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ICD
CLUTTER — HOARDING SCALE
FIVE CATEGORIES.

ICD
CLUTTER — HOARDING SCALE
FIVE LEVELS.

Assessment of access to entrances and exits; function of
plumbing, electrical, HVAC (any aspect of heating, ventilation
or air conditioning) systems and appliances; and structural
integrity

LEVEL I

QUICK REFERENCE GUIDE

Five progressive levels indicate the degree of household
clutter and/or hoarding; Level I as the lowest, and Level V
the highest. The ICD considers Level III as the pivot point
between a household that might be assessed as cluttered,
and a household environment that may require the deeper
considerations of working in a hoarding environment.

Animals and Pests

CLUTTER — HOARDING
SCALE©

Structure and Zoning

Assessment of animal care and control; compliance with local
animal regulations; assessment for evidence of infestations of
pests (rodents, insects or other vermin)

Household Functions

GREEN

LOW

Household environment is considered standard. No special
knowledge in working with the chronically disorganized is
necessary.

LEVEL II

BLUE

GUARDED

Assessment of safety, functionality and accessibility of rooms
for intended purposes

Household environment requires professional organizers or
related professionals who have additional knowledge and
understanding of chronic disorganization.

Health and Safety

LEVEL III

Assessment of sanitation levels in household; household
management of medications for prescribed (Rx) and/or overthe-counter (OTC) drugs

Personal Protective Equipment (PPE)
Recommendations for PPE (face masks, gloves, eye shields
or clothing that protect wearer from environmental health
and safety hazards); additional supplies as appropriate to
observational level

SCOPE OF SCALE
PURPOSE OF SCALE: This document is to be used as an
assessment/guideline tool only, specifically for use in the
assessment of a home’s interior, except where the outside
structure affects the overall safety of the interior. Does
not include sheds, unattached garages or outbuildings.
It is not to be used for diagnostic purposes or for any
psychological evaluation of a person or persons. The ICD
is not responsible for any work performed by a professional
organizer or other related professional using the ICD CHS or
CHS Quick Reference Guide.
REPRINTING: The ICD grants permission to copy, reprint
and transmit the ICD Clutter – Hoarding Scale (CHS) Quick
Reference Guide for educational, not-for-profit purposes
provided credit is given to the ICD. Requests for permission to
quote, copy, reproduce or redistribute all or parts of this guide
for commercial purposes should be submitted in writing to
www.challengingdisorganization.org.

YELLOW

ELEVATED

Pivot point between a cluttered household environment and
a potential hoarding environment. Those working with Level
III household environments should have significant training in
chronic disorganization and will require a community network
of resources, especially mental health professionals.

LEVEL IV

ORANGE

HIGH

Household environment requires a coordinated collaborative
team of service providers in addition to professional organizers
and family: mental health professionals, social workers,
financial counselors, pest and animal control officers, crime
scene cleaners, licensed contractors and handypersons.

LEVEL V

RED

SEVERE

Professional organizers should not work alone in a Level
V environment. Requires a collaborative team, potentially
including family, mental health professionals, social workers,
building manager, zoning, fire, and/or safety agents. Formal
written agreements among the parties should be in place
before proceeding.
COPYRIGHT: The © 2011 ICD Clutter – Hoarding Scale (CHS) Quick
Reference Guide is an adaptation developed by Donna Rosman,
CPO-CD®, of the © 2011 ICD CHS written by Kristin Bergfeld, Sheila
Delson, CPO-CD®, Randi Lyman, CPO-CD®, Lynn Mino, CPO-CD®
and Heidi Schulz, CPO-CD®. The complete version of the © 2011
ICD Clutter – Hoarding Scale is available on the ICD website at
www.challenging disorganization.com.
© ICD May 2011

For:
Professional Organizers
Related Professionals
Collaborating Team Members

Contact ICD and Learn More!
Institute for Challenging Disorganization
1693 S. Hanley Rd. | St. Louis, MO 63144
314-416-2236
www.challengingdisorganization.org
CLUTTER — HOARDING SCALE (CHS)
QUICK REFERENCE GUIDE

Structure
and Zoning

Animals
and Pests

Household
Functions

Health
and Safety

LEVEL
I

Normal animal control
All doors, stairs and windows
(behavior/sanitation);
accessible; plumbing, electric and
approved number of
HVAC operational; fire and CO
animals; no evidence of
detectors installed and functional
rodents or insects

No excessive clutter; all rooms properly
used; appliances functional; good
housekeeping and maintenance

Safe, sanitary; no odors;
medication control OK

LEVEL
II

1 major exit blocked; 1 major
appliance or HVAC device
not working for longer than
one season; some plumbing
or electrical systems not fully
functional; fire or CO detectors
non-existent or non-functional

