What do you do when getting help fails

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On Aug. 16th I went to the EMH unite of the hospital in a town a few towns away and spent 9 days getting help and on the 29th I started a PHP program but no matter how I improve myself my situation doesn't. I am getting to the end of my rope. When i went to EMH I told them that if getting help didn't work for what I had to sacrifice I would end my existance.

I am trying to help myself but my brother plays the careing person when people are around but when no one is around he is an ass hole. I put to use the skills that I learned but they don't work if the other person wants you to become physicaly violant. I walk away and do a self assesment and he fallows and antagonizes me

Can you and your brother discuss your interpersonal dynamic problem with a therapist?

Hospitalization didn't work for me either. Completely unindividualized. What are your specific issues?

My brother is not willing and i have a Dx of Aspergers,ADHD,Depression, and Phycosis triggered by depression

Does discussing your problems about your brother with a therapist help? Maybe they can give you tips on how to deal with him.

Also maybe you can ask about seeing someone who specializes in Asperger's or depression or psychosis or whatever issues you think are most important in your life.

I will be talking to my PHP case worker today

Sounds good. Hopefully you are able to tell them EVERYTHING that's troubling you and let them know how important it is it get addressed.