Is he at least disposing of the poop bags properly?
You know he isn't. It'd be wonderful to think that he's using thick plastic bags, sealing them properly and putting them in the bin, but in reality it's going to be that scene from The Visit where there's just a giant pile of used adult nappies left lying around and rotting.
The fact is that while Joh is indeed intellectually impaired, he's such a nasty, unpleasant fuck that he's destroyed pretty much every relationship he has. Probably the only remote chance for a positive life for him would be joining some kind of social program, where a psychiatrist determines the most effective stabilising medication possible combined with intensive therapy and social support, along with stable short term housing provided until he's well enough to be released into a less intensive, but still ongoing community support program.
But even if a program like this existed in his area- or even America proper, for that matter, it still wouldn't work because Joh
doesn't want to do it. @Android raptor has listened to me slag and pontificate upon BDP many times, but she's never called me a self righteous, know it all cunt because her little community has exactly the same problem that my little community has:
the people in it don't want to change. No therapy, treatment, medication or support in the world will make a fraction of a difference to paraphiles, autistics, personality disorders, addicts etc if the patient utterly refuses to believe that
they are the problem, not everyone else.
Only part of Joh's problems are because of low IQ, untreated diabetes and susceptibility to manipulation from people like Polissa. Joh is a nasty, erratic, stupid, stupid man who treats everyone around him like shit but is always shocked when their patience and tolerance finally runs out.