Compulsive Hoarding

Roland Simmons

Objectives

Briefly define hoarding Impact

– On the person– On the environment

Activity Feedback Conclusion

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)

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)

Impact of hoarding on a person

Washing

Dressing

Eating

Mental Health

Relationships

Social Isolation

Death

Impact on Environment

Cleaning

Risk of falls

Hospitalisation

Eviction– Homelessness

Assessments

Repairs

Fire risk

Costly to clear

Kitchen

Kitchen 2

Activity

Now it is over to you!

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

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

Conclusion

Hoarding is a debilitating condition

Affects persons quality of life

Can affect services being offered

Be prepared for long interventions

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)

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

Contact details

Roland Simmons – 02476 437059

roland.simmons@orbit.org.uk

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Webpage: http://www.orbit.org.uk/main.cfm?Type=HOARD

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