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| About site: Mental Health/Disorders/Anxiety/Obsessive-Compulsive - Hoarding Fact Sheet |
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| About site: http://www.la4seniors.com/hoarding.htm |
Title: Mental Health/Disorders/Anxiety/Obsessive-Compulsive - Hoarding Fact Sheet This guide assists seniors who are hoarders, and offers detailed intervention guidelines. Produced by the Los Angeles County Department of Mental Health - Older Adults Services Division.
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Hoarding_Web_Site Information from leading experts on how to treat compulsive hoarding. Includes description, treatment suggestions, research articles, and resources. From the Obsessive Compulsive Foundation.
| Internet_Mental_Health_OCD_Information Articles on research, diagnosis, and treatment of OCD, as well as an online OCD self-test. Also includes links to OCD organizations and online resources for other anxiety disorders.
| Mental_Health_Net_-__OCD_and_Tic_Disorders Basic information including symptoms, treatments, and links to online resources.
| MentalHealthChannel_-_Obsessive_Compulsive_Disorder_Information Includes details on symptoms, prognosis, diagnosis and treatment.
| OCD_Action British organization for individuals with OCD. Includes information on treatment, as well as links to various online resources.
| OCD_Patient/Family_Handout In-depth article explains the nature and appropriate treatment of this condition. Developed for individuals with OCD and their families by the OC Foundation and the American Psychiatric Association.
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Hoarding Fact Sheet - Los Angeles County Department of Mental Health   Email Us About Us   Armenian  Chinese  Japanese  Korean  Pilipino  Russian  Spanish  Yiddish          Home >> Solve a Problem >> Hoarding Behavior Hoarding Fact Sheet This Fact Sheet is Published through the Courtesy of the Los Angeles County Department of Mental Health, Older Adults Services Division. Hoarding is the excessive collection and retention of things or animals until they interfere with day-to-day functions such as home, health, family, work and social life. Severe hoarding causes safety and health hazards. The collection of newspapers, magazines, old clothes and other items may cause fires while animal hoarding can spread contagious diseases. It is estimated that older adults represent a significant number of people who hoard.   Why do People Hoard?
The behavior of hoarding is seen in various illnesses. Because of that, it has been difficult to place in a diagnostic category. Time and/or age of onset are variable and the behavior differs from person to person. Frequently, older adults have been found to hoard for the following reasons:  Items are perceived as valuable items provide a source of security Fear of forgetting or losing items Constant need to collect and keep things Obtaining love not found from people Fear others will obtain their personal information Physical limitations and frailty Inability to organize Self neglect Stressful life events Intervention Hoarding is recognized as both a mental health issue and a public health problem. It is typically not an immediate crisis. The hoarding behavior usually has been occurring for a long time and hasty interventions will not resolve it. in addition, interventions without the older adult's cooperation can lead to the development of dangerous behaviors. Careful assessment of the individual situation is essential for a successful outcome. Therefore, it is recommended that intervention be collaborative involving the older adult, family and other agencies, i.e. mental health, adult protective services, code enforcement, building & safety, animal control and criminal justice. Tips  DO contact the older adult face-to-face DO use a soft, gentle approach and let the older adult tell his/her story. DO treat the older adult with respect and dignity. DO respect the meaning and attachment to possessions by the older adult, which may be as intense as human attachment. DO remain calm and factual, but caring and supportive. DO evaluate for safety. DO refer for medical and mental health evaluation. DO go slowly and expect gradual changes. DO reassure the older adult that others will try to help and work with him/her. DO involve the older adult in seeking solutions. DO work with other agencies to maximize resources.  