Launch of the Hoarding Panel - Isle of Man Government · 2017-03-06 · Launch of the Hoarding Panel •Vulnerable Adults Group, •Safeguarding Forums, •Adult Protection Training,

The Hoarding Panel has been set up by the Safeguarding Adults Team as a result of a need being identified across various agencies, both statutory and third sector, and recognition that a multi-agency response is needed to adopt a clear framework to ensure that when services are required there is a process for planning solutions tailored to meet the needs of the individual and to utilise a person centred approach.

Launch of the Hoarding Panel

Department of Health and Social Care

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• Vulnerable Adults Group,

• Safeguarding Forums,

• Adult Protection Training,

• Concerns raised from Professionals across all agencies working with people who hoard.

The Hoarding Panel has been set up as a result of a need being identified by various strands:

The development of the Hoarding Panel is supported by the Board of the Safeguarding Adults Partnership


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1.

To ensure that the

person who hoards is

supported appropriately

2.

To provide practitioners with a multi

agency, pro active, risk management

group forum – to share and

consider strategies to support the

work of the practitioner already

involved, and to provide evidence in

terms of decision making, and risk

management strategies.

3.

To gather statistics in terms of

the numbers of people who

hoard who are requiring some

support. This will enable

services to consider future

resources required, and to use

the referral system as a means

of providing evidence to

support development of

services for those who hoard.

Aims of the Hoarding Panel


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Fire

Police

Environmental Health

Mental Health

Social Care

Adult Nursing

Third Sector Representation

Housing The hoarding Panel is a multi-agency

group, consisting of representatives

across all services, including:


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Service User

• Referrals to the Hoarding Panel should be made to ASATeam – as all referrals to access Adult Social Care services come through this area.

• This will provide a central point for gathering of statistic re: referrals.

• ASAT will gather basic information from the referrer – referrer

can be anyone, including the person themselves who hoard.



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Referral Pathway

• This will trigger a Hoarding Panel meeting.

• Consideration will be given to who will be the most appropriate person/organisation to take the lead.

• If a professional is already involved, expectation would be

that they remain involved.



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Referral Pathway

Data Sharing Agreement Form

Referral Form

Multi Agency Hoarding Framework Once the Hoarding Framework has been signed off by the SAP (March 2017), it will be made available on the

Safeguarding Adults Website, along with the referral form

Documents being developed to support the

Development of the Hoarding

Panel

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Introducing Hoarding


Marianne Gadsby


Dante’s Inferno

4th Circle – Greed

Here, too, [Dante] saw a nation of lost souls, far more than were above: they strained their chests

against enormous weights, and with mad howls rolled them at one another. Then in haste

they rolled them back, one party shouting out: "Why do you hoard?" and the other: "Why do you

waste?"


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The Ultimate Hoarders: Extraordinary

story of the two reclusive brothers found

dead side by side under tons of junk in

their New York mansion in 1947

• Homer and Langley Collyer were killed

by one of their own junk ‘booby traps’

• They were crushed and buried by the

collapsing debris inside their house One of the junk tunnels created by the Brothers

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1980’s Life of Grime

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Clutter Image Rating:

Please select the photo that

most accurately reflects the amount of

clutter in your room

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Launch of the Hoarding Panel Is hoarding an illness?

• Hoarding can be an illness in its own right, known as Hoarding Disorder.

• Hoarding can also be part of another health problem:

• Physical illness – can lead to tiredness and disorganisation.

Dementia Depression

Schizophrenia Bipolar disorder Learning disability

Autism and related disorders Obsessive Compulsive Disorder (OCD) Royal College of Psychiatry http://www.rcpsych.ac.uk

http://www.rcpsych.ac.uk/healthadvice/problemsdisorders/dementiaandmemoryproblems.aspx



http://www.rcpsych.ac.uk/healthadvice/problemsdisorders/depression.aspx

http://www.rcpsych.ac.uk/healthadvice/problemsdisorders/schizophrenia.aspx

http://www.rcpsych.ac.uk/healthadvice/problemsdisorders/bipolardisorder.aspx



http://www.rcpsych.ac.uk/healthadvice/problemsdisorders/learningdisabilities.aspx

http://www.rcpsych.ac.uk/healthadvice/problemsdisorders/obsessivecompulsivedisorder.aspx







