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Cle a ring Clutte r, Cha ng ing L ive s L o ne line ss a nd Clutte r I ssue s in Olde r Adult Po pula tio ns L e a rning Ob je c tive s T o le a rn wha t c lutte r is a nd who it mo st a ffe c ts T o unde rsta nd ho w lo ne

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SLIDE 1

Cle a ring Clutte r, Cha ng ing L ive s

L

  • ne line ss a nd Clutte r

I ssue s in Olde r Adult Po pula tio ns

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SLIDE 2

L e a rning Ob je c tive s

 T

  • le a rn wha t c lutte r is a nd who it mo st a ffe c ts

 T

  • unde rsta nd ho w lo ne line ss a nd se rio us c lutte r

issue s inte rse c t in o lde r a dult po pula tio ns

 T

  • le a rn wha t re so urc e s a re c urre ntly a va ila b le in

Sa n F ra nc isc o to a ddre ss c lutte r issue s a nd the lo ne line ss tha t a c c o mpa nie s the m

 T

  • unde rsta nd wha t suppo rt we c a n pro vide fo r

e lde rs who ha ve se rio us c lutte r issue s

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SLIDE 3

Who we a re

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SLIDE 4

MHASF Pe e r Re spo nse T e a m

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SLIDE 5

 T

he Pe e r Re spo nse T e a m is a g ro up o f individua ls who ha ve e xpe rie nc e d se rio us pro b le ms—stre ss, a nxie ty, de pre ssio n, stig ma , da ma g e to re la tio nships, he a lth a nd sa fe ty issue s, e vic tio n, iso la tio n— whe n we lo st c o ntro l o ve r o ur stuff.

 We b e lie ve it is po ssib le to re g a in c o ntro l o f

yo ur life .

 We b e lie ve tha t no n-judg me nta l pe e r suppo rt

c a n he lp.

 We a re b uilding a c o mmunity o f pe o ple

a ffe c te d b y this issue .

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SLIDE 6

Wha t do we me a n b y “c lutte r”?

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SLIDE 7

DSM V: Dia g no stic Crite ria

A.

Pe rsiste nt diffic ulty disc a rding po sse ssio ns

i.

Re g a rdle ss o f the va lue o the rs ma y a ttrib ute to the se po sse ssio ns

B.

Ca use d b y stro ng urg e s to sa ve ite ms

C.

Ac c umula tio n o f a la rg e numb e r o f po sse ssio ns tha t re nde r the ho me o r a re a s o f the ho me s no t use a b le

D.

Ca use c linic a lly sig nific a nt distre ss o r impa irme nt

E .

Sympto ms a re no t due to a g e ne ra l c o nditio n

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SLIDE 8

Clutte r e r s Ano nymo us de fine s

c lutte r a s,

“…anything we do n’t ne e d, want, o r use that take s o ur time , e ne r gy, o r spac e , and de str

  • ys o ur

se r e nity. It c an be o utgr

  • wn

c lo the s, o bso le te pape r s, br

  • ke n to ys,

dislike d gifts, me aningle ss ac tivity, anc ie nt r e se ntme nts, o r unsatisfying r e latio nships. We may be se le c tive in so me ar e as, but no t in o the r

  • s. Obje c ts may be str

e wn abo ut o r we dge d in dr awe r s; ne atly stac ke d o r sto we d in sto r age .”

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SLIDE 9

Bo tto m L ine : Go t to o muc h stuff?

 Ne a rly e ve ryo ne in Ame ric a pe rio dic a lly fe e ls

we ha ve “to o muc h stuff” a nd trie s to simplify,

  • rg a nize , a nd de -c lutte r.

 E

a c h o f us de a ls with this c ha lle ng e in o ur

  • wn uniq ue wa ys.

 So me time s we fe e l o ve rwhe lme d.  Yo u a re no t a lo ne .

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SLIDE 10

Gro up a c tivity

T e ll us a b o ut o ne thing yo u ho ld o nto tha t a nyo ne e lse wo uld think is junk, a nd why yo u ke e p it.

