Advice for Professionals
Advice for professionals
People in many job roles may encounter situations/behaviours which are labelled as ‘hoarding’ or appear at first sight to involve hoarding behaviours.
Hoarding is now a recognized psychiatric disorder (called Hoarding Disorder) with 3 key symptoms:
- The accumulation of a large amount of possessions. This can be direct (e.g. the person actively seeks out items) or indirect (e.g. the person might have accumulated possessions from say a deceased relative which they cannot bear to part with).
- There is a great difficulty in discarding these accumulated possessions, with the person displaying anxiety when asked to consider decluttering, or lacks the ability to make a firm decision about what to discard.
- This results in severe clutter to the extent that normal life becomes very difficult (e.g. inability to use a kitchen, bathroom or bedroom for the purpose it was intended for) and may result in dangerous and unsanitary living conditions.
It is important to note that just because a property may be severely cluttered, this does not automatically mean that the person is a hoarder – they may for example have reduced mobility, which makes it hard for them to keep their home tidy. Alternative explanations should be considered before you define the person has a ‘hoarder’.
Below we have listed some areas of advice for professionals. This is not an exhaustive list and if you come across some information that you think we should refer to please get in touch.
Best Practice Guidelines/Training Materials
Books
Cooke, J. (2021). Understanding Hoarding. Reclaim your space and your life. Sheldon Press
Edwards, L.J., & Drummond, L. (2025). Everything you need to know about hoarding. Cambridge University Press.
Fay, L. (2024). A pragmatic approach to chronic disorganization and hoarding: using the DESIRE method. Jessica Kingsley Publishers.
Frost, R.O., & Steketee, G. (2011). Stuff: Compulsive hoarding and the meaning of things. Mariner.
Frost, R.O., & Steketee, G. (2014). The Oxford Handbook of Hoarding and Acquiring. Oxford University Press.
Paxton, M. (2022). Keep the memories, lose the stuff: declutter, downsize, and move forward with your life. Portfolio.
Tolin, D.F., Frost, R.O., & Steketee, G. (2014). Buried in treasures: help for compulsive acquiring, saving and hoarding. Second edition, Oxford University Press.
Walker, S. (2018). The life of stuff. A memoir about the mess we leave behind. Transworld.
Assessments and tools
Riviam, a digial health care company have created an AI tool to assess Clutter. Information about this new tool (callled ‘SADIE’), with instructions on how to use it, and how it might benefit professionals are in the link: https://www.riviam.com/know-how/how-riviams-sadie-clutter-classifier-supports-hoarding-awareness-week-2025
We have also provided a list of current initiatives that are being delivered around the country:
Initiatives
There are many different initiatives taking place around the country to help People who Hoard. We have started collating these initiatives and have provided links to them so that you can see what is going on around the country and perhaps develop new initiatives of your own. The table provides a short overview, but then links in the table take you to a more detailed template which explain who is hosting the initiative, what the initiative involves, how well it has worked etc. There are also contact details of the key person/organization so that you can get in touch with them to find out more.
If there are initiatives that you are aware of that are not featured here please get in touch and we can add it to this database.
Name of Initiative | Brief Details | Initiative Lead(s) | Lead Organisation | More Details |
---|---|---|---|---|
B.I.T | Support Group based around the ‘Buried in Treasures’ workbook | Ian McPherson | Royal | |
Hoarding Behaviours Training | A Youtube Training Course | Marie Bateson & Sian Pelleschi | Association of Professional Declutterers and Organizers | |
Provider Framework | Cleaning/clearing services using trauma-informed approach | Jenna Bardwell | Norfolk County Council | |
Safe Habitable Homes | Multi-Agency Task Force | Rachel Omori | Norwich City Council | |
Sheffield Mind Magpies | Intervention and support | Jon Friend | Sheffield Mind | |
Safe Spaces | Person-centered support | Rosemary Leach | Lightbulb (Leicestershire) |