My 'D'Sis has a number of problems, and I'm trying to get my head around them. I can't personally do a lot to help as I'm on the other side of the world, but I'm the sounding board for another DSis who is shouldering a lot of the burden.
To set the scene and to try to avoid drip feeding:
DSis3 and her two young teenage children live in granny flat at the back of my DParents house. Both parents are very ill and require a lot of assistance. There is external assistance to help with personal care, the weekly shopping (no internet shopping available), house cleaning and there was - but no longer is- assistance with food (a type of meals on wheels delivered food but parents didn't like it so cancelled it).
DSis3 is technically their carer and gets paid a pension for this, which is higher than unemployment and means she doesn't need to look for work. In reality she does very little and DSis2 and DBro run around taking DPs to their many medical appointments, help with batch cooking on weekends, garden maintenance, etc. DSis might occasionally do a trip to the shops for them, and the odd trip to a medical appointment. DSis2 and DBro have to take holiday leave to do this (paid leave for family care is limited and used up quickly) and frequently have to go to unpaid leave as leave gets all used up.
For the last few years we have believed that DSis3 was an alcoholic. She is usually intoxicated, falls asleep early in the evening and her 2 DC are left to their own devices, and they have subsequently become rude, aggressive children, but they can be very nice when they want to be.
DSis3 checked herself into the hospital claiming to be suffering a breakdown a few weeks ago, after going missing for a couple of days and abandoning her two children.
DSis2 has taken the children in because of problems between DBro and the children (they have been physically and verbally aggressive to his young daughters).
The social worker and psychiatrist at the mental health unit had a family meeting with DSis2 and DBro without DSis3 present, and were told the following. DSis 3 is not alcoholic dependent, but an alcohol abuser (IMO this is still an alcoholic) - there were no withdrawal symptoms at all in the time she was in the unit. Her perception of the responsibilities placed upon her and the reality of them is extremely different, the way she talks about everything she does and what she actually does bear no resemblance to each other. She did not suffer a break down, and has no mental health problems.
She is now back home, has not asked DSis2 about her DC. Telling everyone else that DSis2 snatched her children from her, seems to have conveniently forgotten the fact that she abandoned them. She has always had a deep hatred of DSis2 which is rather ironic as she is the one who has done the most for her.
She is in masses of debt on her credit card, has quit her part time banking job and doing a course which will get her into a very part time carer/nurse type role within a few months supposedly.
It's everyone else's fault that she has never finished any of the courses she started because we all nagged at her (many, many courses). She feels inadequate because the other girls in the family have all done degrees (off our own back, part time, while working might I add!!!)
So where to now???!!!
How can she not have a mental health problem? Is she just a self centred B** who doesn't give a damn about anyone else????
To lay my cards on the table I have been saying for many years that we need to have the children taken away from her, but noone else in the family agreed with me (am the youngest, and my opinion frequently dismissed as though I was still an annoying teenager). It will take a lot of work, but I feel as though the children are with someone else just in time, and still have the ability with a lot of care and attention to lose the aggression and downright nastiness they sometimes display. They can be the most caring and loving of children, were wonderful with my 2 DSs whenever we visited.
A lot more I could include (such as a husband/father who abandoned DSis3 and her DC), but this is long enough I think.