I suppose it depends on the individual and the local program. I have worked in one of these systems, and I can assure that no one ever publically acknowledge forcing anyone to take medication. But it is often made a condition of living in a home.
Personal question: Does your cousin have any children?
No she does yet....she hasn't found the right guy yet. But she does plan on it, and she has my blessing. I know that will ruffle a few feathers here,
So your statement of forced pills was a bit of an overstatement.
Oldcats