Anonymous
Post 07/11/2013 07:26     Subject: Re:parents getting older and arrangements for "disabed" sibling - how much do I need to know/prepar

23:57, thank you. I appreciate your time in laying all that out - I need to re-read and digest everything but there are definitely aspects of this that I have not thought about previously.

Part of the issue is that Jenny's problems stem from both deep-rooted emotional problems (okay, yeah, they're real) and serious, long-term, enabled-by-my-parents drug use (which I hold her accountable for, frankly - "I love heroin" is not a disability in my book). She is fully capable of holding down a (PT anyway) job and has done so many times in the past (actually has done it WHILE receiving SSDI...). These issues have played out since childhood and frankly I can't think of a single family member who isn't frightened of/disgusted by her and her actions at this point. Maybe I should add that she is a convicted felon.
Case in point: You know how, at Christmas or a family bbq, all the ladies will generally find a corner to stash their purses etc in? In our family those purses are often kept right on the shoulder through the whole plarty - b/c Jenny will rifle through purses and break into cars to steal money for drugs. She has exhibited violent behavior toward my parents (along with many threats) whenever she doesn't get her way. I locked my bedroom door at night, during HS, in order to feel safe enough to fall asleep. Nobody's going to volunteer for this, and my parents are completely aware that I am not taking over her care. However, I think they are just sticking their heads in the sand on this (ie, THEY won't be around to deal with it, so it's not their problem?)

They (parents + Jenny) currently live in a 55+ community. Don't know what happens when parents die/move to nursing home (gah another situation I can barely stand to contemplate).

Re: PP suggestion for therapy - yeah, I need it badly. DH has requested it but I just have a hard time initiating it (lots of bad memories surrounding "family counseling sessions" ergh).
Anonymous
Post 07/10/2013 23:57     Subject: parents getting older and arrangements for "disabed" sibling - how much do I need to know/prepare?

I've been going through this same situation in my family. I have a mentally ill brother, and I'm the only sibling. Luckily my parents are organized and are involving me in the preparations, and I am planning to take over his care once they die (not happily, but I am doing it). Please excuse the length, but hopefully this will be helpful to you and others.

Even if you do not want to care for Jenny, I strongly encourage you to get involved now with your parents and make that wish known (do they know this???), and help them make plans for their own care and Jenny's.

There are a few issues here which you have to separate a little bit, though they of course overlap:

1) YOUR PARENTS' CARE -- this involves their will and how any remaining assets will be distributed, their revocable living trust (RLT) for their assets if they have one, their POA, their healthcare POA, long term care insurance, life insurance policies, etc. What you want to counsel them NOT to do is make sure that no assets go directly to Jenny. Also, they should perhaps not choose Jenny as POA since she's not able to handle it. So decisions need to be made on who will do what and those folks need to be aware of what their roles will be. You should also know their general preferences -- do they want to remain in their home, retirement center, etc.? What can they afford? Of course, everyone needs to also understand that preferences and plans may have to go out the window when you actually get to that stage, kinda like labor when you have a baby!

For your parents, I agree with the PPs -- if you plan to be primary caregiver for them, or at least involved, you need to know their will is done (you don't have to see it I don't think), and you need to ensure their POAs are set up (even if you are not the person they select). The important thing is that these docs are in order and everyone knows who's doing what when the time comes, including who will be primary to care for Jenny once they die. As your parents decline, that person(s) needs to be "trained" by your parents and start taking on the caring role because your parents will be too ill to do it, and because Jenny will need to get used to someone else playing this role. That will make it less of a shock once they die -- hopefully by then, she will be used to whomever has taken over, and it will give her peace of mind that her needs are being planned for.

Along with that, I totally agree it would be good to have some frank conversations about their assets/income to address the issue of whether they have "enough" money to care for Jenny in the way they want to before they die. Or will someone else have to help financially? Where you could run into a problem is if they are still alive, they run out of money, and you're faced with requests to support them, much less, to support Jenny, since they can no longer afford to.

2) JENNY'S NEEDS -- the Special Needs Trust (SNT) which is SEPARATE from the parents' will, her housing needs, her income (SSI, etc.), healthcare, transportation, etc.