Evidence of inappropriate
animal control; visible or
odorous pet waste; visible
pet fur/hair/feathers; light to
medium evidence of common
household pests/insects

Clutter beginning to obstruct living areas;
slight congestion of exits, entrances,
hallways and stairs; some household
appliances not functional; inconsistent
housekeeping and maintenance

Diminished appropriate
sanitation; odors from dirty
dishes, food prep, laundry,
toilets; mildew present;
medication control questionable

LEVEL
III

Outside clutter of items normally
stored indoors; HVAC devices
not working for longer than one
season; fire or CO detectors nonexistent or non-functional; one
part of home has light structural
damage (occurring within past six
mos.)

Animal population
exceeds local regulations;
inappropriate animal control;
inadequate sanitation;
audible evidence of pests;
medium level of spiders; light
insect infestation such as bed
bugs, lice, fleas, roaches,
ants, silverfish, spiders, etc.

Clutter obstructing functions of key living
areas; building up around exits, entrances,
hallways and stairs; at least one room not
being used for intended purpose; several
appliances not functional; inappropriate
usage of electric appliances and extension
cords; substandard housekeeping and
maintenance; hazardous substances in
small quantities

Limited evidence of maintaining
sanitation (heavily soiled
food prep areas, dirty dishes,
mildew); odors obvious and
irritating; garbage cans not in
use or overflowing; dirt, dust and
debris; dirty laundry throughout
house; Rx and OTC medications
hazardous control (re children,
pets, mentally impaired)

LEVEL
IV

Excessive outdoor clutter of items
normally stored indoors; HVAC
devices not working for longer
than one year; CO detectors
non-existent or non-functional;
structural damage to home lasting
longer than six months; water
damaged floors, damaged walls
and foundations, broken windows,
doors or plumbing; odor or
evidence of sewer backup

Animal population exceeds
local ordinances; poor
animal sanitation; destructive
behavior; excessive spiders
and webs; bats, squirrels,
rodents in attic or basement
(audible and visible); medium
insect infestation

Diminished use and accessibility to key
living areas; several rooms cluttered
to extent they cannot be used for
intended purposes; clutter inhibits
access to doorways, hallways and stairs;
inappropriate storage of hazardous/
combustible materials; appliances used
inappropriately; improper use of electric
space heaters, fans or extension cords

Rotting food, organic
contamination; expired, leaking
cans or bottles, buckled sides
and tops; dishes and utensils
unusable; no linens on beds;
sleeping on mattress; chair or
floor; infestation of bedding
and/or furniture; medications
Rx and OTC medications easily
accessible to anybody

LEVEL
V

Extreme indoor/outdoor clutter;
foliage overgrowth; abandoned
machinery; ventilation inadequate
or nonexistent; HVAC systems not
working; water damaged floors,
walls and foundation; broken
windows, doors or plumbing;
unreliable electrical, water and/
or septic systems; odor or sewer
backup; irreparable damage to
exterior and interior structure

Animals at risk and
dangerous to people due
to behavior, health and
numbers; pervasive spiders,
cockroaches, mice, rats,
squirrels, raccoons, bats,
snakes, etc.; heavy infestation
of insects such as bed bugs,
lice, fleas, cockroaches, ants,
silverfish, etc.

Copyright © 2011 Institute for Challenging Disorganization (ICD)

Key living spaces not usable; all rooms not
used for intended purposes; entrances,
hallways and stairs blocked; toilets, sinks
and tubs not functioning; hazardous
conditions obscured by clutter; appliances
unusable; hazardous and primitive use
of kerosene, lanterns, candles, fireplace/
woodstove as primary source of heat and/
or light

Human urine and excrement
present; rotting food; organic
contamination; cans or jars
expired, leaking or buckled;
dishes and utensils buried or
nonexistent; beds inaccessible
or unusable due to clutter or
infestation; pervasive mold and/
or mildew; moisture or standing
water; Rx and OTC medications
easily accessible to anybody;
presence of expired Rx

Personal Protective
Equipment (PPE)
OPTIONAL

LIGHT PPE
Medical or work gloves; caps
(baseball or poly bouffant); first
aid kit; insect repellent; hand
sanitizer

MEDIUM PPE
Face masks or N95 respirator
masks; eye protection; gloves;
disposable coveralls; poly caps;
work shoes/boots; first aid kit;
hand sanitizer, insect repellent
FULL PPE
Face masks or N95 respirator
masks; safety goggles, medical
or industrial grade latex or nitrile
gloves; heavy duty work gloves;
disposable coveralls; caps,
work shoes/boots; first aid kit;
hand sanitizer; insect repellent;
headlamp or flashlight

