I have an 18 year-old niece that has been dealing with bipolar disorder for years. Up to recently, her mother was kept informed about her state by her daughter's doctor. However, now that she's 18 my sister can't talk to her daughter's doctor without her daughters consent, and anything she says to the doctor has to be disclosed to the daughter. This has complicated my sister's ability to understand, cope, and help her daughter, who still lives with her mother. The latest problem she's seeing is that my niece has been skipping her medications so that she can drink alcohol. (She doesn't like the way mixing medications and alcohol makes her feel.) Right now she's in a manic state and my sister is very concerned with her behavior. It has gotten to the point where she thinks her daughter needs to be hospitalized, but she doesn't know her rights about doing so. She's even wondering about whether she can somehow get guardianship. They live in the Cleveland, Ohio area. I'm asking on my sister's behalf because she doesn't want to discuss this sensitive topic online on her computer at work. I myself am bipolar, but my onset was as an adult, so I cant help my sister with many of the issues shes dealing with. What can she do, or where can she go, to get answers about how and whether or not, she can get her daughter hospitalized or acquire guardianship?