Ichc decluttering tips and tools

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Clearing Clutter, Changing Lives

Clearing Clutter, Changing Lives



Year MHASF was awarded grant to establish th Institute and the Task force3We are a private non-profit organization. We have been in San Francisco for over 65 plus years. We are Consumer Driven with more than 50 of staff self-identified as having lived experience.Part of the consumer driven approach we focus provide a lot of peer-based services which we will go into detail later in the presentation.

We also focus on Stigma Elimination, Advocacy, Public Policy Change, Education, Training. For those who may not know, the bell in this picture is the MHA bell and was made from the chains that were routinely used to restrain patients in psychiatric facilities.

4GoalsTo learn what clutter is and who it most affectsTo learn what resources are currently available in San Francisco to address clutter issues and the loneliness that accompanies themTo understand what support we can provide for individuals who have serious clutter issuesTo learn the basics causes of hoarding behavior To understand techniques that can help us defeat the clutterTo introduce the PCORI Study

3% 5%Samuels, 2008

9 15 Million PeopleComparable with percentage of population with Alzheimers.7

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

Mark SalazarSenior Projects ManagerFinally ICHC or the Institute on Compulsive Hoarding and Cluttering.9ICHC provides 1017th Annual ICHC ConferenceNovember 5 6, 2015Hilton San Francisco Financial District


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 relapseCBT helps bring clarity and understanding into ones one thoughts and behaviors. The skills building helps an individual decrease the anxiety and stress associated with the behavior. As you see in the photo, initial reaction is stress and anxiety. Results of after treatment, same scenario but with clearer thoughts and guided action.13Other Innovative GroupsDrop-In GroupUnburied from TreasuresOpen House Group (LGBT Center for 55+)

The PCORI StudyA joint study between UCSF and MHAA comparison of two treatment techniques The study continues through 2016Funded by Patient Centered Outcome Research InstituteWhat are the Symptoms?I. Difficulty discardingII. Strong urges to save thingsIII. Excessive clutterIV. Distress or impaired functioningAdditional characteristicsExcessive acquiringPoor insightSafety First

What are our challenges?

Mental FunctioningAttention


Decision Making

Memory . . . . . . . .

Over Thinking

Overly Creative Thinking

Perfectionism . . . . . . . .

EmotionsSentimental attachmentsIdentity . . . . . . . .Safety, security and control

Understanding and Accepting OurselvesPerceptionDo you see what I see?Telling your story?Identify your Goals

I. Set your prioritiesIII. Keep you eye on the prizeII. Develop the right skillsWhat do I do now?

Find a Technique that WorksFor You


A Place to Start

The Game PlanIdentify the challengesIdentify your goalsFind a technique that worksChoose a place to startIdentify your categoriesCreate your hierarchy listCategories

Decision Making QuestionsWould 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 GoIf it doesnt fit, it must goIf I have 5 of these, all others must goIf I have not worn it in a year, it must goIf it is badly stained, it must goIf I dont have room for it, it must goIf I have not read it in 6 months, it must goAssess Progress

The PCORI Study

Currently in DevelopmentAddition of 2nd Weekly Drop-In Support GroupRe-Issue with possible updates of Beyond Overwhelmed Task Force ReportMonthly Structured Family Support Group for Family Members of Individuals with Hoarding BehaviorSearchable Online Resource Database of both private and public businesses and agencies who provide various services Buried in Treasures for non-clinical service provides

Recovery is possible! Use your training:Stages of ChangeHarm ReductionRecovery is possible!Encourage tenants toward available supports.34Q & A

Mark SalazarSenior Projects Manager, ICHC Program, PCORI Research Manager

John FranklinPeer Response Team Manager

PCORI Research Line415-763-7489

Mental Health Association of San Francisco

870 Market Street, Suite 928San Francisco, CA 94102Ph: 415-421-2926Thank you.Please stay in touch!