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SLIDE 11

Who do e s c lutte r a ffe c t?

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SLIDE 12

3% – 5%

Sa mue ls, 2008

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SLIDE 13

9 – 15 Million People

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SLIDE 14

Clutte r issue s a ffe c t a ppro xima te ly the sa me pe rc e nta g e o f the po pula tio n a s Alzhe ime r’ s Dise a se .

As with Alzhe ime r’ s, stig ma a ro und Ho a rding Diso rde r c a n a ffe c t o pe n disc ussio n a nd willing ne ss to se e k tre a tme nt.

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SLIDE 15

3% – 5% Between 25,000 to 50,000 adults in San Francisco face hoarding and cluttering challenges – and that estimate may be low.

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SLIDE 16

Ag e o f Onse t

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SLIDE 17

Mo st re po rte d

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SLIDE 18

Clutte r issue s dispro po rtio na te ly a ffe c t

  • lde r a dult po pula tio ns. Why?

 E

lde rs ha ve live d lo ng e no ug h to a c c umula te mo re stuff.

 T

he y ha ve a g re a te r like liho o d o f e xpe rie nc ing a life -a lte ring e ve nt.

 De a th o f a lo ve d o ne  He a lth c risis  L

  • ss o f a jo b o r re tire me nt

 T

he y ma y ha ve e xpe rie nc e d do wnsizing , e spe c ia lly in c o njunc tio n with c usto dia l c a re o f ite ms le ft b e hind b y lo ve d o ne s who ha ve die d.

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SLIDE 19

L

  • ne line ss a nd c lutte r

T he vic io us c irc le

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SLIDE 20

Isolation

Depression and Anxiety Increased Acquiring

Clutter

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SLIDE 21

Ma ny pe o ple who se e k tre a tme nt c ite la pse d so c ia l c o nne c tio ns a s the ir prima ry mo tiva tio n fo r wa nting to b e a t c lutte r.

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SLIDE 22

Ma ny pe o ple who de a l with c lutte r a re e xc e ptio na lly so c ia l a nd a re g re a tly a fflic te d b y lo ne line ss a nd iso la tio n.

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SLIDE 23

A pe rso na l sto ry

Sha ro n Sc o tt K ish

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SLIDE 24

Ho w ha s MHASF a ddre sse d lo ne line ss a nd c lutte r in Sa n F ra nc isc o ?

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SLIDE 25

 We ide ntifie d so c ia l c o nne c tio n a s a ke y to

re c o ve ry.

 We o ffe re d 1:1 I

n-Ho me Pe e r Suppo rt.

 No t susta ina b le in the lo ng te rm due to tra ve l

a nd inc re a se d re lia nc e o n Pe e r Re spo nde rs fo r a lle via ting so c ia l iso la tio n

 We e ng a g e individua ls a nd e nc o ura g e the m

to jo in a n inc re a sing va rie ty o f g ro ups.

 We pro vide o ppo rtunitie s fo r so c ia l

c o nne c tio n a nd c o mmunity b uilding .

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SLIDE 26

Why g ro ups?

 Gro ups, ra the r tha n individua l the ra py, a re

b e c o ming the g o ld sta nda rd fo r tre a tme nt o f c lutte r issue s.

 Gro ups pro vide no t o nly a n o ptimum le a rning

e nviro nme nt fo r ne w skills a nd stra te g ie s, b ut a re a lso a wa y o f a ddre ssing iso la tio n.

 Gro ups pro vide individua ls with a wa y to

c o nne c t with c lutte r b uddie s – a no the r me a ns o f a lle via ting so c ia l iso la tio n.

