Cle a ring Clutte r, Cha ng ing L ive s L o ne line ss a nd - PowerPoint PPT Presentation

Cle a ring Clutte r, Cha ng ing L ive s L o ne line ss a nd Clutte r I ssue s in Olde r Adult Po pula tio ns

L e a rning Ob je c tive s  T o le a rn wha t c lutte r is a nd who it mo st a ffe c ts  T o unde rsta nd ho w lo ne line ss a nd se rio us c lutte r issue s inte rse c t in o lde r a dult po pula tio ns  T o le a rn wha t re so urc e s a re c urre ntly a va ila b le in Sa n F ra nc isc o to a ddre ss c lutte r issue s a nd the lo ne line ss tha t a c c o mpa nie s the m  T o unde rsta nd wha t suppo rt we c a n pro vide fo r e lde rs who ha ve se rio us c lutte r issue s

Who we a re

MHASF Pe e r Re spo nse T e a m

 T he Pe e r Re spo nse T e a m is a g ro up o f individua ls who ha ve e xpe rie nc e d se rio us pro b le ms—stre ss, a nxie ty, de pre ssio n, stig ma , da ma g e to re la tio nships, he a lth a nd sa fe ty issue s, e vic tio n, iso la tio n— whe n we lo st c o ntro l o ve r o ur stuff.  We b e lie ve it is po ssib le to re g a in c o ntro l o f yo ur life .  We b e lie ve tha t no n-judg me nta l pe e r suppo rt c a n he lp.  We a re b uilding a c o mmunity o f pe o ple a ffe c te d b y this issue .

Wha t do we me a n b y “c lutte r”?

DSM V: Dia g no stic Crite ria Pe rsiste nt diffic ulty disc a rding po sse ssio ns A. Re g a rdle ss o f the va lue o the rs ma y a ttrib ute to i. the se po sse ssio ns Ca use d b y stro ng urg e s to sa ve ite ms B. Ac c umula tio n o f a la rg e numb e r o f po sse ssio ns tha t C. re nde r the ho me o r a re a s o f the ho me s no t use a b le Ca use c linic a lly sig nific a nt distre ss o r impa irme nt D. Sympto ms a re no t due to a g e ne ra l c o nditio n E .

s Ano nymo us de fine s Clutte r e r c lutte r a s, “…anything we do n’t ne e d, want, o r use that take s o ur time , e ne r gy, o r spac e , and de str o ys o ur se r e nity. It c an be o utgr o wn c lo the s, o bso le te pape r s, br o ke n to ys, dislike d gifts, me aningle ss ac tivity, anc ie nt r e se ntme nts, o r unsatisfying r e latio nships. We may be se le c tive in so me ar e as, but no t in o the r s. Obje c ts may be str e wn abo ut o r we dge d in dr awe r s; ne atly stac ke d o r sto we d in sto r age .”

Bo tto m L ine : Go t to o muc h stuff?  Ne a rly e ve ryo ne in Ame ric a pe rio dic a lly fe e ls we ha ve “to o muc h stuff” a nd trie s to simplify, o rg a nize , a nd de -c lutte r.  E a c h o f us de a ls with this c ha lle ng e in o ur o wn uniq ue wa ys.  So me time s we fe e l o ve rwhe lme d.  Yo u a re no t a lo ne .

Gro up a c tivity T e ll us a b o ut o ne thing yo u ho ld o nto tha t a nyo ne e lse wo uld think is junk, a nd why yo u ke e p it.

Who do e s c lutte r a ffe c t?

3% – 5% Sa mue ls, 2008

9 – 15 Million People

Clutte r issue s a ffe c t a ppro xima te ly the sa me pe rc e nta g e o f the po pula tio n a s Alzhe ime r’ s Dise a se . As with Alzhe ime r’ s, stig ma a ro und Ho a rding Diso rde r c a n a ffe c t o pe n disc ussio n a nd willing ne ss to se e k tre a tme nt.

3% – 5% Between 25,000 to 50,000 adults in San Francisco face hoarding and cluttering challenges – and that estimate may be low.

Ag e o f Onse t

Mo st re po rte d

Clutte r issue s dispro po rtio na te ly a ffe c t o lde r a dult po pula tio ns. Why?  E lde rs ha ve live d lo ng e no ug h to a c c umula te mo re stuff.  T he y ha ve a g re a te r like liho o d o f e xpe rie nc ing a life -a lte ring e ve nt.  De a th o f a lo ve d o ne  He a lth c risis  L o ss o f a jo b o r re tire me nt  T he y ma y ha ve e xpe rie nc e d do wnsizing , e spe c ia lly in c o njunc tio n with c usto dia l c a re o f ite ms le ft b e hind b y lo ve d o ne s who ha ve die d.

L o ne line ss a nd c lutte r T he vic io us c irc le

Clutter Isolation Increased Depression Acquiring and Anxiety

Ma ny pe o ple who se e k tre a tme nt c ite la pse d so c ia l c o nne c tio ns a s the ir prima ry mo tiva tio n fo r wa nting to b e a t c lutte r.

Ma ny pe o ple who de a l with c lutte r a re e xc e ptio na lly so c ia l a nd a re g re a tly a fflic te d b y lo ne line ss a nd iso la tio n.

