Understanding Hoarding & Self-Neglect

 

Target Audience:- Health and social care staff; Social workers, Housing officers, Safeguarding professionals, Mental health Practitioners, Environmental health, Fire and rescue services and Voluntary sector staff

Learning Objectives

By the end of the training, participants will be able to:

1.     Define hoarding disorder and understand its links with self-neglect.

2.     Recognise the legal, safeguarding and mental health frameworks that apply.

3.     Apply the Self-Neglect & Hoarding Protocol to multi-agency working.

4.     Use professional curiosity, risk assessment and engagement strategies.

5.     Identify appropriate interventions, referrals and support pathways.

6.     Navigate Mental Capacity assessments and ethical decision-making.

7.     Work collaboratively with partner agencies to reduce risk and improve outcomes.

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Understanding Hoarding & Self-Neglect


Accredited by:CPD


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Course Outline

Introduction & Context

  • What is Hoarding Disorder?
  • DSM-5 recognition and how it differs from collecting
  • Hoarding vs Self-Neglect
  • Impact on the person, others and the environment
  • Prevalence and myths

Legal and Statutory Framework

  • Care Act 2014 – Section 42 safeguarding duties
  • Mental Capacity Act 2005
  • Human Rights Act considerations
  • Environmental Health and Housing legislation
  • Role of Fire & Rescue Services
  • Equality Act 2010

Self-Neglect & Hoarding Protocol (UK Model)

  • Overview of the multi-agency protocol
  • Thresholds and levels of intervention
  • Roles and responsibilities of different agencies
  • Escalation and safeguarding routes
  • Information sharing and GDPR

Hoarding Assessment Tools

  • Clutter Image Rating (CIR)
  • Hoarding Icebreaker Tool
  • Risk indicators (fire, infestation, structural safety, health hazards)
  • Signs of capacity, insight, motivation and risk

Mental Capacity & Decision-Making

  • Assessing capacity in hoarding situations
  • Balancing autonomy and duty of care
  • Executive capacity and fluctuating ability
  • When to escalate for safeguarding or legal intervention

Engagement and Communication Techniques

  • Trauma-informed approaches
  • Motivational interviewing principles
  • Building trust and rapport
  • Overcoming resistance or avoidance
  • Cultural and personal considerations

Multi-Agency Intervention Planning

  • Coordinated response and case management
  • When and how to convene a hoarding panel or multi-disciplinary meeting
  • Working with family, carers and advocacy
  • Voluntary vs statutory powers
  • Environmental health, housing enforcement, and fire risk reduction

Support, Treatment and Long-Term Strategies

  • Psychological and practical support options
  • Role of occupational therapy, mental health, and housing teams
  • Decluttering programmes and specialist charities
  • Preventing re-accumulation and relapse

Documentation & Reporting

  • Recording risk, decisions and professional rationale
  • Referral pathways (safeguarding, hoarding panels, MARAC)
  • When to report/impose statutory action