Hi, I have been stalking this site for 8-9 months and have only posted once or twice briefly in response to others' problems. I have needed you guys in the past, but held off. Now, I really need you as I can't hold off any longer. My 22-year-old son has been cycling downward now for at least 3 years. His inability to focus or regulate his sleep led to his withdrawal from college. When he came home, he confessed that he had resorted to Adderall use and abuse to stay awake and study, robo-tripping, pot smoking (of course), and some other things. We quickly forgave him, tried for a year and a half to help him steady his ship, which included psychological testing, counseling (he quit after 5 sessions), use of our car while he attended a local college part-time and went to work (quit the college classes twice mid-semester and got fired from three jobs in a a row), and living here rent free. After a year and a half, we kicked him out of the house but paid his rent in his new hometown while he looked for work. After nine months, it was clear that he was spiraling downward even faster. No job, staying in his room surfing the internet, walking around town stealing books from the public library, doing what-I-don't-know, but nothing good came of it. Long story short, some old college friends took him to the hospital, and from there he went to a mental hospital where he was diagnosed manic-depressant (a.k.a. bipolar I). The substance abuse appears to be minimal at this point--some pot and alcohol because he really couldn't afford it anyway, but I could be wrong. Bottom line he is S-O-O-O-O-O SICK. He is truly, truly mentally ill. When we saw him in the mental hospital, he was just a crumbled, belligerent, narcissistic shadow of his former self. I can't even convey in words to you how painful it was to see him like this. Yet, we saw it coming. It was really just an advanced version of what we saw nine months earlier when he left home. We got him into one of the best treatment centers in the country for his condition. After two weeks they have had it with him. He won't take his medicine. He is very hyper manic and will not listen to reason at all. He can't get along with anyone in his house, won't listen to the psychiatrists, the counselors, the owner of the treatment center, etc. They told us to come get him, but my husband got on the phone and explained to our son that this is the final stop for him. We will not be going to get him. If he doesn't take his medication and do what they say, he is out on the streets in this new and strange town (out of state, too). He has no friends at all in this new state--nowhere to go. Our son promised to do what he was told but we know it will not last. They are transferring him to a mental hospital again where they can basically make him take his medications in order to get stabilized. At that point, they have agreed to give him another try in the treatment center if he is stable. I give this less than a 5 percent chance of working. It is heart breaking. What should we do? We know tough love doesn't work with our son because he is TRULY INCAPABLE OF TAKING CARE OF HIMSELF. HE CANNOT FIGURE IT OUT like others do when they are kicked out of the house. He cannot bathe or organize his thoughts in order to even find a job, much less keep one, and he will simply end up God-knows-where. It was easier to kick him out the first time because we had not tried it before, and we did not know how sick he was. Now we know. And we feel some obligation to help him, but we do NOT feel comfortable bringing him home again. We have two other children living at home who have no issues. Don't feel it's right to expose them to anymore of this. Any advice? What can we do? How can we, or anyone, put someone so mentally ill out on the streets?