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Hoarding & Occupational Therapy Links

Use the Amazon search bar above to find resources on Hoarding and Occupational Therapy 

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What is Occupational Therapy?

Occupational therapy provides practical support to enable people to facilitate recovery and overcome any barriers that prevent them from doing the activities (occupations) that matter to them. This helps to increase people's independence and satisfaction in all aspects of life. (COT 2017)


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What is compulsive Hoarding?

Compulsive hoarding means excessively acquiring items that appear of little or no value and not being able to throw them away, resulting in unmanageable amounts of clutter.” (NHS Choices)







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What is Self Neglect?


Self-neglect - covers a wide range of behaviour, neglecting to care for one’s personal hygiene, health or surroundings and includes behaviour such as hoarding • (Care Act 2014 Regulation 14)







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What is Domestic Squalor?

Diogenes syndrome (also known as senile squalor syndrome) is a subset of the mental health disorder known as compulsive hoarding. It affects approximately 0.2 percent of the general population, or 10 percent of all hoarders, and is generally found among the elderly. The disorder is equally distributed among men and women.

(Treatment 4 Addiction)

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Cluttered Room- Engulfed by fire  

Greater risk of a fire starting, as combustible materials are more likely to be stored close to, or in contact with, heat sources.


Utilities may be disconnected or inaccessible, leading to unsafe

practices e.g. candles for lighting, camping stoves for cooking.


Fire loading increases potential severity of a fire and presents

risk of fire travelling to neighbouring  properties.

(London Fire Brigade)

Severe Hoarding Case

Are You A Hoarder?

Take our hoarding quiz and find out if your belongings are impacting on your home and life.

(Please click here for a PDF version of the quiz)

1.Because of the number of possessions you have, how difficult is it to use the rooms in your Home?


2.How upsetting is it for you to have your home in its current condition?


3.How upsetting or concerning is it for others to have the home in its current condition?


4.Have other people or agencies tried to intervene (offer to help you tidy up) because of the clutter?


5.How difficult or distressing is it for you to get rid of things?


6.How often have you spent money you don’t really have because you saw something and “just had to have it.”


Rating Scale

0 = Not at all; 2 = mild; 4 = moderate; 6= severe; 8= extreme


If you answered above 2 to questions 1, 4, or 5, assess your situation and ask for feedback from someone you trust who knows you and ask for help accordingly. 


If you answered 2, keep an eye on your situation, as these questions are red flags.


If you answered 4 or higher to questions 2, 3, or 6, ask for feedback from a trusted friend who knows you and search within yourself for the reasons and your ability to tackle the problems yourself. 


If you have tried unsuccessfully numerous times, seek help to manage what may develop into a more serious problem.