This Full House Mission A & O: Support Services for Older - - PowerPoint PPT Presentation

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This Full House Mission A & O: Support Services for Older - - PowerPoint PPT Presentation

Dec 25, 2023 184 likes •619 views

This Full House Mission A & O: Support Services for Older Adults is a not- for-profit social service agency that offers life- enhancing programs and services to older adults 55+ living in the province of Manitoba. A & Os programs and

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This Full House

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Mission

A & O: Support Services for Older Adults is a not- for-profit social service agency that offers life- enhancing programs and services to older adults 55+ living in the province of Manitoba. A & O’s programs and services support and enhance the physical, intellectual, emotional, social and spiritual lives of older persons and actively promote participation in all aspects of community life.

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A & O: Support Services for Older Adults strives to be a recognized community partner in the development and delivery of innovative services that empower older adults to lead healthy, vibrant lives.

Vision

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The Agency

  • A not-for-profit organization that provides

programs and services to older adults 55+

  • Established in 1957 in response to the need

from older adults and their caregivers

  • Governed by a Board of Directors

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3 Pillars of Innovative Programs & Services:

  • Safety & Security
  • Social Engagement
  • Counselling

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Overview

  • Hoarding Disorder
  • This Full House
  • How to Help

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Case Study:

The Collyer Brothers

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Case Study:

The Collyer Brothers

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Case Study:

The Collyer Brothers

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Compulsive Hoarding

  • The acquisition of, and failure to discard a large

number of possessions that appear to be of useless or of limited value;

  • Living spaces sufficiently cluttered so as to

preclude activities for which the spaces were designed; and

  • Significant distress or impairment caused by the

hoarding.

(Frost & Hartl, 1996)

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Hoarding Disorder

Diagnostic criteria for DSM-5 (Obsessive-Compulsive & Related Disorders category):

  • A. Persistent difficulty discarding or parting with possessions
  • B. Due to strong urges to save items and/or distress associated

with discarding

  • C. Accumulation of a large number of possessions that fill up

and clutter active living areas so that their intended use is no longer possible

  • D. The symptoms cause clinically significant distress or

impairment

  • E. The hoarding symptoms are not due to a general medical

condition (e.g. brain injury, cerebrovascular disease).

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Collecting vs. Hoarding

Collecting:

  • Organization
  • Mint condition
  • Kept in specific areas
  • Quality of life not

compromised

  • Pride

Hoarding:

  • Usually disorganized
  • Takes over areas of

home

  • Cause of distress
  • Risk to health
  • Safety concerns

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What Items Do People Hoard?

  • Clothes
  • Books/newspapers/paper materials
  • Food
  • Craft items
  • Containers
  • Trash

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Who is Affected by Hoarding Disorder?

  • Often begins in adolescence, severity increases with

age

  • Average age for seeking help: 50
  • Often single individuals
  • Range of education and income levels
  • Women seek treatment more than men
  • Might occur alongside other conditions (i.e.

depression, anxiety)

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Possible Causes for Hoarding Disorder

  • Family History of Hoarding

– Genetics, environment

  • Beliefs about Possessions

– Sentimental value, utility, beauty

  • Cognitive Deficits

– Differences in brain function and thought processes

  • Avoidance

(C. Ayers, 2012)

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Reasons to Save

  • Object has emotional significance
  • Losing important information
  • Wasting useful objects
  • Object is beautiful or unique
  • It “doesn’t feel right” to get rid of it

(C. Ayers, 2012)

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Possible Effects of Hoarding

  • Physical Health & Safety

– Falls, tripping over clutter – Unable to use bed, eat at table, navigate stairs – Food poisoning – Infestations – Services may not be available (i.e. plumbing, electrical, Home Care)

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Possible Effects of Hoarding

  • Emotional/Social

– Shame, embarrassment – Anxiety – Depression – Feel overwhelmed – Family/marital discord – Reluctant to have visitors – Stress from family, landlords, etc.

