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Managing Hoarding Disorder and Hoarding Behavior i ...
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This document provides information on managing hoarding disorder and hoarding behavior in people with serious mental illness (SMI). The document is part of the Clinical Support System for Serious Mental Illness (CSS-SMI) initiative implemented by the American Psychiatric Association (APA) and funded by the Substance Abuse and Mental Health Services Administration (SAMHSA).<br /><br />Hoarding disorder is characterized by persistent difficulty discarding possessions, resulting in clutter and significant distress. It often co-occurs with other mental illnesses, such as major depressive disorder, ADHD, and generalized anxiety disorder. Understanding hoarding disorder is important because it can cause harm and contribute to homelessness and other negative outcomes. However, it is also treatable.<br /><br />Assessment tools mentioned in the document include the Clinical Interview, Clutter Image Rating (CIR) Scale, and HOMES Assessment. These tools help determine the severity of hoarding symptoms and identify specific causes of concern or safety issues.<br /><br />Various interventions are discussed, including cognitive-behavioral therapy (CBT), exposure and response prevention (ERP), peer support, medication, skills training, supported cleanouts, and harm reduction strategies. Each intervention aims to address different aspects of hoarding behavior and support individuals in managing their possessions and living spaces.<br /><br />The document concludes with a bibliography of relevant studies and resources for further information.<br /><br />Overall, the document provides an overview of hoarding disorder, its impact on individuals with SMI, assessment tools, and interventions, emphasizing the importance of understanding and addressing this issue in clinical practice.
Keywords
hoarding disorder
serious mental illness
managing hoarding behavior
Clinical Support System for Serious Mental Illness
American Psychiatric Association
Substance Abuse and Mental Health Services Administration
co-occurring mental illnesses
assessment tools
interventions for hoarding disorder
bibliography of relevant studies
Funding for SMI Adviser was made possible by Grant No. SM080818 from SAMHSA of the U.S. Department of Health and Human Services (HHS). The contents are those of the author(s) and do not necessarily represent the official views of, nor an endorsement by, SAMHSA/HHS or the U.S. Government.
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