FULL PPE REQUIRED
N95 respirator mask or mask with
organic filter(s); safety goggles;
medical or industrial grade latex,
or nitrile gloves; heavy duty work
gloves; disposable coveralls,
poly caps, work shoes/boots;
first aid kit hand sanitizer; insect
repellent; headlamp or flashlight

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Hoarding & extreme investigations goodman3

  • 1. ICD CLUTTER — HOARDING SCALE FIVE CATEGORIES. ICD CLUTTER — HOARDING SCALE FIVE LEVELS. Assessment of access to entrances and exits; function of plumbing, electrical, HVAC (any aspect of heating, ventilation or air conditioning) systems and appliances; and structural integrity LEVEL I QUICK REFERENCE GUIDE Five progressive levels indicate the degree of household clutter and/or hoarding; Level I as the lowest, and Level V the highest. The ICD considers Level III as the pivot point between a household that might be assessed as cluttered, and a household environment that may require the deeper considerations of working in a hoarding environment. Animals and Pests CLUTTER — HOARDING SCALE© Structure and Zoning Assessment of animal care and control; compliance with local animal regulations; assessment for evidence of infestations of pests (rodents, insects or other vermin) Household Functions GREEN LOW Household environment is considered standard. No special knowledge in working with the chronically disorganized is necessary. LEVEL II BLUE GUARDED Assessment of safety, functionality and accessibility of rooms for intended purposes Household environment requires professional organizers or related professionals who have additional knowledge and understanding of chronic disorganization. Health and Safety LEVEL III Assessment of sanitation levels in household; household management of medications for prescribed (Rx) and/or overthe-counter (OTC) drugs Personal Protective Equipment (PPE) Recommendations for PPE (face masks, gloves, eye shields or clothing that protect wearer from environmental health and safety hazards); additional supplies as appropriate to observational level SCOPE OF SCALE PURPOSE OF SCALE: This document is to be used as an assessment/guideline tool only, specifically for use in the assessment of a home’s interior, except where the outside structure affects the overall safety of the interior. Does not include sheds, unattached garages or outbuildings. It is not to be used for diagnostic purposes or for any psychological evaluation of a person or persons. The ICD is not responsible for any work performed by a professional organizer or other related professional using the ICD CHS or CHS Quick Reference Guide. REPRINTING: The ICD grants permission to copy, reprint and transmit the ICD Clutter – Hoarding Scale (CHS) Quick Reference Guide for educational, not-for-profit purposes provided credit is given to the ICD. Requests for permission to quote, copy, reproduce or redistribute all or parts of this guide for commercial purposes should be submitted in writing to www.challengingdisorganization.org. YELLOW ELEVATED Pivot point between a cluttered household environment and a potential hoarding environment. Those working with Level III household environments should have significant training in chronic disorganization and will require a community network of resources, especially mental health professionals. LEVEL IV ORANGE HIGH Household environment requires a coordinated collaborative team of service providers in addition to professional organizers and family: mental health professionals, social workers, financial counselors, pest and animal control officers, crime scene cleaners, licensed contractors and handypersons. LEVEL V RED SEVERE Professional organizers should not work alone in a Level V environment. Requires a collaborative team, potentially including family, mental health professionals, social workers, building manager, zoning, fire, and/or safety agents. Formal written agreements among the parties should be in place before proceeding. COPYRIGHT: The © 2011 ICD Clutter – Hoarding Scale (CHS) Quick Reference Guide is an adaptation developed by Donna Rosman, CPO-CD®, of the © 2011 ICD CHS written by Kristin Bergfeld, Sheila Delson, CPO-CD®, Randi Lyman, CPO-CD®, Lynn Mino, CPO-CD® and Heidi Schulz, CPO-CD®. The complete version of the © 2011 ICD Clutter – Hoarding Scale is available on the ICD website at www.challenging disorganization.com. © ICD May 2011 For: Professional Organizers Related Professionals Collaborating Team Members Contact ICD and Learn More! Institute for Challenging Disorganization 1693 S. Hanley Rd. | St. Louis, MO 63144 314-416-2236 www.challengingdisorganization.org
