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- 5. Goals To learn what clutter is and who it most affects To learn what resources are currently available in San Francisco to address clutter issues and the loneliness that accompanies them To understand what support we can provide for individuals who have serious clutter issues To learn the basics causes of hoarding behavior To understand techniques that can help us defeat the clutter To introduce the PCORI Study
- 6. 3% – 5% Samuels, 2008
- 7. 9 – 15 Million People
- 8. 3% – 5% Between 25,000 to 50,000 adults in San Francisco face hoarding and cluttering challenges – and that estimate may be low.
- 9. Mark Salazar Senior Projects Manager
- 11. 17th Annual ICHC Conference November 5 – 6, 2015 Hilton San Francisco – Financial District
- 12. Peer Response Team Support Groups Community Education / Trainings Treatment Groups 1:1 Peer Support Linkage to Referrals & Information Advocacy Consultation PEER RESPONSE TEAM
- 13. CBT TREATMENT GROUP Group treatment and intervention program 16 to 26 - week group therapy program Works very well for some individuals Continued progress after the process for some while others have some degree of relapse
- 14. Other Innovative Groups Drop-In Group Unburied from Treasures Open House Group (LGBT Center for 55+)
- 15. The PCORI Study A joint study between UCSF and MHA A comparison of two treatment techniques The study continues through 2016 Funded by Patient Centered Outcome Research Institute
- 16. What are the Symptoms? I. Difficulty discarding II. Strong urges to save things III. Excessive clutter IV. Distress or impaired functioning Additional characteristics Excessive acquiring Poor insight
- 17. Safety First
- 18. What are our challenges?
- 19. Mental Functioning Attention Categorization Decision Making Memory . . . . . . . .
- 20. Over Thinking Overly Creative Thinking Perfectionism . . . . . . . .
- 21. Emotions Sentimental attachments Identity . . . . . . . . Safety, security and control
- 22. Understanding and Accepting Ourselves Perception Do you see what I see? Telling your story?
- 23. Identify your Goals I. Set your priorities III. Keep you eye on the prize II. Develop the right skills
- 24. What do I do now?
- 25. Find a Technique that Works For You
- 26. A PLACE TO START
- 27. A Place to Start
- 28. The Game Plan Identify the challenges Identify your goals Find a technique that works Choose a place to start Identify your categories Create your hierarchy list
- 29. Categories
- 30. Decision Making Questions Would I buy it again if I did not already own it? Am I keeping it only because of the money I spent? Do I have enough space for it? Is it of good quality, accurate and / or reliable? When do I have time to read this/ fix this / finish this project ? Am I keeping this just because I am looking at it now? Do I already have enough / too many of these?
- 31. Rules for Letting Go If it doesn’t fit, it must go If I have 5 of these, all others must go If I have not worn it in a year, it must go If it is badly stained, it must go If I don’t have room for it, it must go If I have not read it in 6 months, it must go
- 32. Assess Progress
- 33. The PCORI Study
- 34. Currently in Development Addition of 2nd Weekly Drop-In Support Group Re-Issue with possible updates of “Beyond Overwhelmed” Task Force Report Monthly Structured Family Support Group for Family Members of Individuals with Hoarding Behavior Searchable Online Resource Database of both private and public businesses and agencies who provide various services Buried in Treasures for non-clinical service provides
- 35. Q & A
- 36. Mark Salazar Senior Projects Manager, ICHC Program, PCORI Research Manager John Franklin Peer Response Team Manager PCORI Research Line 415-763-7489 Mental Health Association of San Francisco 870 Market Street, Suite 928 San Francisco, CA 94102 Ph: 415-421-2926 Thank you. Please stay in touch!
Notas do Editor
- Year MHASF was awarded grant to establish th Institute and the Task force
- We are a private non-profit organization. We have been in San Francisco for over 65 plus years. We are Consumer Driven with more than 50 of staff self-identified as having lived experience. Part of the consumer driven approach we focus provide a lot of peer-based services which we will go into detail later in the presentation. We also focus on Stigma Elimination, Advocacy, Public Policy Change, Education, Training. For those who may not know, the bell in this picture is the MHA bell and was made from the chains that were routinely used to restrain patients in psychiatric facilities.
- Comparable with percentage of population with Alzheimers.
- Finally ICHC or the Institute on Compulsive Hoarding and Cluttering.
- ICHC provides
- CBT helps bring clarity and understanding into one’s one thoughts and behaviors. The skills building helps an individual decrease the anxiety and stress associated with the behavior. As you see in the photo, initial reaction is stress and anxiety. Results of after treatment, same scenario but with clearer thoughts and guided action.
- Recovery is possible! Use your training: Stages of Change Harm Reduction Recovery is possible! Encourage tenants toward available supports.