A pe rso na l sto ry Sha ro n Sc o tt K ish

Ho w ha s MHASF a ddre sse d lo ne line ss a nd c lutte r in Sa n F ra nc isc o ?

 We ide ntifie d so c ia l c o nne c tio n a s a ke y to re c o ve ry.  We o ffe re d 1:1 I n-Ho me Pe e r Suppo rt.  No t susta ina b le in the lo ng te rm due to tra ve l a nd inc re a se d re lia nc e o n Pe e r Re spo nde rs fo r a lle via ting so c ia l iso la tio n  We e ng a g e individua ls a nd e nc o ura g e the m to jo in a n inc re a sing va rie ty o f g ro ups.  We pro vide o ppo rtunitie s fo r so c ia l c o nne c tio n a nd c o mmunity b uilding .

Why g ro ups?  Gro ups, ra the r tha n individua l the ra py, a re b e c o ming the g o ld sta nda rd fo r tre a tme nt o f c lutte r issue s.  Gro ups pro vide no t o nly a n o ptimum le a rning e nviro nme nt fo r ne w skills a nd stra te g ie s, b ut a re a lso a wa y o f a ddre ssing iso la tio n.  Gro ups pro vide individua ls with a wa y to c o nne c t with c lutte r b uddie s – a no the r me a ns o f a lle via ting so c ia l iso la tio n.

Gro up o ffe ring s a t MHASF  Dro p-I n Gro up  T re a tme nt Gro up  Burie d in T re a sure s  Unb urie d fro m T re a sure s  Ac tio n Gro up  WRAP fo r F inde rs/ K e e pe rs  Ope n Ho use Gro up (L GBT Ce nte r)

PCORI (Pa tie nt-Ce nte re d Outc o me s Re se a rc h I nstitute ) Study with UCSF  Re se a rc hing T he ra pist-le d vs. Pe e r-le d g ro ups  15 T re a tme nt Gro ups vs. 15 Burie d in T re a sure s Gro ups o ve r 3 ye a rs  300 to ta l pa rtic ipa nts  Ba y a re a lo c a tio ns in Sa n F ra nc isc o , Ala me da , a nd Sa n Ma te o Co untie s

1 st a nnua l MHASF Pe e r Co nve ning fo r F inde rs/ K e e pe rs

16 th Annua l I CHC Co nfe re nc e , No v. 6 – 7, Hilto n Sa n F ra nc isc o – F ina nc ia l Distric t

Othe r c o lla b o ra tio ns  SF T a sk F o rc e o n Co mpulsive Ho a rding  HI / T PP (Ho a rding I nte rve ntio n T e na nc y Pre se rva tio n Pro je c t)

Wha t c a n we do to suppo rt e lde rs o n the ir jo urne y o f de - c lutte ring ?

 F irst, do no ha rm.  Re c o g nize it’ s no t a b o ut the stuff.  Cle a r the a ir b e fo re yo u c le a r the stuff.  Be c a utio us o f the “he lpe r me nta lity” – we ’ re he re to e mpo we r, no t to re sc ue .  Ma inta in a no n-judg me nta l a ttitude – ro ll with re sista nc e .

 He lp the individua l to ide ntify the ir re so urc e s, b ut a lwa ys le t the m b e in c ha rg e – it wo n’ t wo rk o the rwise .  Suppo rt the ir pro c e ss, e ve n/ e spe c ia lly if it do e sn’ t ma tc h yo ur o wn.  He lp c o nne c t the m with c o mmunity – like MHASF .  Re me mb e r tha t the stuff didn’ t g e t the re o ve rnig ht, a nd it’ s no t g o ing to g e t c le a r o ve rnig ht.  K no w tha t a lle via ting iso la tio n a nd lo ne line ss first c a n ha ve a po sitive e ffe c t o n mo tiva tio n to a ddre ss c lutte r issue s.

Ha rm Re duc tio n  T he g o a l o f ha rm re duc tio n is to re duc e the ha rm invo lve d in a situa tio n a nd to ma na g e the b e ha vio r.  T he g o a l IS NOT :  T o e limina te the b e ha vio r  T o g e t rid o f a ll o f the b e lo ng ing s  I t’ s mo re impo rta nt tha t the pe rso n live s sa fe ly a t ho me tha n tha t the y live in a c o mple te ly ne a t a nd tidy ho me .  Ha rm re duc tio n is a “first ste p” to wa rds c re a ting a ne w, le ss-c lutte re d living spa c e .

SAMPL E HARM RE DUCT I ON PL AN Harm Reduction Target Strategies and Solutions 1) Stove Top 1) No items on the stove top 2) No items within 12 inches of the stove top 2) Expired Consumables 1) Throw out all spoiled food from the kitchen and refrigerator every month 2) Only purchase food that you are going to eat for the week 3) Toilet 1) Clear things away from the toilet so toilet can be used 4) Hallways and Doors 1) Ensure that there is sufficient space for the door to open fully 5) Bed 1) Clear away items from top of the bed so it can be used

Q & A

John F ranklin Pro je c t Co o rdina to r, Pe e r Ho a rding a nd Clutte ring Re spo nse T e a m T hank you, Me nta l He a lth Asso c ia tio n and ple ase o f Sa n F ra nc isc o stay in touc h! 870 Ma rke t Stre e t, Suite 928 Sa n F ra nc isc o , CA 94102 Ph: 415-421-2926 e xt. 314