Compulsive Hoarding

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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

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

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