is considered to have been given away by Medicaid. But money that has been stolen is viewed differently. Please discuss this with your legal adviser before assuming its impact on Medicaid.
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Oh good Lord.

Your mother is not just suffering from the recognised and diagnosed conditions. She is also, now, a survivor of physical abuse by the loved one on whom she was dependent for care.

Better qualified people than me will be along in a moment with much better advice about how to handle the logistics. I just want to offer a welcome, and hugs, and the first thought that your mother's needs are a long way beyond even the loving care of a family member. She needs skilled support in a structured environment, surely.

Hugs to you, take deep breaths, do not despair. There is a terrible mess to clear up but there will be good ways forward.
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Mom had the money and now she doesn't as far as medicaid is concerned it will be seen as mom giving it away so she will be denied medicaid until the value of that sum is used up.
Would mom consider subsidized housing? People there will be more independent than ALS and it might be easier to make friends. These buildings are usually secure so people feel free to leave the doors to their units open.
Whatever you do will be a struggle and of course she will need supervision.
Another possibility would be for her to go home but find someone who would share her home rent free but assist Mom.
I don't think you will be able to give up the supervision or bill paying but at least with her out of the house you can breath again.
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When Mom came to live with me I was babysitting my 20 month old Gson. I was 65. Taking care of both was like having two toddlers. I can sympathize with you. I agree that Mom needs a place where she will be overseen. Your children should really not be subjected to her mental illness. Hopefully your sister will be made to payback what she stole.
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Part of my problem with my Mom was her being clingy. I can't do clingy. When I am in the kitchen cooking, no one is allowed in it. (I have a small kitchen) I don't like turnning around with my hands full and someone is right there.
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Impress this on your heart:

A Question Is Not An Accusation.

There is *nothing* wrong with anybody's asking your sister to provide an account of both the history of her time supporting your mother, and of all the finances. The aim is to establish a) what has happened and b) where we all are now.

So don't be torn. The judge needs to know, APS need to know, you need to know. It's impossible to stabilise and plan your mother's living arrangements without all the information - it affects her entitlements as well as what is to happen next.

So if APS are telling you that the only way to progress the investigation is for you to file criminal charges... yikes, it isn't that I blame you for hesitating... then you'd better.

Or, I suppose, but take professional advice on this, you could tell your sister that unless she provides the information demanded so far then criminal charges will have to be filed.

I do feel for your sister in some ways, you know. I don't suppose she's been enjoying this, and it's all turned toxic on her. She isn't handling it well but I can sympathise with how she might be feeling. I'm sure you do too.

Is there anyone in the family or your social circle that she has had a good relationship with? I'm wondering if you can maybe think of an intermediary who can persuade her to drop the adversarial drama and start putting things straight.
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file charges against sister if this is recommended - otherwise it might be seen as "gifting" sister money when your mom needs medicaid
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Livid, resentful, indignant (I looked after mother and this is the thanks I get - !), but also probably scared.

Oh dear. Well. She does have music to face. But I bet that music is not as loud or frightening as she wakes in the night thinking it is.

She doesn't want to add up partly because she's made a right pig's breakfast of the filing - I bet there's an envelope with receipts in it. In fact, several envelopes and a drawer. All "waiting" to be sorted - and no doubt partly because there were numerous occasions when she thought 'oh I'll use mother's and pay it back...' and curiously never got round to it. Plus sometimes it will have been her birthday. Plus sometimes mother will have been especially difficult the night before and maybe it felt like payback.

There are all kinds of reasons why people do very wrong things without actually themselves being evil.

She will feel unbelievably much better once the facts are straight. It's just the getting there that's going to be painful.

Debt counsellors have ways of getting people through that hideous Grand Opening of All The Bills occasion - the moment when people sit down and face exactly how big a financial mess they have got themselves into. And as far as I've ever heard, no matter how big and smelly the mess itself is, there is no person who doesn't feel huge relief just to know where they stand. That's the first step in getting out of the trap.

I wonder if APS could recommend a mediator or counsellor to help with communications? Or maybe even the court could? If she's just going to have a destructive reflex reaction every time you try to get in touch, so fast that you can't even get "I'm trying to help you, idiot!" in edgeways, it's going to be terribly difficult to stop things getting worse. I mean changing the locks for heaven's sake! - but what if she torches the place, or floods it, or some other emphatic statement of her feelings?
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If your Mom's cognitive function continues to improve, you might want to consider using a security system with a camera or two to watch over her during the day. I use a camera in the open common area of my house and monitors on the bedroom door. I can access the camera from my computer/tablet/phone without disturbing my mother and have set the system to send a text message when the door open/closes. A "ring" doorbell alerts me when someone is at the door - I also have a sibling I need to keep away from my mother.
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