Quote From: mrschiponeCan Someone Help!!!!  
My mom (Jane) has been depresed, getting more and more obese and a pack rat since her mother my grandma died in 1987. She lives in a pig sty, every room is a desastor area, all of my brothers and sisters are adults and now it's just her and my step father and a 21yr old that's there now and then, ( that's a story in it self). My step father is never home, well now and then, some times he's to tired to drive and sleeps in the car in a parking lot and washes up when he gets to work in a sink. He has worked 2 jobs for a long as I can remember and I'm 41 now. My mom can't clean up because she's not healthy enough to do the job. Not to mention that she has astma, and there is mold growing in the basement , which doesn't help the situation any. She has no energy and can't even go downstairs to use her dryer because of the mess and the mold, To get to the bathroom is difficult, she's out of breath and has to stop about every 5 or so feet to breeth beacause she's out of breath. Her smoking doesn't help any, but she will tell you it has noting to do with her breathing it's all astema. 
They have one son that is 21 the youngest of all of us, and is a slob, and has no respect for himself, his parents, or the house that he lives in with our parents. 
She can't begin to know where to start and how too, and for that matter niether do we (The Kids). 
In the past years I my self have spent countless hours cleaning organizing and throughing out STUFF when my mom is not home, but no matter what I or we do it just seems to get worse and worse. My step father is NOT a handy man at all, his fix all.. is silver DUCK tape, my childeren (his grandchilderen) call him The Duck Tape King. Any ways they can't afford to fix or replace anything, they have had no stove or oven in at least 15 years, she cookes by microwave or a BBQ grill. or take out. Her counters and cabents are comming off of the walls and theres holes in the wall, there's a dirty pathway to go from one place to another. Once in a while the living room will get picked up. But If you ask me I think that the house needs to be tourn down. And they need to start over. However, my mom is for saving everything! Her famous saying is that it good you can't throw that out. I can't begin to try and help them, and I don't have the finacial ablity to do it either. I wish I could!  
I wish My father could quite one job, besides needs to quit one of his jobs, and start to enjoy his life, but he won't because he can't afford it. I don't understand? How can a man that has worked 2 jobs for about or for at least 34 years of his life still have financile difficulties? The excuse use to be that there were 8 mouths to feed 6 of them kids, but now there's only one at home and he's 21.  
How do I or we for that matter help them out? 
Can Someone Anyone... Please Help Me!!!!!!!! 
The only thing I can think of is tough love. Warn them that you will call the health department (or whatever you have in your area) and let them know the situation if your parents and (sounds like) mooching brother don't get up and clean. They also need professional help it sounds. (Financial difficulties happen when you don't spend or save money wisely.) It's a very difficult situation to be in when people are not giving you their best! I have prayed for you. I hope evrything works out well. The main thing is that they need to do the work not you or anyone else. You said your mom is not healthy...well I think she's probably healthy enough that you or someone else (your brother) could hand her things so she can decide whether that item stays or goes in the trash or to charity or whatever. Heather77