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SLIDE 27

Gro up o ffe ring s a t MHASF

 Dro p-I

n Gro up

 T

re a tme nt Gro up

 Burie d in T

re a sure s

 Unb urie d fro m T

re a sure s

 Ac tio n Gro up  WRAP fo r F

inde rs/ K e e pe rs

 Ope n Ho use Gro up (L

GBT Ce nte r)

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SLIDE 28

PCORI (Pa tie nt-Ce nte re d Outc o me s Re se a rc h I nstitute ) Study with UCSF

 Re se a rc hing T

he ra pist-le d vs. Pe e r-le d g ro ups

 15 T

re a tme nt Gro ups vs. 15 Burie d in T re a sure s Gro ups o ve r 3 ye a rs

 300 to ta l pa rtic ipa nts  Ba y a re a lo c a tio ns in Sa n F

ra nc isc o , Ala me da , a nd Sa n Ma te o Co untie s

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SLIDE 29

1st a nnua l MHASF Pe e r Co nve ning fo r F inde rs/ K e e pe rs

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SLIDE 30

16th Annua l I CHC Co nfe re nc e , No v. 6 – 7, Hilto n Sa n F ra nc isc o – F ina nc ia l Distric t

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SLIDE 31

Othe r c o lla b o ra tio ns

 SF

T a sk F

  • rc e o n Co mpulsive Ho a rding

 HI

/ T PP (Ho a rding I nte rve ntio n T e na nc y Pre se rva tio n Pro je c t)

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SLIDE 32

Wha t c a n we do to suppo rt e lde rs o n the ir jo urne y o f de - c lutte ring ?

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SLIDE 33

 F

irst, do no ha rm.

 Re c o g nize it’ s no t a b o ut the stuff.  Cle a r the a ir b e fo re yo u c le a r the stuff.  Be c a utio us o f the “he lpe r me nta lity” –

we ’ re he re to e mpo we r, no t to re sc ue .

 Ma inta in a no n-judg me nta l a ttitude –

ro ll with re sista nc e .

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SLIDE 34

 He lp the individua l to ide ntify the ir re so urc e s,

b ut a lwa ys le t the m b e in c ha rg e – it wo n’ t wo rk

  • the rwise .

 Suppo rt the ir pro c e ss, e ve n/ e spe c ia lly if it

do e sn’ t ma tc h yo ur o wn.

 He lp c o nne c t the m with c o mmunity – like

MHASF .

 Re me mb e r tha t the stuff didn’ t g e t the re

  • ve rnig ht, a nd it’ s no t g o ing to g e t c le a r
  • ve rnig ht.

 K

no w tha t a lle via ting iso la tio n a nd lo ne line ss first c a n ha ve a po sitive e ffe c t o n mo tiva tio n to a ddre ss c lutte r issue s.

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SLIDE 35

Ha rm Re duc tio n

 T

he g o a l o f ha rm re duc tio n is to re duc e the ha rm invo lve d in a situa tio n a nd to ma na g e the b e ha vio r.

 T

he g o a l IS NOT

:

 T

  • e limina te the b e ha vio r

 T

  • g e t rid o f a ll o f the b e lo ng ing s

 I

t’ s mo re impo rta nt tha t the pe rso n live s sa fe ly a t ho me tha n tha t the y live in a c o mple te ly ne a t a nd tidy ho me .

 Ha rm re duc tio n is a “first ste p” to wa rds c re a ting a

ne w, le ss-c lutte re d living spa c e .

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SLIDE 36

Harm Reduction Target Strategies and Solutions 1) Stove Top 1) No items on the stove top 2) No items within 12 inches of the stove top 2) Expired Consumables 1) Throw out all spoiled food from the kitchen and refrigerator every month 2) Only purchase food that you are going to eat for the week 3) Toilet 1) Clear things away from the toilet so toilet can be used 4) Hallways and Doors 1) Ensure that there is sufficient space for the door to open fully 5) Bed 1) Clear away items from top of the bed so it can be used

SAMPL E HARM RE DUCT I ON PL AN

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SLIDE 37

Q & A

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SLIDE 38

John F ranklin

Pro je c t Co o rdina to r, Pe e r Ho a rding a nd Clutte ring Re spo nse T e a m Me nta l He a lth Asso c ia tio n

  • f Sa n F

ra nc isc o 870 Ma rke t Stre e t, Suite 928 Sa n F ra nc isc o , CA 94102 Ph: 415-421-2926 e xt. 314

T hank you, and ple ase stay in touc h!