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My sister suffered a stroke & cannot care for herself but she does not realise her level of function - Doctor called it *lack of insight* medical name Anosognosia.
(Definition: Anosognosia is a lack of ability to perceive the realities of one's own condition).
One family member organises home aides which she has accepted. If that person becomes ill, or she refuses the aides, I will be in your position. This has caused me great stress & I have sought help from many professionals. They all agreed. It is an unfortunate situation but she has rights. Can make good or bad choices for herself unless proved incapable by a Psychiatrist (using in-depth psycho testing). If so, a legal Guardian would need to be appointed by the court.
In order to help myself I sought councelling & spoke with her Doctor, both of which helped. By realising what I can & can't do I am now better at living my own life. The plan worked out is for me to be an ADVOCATE for her needs when a crises comes. I may/may not be able to avert or save her from sinking but can call in professionals to help her.
In a nutshell, the Doctor called it *the right to rot*. She said I was *awaiting a crises* to effect change. So go live my life. Be her advocate when she needs one.
I don't know if I can help you, but I understand. (((Hugs)))
Not everyone wants to be rescued from their chosen ways.
You wait until there is a "health crisis" then maybe you can step in. If he is hospitalized you might be able to say that to discharge him to his house/home is unsafe and he does not have an acceptable care plan for his recovery. This would not prevent him from signing himself out "AMA"
In order to "force" him to do anything you would have to have him declared incompetent. Is he? If not then there is not much you can do.