Goals To learn what clutter is and who it most affects
To learn what resources are currently available
in San Francisco to address clutter issues and
the loneliness that accompanies them
To understand what support we can provide for
individuals who have serious clutter issues
To learn the basics causes of hoarding behavior
To understand techniques that can help us
defeat the clutter
To introduce the PCORI Study
3% – 5%
Between 25,000 to
50,000 adults in San
Francisco face
hoarding and
cluttering
challenges – and
that estimate may
be low.
ICHC Advocacy
Information and
Referral
Community Education /
Trainings
Annual Conference
Support Groups
Peer
Response
Team
Support
Groups
Community
Education /
Trainings
Treatment
Groups
1:1 Peer
Support Linkage to
Referrals &
Information
Advocacy
Consultation
PEER RESPONSE TEAM
CBT TREATMENT GROUP
Group treatment and intervention program
16 to 26 - week group therapy program
Works very well for some individuals
Continued progress after the process for some while others have some degree of relapse
Other Innovative Groups
Drop-In Group
Unburied from Treasures
Open House Group (LGBT Center for 55+)
The PCORI Study
A joint study between UCSF and MHA
A comparison of two treatment techniques
The study continues through 2016
Funded by Patient Centered Outcome Research Institute
What are the Symptoms?I. Difficulty discarding
II. Strong urges to save things
III. Excessive clutter
IV. Distress or impaired functioning
Additional characteristics
Excessive acquiring
Poor insight
Identify your Goals
I. Set your priorities
III. Keep you eye on the prize
II. Develop the right skills
The Game Plan
Identify the challenges
Identify your goals
Find a technique that works
Choose a place to start
Identify your categories
Create your hierarchy list
Decision Making Questions
Would I buy it again if I did not already own it?
Am I keeping it only because of the money I spent?
Do I have enough space for it?
Is it of good quality, accurate and / or reliable?
When do I have time to read this/ fix this / finish this project ?
Am I keeping this just because I am looking at it now?
Do I already have enough / too many of these?
Rules for Letting Go
If it doesn’t fit, it must go
If I have 5 of these, all others must go
If I have not worn it in a year, it must go
If it is badly stained, it must go
If I don’t have room for it, it must go
If I have not read it in 6 months, it must go
Currently in Development
Addition of 2nd Weekly Drop-In Support Group
Re-Issue with possible updates of “Beyond Overwhelmed” Task Force Report
Monthly Structured Family Support Group for Family Members of Individuals with Hoarding Behavior
Searchable Online Resource Database of both private and public businesses and agencies who provide various services
Buried in Treasures for non-clinical service provides