Our roomate, my boyfriends brother was found to have over 150 bottles of urine in his room, along with not having washed his clothes or self in over a year. He never leaves his room, and when he does, we are asleep or not home. His room emits a awful odor also, and I assume there is food in there also. He has his own bathroom too.

He recently sent a disturbing email to his brother outlining the 7 Deadly Sinsand how he and my boyfriend are failing them all. He has never been religious before. He also only refers to me as "succubus" and my dog "hellhound" without using our names. There is so much more, but it would take me hours to type it up.

I told my boyfriend he needs to be committed for a 72 hr evaluation, but my bf doesn't think he needd it. He just thinks their family from across the country needs to pick him up and take him home asap.

Does he need inpatient help right away?