HEALTH: I'd strongly suggest that while your parents are alive and presumably have more free time than you do, to work on setting up more foundational supports for Jenny. For example, healthcare. She may already have Medicaid since she has SSI, but verify that. If not, your parents should get something in place now (whatever she qualifies for) even if she doesn't use it right away. They should also look into the local mental health system (probably a county outpatient clinic) and find out how it works, and if she needs to get into their system so she's set up in case she has a crisis later on. Does she need to go and do an initial intake with them? Will she even go? Does she need meds regularly?

MONEY -- Your parents are probably managing her money right now. If not, SS has a thing called "representative payee" which means SS designates someone (usually a family member) to manage her money for her if she's not capable of managing money. My brother has it; it's a godsend. Dad receives the SSDI money and makes sure bills are paid, allocates some for groceries, puts some in his savings account, and my brother gets a monthly allowance to spend on whatever he wants. Definitely get this set up with SS before your parents die. It would probably be best if the SNT trustee acted as Representative Payee -- that way they have control over all finances and can determine what to pay out of the SSI and what to cover from the SNT.

HOUSING: It would also be good for you to know how much her SSI gives her monthly and how far would that go once she is on her own? Will she be able to live your parents' home? Do your parents need to sell the home before they die to use the money toward a nursing home, or do they have other assets? Does she have the capacity to care for the home? (If not, a family member could help with that, or you could hire someone to act as a property manager.) While you may say "no way can she live there!" I caution you to think twice. Housing for the mentally ill is terribly difficult to come by -- long waiting lists, and then they get kicked out because of bad behaviors (like drug use!) and have to start all over, or they have bad credit and can't get approved to rent, or they can't manage money and pay rent on time, etc. It may be a very prudent thing for you to consider either keeping the house for her to live in for the rest of her life, or selling it and using the money to buy something for her. And it would probably make everything a ton easier having the housing taken care of and not be in jeopardy if she slips up, worry if she were to be homeless, etc. I have so much peace of mind because my parents bought a place for my brother to live in that's paid for, and our SNT will help cover insurance, taxes and maintenance.

PAPERWORK: My parents have shown me the SNT but not the will. However, Dad says that the "plan" is that their RLT holds all their assets, and the will says "upon our death, take $x from the RLT, and transfer it into the SNT." The SNT is a separate trust doc. I do think it might be helpful for you to read the SNT to get the flavor of it, what kinds of expenses the SNT is designed to cover, etc. We have a clause in ours that says that my brother is never to know about the existence of the SNT (so we don't get calls begging for money). Usually SNTs are written broadly with guidance that the trustee should first allow any benefits (SSI, Medicaid) to pay for expenses and then trust is there almost like a "secondary payer" to cover any additional expenses, and it can also be there to help in case she ever loses SSI.

ROLES: Here's a biggie: SNT Trustees are there just to pay bills and to make sure the trust is properly invested. And the SNT Trustee can be a family member, or you can hire a lawyer or CPA to do it, and they get a percentage of the SNT for their time. They DON'T arrange housing, figure out healthcare, answer calls in the middle of the night, or act as a social worker. Jenny needs someone -- a family member, a social worker from the county, someone to be her "care manager." They essentially fill the role your parents are now for the areas where she cannot manage her own life. And this is why your parents should talk to their local mental health dept at the county now -- can they get these "care manager" services from them? Or what other resources are available locally for that? Sometimes non-profits do it too.

The care manager person looks at the big picture and makes sure everything is covered. Then the care manager would hypothetically work with the trustee to say "Jenny needs x, can you pay for it from the SNT?" And the trustee says yes (or no) and then pays the bill or makes the purchase. In my experience, finding someone to play the care manager role, if you don't have a family member to do it, is the HARDEST part of about helping a mentally ill person. This is a real missing link in our mental health system and usually it is family members that play this role because the local government doesn't have the resources to do it. I have learned that some non-profits will do it, but they can charge $80/hr to do it -- for things like taking the person to the doctor, grocery, and more complex things like arranging housing and working the system locally.

Any family member who is responsible and willing to play a more hands-off, behind the scenes role could act as the Rep Payee and Trustee -- you could do this from afar as long as you had a care manager. It is the care manager role who needs to be hands on with Jenny and work directly with her to manage her life.

