Launch of the Hoarding Panel
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.
M.M.
Department of Health and Social Care
M.G.
I.M.
M.C.
Launch of the Hoarding Panel
The Hoarding Panel has been set up as a result of a need being identified by various strands:
• Vulnerable Adults Group,
• Safeguarding Forums,
• Adult Protection Training,
• Concerns raised from Professionals across all
agencies working with people who hoard.
The development of the Hoarding Panel is supported by the
Board of the Safeguarding Adults Partnership
M.M.
Department of Health and Social Care
M.G.
I.M.
M.C.
Aims of the Hoarding Panel
3.
2.
1.
To ensure that the
person who hoards is
supported appropriately
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.
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.
M.M.
Department of Health and Social Care
M.G.
I.M.
M.C.
Launch of the Hoarding Panel
Fire
The hoarding Panel is
a multi-agency
group, consisting of
representatives
across all services,
including:
Housing
Third Sector
Representation
Police
Service
User
Adult
Nursing
Social
Care
Department of Health and Social Care
Environmental
Health
Mental
Health
M.M.
M.G.
I.M.
M.C.
Launch of the Hoarding Panel
Referral Pathway
• 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.
M.M.
Department of Health and Social Care
M.G.
I.M.
M.C.
Launch of the Hoarding Panel
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.
M.M.
Department of Health and Social Care
M.G.
I.M.
M.C.
Launch of the Hoarding Panel
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
Referral Form
Data Sharing Agreement Form
M.M.
Department of Health and Social Care
M.G.
I.M.
M.C.
Launch of the Hoarding Panel
Introducing Hoarding
Marianne Gadsby
Department of Health and Social Care
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?"
M.M.
Department of Health and Social Care
M.G.
I.M.
M.C.
Launch of the Hoarding Panel
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
M.M.
M.G.
Department of Health and Social Care
I.M.
M.C.
Launch of the Hoarding Panel
1980’s Life of Grime
M.M.
M.G.
Department of Health and Social Care
I.M.
M.C.
Clutter Image
Rating:
Please select
the photo that
most accurately
reflects the
amount of
clutter in your
room
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
Schizophrenia
Depression
Bipolar disorder
Autism and related disorders
Learning disability
Obsessive Compulsive Disorder (OCD)
Royal College of Psychiatry http://www.rcpsych.ac.uk
M.M.
M.G.
Department of Health and Social Care
I.M.
M.C.
Launch of the Hoarding Panel
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
M.M.
Department of Health and Social Care
M.G.
I.M.
M.C.
Launch of the Hoarding Panel
Launch of the Hoarding Panel
Launch of the Hoarding Panel
Launch of the Hoarding Panel
Hoarding & Environmental Health
Ian Mansell
Department of Environment, Food and Agriculture
Launch of the Hoarding Panel
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.
M.M.
Department of Environment, Food and
Agriculture
M.G.
I.M.
M.C.
Launch of the Hoarding Panel
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.
M.M.
Department of Environment, Food and
Agriculture
M.G.
I.M.
M.C.
Launch of the Hoarding Panel
Launch of the Hoarding Panel
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;
M.M.
Department of Environment, Food and
Agriculture
M.G.
I.M.
M.C.
Launch of the Hoarding Panel
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.
M.M.
Department of Environment, Food and
Agriculture
M.G.
I.M.
M.C.
Launch of the Hoarding Panel
Launch of the Hoarding Panel
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.
M.M.
Department of Environment, Food and
Agriculture
M.G.
I.M.
M.C.
Launch of the Hoarding Panel
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.
M.M.
Department of Environment, Food and
Agriculture
M.G.
I.M.
M.C.
Launch of the Hoarding Panel
Launch of the Hoarding Panel
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;
M.M.
Department of Environment, Food and
Agriculture
M.G.
I.M.
M.C.
Launch of the Hoarding Panel
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.
M.M.
Department of Environment, Food and
Agriculture
M.G.
I.M.
M.C.
Launch of the Hoarding Panel
Launch of the Hoarding Panel
Launch of the Hoarding Panel
Launch of the Hoarding Panel
• 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;
M.M.
Department of Environment, Food and
Agriculture
M.G.
I.M.
M.C.
Launch of the Hoarding Panel
• 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
M.M.
Department of Environment, Food and
Agriculture
M.G.
I.M.
M.C.
Launch of the Hoarding Panel
Hoarding & Fire Services
Mark Caley
Isle of Man Fire and Rescue Service
Launch of the Hoarding Panel
Significant Fire Loading
• 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.
M.M.
Isle of Man Fire and Rescue Services
M.G.
I.M.
M.C.
Launch of the Hoarding Panel
The Impact of Hoarded Materials
• Difficulty finding and extinguishing ‘Seats of Fire’
(area where the fire started);
•
Difficulty identifying additional hazards
present, for instance, gas cylinders, sharps,
etc.
M.M.
Isle of Man Fire and Rescue Services
M.G.
I.M.
M.C.
Launch of the Hoarding Panel
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.
M.M.
Isle of Man Fire and Rescue Services
M.G.
I.M.
M.C.
Launch of the Hoarding Panel
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.
M.M.
Isle of Man Fire and Rescue Services
M.G.
I.M.
M.C.
Launch of the Hoarding Panel
Launch of the Hoarding Panel
Launch of the Hoarding Panel
Launch of the Hoarding Panel