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Cognitive Behavioural Therapy (CBT) is the most effective psychological treatment. It can help you to change the thoughts and feelings that drive you to hoard. Royal College of Psychiatry - http://www.rcpsych.ac.uk

Mindfulness-Based Cognitive Therapy may also be useful for treating symptoms of anxiety, according to research published recently in the British Journal of Psychiatry. Researchers looked at changes in anxiety levels among patients with generalized anxiety disorder using different treatments. They found that MBCT and cognitive-behavioural therapy-based psycho-education were both effective in reducing anxiety symptoms. www.psychiatry.org




Hoarding & Environmental Health


Ian Mansell

Department of Environment, Food and Agriculture



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Hoarding can be described as collecting and being unable to discard excessive quantities of goods or objects.

As a behaviour, it is quite common and most people who hoard possessions do not suffer from any psychiatric disorder, however, in some cases the problem may progress to become so severe that it causes significant distress and impairment.

Though usually covert, hoarding can also become a concern for others when health and safety are threatened by the nature or amounts of ‘clutter’ accumulating within, and sometimes overflowing from, the sufferer’s environment.



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Environmental Legislation turns to the treatment of hoarding rather than of the hoarder and more towards environmental neglect than self-neglect.

When hoarding grows to a problem level, possibly spilling over beyond the hoarder’s own home the environmental health service may be among the first to know.




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There are many situations that may alert EHO’s to hoarders:-

• A bad smell coming from premises; • An unsightly mess in the garden;

• Rodents in the vicinity; • Disrepair to premises;



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Situations that may alert EHO’s to hoarders - continued:-

• An abundance of animals – dogs/cats/gerbils;

• An accumulation of “items”;

• Nuisance to adjoining premises;

• Referrals from other agencies.




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Housing, unsightliness and statutory nuisance falls under the regulatory arm of the islands local authorities. EHO’s within the Environmental Health Unit are authorised officers of all the islands local authorities and advise in all matters relating to Housing and Statutory Nuisance.



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Public Health Act 1990 Filthy and verminous premises – not all hoarders’ premises fit into this category, ‘filth’ is a euphemism for excrement, animal or human, and persons who hoard their own excreta present a singular challenge, including considering the health, safety and duties of care owed to those dealing with it.




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Statutory Nuisance includes:-

• any premises in such a state as to be prejudicial to health or a nuisance;

• any pool, ditch, gutter, watercourse, privy, urinal,

cesspool, septic tank, drain or ash-pit or other receptacle for waste matter so foul or in such a state as to be prejudicial to health or a nuisance;



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Statutory Nuisance includes:-

• any animal or bird kept in such a place or manner as to be prejudicial to health or a nuisance;

• any accumulation or deposit, or any dead animal or bird,

which is prejudicial to health or a nuisance.






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• Handling a problem of hoarding requires careful assessment of each case;

• Never make any assumptions or judgements about the causes of hoarding or the motivation of the person concerned;

• Keeping an open mind and a non-judgemental attitude is more likely to foster a good relationship with the person and is more likely to prompt some improvement;



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• Persons may know at one level that they have a problem but feel so ashamed or guilty that they cannot accept help;

• Liaise with other Government Agencies to agree

on the most appropriate course of action to ensure the health and wellbeing of all affected by the hoarding

Hoarding & Fire Services


Mark Caley

Isle of Man Fire and Rescue Service


Isle of Man Fire and Rescue Services

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• This is the sheer amount of additional, combustible material, such

as newspapers, cardboard, plastic, etc., that can burn very quickly;

• Where hoarding is an issue, Fire Loading can be huge;

• Depending on the type of property, Fire Loading can have an impact on adjoining properties and the safety of the other occupants.

Significant Fire Loading



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• Difficulty finding and extinguishing ‘Seats of Fire’

(area where the fire started); • Difficulty identifying additional hazards

present, for instance, gas cylinders, sharps, etc.

The Impact of Hoarded Materials



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The Impact of Hoarded Materials

• The Hoarded materials can affect buildings structural integrity, if involved with a fire, leading to the possible rapid collapse of stored materials, the walls and floors.



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Establishing safe entry / exits in each property, in case of fire

• The difficulties for crew’s to search and locate and then extricate casualties from the property; • Safety of the Fire Crew.