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Possible Effects of Hoarding

  • Financial

– Cost of accumulating belongings – Moving due to eviction – Complying with City orders – Fines – Damage to home/property – Losing bills/important documents

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This Full House

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‘This Full House’

  • Voluntary program for older adults (55+) that

addresses hoarding and squalor

  • Client participation is essential
  • Uses cognitive rehabilitation and exposure

therapy with the goal of harm-reduction

  • Involves counseling, sorting/cleaning services,

follow-up, and referral

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Squalor

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  • The state of living in unsanitary conditions which

may include human or animal feces, rotting food, and infestations of rodents/insects

  • May or not involve hoarding behaviors
  • Like hoarding, squalor can pose a myriad of health

and safety concerns

  • This Full House can assist with cleaning services

and connecting individuals to appropriate resources

Squalor

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Demographics (2012 – 2013)

Gender: Age:

  • Female: 74.6%

55 - 64: 40.5%

  • Male: 24.2%

65 - 74: 30.4%

  • Couple: 1.2%

75 - 84: 19.6% 85+: 9.5%

  • Varied levels of education, income
  • Diverse ethnic and religious backgrounds

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Getting Help

Referrals come from a variety of sources:

  • Self-referrals
  • Family/Other Supports
  • Community/Government Agencies
  • Housing

Contact A & O and request to speak with intake *In order for referral to be made, consent must be given

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What Does ‘This Full House’ Do?

Assessment:

  • Background information
  • Are appliances working?
  • Where do you sit/sleep/eat?
  • Where do you keep important documents?
  • Is it hard to use your home because of clutter?
  • What are your goals for your home?

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Social Work Support:

  • Coping with difficult life situations
  • Identifying who can help
  • Working towards goals
  • Focus on developing skills

– Memory and Planning – Attention – Problem Solving

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Social Work Support:

  • Work with individuals to make decisions about

their belongings

  • Categorize items: discard, keep, donate
  • Commitment to homework/lifestyle change

– 15 minutes per day, 1 hour per day, etc.

  • Over time, decisions get easier and distress

decreases

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Harm Reduction Approach:

  • Create safer living conditions by working on one

goal at a time (i.e. pathway to front door)

  • Reduce collecting – i.e. 1 item/week
  • Address dangers (fire, falls, infestations)
  • Focus on key areas

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Team Approach:

  • Work with Fire Department, Public Health, health

and mental health professionals

  • Liaise with landlords, Residential Tenancies Branch
  • Agency volunteers/paid professional services
  • Follow-up services
  • Referrals to appropriate resources

– Home care, transportation, meals, financial assistance

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This Full House: Outcomes

  • Prevent homelessness
  • Access to resources/supports i.e. home care,

mental health services, social supports

  • Improve quality of life
  • Facilitate lasting change

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Program Statistics (2012 – 2013)

  • 181 new referrals in the past year
  • Over 1160 service hours
  • Social workers have worked with over 1000

clients carried over from previous years

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Challenges

  • Lack of trust
  • Past attempts
  • Physical barriers
  • Mental health concerns
  • Dementia
  • Lack of motivation
  • Time/Deadlines

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How to Help: Strategies

  • Establish trust and respect
  • Share concerns about safety
  • Curiosity over criticism – ask questions
  • Respect each individual’s process
  • Allow the individual to take control
  • Provide resources
  • Respect decision(s)
  • Encourage any progress
  • Be patient
  • Family – take a step back

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  • Avoid:

– Judgmental language – Touching/removing items – Forced clean ups – Arguing – Overwhelming demands/unrealistic goals – Manipulation

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Helpful Questions:

  • How many of these do I have?
  • Does this item have a ‘home’?
  • Does this item work/fit/fulfill a purpose?
  • Can I afford this?
  • Will I use this within the next week/month/year?
  • Can I keep this item safely?
  • Will this item help me reach my goal?

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Ideas & Approaches

  • Be patient, progress takes time
  • Work on one area at a time
  • Categorize items
  • Preparation is key (supplies, filing system,

storage)

  • Shred documents with personal information
  • Help is available!

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A & O Services

Safety & Security

  • Elder Abuse

Prevention Services

  • Safe Suite Program
  • Older Victim

Services

  • SafetyAid
  • This Full House

Social Engagement

  • Senior Centre

Without Walls

  • Connect Program
  • Entry Program for

Older Adult Immigrants

  • Centres/Meals

Programs

Counselling

  • Information &

Referral

  • Intake
  • Counselling
  • Housing
  • Legal Clinics

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Funders

United Way of Winnipeg

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Thank you!

Contact info: A & O: Support Services for Older Adults 200-280 Smith St. Winnipeg, MB R3C 1K2 Phone: 204-956-6440 Toll-free: 1-888-333-3121 Fax: 204-946-5667 e-mail: info@ageopportunity.mb.ca

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