I am sure there is more I could say, but it's late and I am sure I have already freaked you out! Do some reading, do a lot of talking with your parents, and if they are willing, encourage them to attend a NAMI Family to Family Class (http://www.nami.org/Template.cfm?Section=Family-to-Family&Template=/TaggedPage/TaggedPageDisplay.cfm&TPLID=4&ContentID=32973). That will help them think about preparations and network with other local parents who have been down this road.

Also - a great blog on these issues by a woman who is caring for her mentally ill sister: https://trophydaughter.wordpress.com/

Good luck!
Anonymous
Post 07/10/2013 19:10     Subject: Re:parents getting older and arrangements for "disabed" sibling - how much do I need to know/prepar

If you think your parents would be comfortable letting you look things over, by all means ask. But from where I sit, it kind of seems like this isn't your business. Since you plan to be uninvolved, and you can't be legally obligated to be involved, it's not really your problem. Believe me I get that you want to make sure everything is done correctly -- I had a very similar situation with my grandmother and my severely mentally ill father. I knew grandma was leaving $$ to dad and I wanted it to be structured in a way that would not allow dad to be irresponsible. I knew that if he blew through it, I would be left supporting him (not legally but I know I would do it). I discussed my concerns with grandma and she assured me it was taken care of, and when she died it turns out it wasn't. But there was nothing more I could have done -- while grandma was alive it was her prerogative to keep her plans private. I wish she hadn't, but it was out of my control.
Anonymous
Post 07/10/2013 17:00     Subject: parents getting older and arrangements for "disabed" sibling - how much do I need to know/prepare?

OP, the dynamics of families with addiction can be very toxic, as you already know. I would suggest talking to a professional therapist with experience in treating addictions to help you sort through your options and your feelings.
Anonymous
Post 07/10/2013 16:56     Subject: parents getting older and arrangements for "disabed" sibling - how much do I need to know/prepare?

It's pretty difficult to qualify for ssi. She probably does have a mental illness and for you to out quotes around disabled is disrespectful to those with mental health issues. You don't sound like a very nice person.
Anonymous
Post 07/10/2013 16:55     Subject: parents getting older and arrangements for "disabed" sibling - how much do I need to know/prepare?

Anonymous wrote:So your sister will have some income from a trust plus a monthly disability check to live on--this should be sufficient for one adult to survive.


I would want to make sure she can only get a certain amount per month and that the trustee is trustworthy
Anonymous
Post 07/10/2013 16:50     Subject: parents getting older and arrangements for "disabed" sibling - how much do I need to know/prepare?

So your sister will have some income from a trust plus a monthly disability check to live on--this should be sufficient for one adult to survive.
Anonymous
Post 07/10/2013 13:10     Subject: parents getting older and arrangements for "disabed" sibling - how much do I need to know/prepare?

Power of Attorney and Medical Directive are very important to preserve your parents' quality of life at the end, especially with a rogue sibling in the picture. I know some elderly parents can be really resistant to this, however.

Also I would talk with the other family member who is the trust executor. You will perhaps have to cooperate in the future. Is he or she completely aware of what your sister problems?
Anonymous
Post 07/10/2013 13:02     Subject: parents getting older and arrangements for "disabed" sibling - how much do I need to know/prepare?

13:00 here again. I am also on my dad's bank account so that I have the ability to write checks on his behalf. Once again this does not give me the right to use his money for my own things (although I guess I could if I wanted to). But it will help you care for them went they can't care for themselves. It will also take control out of your sister's hands.
Anonymous
Post 07/10/2013 13:00     Subject: parents getting older and arrangements for "disabed" sibling - how much do I need to know/prepare?

You absolutely need to talk to them about the Power of Attorney and about a Medical Directive ASAP. I hold both of those for my elderly and very ill father. I have to use those for bill paying and so that I can have authority during hospital stays where he is unable to make decisions for himself. A POA does not mean you can change any of the decisions they have already legally made. But it means you are their facilitator. Your sister does not sound like she can handle this. And to not have one could be a disaster. I agree with PP that this is most important right now. I think after their death you have every right to walk away from your sister. She has no right to bleed you dry like she has done them.
Anonymous
Post 07/10/2013 12:45     Subject: parents getting older and arrangements for "disabed" sibling - how much do I need to know/prepare?

