I am new to this site and am really hoping to get some feedback...

My sister is a 34 year old single mother whom is bipolar. I truly do feel for her considering her situation. Her son is 3.5 and has had health problems since before he was born - has had 2 open heart surgeries among other things.

She gets help from the state especially to help with medicaid, etc. So in order to "meet income requirements" she waits tables. This gives her a very erratic schedule and she is always up all night (because she can barely sleep anyway). But she is instilling this poor schedule on my nephew. Then she goes through severe depressions and they stay in bed all day.

She does feed, cloth, medicate, and bathe him, don't get me wrong. But they do nothing a "normal" family does. Her son also is developmentally delayed as a result of his surgeries - which completely discourages her. She dwells on nothing but negative... she has absolutely NO MOTIVATION at all.

Her house is a wreck... I mean like a Niecy Nash "Clean House" episode. I have helped her a few times, but she never keeps up with it.

My mom helps her as much as she can with babysitting, dr. appointments, etc. But my Mom also is her #1 trigger... always guilt tripping her, putting her down, etc. Things are so bad for my sis right now that my Mom has taken my nephew. Mom has told sis that until she gets her sh#t together she will NOT get him back. My sis hasn't done anything to get him back. No cleaning, no nothing!!!! I know my Mom will not give him back and sis isn't taking this seriously. I know sis wants him in her life but I don't know how to make her understand that she has got to change!! If not she will regret it for the rest of her life!

Any suggestions on what I can do to help ASAP?! Please and thank you!