In a previous post in this thread, I think that I said that full treatment isn't just strictly medication. It's a two fer of medication management to help regulate either the low/high dosage of neurotransmitters in the brain. Then its recommended, but not mandatory that they seek treatment with a therapist/psychologist to learn/recognize coping skills. I work in acute involuntary treatment, where we get patients on 5150 holds for observation now called COE (Court Order Evaluation). If after 72 hrs. it's deemed, that they require a higher level of care, they're petitioned and put on COT (Court Order Treatment), where we can force meds on them involuntarily. They HAVE to take their meds inside our hospital, or out. If they're SMI (Severely Mentally ill) then they have a clinic and a case worker who checks up on them weekly. And they have to attend meeting at their clinic and come in for regular checkups and also receive their monthly 28 day long-acting shot. Failure to do that and a warrant is put out for their arrest and they brought back to anyone of the level 1 acute care hospitals in the valley (not jail) to have meds forced on them. Most stop treatment immediately after discharge, miss an appointment and they always come back. Good for business, but bad for them. The revolving door of forced treatment becomes their life. I've been in the biz for 15 years, its new faces every week but a lot of old faces, its sad, really.
In our setting we're just about shocking the brain back to normal with a regimen of meds. Again, we don't offer counseling. We have a guy in our care right now. He was an artist a painter. The meds make him numb, he can't paint, has no creativity on the meds. So, he gets off of them. Then the police pick him up because he's walking down Van Buren butt ass naked high on meth. Same thing with this 28 yr. old kid, a pianist who's schizophrenic. He can't play the piano on the meds, so he stops just so he can feel again. And he's also frequently back. For others the guys mostly they're unable to get an erection on the meds and the want to have sex with their spouse, or anyone and not be limp all the time. So, they get of the meds get on Crytal meth and f-k without abandon and they're out in the world out of control acting like A Beautiful Mind. There's LOTS of reasons why they get off of their meds, most often its meth, because it makes them feel more alive, than their meds do. I am sorry to hear about your brother though, that was sad to read.
Anyways I don't want to get this thread further off the tracks with psych stuff. So back to shrooms I guess.