Where I am, those kids would not still be in the home at 14 and 18. They would have long since been sent to fostercare.
If the authorities know about the mental illness, the kids are often snatched at birth. If not, the CAS are called the minute the police get called in about the noise. So usually before age 6.
Worst case scenario for the girl (this is a true story) the girl is bumped around to different foster homes and mental institutions that aren't much better than what the authorities snatched her from. She runs away anytime between age 9 and 14 and learns how to prostitute herself. She hooks up with a series of abusive men and eventually ends up with a biker. She gets gang raped at the age of 12 and barely survives. She develops a severe drug problem to cope with the trauma and continues to prostitute herself to pay for it. She has several children of her own with more abusive men. They all end up in fostercare. The oldest refuses to see her and does not acknowledge his Ojibwe heritage. He despises Native people and hates his own mother. However, he does well in school. The rest of her kids have never met her.
She learns around the age of 30 that she is HIV positive.
^ I suspect this woman is dead by now. She was an acquaintance from many years ago. I haven't talked to her since she told me she was dying.
For the boy: a series of fosterhomes again, misdiagnoses and ritalin up the wazoo. Then a rude awakening at age 17 when Child Protective Services are no longer legally obligated to care for him. He is dumped at the nastiest shelter in the city with no support, and no explanation as to how to get on assistance, find a job, doctor, anything. Just "Goodbye. The staff here will help you." They don't. The place is a temporary shelter where the crazies go for their meltdowns (our psychiatric inpatient services took a big hit in the 80s and 90s.) People come in at or after 9pm and get booted out by 7am. Smthg about regulations, funding and anonymity.
So the kid ends up addicted to crack and meth like everybody else in the place bc he was forced to go off his ritalin cold turkey.
^That one was a shame. He was a beautiful boy. He would have made a fine cub if he weren't so damaged at 22 years old.
Here, kids only have about a 25% chance of coming out of fostercare somewhat normal