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  1. 1. HoardingHow to Help Through RecoveryCoping Strategies in Real Life Situations Jennifer Prell, President 847-829-4437 www.Paxem.com Pa em com
  2. 2. Definition of a Hoarder Hoarding is defined as the collection of items in excess of what is needed in a normal household that interferes with the flow and functionality of a home home. Persistent difficulty disposing of or p y p g parting with g personal possessions. Hoarders aren’t j t t l H d ’t just too lazy t clean up th j t to l they just can’t bring themselves to remove anything from the home.
  3. 3. Hoarders All Around  Teachers  Professors P Psychologists h l i t  Doctors  Engineers  Home Makers  Older Adults
  4. 4. Hoarders Are Smart Hoarders know how to manipulate their loved ones and hide the disorder. They typically don’t have people over. They may look neat and tidy but their home tells another story.
  5. 5. Psychological Disorder y g They most likely know that it’s wrong to own so much but can t stop and are out of control can’t control. When you confront them they will become defensive y y and deny the problem.
  6. 6. Common Reasons for Hoarding Fear  Becoming poor  Forgetting; memories OCD Perfectionists Trauma (death, divorce, abuse, loss of some kind) ( , , , ) Depression Items are still useful Heredity (grew up in a hoarding home) Complex disorder/disease
  7. 7. Complex in Nature You can’t force someone to clean up their home unless they face eviction or receive a citation. If you don’t address the issue the house will don t return to it’s hoarding state. The hoarder must seek help such as therapy, counseling, or medication. The psychological disorder causes hoarding
  8. 8. Case #1Ms. Smith’s ex-husband had verbally abused her duringtheir 6 years of marriage. Once she left the marriage shemoved into an apartment by herself. She was depressedand constantly shopped to help lift her spirits. She wouldtake home office supplies, makeup, new clothing, etc. andthrow the bags into her apartment.By the time we were hired by Ms. Smith (she was seeing apsychologist) her apartment was completely filled filled.She slept and ate in her car and showered at the club. p
  9. 9. Case #1 ContinuedPaxem didn’t judge her. We told her we would help her gether life back We threw away about 10 dumpsters worth of back.garbage and donated thousands of useful items. The itemsshe couldn’t part with we stored in clear containers so shecould see what she owned so she didn’t need to buy more. didn tWe taught her how to keep her apartment neater and shelater hired us to move her to a new apartment With apartment.treatment she was able to move forward with her life andknew to seek help when she had hoarding urges. She isliving independently and needed no further assistance from g p yPaxem.We were NOT allowed to take photographs.
  10. 10. Case #2Linda M. an older adult was living in a senior gapartment. She was going to be evicted due to thepoor upkeep of her apartment. She was disabled andneeded help to clean it up up.The following picture is of the kitchen that representswhat the whole apartment looked like.
  11. 11. Before clean out
  12. 12. After clean out
  13. 13. Case #3Sandy H. was a y y young professional working downtown g gand living it up. She worked hard, went out often andcouldn’t seem to keep her house in order. She hasnever had anyone over to the house and asked us ifwe could help her so she could have friends over.She was embarrassed to have us there but knew sheneeded help. She was very emotional and cried whenwe viewed her home. We helped her remove twotruckloads of garbage and donated what we could.
  14. 14. Case #3 ContinuedThere are many more pictures – different rooms same ychaos.We lW cleared out the clutter in 2 d d t th l tt i days. Wh we were Whenthrough Sandy was excited and invited her friends overfor an evening at her house.S e adShe had a new pe spec e o life a d wanted to e joy e perspective on e and a ed o enjoyher home as well as her friends.
  15. 15. Case #4Animal Hoarding:Client had 4 dogs, 1 bird and 6 cats in a very smallapartment. She let them urinate and defecate whereverthey wanted. Paxem was hired to help with the “organizing” wanted organizingof the home because she still was living out of boxes.We only organized. We were not allowed to throw awayany items and the animals were roaming freely whileorganizing.organizing One dog was vicious and the client kept it on aleash next to her so it wouldn’t bite us. She wouldn’t admitshe had an issue, wouldn’t seek help and was evicted 6months later.
  16. 16. Case #5Mental Illness:Client had cats – we don’t know how many. The clientlived in a condo for years without cleaning. She wasan alcoholic and did ’t notice th problems around h l h li d didn’t ti the bl d her.She was forcibly removed to a hospital. We were hiredby her niece to do the clean out.
  17. 17. Family Room Master Bedroom
  18. 18. Kitchen
  19. 19. Living Room
  20. 20. Dining Room
  21. 21. Service Organizations Wellness check Elder abuse report Township or senior center www.challengingdisorganization.org humanel@aspca.org or www.ASPCA.org Home owner’s association
  22. 22. Illinois General Assembly Elder Ab se & Neglect Act AbuseThe Elder Abuse and Neglect Act. Provides that "self-neglect" includes self neglectcompulsive hoarding, which is characterized by the acquisition of, andunwillingness or inability to discard, large quantities of seeminglyuseless objects that create a significantly cluttered living space andcause considerable distress or impairment in functioning.Provides that the Department on Agings program of services for Aging spersons age 60 or older shall include the following services for eligibleadults who have been removed from their residences for the purposeof cleanup or repairs: temporary housing; counseling; and caseworker p p p y g; g;services to try to ensure that the conditions necessitating the removaldo not reoccur.
  23. 23. Illinois General Assembly Elder Ab se & Neglect Act AbuseSenate Committee Amendment No. 1Provides that "self-neglect" includes compulsive hoarding, which ischaracterized by the acquisition and retention of large quantities ofitems and materials that produce an extensively cluttered living space,which significantly impairs the performance of essential self-care tasksor otherwise substantially threatens life or safety (instead of which ischaracterized by the acquisition of, and unwillingness or inability todiscard, large quantities of seemingly useless objects that create asignificantly cluttered living space and cause considerable distress orimpairment in functioning).Effective Date August 18, 2009
  24. 24. Coping Strategies When you discuss the issues with the hoarder don’t point blame, accuse, belittle or push. They will pull back and you won’t be able to help. Use U words carefully and ask what you can d t d f ll d k h t do to help. Start with items that aren t as emotionally aren’t connected to the hoarder. If the hoarder will not accept help you need to call for h l f help. Redirect attention to other activities
  25. 25. Maintenance• Minimize spacial options• Look for patterns of behavior• Help change their outlook, improve their self worth• Be creative and negotiate• Remove unnecessary items immediately• Ongoing therapy and psychiatry• Ongoing organizing & de-cluttering• Build relationships
  26. 26. Maintenance Continued Continued…• Maintain respect for client• Empathize with their issues but don’t become part of the problem• The client should always be included in decision-making• Watch for signs of old behaviors
  27. 27. Thank you! Jennifer Prell Paxem, Inc Paxem Inc. 847-829-4437 www.Paxem.com P