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I live in a different country to my parents (who do not live in the USA). In October (on a visit for my mother’s 80th birthday) I had to remove her from the family home because my father’s long term psychological abuse of her had escalated because he had developed Delusional Disorder.


He refused to interact with me after that. Before I flew home I went to great lengths to get him an appointment with a psychiatrist and persuade him to attend. Other family members had to fly across the world to put carers in place to help him and to make the necessary financial arrangements to facilitate their independent (from each other) living.


My father was aggressive and abusive towards those that were there to help and refused to co-operate with any suggestions. So is living on his own and relying heavily on ad hoc help from my mother’s friends. He has no friends.


His delusions persist. He had enrolled my mother’s friends with his stories of abandonment and poverty (is telling everyone that my mother has stolen his money and gone off with another man).


My mother’s doctor has told her that she must not go back to the family home and not to interact with him other than by email (because of the abuse).


We have written to all involved to explain the situation including the financial situation showing that he is clearly able to afford support.


His delusions are increasing and he is now saying that he is withdrawing from his psychiatric appointments as his deteriorating behaviour all the fault of the medication that he received from the psychiatrist.


Because none of his children live in the same country, I’m at a loss to work out who should take responsibility for his decent into insanity (he has also been diagnosed with the beginnings of vascular dementia and he abuses alcohol).


I really just don’t know what to do.

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Google "Mental Health Care Act of 2002" or just "South African Mental Health laws.

From what I see, a relative can petition for involuntary admission to an psychiatric facility.

It seems to me that if your dad's psychiatrist knows he is off his meds and decompensating, s/he also should be able to petition for an involuntary psychiatric admission.
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Following up on Geaton's response, you might try to contact the local ambassador for the SA country in which your parents live.  He/she might be able to help you make connections easier.

The International Red Cross might be able to offer some assistance, but I suspect it would depend on whatever other disasters they're handling in that area, or across the world.   

But  either entity might also suggest other agencies or options within the SA country; I think that's the first step - acquainting yourself with the entities that can lead to others that might provide help.
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You will need to find out what resources exist in SA (in his local area where he lives) for helping those who cannot help themselves. He needs to get on the radar of any agency that is able to help him, even against his will. In the US, the county can get guardianship of the very ill even when they are resistant. Not sure how it works elsewhere in the world. Good luck!
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He lives in South Africa. My sister and I live in the UK and my brother lives in New Zealand. My brother who did live in SA took his life 2 years ago.
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What country is he living in? It will largely depend on the laws of that country and their medical system.
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