  • 2. CLUTTER — HOARDING SCALE (CHS) QUICK REFERENCE GUIDE Structure and Zoning Animals and Pests Household Functions Health and Safety LEVEL I Normal animal control All doors, stairs and windows (behavior/sanitation); accessible; plumbing, electric and approved number of HVAC operational; fire and CO animals; no evidence of detectors installed and functional rodents or insects No excessive clutter; all rooms properly used; appliances functional; good housekeeping and maintenance Safe, sanitary; no odors; medication control OK LEVEL II 1 major exit blocked; 1 major appliance or HVAC device not working for longer than one season; some plumbing or electrical systems not fully functional; fire or CO detectors non-existent or non-functional Evidence of inappropriate animal control; visible or odorous pet waste; visible pet fur/hair/feathers; light to medium evidence of common household pests/insects Clutter beginning to obstruct living areas; slight congestion of exits, entrances, hallways and stairs; some household appliances not functional; inconsistent housekeeping and maintenance Diminished appropriate sanitation; odors from dirty dishes, food prep, laundry, toilets; mildew present; medication control questionable LEVEL III Outside clutter of items normally stored indoors; HVAC devices not working for longer than one season; fire or CO detectors nonexistent or non-functional; one part of home has light structural damage (occurring within past six mos.) Animal population exceeds local regulations; inappropriate animal control; inadequate sanitation; audible evidence of pests; medium level of spiders; light insect infestation such as bed bugs, lice, fleas, roaches, ants, silverfish, spiders, etc. Clutter obstructing functions of key living areas; building up around exits, entrances, hallways and stairs; at least one room not being used for intended purpose; several appliances not functional; inappropriate usage of electric appliances and extension cords; substandard housekeeping and maintenance; hazardous substances in small quantities Limited evidence of maintaining sanitation (heavily soiled food prep areas, dirty dishes, mildew); odors obvious and irritating; garbage cans not in use or overflowing; dirt, dust and debris; dirty laundry throughout house; Rx and OTC medications hazardous control (re children, pets, mentally impaired) LEVEL IV Excessive outdoor clutter of items normally stored indoors; HVAC devices not working for longer than one year; CO detectors non-existent or non-functional; structural damage to home lasting longer than six months; water damaged floors, damaged walls and foundations, broken windows, doors or plumbing; odor or evidence of sewer backup Animal population exceeds local ordinances; poor animal sanitation; destructive behavior; excessive spiders and webs; bats, squirrels, rodents in attic or basement (audible and visible); medium insect infestation Diminished use and accessibility to key living areas; several rooms cluttered to extent they cannot be used for intended purposes; clutter inhibits access to doorways, hallways and stairs; inappropriate storage of hazardous/ combustible materials; appliances used inappropriately; improper use of electric space heaters, fans or extension cords Rotting food, organic contamination; expired, leaking cans or bottles, buckled sides and tops; dishes and utensils unusable; no linens on beds; sleeping on mattress; chair or floor; infestation of bedding and/or furniture; medications Rx and OTC medications easily accessible to anybody LEVEL V Extreme indoor/outdoor clutter; foliage overgrowth; abandoned machinery; ventilation inadequate or nonexistent; HVAC systems not working; water damaged floors, walls and foundation; broken windows, doors or plumbing; unreliable electrical, water and/ or septic systems; odor or sewer backup; irreparable damage to exterior and interior structure Animals at risk and dangerous to people due to behavior, health and numbers; pervasive spiders, cockroaches, mice, rats, squirrels, raccoons, bats, snakes, etc.; heavy infestation of insects such as bed bugs, lice, fleas, cockroaches, ants, silverfish, etc. Copyright © 2011 Institute for Challenging Disorganization (ICD) Key living spaces not usable; all rooms not used for intended purposes; entrances, hallways and stairs blocked; toilets, sinks and tubs not functioning; hazardous conditions obscured by clutter; appliances unusable; hazardous and primitive use of kerosene, lanterns, candles, fireplace/ woodstove as primary source of heat and/ or light Human urine and excrement present; rotting food; organic contamination; cans or jars expired, leaking or buckled; dishes and utensils buried or nonexistent; beds inaccessible or unusable due to clutter or infestation; pervasive mold and/ or mildew; moisture or standing water; Rx and OTC medications easily accessible to anybody; presence of expired Rx Personal Protective Equipment (PPE) OPTIONAL LIGHT PPE Medical or work gloves; caps (baseball or poly bouffant); first aid kit; insect repellent; hand sanitizer MEDIUM PPE Face masks or N95 respirator masks; eye protection; gloves; disposable coveralls; poly caps; work shoes/boots; first aid kit; hand sanitizer, insect repellent FULL PPE Face masks or N95 respirator masks; safety goggles, medical or industrial grade latex or nitrile gloves; heavy duty work gloves; disposable coveralls; caps, work shoes/boots; first aid kit; hand sanitizer; insect repellent; headlamp or flashlight FULL PPE REQUIRED N95 respirator mask or mask with organic filter(s); safety goggles; medical or industrial grade latex, or nitrile gloves; heavy duty work gloves; disposable coveralls, poly caps, work shoes/boots; first aid kit hand sanitizer; insect repellent; headlamp or flashlight