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How do you handle a neighbor who comes to your house several times wanting to pay a bill and has be told she has no money till check comes. I have an elderly neighbor who comes down to my mothers house 4 or more times a day asking to use phone to straighten out a phone bill and the problem has been resolved and she will have o money to pay for several days yet she comes back wanting the same thing to call sevral times a day to get her phone back on and will not take no for an answer who do you contact to help this woman she lives alone.

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I'd call Adult Protective Services in your city or county. They'll come and do a welfare check on her but if they don't take any action you can expect your neighbor to be knocking on the door again soon.
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Do you know who and/or where her relatives are? If she has some, they should be made aware of this situation so they can intervene to get her help. It sounds as though there are some issues of confusion, but that in her near isolation she's really not getting any help.

You might also see if your county has a social services department; a social worker might be able to help.
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Try your Local Aging or Senior Center Community Social Worker. They will come by and do an assessment to see if she needs or qualifies for any services including Case Management, Bill Paying assistance, Meals on Wheels, Grocery Delivery.
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My mother was doing similar kinds of things, and it was a sign she was no longer safe to live alone. She could no longer comprehend how bills were paid, and actually did have her phone service cut off due to delinquency. *I* had to call AT&T, provide her SSN, and *I* paid over $200 to get it turned back on.
She didn't understand what I had done for her.

Use the words VULNERABLE ADULT with COGNITIVE DECLINE when you talk to any kind of social services person. I did call APS on my mother (anonymously), they visited, and she showtimed her way through it and they did not find her in need of services. Her house looked like a bomb had gone off in there, the rotten food stank to high heaven, as well as the piles of pee-soaked clothes she could no longer get in the washer. Your results will vary by county and county budget for this kind of thing. A lot of these services have been cut way past the bone in recent years, and the county simply doesn't have the ability to save everybody anymore. Especially counties without a wealthy tax base. It's wrong, but that's the way it is.
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Also, see if you can find out from her if she attends any place of worship. You can then make a phone call to report they have a fragile elderly member they need to come help. These services are having to fill in a lot of gaps these days.
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After months of concern for my neighbor, making all those calls (including her son, including APS, including the paramedics, including talking to her nearest neighbors), I closed and locked the door, became very scarce, and did not go outside when the paramedics came to take her away after her last fall, (which was outside) ----only then was she placed. So sad. Took a lot out of me. Any helps or interference just delayed the inevitable! I took the paramedics advice.
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