A woman from church told me she needed to get her house straightened up before her husband was released from the hospital. I offered to help and she accepted. He will be wearing a boot and very disabled from the surgery. She also suffers with back problems and severe depression. When she told me she needed a "path" cleaned out for him to be able to walk through, I knew it would be bad. When I arrived at the house, the smell hit me immediately. I was greeted by her dog (she owns 1 dog and 4 cats). The door was completely surrounded by garbage and animal feces. There was a small, tight path through the house. The kitchen was completely stocked full of old food, dirty dishes, garbage, etc. There was a massive pile of clothes on the couch (she told me there was a couch under it anyways) the clothes towards the bottom of the pile were so saturated with urine and feces that were like frisbees. The toilet appeared to work, but was also covered with human waste. I was pleased that she trusted me to throw stuff away with very little meddling, but all I managed to do was clear enough garbage from the living room and tiny hallway to give them a foot path from the front door to the bedroom and bathroom. I want so much to help as my heart us completely broken for her, but it will obviously take so much more than myself. I am not sure what I could do next. She told me DFS has been called before and did not do anything about it. Her husband will have a nurse stopping by every day to assist him, so I can imagine (and told my friend) that she will probably call adult protective services. My friend said she warned the hospital the house is "messy" but I have no doubt she downplayed it the same way she did for me. She seems to not be able to see how truly dangerous the home is. What step should I take next? I'm more than willing to help her clean. She does speak with a therapist and I'm also willing to listen and support her, but I know I can't do this alone. Should I just see what happens in a day or 2 when the nurse comes by? Is there someone I should report this to? Thanks if you read this far