Those who are blaming the family obviously have no idea of what it is like trying to care for someone with a severe mental health condition.
My niece is like this man, she has bipolar and is clearly unwell but not unwell enough to be sectioned. Her life is extremely chaotic, including upping and moving to Spain in a manic episode and having to be rescued a few weeks later. The last we heard she was in a depressive episode, only leaving her room to eat and go to the toilet. She was with her grandparents at this time.
My sister has done everything she can to help her, including trying to get her to move home. She chucked away her phone in October because she was finding contact with people too stressful so we have no way to talk to her, it breaks my heart to see how upset my sister is. She cried when my niece was talked into talking to her on the phone briefly on Xmas day but there has been no contact since. My sister has done everything she can including trying to take her to appointments and bailing her out financially.
In the past year she has moved between family and friends, having to leave when her behaviour got out of control. She ended up in prison briefly on remand for violence and we were hoping being there would actually get her some help but she was let out after a fortnight. She ended up in a homeless hostel briefly but got thrown out, that was just before she went to prison. She is on some kind of supervision order now where she needs to have regular appointments, hopefully she will get some help there.
There is nothing a family can do in this situation except watch as your loved one self destructs, she has made several suicide attempts over the past two years.
As for benefits, universal credit are more punitive than ESA. Her whole claim was shut down for one missed appointment, she had to go through the application process and wait 5 weeks for another payment. At least with ESA there was some leeway for missed appointments.
Those to say she needs to take more responsibility don't realise how little insight people with certain illnesses have into their behaviour. When she is in a depression she actually does better as her brain is not going at a million miles an hour but with mania she does all kinds of things that seem stupid to the rest of us.