Anonymous wrote:Being that you have very minimal contact you may not know this, but what is Jenny's plan for Jenny after your parents die?


Jenny is mentally unable to think this far ahead. I think, if she were, the plan would be "get all the money, buy lots of drugs, figure the rest out later. What do you mean I can't continue to live here?!?!?!?" In theory, my parents have discussed the trust, etc with her, but I highly doubt that she retained/internalized any of the pertinent details (AND I think my parents left out the part about "It won't be enough to fully support you.")
Anonymous
Post 07/10/2013 12:43     Subject: parents getting older and arrangements for "disabed" sibling - how much do I need to know/prepare?

Being that you have very minimal contact you may not know this, but what is Jenny's plan for Jenny after your parents die?
Anonymous
Post 07/10/2013 12:28     Subject: Re:parents getting older and arrangements for "disabed" sibling - how much do I need to know/prepar

Thanks. I've just been so up-in-the-problem that it's hard for me to see the big picture sometimes.

Re: wanting to see paperwork, I honestly don't trust my parents to have done their homework. I figure it's a 50-50 shot that they actually got the law/etc correct. I actually really DON'T want to know about quantities of $, I'm not worried about "my portion." But I would kind of like to know what Jenny's portion (and monthly or annual dole) will be, so that I can judge at what point I need to buy firearms and move out of state (no, seriously).

A recent concern is that supporting/bailing out/drug treatment programs/shrinks/drugs for Jenny has seriously depleted my parents' financial resources, which they worked very hard all their lives to have. Not concerned about "my portion," again, but if at some point my parents are going to start asking me to pay their Dr bills - I'd like to know sooner rather than later, kwim?

Re: who will take POA, I actually don't know. I will ask them.
Anonymous
Post 07/10/2013 12:21     Subject: parents getting older and arrangements for "disabed" sibling - how much do I need to know/prepare?

Why do you want to see the paperwork? I feel like I"m missing something here. It reads to me like you don't want any contact with your sibling, nor any responsible (for very legit reasons, I"m not judging). Parents have told you you don't. I don't see why you'd need to see the paperwork if your concern is that you're not a part of things - not sure how you could be forcibly made a part of things in this scenario. Are you worried about money being left to you? Sufficient money to take care of elderly parents? Decision making for your elderly parents?

I think in your scenario my concern would be the period of time from now til the will, not after the will. What if your parents are no longer able to stay in their home? How will that be handled? Who will have power of attorney once your parents become more disabled, if that happens? Who is their fallback for care now, for them? So, if they aren't able to stay in the home - who makes that decision, who signs the paperwork with assisted living or nursing home, who kicks Jenny out, and where does her support come from, pre will?

Can Jenny wrestle control of your parents while they are still alive. That is the concern, I think. Not once they're gone.
Anonymous
Post 07/10/2013 12:09     Subject: parents getting older and arrangements for "disabed" sibling - how much do I need to know/prepare?

I have a grown sibling who is completely unable to care for themself due to a "mental health disability" aka serious and repeat drug addictions. This sib (we'll say Jenny) currently lives with our parents and mooches every single thing. Jenny's SSI check (disability) is basically spent on drugs, I think. Parents bemoan the situation but refuse to actually man up and change it. Due to lifelong issues/histories, which I am not going into here, I am not willing to provide financial or emotional support for Jenny once our parents are no longer able, and maintain absolute minimal contact now (ie, she is not allowed in my home).
Parents have stated that there is a will with a "trust" for Jenny. The caretaker or whatever, of the trust is NOT ME, it's another family member. I specifically requested that provision.

My questions for the group:
- Would you want to see the actual paperwork? I haven't, and haven't asked, but have no issue demanding a copy. I may decide to have my own attorney review it. Any thoughts?
- Parents have recently stated that the trust is not going to be enough for Jenny to live off (as sole source of income). Oh dear. She ain't coming to live with me and I wouldn't trust her with $0.50.
- What am I missing/forgetting here? Related to the parents, or specifically the sib situation. I just hate feeling unprepared.


This whole "parents getting older" thing is still weird to me, and for all intents and purposes it's like being an only (gotta deal with it all, nobody to help) only worse (also have to deal with sib).