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Compulsive Hoarding

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Title: Compulsive Hoarding


1
Compulsive Hoarding
Roland Simmons
2
Objectives
  • Briefly define hoarding
  • Impact
  • On the person
  • On the environment
  • Activity
  • Feedback
  • Conclusion

3
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)

4
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 2008201)

5
Impact of hoarding on a person
  • Washing
  • Dressing
  • Eating
  • Mental Health
  • Relationships
  • Social Isolation
  • Death

6
Impact on Environment
  • Cleaning
  • Risk of falls
  • Hospitalisation
  • Eviction
  • Homelessness
  • Assessments
  • Repairs
  • Fire risk
  • Costly to clear

7
Kitchen
8
Kitchen 2
9
Activity
  • Now it is over to you!

10
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

11
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

12
Conclusion
  • Hoarding is a debilitating condition
  • Affects persons quality of life
  • Can affect services being offered
  • Be prepared for long interventions

13
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)

14
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

15
Contact details

Roland Simmons 02476 437059 roland.simmons_at_orbit
.org.uk Or follow project Webpage
http//www.orbit.org.uk/main.cfm?TypeHOARD Blog
to follow!
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