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Scenario: Billy, best known as 'Crossy', a 52 year old, has been around the traps for years. He was a big drinker in his day but hardly touches it now, seeming too confused to bother. He now seems to be trapped in the past. His day-to-day existence revolves around his fortnightly social security cheque, which is quickly spent in only a day or two. Despite his confusion, he enjoys the challenge of numerous crossword puzzles, and manages to survive at a very basic level.
Crossy may be suffering from:
Seek medical attention. Do this urgently if Crossy has deteriorated over a short period (days or weeks). Assessment involves further testing, including blood tests and X-rays. Crossy is most likely to have chronic brain damage, with loss of judgment, concentration and memory, due to the cumulative effect of chronic heavy drinking, lack of vitamin B1, and age. Vitamin B1 deficiency is a direct result of alcoholism and may be prevented by a daily vitamin B1 tablet. Brain damage due to alcohol is often described as the 'Alcohol Related Brain Injury Syndrome'.
While it may not be too difficult to meet Crossy's immediate welfare needs, the main challenge will be in maintaining this assistance. Safeguarding against a possible future breakdown in social circumstances can only be achieved by regular and diligent ongoing support. Because of his mental deterioration, Crossy will continue to neglect his health, housing and welfare needs. Do not expect him to keep appointments. In serious situations the Guardianship and Administration Board (a state government body) may be approached for a 'guardianship' and/or an 'administration' order, which may be granted for various levels of care. If this is considered, discussion with the treating medical practitioner is recommended. An independent person will be appointed by the board if the request is approved after a hearing.