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Compulsive Hoarding
Roland Simmons
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Objectives
Briefly define hoarding Impact
– On the person– On the environment
Activity Feedback Conclusion
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What is hoarding?
Failure to discard large quantities of possessions which appear to be useless or have little value
Living spaces which are no longer able to be used for purpose
Significant distress or impairment in functioning (Frost and Hartl 1996)
Excessive acquisition (Frost et al 1998)
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What is hoarding continued
Characteristic of OCD – Other conditions demonstrate hoarding issues (Saxena et al 2011)
Hoarding is a debilitating condition and is often difficult to treat (Gibson, Rasmussen and Steketee 2010)
Little is known of the underlying issues related to hoarding, why people hoard or at which stage of life hoarding becomes an issue (Ayers et al 2010)
Often referred to as ‘Cluttered’ or ‘Messy’ home
Can be costly to Services (Tolin et al 2008:201)
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Impact of hoarding on a person
Washing
Dressing
Eating
Mental Health
Relationships
Social Isolation
Death
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Impact on Environment
Cleaning
Risk of falls
Hospitalisation
Eviction– Homelessness
Assessments
Repairs
Fire risk
Costly to clear
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Kitchen
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Kitchen 2
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Activity
Now it is over to you!
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Role of Occupational Therapy
Relevant skills to work with people that hoard
Building on knowledge and evidence base
Promote OT
Moving into a non-traditional setting Three successful placements
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Expected Outcomes
Complete overview of service Referrals Address social and environment fears Reduce enforcement from Environmental Health
Services Reduce social isolation Raise the profile of hoarding More time less costs Effective interventions
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Conclusion
Hoarding is a debilitating condition
Affects persons quality of life
Can affect services being offered
Be prepared for long interventions
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References
Ayres, C. R., Saxena, S., Golshan, S and Wetherell, J.L. (2010) ‘Age at onset and clinical features of late life compulsive hoarding’. International Journal of Geriatric Psychiatry 25: 142-149
Curwen, B., Palmer, S., and Ruddell, P. (2000) ‘Brief Cognitive Behaviour Therapy:’ Sage Publications: London
Frost, R. O., and Hartl, T.L. (1996) ‘A Cognitive-Behavioral model of compulsive hoarding’. Behavioural Research. 34 (4) 341-350
Frost, R. O., Kima, H., Morris, C., Bloss, C., Murray-Close, M and Steketee, G. (1998) ‘Hoarding, compulsive buying and reasons for saving’ Behaviour Research and Therapy 36. 657 - 664
Gibson, A.K., Rasmussen. J., and Steketee. G. (2010) ‘Ethical Considerations in the Treatment of Compulsive Hoarding’ Cognitive and Behavioral Practice 17 426-438
Gilliam, C.M., and Tolin, D.F. (2010) ‘Compulsive hoarding’. Bulletin of the Menninger Clinic. 74, (2)
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References Continued
Miller, W. R., and Rollnick, S. (2002) ‘Motivational Interviewing; Preparing people for change.,’ The Guildford Press: New York
Saxena, S., Ayres, C. R., Maidment, K. M., Vapnik, T., Wetherell, J. L., and Bystritsky, A. (2011) ‘Quality of life and functional impairment in compulsive hoarding’.
Journal of Psychiatric Research. (45) 475-480
Steketee, G., and Frost, R. O. (2007) ,Compulsive Hoarding and Acquiring: A Therapist Guide.’ Oxford University Press: New York
Steketee, G., and Frost, R. O. (2003) ‘Compulsive hoarding: Current status of the research’. Clinical Psychology review 23 905-927
Tolin, D.F., Frost. R.O., Steketee, G., Gray. K.D. and Fitch. K.E. (2008) ‘The economic and social burden of compulsive hoarding’. Psychiatry Research 160 200-211
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Contact details
Roland Simmons – 02476 437059
Or follow project
Webpage: http://www.orbit.org.uk/main.cfm?Type=HOARD
Blog to follow!