Squalor in community-referred hoarded homes

Luu, May; Lauster, Nathanael; Bratiotis, Christiana; Edsell-Vetter, Jesse; Woody, Sheila R.

doi:10.1016/j.jocrd.2018.08.005

Cited by 9 publications

(6 citation statements)

References 19 publications

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“…The typical HART client in this study was an elderly woman living alone in a rented multi‐family dwelling. This demographic varied from the average citizen in Vancouver, but was comparable to other community‐based samples of hoarding clients (Luu, Lauster, Bratiotis, Edsell‐Vetter, & Woody, ). Successes and barriers experienced by HART in achieving these case outcomes are discussed below.…”

Section: Discussionsupporting

confidence: 63%

How can cities tackle hoarding? Examining an intervention program bringing together fire and health authorities in Vancouver

Kysow

Bratiotis

Lauster

et al. 2020

Health Soc Care Community

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Hoarded homes can pose a threat to public safety, with heightened risks of fire hazards, pest infestations and noxious odours in both the home and neighbouring dwellings. Communities across North America are responding to these public safety concerns through a harm reduction approach. This descriptive study explores the implementation and outcomes of the City of Vancouver's approach involving a partnership between fire prevention and public health. Data were collected from the team's 2016–2018 case tracking systems, consisting of health records and team intervention record, as well as notes taken from case briefing meetings. Study objectives included describing the intervention model, providing descriptive statistics on clients and their clutter volume, the interventions undertaken, and exploring predictors of clutter volume and case outcome through exploratory analyses. The sample included 82 cases involving severely hoarded conditions or more moderate hoarding conditions paired with additional client vulnerabilities (e.g. health conditions, frailty). Results from paired samples t‐tests and regression analysis, suggest the Hoarding Action Response Team's (HART) model of a community‐based intervention for hoarding was associated with clutter reduction and tenancy preservation. HART successfully maintained engagement with most clients, and most cases were closed within six home visits. Despite these successes, the team dealt with several barriers including client avoidance and limited resources. This paper provides guidance for communities who are working to develop a coordinated response to problems associated with hoarding and begins to establish expectations for what can be achieved through a community‐based hoarding intervention model.

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Section: Discussionsupporting

confidence: 63%

How can cities tackle hoarding? Examining an intervention program bringing together fire and health authorities in Vancouver

Kysow

Bratiotis

Lauster

et al. 2020

Health Soc Care Community

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“…The average age of treatment-seeking samples is consistently in the 50s (e.g., Frost, Ruby, & Shuer, 2012;Muroff, Steketee, Bratiotis, & Ross, 2012;Saxena & Sumner, 2014;Steketee, Frost, Tolin, Rasmussen, & Brown, 2010). Older adults also frequently come to clinical attention, many because they are community-referred, although some actively seek treatment (Ayers et al, 2014;Ayers et al, 2011;Luu, Lauster, Bratiotis, Edsell-Vetter, & Woody, 2018;Turner, Steketee, & Nauth, 2010). Furthermore, although clinical hoarding is associated with older age, researchers often study hoarding using much younger student analogue samples (e.g., Burgess, Graves, & Frost, 2018;Oglesby et al, 2013).…”

Section: Discussionmentioning

confidence: 99%

Saving inventory – Revised: Psychometric performance across the lifespan

Kellman-McFarlane

Stewart

Woody

et al. 2019

Journal of Affective Disorders

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Background: The Saving Inventory-Revised (SI-R) is the most widely used self-report measure of hoarding symptom severity. The goal of this study is to establish a firm empirical basis for a cutoff score on the SIR and to examine the functioning of the SIR as a screening tool and indicator of hoarding symptom severity across the lifespan. Methods: This study used archival data from 1,116 participants diagnosed with a clinical interview in 14 studies conducted by research groups who focus on hoarding. We used receiver operating characteristic (ROC) analysis and the Youden's Jstatistic to determine optimal cutoff scores for classifying participants who would be likely to receive a hoarding diagnosis. Results: Overall, the discriminant performance of the SIR Total score and each of the three subscales was high, confirming the status of the SIR is an excellent screening tool for differentiating hoarding from non-hoarding cases. The optimal SIR Total cutoff score is 39, although analyses suggested that older adults require a significantly lower cutoff and adults younger than 40 years require a significantly higher cutoff score. Limitations: The confidence interval around the optimal cutoff for the SIR Total score for oldest age group was wide in comparison to those reported for the younger groups, creating more uncertainty around the optimal cutoff score for this group. Conclusions: This paper provides investigators and clinicians with the data necessary to select evidence-based cutoff scores on the SIR that optimally suit their relative need for sensitivity and specificity in different age groups.

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“…Safety is a consideration for older people at home and for any services that may be visiting to provide care (Yoshimatsu & Nakatani, 2022). As people age, their ability to maintain a home can be impacted (Liu & Yao, 2014; Luu et al, 2018). Add to this, issues of hoarding, clutter or vermin in a home creates occupational health and safety concerns unsafe to those visiting (Luu et al, 2018).…”

Section: Discussionmentioning

confidence: 99%

“…As people age, their ability to maintain a home can be impacted (Liu & Yao, 2014; Luu et al, 2018). Add to this, issues of hoarding, clutter or vermin in a home creates occupational health and safety concerns unsafe to those visiting (Luu et al, 2018). How supported the person is contributes to how the person is engaged in their care (Lawless et al, 2021).…”

Section: Discussionmentioning

confidence: 99%

How is complexity measured and detected among community dwelling older people aged 65 years and over? A scoping review

Boak

Rasekaba

Baxter

et al. 2023

Journal of Advanced Nursing

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AimTo identify and explore tools that measured and detected complexity of care among community dwelling people aged 65 years and older.Data SourcesDatabases were searched for articles published up to 23 September 2022 including CINAHL, EMBASE and MEDLINE, Cochrane database for trials and grey literature.MethodsA scoping review was conducted and reported in accordance with the PRISMA guidelines. Eligible articles included those with participants aged over 65 years, living in the community and studies that included care complexity detection or assessment and how this related to care delivered. Covidence was used to screen titles, abstracts and full‐text articles.ResultsEighteen full texts were reviewed; four studies were included in the final review. All selected studies included people aged over 65 years living in the community. A high level of reliability for the items included in the interventions was found. The selected studies included tools for assessing older person's needs with nurses involved in the assessment.ConclusionThe review identified four tools for measuring complexity in community dwelling older people. Two tools have the capacity to objectively measure complexity due to the holistic nature of items included and appear easy to use to support clinical judgement decisions.ImpactThe review places a spotlight on the concept of complexity and highlights the lack of definition of care complexity. The synthesized result highlights the need to explore detection of care complexity of older people further and consider ways of supporting clinical judgement and decision making of community nurses. The use of a validated tool may enhance clinical judgement regarding care complexity and may lead to a more consistent and timely approach to care.Patient or Public ContributionDuring the development phase, the study was presented to a consumer group from the researcher's workplace.Prospero RegistrationCRD42022299336.

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Squalor in community-referred hoarded homes

Cited by 9 publications

References 19 publications

How can cities tackle hoarding? Examining an intervention program bringing together fire and health authorities in Vancouver

How can cities tackle hoarding? Examining an intervention program bringing together fire and health authorities in Vancouver

Saving inventory – Revised: Psychometric performance across the lifespan

How is complexity measured and detected among community dwelling older people aged 65 years and over? A scoping review

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