Welcome to HW! -- What a lovely friend you are!! :)
To be honest, the difficulty with this is that, unless a person is considered a danbger to themselves or to others, there is nothing that can be done to hospitalise/hospice-ise (?!) them without their consent. And the problem with that is what we define as a danger to oneself. For example, I consider a lot of things that bp leads to as dangerous to an individual, but "danger" is quantified by authorities as severe self-harm/suicide. If your friend's son falls into this bracket, then she can have him admitted, but then it's the same process over and over. I'm not sure what the solution to that is, unless it's cripplingly expensive private care.
The main thing to mention to offset all the doom and gloom that my response so far has given is that the medical world is not as backwards as it was on mental health, and bp, schizophrenia and AIDS *can* be managed: it takes compliance with meds on the part of the sufferer, but it *can* be done. If your friend's son is not complying, then there's a real difficulty; if he can be got to do this, then there is hope.
At present, harsh as it may sound, I'm more worried about your friend: she is trying so hard, and my impression is that, if things are like this, her son is not helping *himself* (and that is a *must* -- even though I know it's easier said than done and I have a huge amount of sympathy for him). What I mean is that she is having to watch att this happen (as are you) and is desperately trying to find solutions (as are you) to something that can only be solved (or rather managed) if her son accepts some degree of responsibility. As I say, I know that sounds harsh, but I'm thinking in terms of the hospital visits he's had and the fact that, each time, he will have been put on a med regime: he has to stick to that, or accept that he needs someone else to take over for a while and *make* hims stick to that until he is capable of taking the responsibility himself. Without that compliance, there's only him separated from the reality of what's going on and your friend watching in fear and pain and trying everything and hitting all the inevitable brick walls.
I am worried that your friend is needs support, and not just from wonderful friends like yourself: she could do with some counselling at the very least. -- This is traumatic for her, and (I must be honest) could be more so unless her son accepts, and indeed seeks out, help.
I wish with all my heart that I had some wonderful idea on how to solve this for your friend -- and I'm sure everything I've written is just the old stuff you and she keep hearing back. If I could think of anything better to advise, know that I would. My heart goes out to you, and so much to your friend, and of course her son.
Very best wishes,
P.S. Please somebody else have better proactive ideas than me!! -- Does anyone know of any loopholes -- anything?!???
People are not like fish: they do not work well battered.
When I'm not in my right mind, my left mind gets pretty crowded...
Moderator, Bipolar Forum