Hear a brief history of how MHASF became an internationally recognized center for hoarding support services. Learn how to begin and build a continuum of services and how to replicate our unique peer model. Current program information will be available and discussed.

1. MHASF Supports for
Collecting Behaviors
November 7, 2014

2. • Introductions
• Brief History
• Early days 1997-2007
• SF Task Force on Hoarding
• ICHC Institute on Compulsive Hoarding& Cluttering
• PRT Peer Response Team
• New additions:
• PCORI study
• HI-TPP
• Current continuum of supports
• Q & A
• Feedback/discussion

4. Peer
Support
Consumer
Driven
Stigma
Elimination
Advocacy
Public
Policy
Education
Training

5. Consumer Housing Group
Started in mid 1990s
Issue of affordable low-income
housing in SF
Unintentional result was issue of
hoarding behavior

6. Mental Health Association of SF
Hoarding Support History
Consumer
Housing
Group
1997
“Pack Rat”
Conference
1997
• I&R line
• Peer Support
Group
Hoarding
Consortium
2000

7. 2000 - 2007

8. Information
and
Referral
Community
Education /
Trainings
Advocacy MHASF
Annual
Conference
Support
Groups

9. 2007

11. PEER SUPPORT GROUPS
 Weekly at MHASF
 Drop-in
 Harm Reduction
Approach
 Over 250 have
engaged since in
2009

12. Group treatment—
10 participants
Therapist led
16 to 26 - week
group therapy
program
CBT TREATMENT GROUP

13. 2007
SAN FRANCISCO
TASK FORCE ON HOARDING

14.  Launched in 2007
 Members include major SF City Departments,
consumers, non-profit housing and service providers,
property managers and other community based
organizations
 Focus on increasing collaboration and multi-disciplinary
solutions
 Identify strategies to reduction evictions and improve
quality of life
SAN FRANCISCO TASKFORCE

15.  Identify gaps and barriers in service
 Assess current services and needs
 Identify best practices to improve coordination of
services, reduce eviction, improve quality of life
 Raise awareness among the public and policy
makers
 Make policy recommendations
GOALS OF THE TASK FORCE

16. 2009
On our website: www.mentalhealthsf.org

17. 2011
MHASF Peer Response Team

18. Developing Peer Leadership
Weekly team meeting for group planning:
Program and policy design
Community presentations
Mutual support
Theory & language discussion
Flyers/outreach
Individual case conferences

19. Community Presentations
Purpose: Outreach, education & stigma reduction
Audience: Social services providers
Meals on Wheels, IHSS , APS ,DPH , etc.
Supportive Housing staff
conferences
Accomplishment:
50+ presentations in 2 ½ years
over 2000 audience members

20. Consultation/I&R phone
support
 Strategy, emergency, referrals, support
FY3: 222 I&R calls
(only initial call; often on-going followup)
(ICHC adds approximately same number)
106 agencies/landlords/lawyers/social
workers
 82 individuals with collecting behaviors
 34 family/friends/neighbors

21. 1:1 Peer Responses
120+ individuals engaged in 3 yr.
Home visits
Advocacy
Phone support

22. Value of 1:1
Rapid response
Free to all SF residents
Non-judgmental empathy
“What’s going on? Where y’at?”
Trust & relationship building
Home visit a big step
Each case unique
No arbitrary limits to service

23. Lessons Learned from 1:1
--Not financially sustainable
- travel time
- too much demand
--Better results from groups
--Too hard on peers
Current practice:
Use 1:1, if requested, for 2-3 visits to build relationship
Then encourage groups

24. Moving 1:1 Group Model
BURIED IN TREASURES
 15 sessions/20 wks.
 10 participants
2 peer facilitators
Textbook-based
Facilitators’ Guide free:
OCFoundation.org
Thank you:
Lee Shuer
Randy O. Frost et al

25. Moving 1:1 Group Model
 ACTION GROUP
For grads of 15
wk. Treatment or
Buried in Treasures
groups
or in action
 INTENSE 8 Weeks of
active de-clutter
 Meet Clutter Buddies in
same phase/focus
 Original Curriculum

28. Family &
Friends
Peer
Learning &
Healing
Center
Acquiring
Therapist/
Provider
Resource
Group
Organizing
Skills
Celebrations
Future Visions:
SRO/Small
Space
Design
TAY: Living
on Your Own
“Where Do I
Start?”
Narrative
Therapy

29. 1st annual MHASF Peer
Convening for Finders/Keepers

30. Peer
Response
Team
Community
Education /
Trainings
Support
Groups
Community
Building
1:1 Peer
Support Information &
referrals
Advocacy
Consultation
PEER RESPONSE TEAM

31. 2014
Current Programs and
Supports

32. MHASF Support Groups
Drop-In Group
*expanding to every Mon/Wed.
CBT Treatment Group
Buried in Treasures
Unburied from Treasures
Open House Group (LGBT
Center)

33. MHASF: CONTINUUM OF SERVICES
Maintenance/
Continuation
Action
Group
Commitment/
Action
CBT
Treatment
Group
Buried In
Treasures
Low Threshold/
Contemplation
Drop-in
PRT
1:1
UnBuried
WRAP

34. PCORI RESEARCH TEAM

35. PCORI: GBiT vs GCBT
 Funded by PCORI:
Patient Center
Outcomes Research
Institute
 Partnership with
University of California,
San Francisco – Carol
Mathews, M.D.
 3-years

36. PCORI (Patient-Centered Outcomes
Research Institute) Study with UCSF
 Researching Therapist-led vs. Peer-led
groups
 16 CBT Treatment Groups vs. 15 Buried in
Treasures Groups over 3 years
 300 to 400 total participants
 Bay area locations in San Francisco,
Alameda, and San Mateo Counties

37. 1997
1st
Consortium
and Public
Discussion
1997
Drop-in Peer
Support
Group
2000
Hoarding
Consortium
2007
ICHC
SF Task Force
2008
Therapist-led
Treatment
Group
2011
Peer
Response
Team
2012
Expansion of
Conference
to two-days
and training
2014
PCORI CBT v.
BiT Research
Funded
HI/TPP Pilot
Project
WE STARTED SMALL

38. Q & A
Feedback/Discussion

39. Mark Salazar
Community Projects, ICHC
Program, PCORI Research
Manager
John Franklin
Peer Response Team
Manager
Mental Health Association of
San Francisco
870 Market Street, Suite 928
San Francisco, CA 94102
Ph: 415-421-2926
Thank you,
and please
stay in touch!