MHASF Supports for Hoarding and Cluttering Behavior

MHASF Supports for

Collecting Behaviors

November 7, 2014

• Introductions

• Brief History

• Early days 1997-2007

• SF Task Force on Hoarding

• ICHC Institute on Compulsive Hoarding& Cluttering

• PRT Peer Response Team

• New additions:

• PCORI study

• HI-TPP

• Current continuum of supports

• Q & A

• Feedback/discussion

Consumer

Driven

Peer

Support

Stigma

Elimination

AdvocacyPublic

Policy

Education

Training

Consumer Housing Group

Started in mid 1990s

Issue of affordable low-income

housing in SF

Unintentional result was issue of

hoarding behavior

Consumer Housing Group

1997

“Pack Rat”

Conference

1997

• I&R line

• Peer Support Group

Hoarding Consortium

2000

Mental Health Association of SF

Hoarding Support History

2000 - 2007

MHASFAdvocacy

Information and

Referral

Community Education /

Trainings

Annual Conference

Support Groups

2007

PEER SUPPORT GROUPS Weekly at MHASF

Drop-in

Harm Reduction Approach

Over 250 have engaged since in 2009

CBT TREATMENT GROUP

Group treatment—

10 participants

Therapist led

16 to 26 - week

group therapy

program

SAN FRANCISCO

TASK FORCE ON HOARDING

2007

Launched in 2007

Members include major SF City Departments,

consumers, non-profit housing and service providers,

property managers and other community based

organizations

Focus on increasing collaboration and multi-

disciplinary solutions

Identify strategies to reduction evictions and improve

quality of life

SAN FRANCISCO TASKFORCE

Identify gaps and barriers in service

Assess current services and needs

Identify best practices to improve coordination of services, reduce eviction, improve quality of life

Raise awareness among the public and policy makers

Make policy recommendations

GOALS OF THE TASK FORCE

2009

On our website: www.mentalhealthsf.org

MHASF Peer Response Team

2011

Weekly team meeting for group planning:

Program and policy design

Community presentations

Mutual support

Theory & language discussion

Flyers/outreach

Individual case conferences

Developing Peer Leadership

Purpose: Outreach, education & stigma reduction

Audience: Social services providers

Meals on Wheels, IHSS , APS ,DPH , etc.

Supportive Housing staff

conferences

Accomplishment:

50+ presentations in 2 ½ years

over 2000 audience members

Community Presentations

Strategy, emergency, referrals, support

FY3: 222 I&R calls(only initial call; often on-going followup)

(ICHC adds approximately same number)

106 agencies/landlords/lawyers/social workers

82 individuals with collecting behaviors

34 family/friends/neighbors

Consultation/I&R phone

support

120+ individuals engaged in 3 yr.

Home visits

Advocacy

Phone support

1:1 Peer Responses

Rapid response

Free to all SF residents

Non-judgmental empathy

“What’s going on? Where y’at?”

Trust & relationship building

Home visit a big step

Each case unique

No arbitrary limits to service

Value of 1:1

--Not financially sustainable

- travel time

- too much demand

--Better results from groups

--Too hard on peers

Current practice:

Use 1:1, if requested, for 2-3 visits to build relationship

Then encourage groups

Lessons Learned from 1:1

Moving 1:1 Group ModelBURIED IN TREASURES

15 sessions/20 wks.

10 participants

2 peer facilitators

Textbook-based

Facilitators’ Guide free: OCFoundation.org

Thank you:

Lee ShuerRandy O. Frost et al

Moving 1:1 Group Model ACTION GROUP

For grads of 15 wk. Treatment or Buried in Treasuresgroups

or in action

INTENSE 8 Weeks of active de-clutter

Meet Clutter Buddies in same phase/focus

Original Curriculum

Peer Learning &

Healing Center

Family & Friends

Acquiring

Therapist/ Provider

Resource Group

Organizing Skills

Celebrations

SRO/Small Space Design

“Where Do I Start?”

TAY: Living on Your Own

Narrative Therapy

Future Visions:

1st annual MHASF Peer

Convening for Finders/Keepers

Peer

Response

Team

Support

Groups

Community

Education /

Trainings

Community

Building

1:1 Peer

Support Information &

referrals

Advocacy

Consultation

PEER RESPONSE TEAM

2014

Current Programs and

Supports

MHASF Support GroupsDrop-In Group

*expanding to every Mon/Wed.

CBT Treatment Group

Buried in Treasures

Unburied from Treasures

Open House Group (LGBT

Center)

MHASF: CONTINUUM OF SERVICES

Maintenance/ Continuation

Action

Group

Commitment/

Action

CBT Treatment

Group

Buried In Treasures

Low Threshold/

ContemplationDrop-in

PRT

1:1

UnBuriedWRAP

PCORI RESEARCH TEAM

PCORI: GBiT vs GCBT Funded by PCORI:

Patient Center Outcomes Research Institute

Partnership with University of California, San Francisco – Carol Mathews, M.D.

3-years

PCORI (Patient-Centered Outcomes

Research Institute) Study with UCSF

Researching Therapist-led vs. Peer-led

groups

16 CBT Treatment Groups vs. 15 Buried in

Treasures Groups over 3 years

300 to 400 total participants

Bay area locations in San Francisco,

Alameda, and San Mateo Counties

1997

1st Consortium and Public Discussion

1997

Drop-in Peer Support Group

2000

Hoarding Consortium

2007

ICHC

SF Task Force

2008 Therapist-led

Treatment Group

2011

Peer Response

Team

2012

Expansion of Conference to two-days and training

2014

PCORI CBT v. BiT Research

Funded

HI/TPP Pilot Project

WE STARTED SMALL

Q & A

Feedback/Discussion

Mark Salazar

Community Projects, ICHC Program, PCORI Research Manager

John Franklin

Peer Response Team Manager

Mental Health Association of San Francisco

870 Market Street, Suite 928

San Francisco, CA 94102

Ph: 415-421-2926

Thank you,

and please

stay in touch!