Support for my brother. What should I do?

I looked after my brother as a child carer and we've remained reasonably close over the years. He lives not too far away and eats with my family several times a week. I seldom go to his flat, as he comes to me, but I've realized all is not well.

I've strongly suspected he has Aspergers for many years. His behaviour is obsessional, he has no social skills and can often come across as rude. He's very literal, suffers with sensory overload, he cannot cook for himself and appears to be a social leper. The other day he asked for my help with a plumbing job and I went around to see him.

I arrived on Sunday morning and nearly died with shock. My house is untidy, very untidy at the moment, but his flat was like something from a horror film! Nearly 200 opened unwashed cat food cans on the sideboard, sink, kitchen surfaces and floor. (He only has one cat!) Not to mention paper and dirty laundry strewn everywhere. 

A couple of years ago I took him to the GP with depression, but clearly he's severely depressed now. What should I do?
I've never seen such depressing living conditions, no light, no hot water and dust inches thick. I've spoken to him about it and he's passed it off as just being blokish! I even caught him taking 'out of date' food I found in the fridge and had thrown away, back out of the bin! 
He knows his brother had Aspergers and i'm convinced he has too, but how do you tell someone who's so closed to the possibility. He doesn't eat properly and clearly isn't looking after himself, but i'm at a loss to know how I should handle this. 
I'm happy for him to eat with us more often, but I really cannot take on the care of another adult on top of my two childrens care. My husband says we should pop up once a week to keep a check that he's staying on top of his now clean flat, but I think he needs some greater support. I'm not sure who to ask though. Now his flats clean i'm going up with a friend to fix the hot water issue, but I have a sense he's going to revert back. He told me yesterday he hasn't had a visitor to his home in over five years! 
I feel so terribly guilty, because i should have visited him sooner, yet given that his/our brother took his own life with severe depression i don't want to leave it. Is social services the only option? or can I get assistance from another source? Would welcome your thoughts, thank you. 
Coogy xx

Parents
  • You say your brother is closed to the idea, have you actually had a full discussion about the possibility of Asperger's with him?

    You could try to get him to read something http://www.peaknt.com/files/The%20Complete%20Guide%20to%20Aspergers%20Syndrome_Attwood.pdf that may click with him, and to take the AQ10 http://www.nice.org.uk/nicemedia/live/13774/59686/59686.pdf and tell him he could get assessed just to know either way.

    Perhaps if you explain to him, that he would get support with his daily living if he had a diagnosis.  I just don't know if SS would help without evidence of a condition causing him to be classed as a vulnerable adult.

    To get an assessment he needs to see the GP (you could go with him) and request it, this is when the results of the AQ10 would be useful as it's also a GP screening tool and a score of 6 or above means he should be assessed for autism.

    It will feel depressing for him living in those conditions, and I'm sure he can see the benefits of having a clean and orderly home, so tell him that he will get help with that if he seeks assessment.

Reply
  • You say your brother is closed to the idea, have you actually had a full discussion about the possibility of Asperger's with him?

    You could try to get him to read something http://www.peaknt.com/files/The%20Complete%20Guide%20to%20Aspergers%20Syndrome_Attwood.pdf that may click with him, and to take the AQ10 http://www.nice.org.uk/nicemedia/live/13774/59686/59686.pdf and tell him he could get assessed just to know either way.

    Perhaps if you explain to him, that he would get support with his daily living if he had a diagnosis.  I just don't know if SS would help without evidence of a condition causing him to be classed as a vulnerable adult.

    To get an assessment he needs to see the GP (you could go with him) and request it, this is when the results of the AQ10 would be useful as it's also a GP screening tool and a score of 6 or above means he should be assessed for autism.

    It will feel depressing for him living in those conditions, and I'm sure he can see the benefits of having a clean and orderly home, so tell him that he will get help with that if he seeks assessment.

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