DON'T hospitalize unless there is a clear plan for what this is to accomplish. DON'T force interventions. DON'T be critical or judgmental about the older adult's environment. DON'T use the older adult's first name unless he/she gives permission. DON'T press the older adult for information that appears to make him/her uncomfortable. DON'T make negative, teasing or sarcastic comments. DON'T talk about the older adult to others as if he/she is not present. Vignette - Hasty Intervention Negative results can occur when interventions are not carefully planned with a group of professionals with hoarding knowledge. Mr. Y was an 82 year-old male widower living at a friend's house. Mr. Y began collecting and hoarding tools, parts and other equipment. The living space became so limited they slept on chairs. The family called the police for assistance. Eventually, several agencies were independently involved with the family. The lack of collaboration allowed the family to order dumpsters and discard the items. After his possessions were thrown away, Mr. Y was arrested because of the rage, anxiety, and delusions he developed. Vignette - Planned Intervention It is recommended that intervention be collaborative involving the older adult, family and other agencies. Ms. X was a 96 year-old female with poor vision. She lived alone with dozens of cats, dogs and parrots. In addition, some dead cats were found in the freezer. The house was filthy and foul smelling. Ms. X had several pending citations with heavy fines, a house lien and faced possible jail time. A mental health assessment uncovered that Ms. X suffered from isolation, significant depression and moderate memory loss. After several weeks of building a relationship, a geriatric mental health professional, in coordination with the other agencies, developed an intervention plan. Ultimately, Ms. X received the support needed to feel safe enough to agree to have the house professionally cleaned and in keeping with laws and regulations, she kept 8 animals. Resources Department of Mental Health - ACCESS Center (800) 854-7771 Information & referral to local mental health system of care, 24 hours a day, 7 days a week. Adult Protective Services (800) 992-1660 Investigation & crisis intervention for elder and dependent adult abuse including self-neglect, 24 hours a day, 7 days a week. Infoline (800) 339-6993; TDD (800) 660-4026 24-hour information & referral to human service agencies. Self-Help and Recovery (310) 305-8878 Referrals to hoarding and other self help support groups. May be recorded messages. Websites Randy O. Frost - Hoarding researcher from Smith College has a site that includes an extensive bibliography of hoarding articles. The Obsessive-Compulsive Foundation offers information and resources about obsessive compulsive disorder and hoarding. The Hoarding of Animals Research Consortium at Tuft University. Recommended Readings Damecour, L. & Charron, M. "Hoarding: a Symptom, Not a Syndrome." Journal of Clinical Psychiatry, 1998 Frost, R. & Hartl, T. "A Cognitive-Behavioral Model of Compulsive Hoarding." Behavior Research and Therapy, 1996 Patronek, G. "Hoarding of Animals: An Under-Recognized Public Health Problem in a Difficult-to-Study Population." Public Health Reports, 1999 Thomas, D. "Hoarding" Eccentricity or Pathology: When to intervene?" Journal of Gerontological Social Work, 1998 Questions & Comments You may contact the Los Angeles County Department of Mental Health Older Adult Services Division at: (213) 351-7284 Reviewers Norma D. Thomas, DSW, LSW, ACSW, President and Co-Director - Center on Ethnic & Minority Aging. Jonnae Ostrom, LCSW - Orange County, California Acknowledgement We would like to thank the Los Angeles County Department of Mental Health Older Adults System of Care Committee. It was through their continuous leadership and dedication this fact sheet was developed. The Fact Sheet was first printed in May 2001. This page was last updated on July 28, 2004 . Inside This Page  Why people hoard Intervention Tips - What to do ... and what NOT to do Hasty intervention Planned intervention Resources in Los Angeles Websites Recommended readings Questions & comments Reviewers Acknowledgement Useful Links  Los Angeles County Dpt. of Mental Health GENESIS Adult Protective Services Health & Mental Health Related Stories Bibliography of articles on hoarding by R. Frost The Obsessive-Compulsive Foundation Web site The Hoarding of Animals Research Consortium at Tuft University  Home | Solve a Problem | Senior Centers |SeniorResources | Long Term Care Get Involved!| ForCaregivers |Training& Jobs |LA MetroMDT |Site Map| AboutusWe hope you have found this Public Service Web Site to be helpful. Please verifythe accuracy of any information or advice you find when using this site. Do nothesitate to CONTACTUS. We welcome your comments and aregrateful for your bringing any needed corrections to our attention. Thissite was first published in April, 2001.  Community Partners |
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This | guide | assists | seniors | who | are | hoarders, | and | offers | detailed | intervention | guidelines. | | Produced | by | the | Los | Angeles | County | Department | of | Mental | Health | - | Older | Adults | Services | Division. |
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