Hello @Jz63 

Welcome.

It's a very difficult situation. I've been in a similar position and found it very difficult if not impossible to get professional help for the family member. The psychiatric triage team said it wasn't life-threatening just a lifestyle choice so they couldn't intervene under the mental healthcare act. The person's gp and therapist said they couldn't communicate with us due to privacy and confidentiality considerations but we tried to tell them of the situation anyway. Re the house and garden, family did what they could to intervene when the person had an emergency hospital admission after an accident that was probably caused by the hazards at home. 

It's a very sad situation. All you can do is be there for your family member and encourage them to seek the help they so evidently need. And gently persevere in offering and giving assistance.  If the relative who's helping by providing meals and showers has their trust, they may be in a better position to persuade them.

Unfortunately your family member's employment situation may prove to be a tipping point (speaking from experience). I don't have any answers there apart from recommending pursuing DSP and NDIS supports if their employment ceases. The catch is that I don't know how someone can set in train the NDIS applications when they lack insight into what they need and there doesn't seem to be a process for preliminary evaluation and assessment. 

It seems to me that the gp is the gatekeeper to professional services, meanwhile the family are the only ones with the welfare of the person at heart, and the only ones who can help with the living situation.

I wish you the very best of luck. I hope and trust others here can offer better advice. You certainly have my support.

Dimity