mhasf supports for hoarding and cluttering behavior
TRANSCRIPT
• Introductions
• Brief History
• Early days 1997-2007
• SF Task Force on Hoarding
• ICHC Institute on Compulsive Hoarding& Cluttering
• PRT Peer Response Team
• New additions:
• PCORI study
• HI-TPP
• Current continuum of supports
• Q & A
• Feedback/discussion
Consumer Housing Group
Started in mid 1990s
Issue of affordable low-income
housing in SF
Unintentional result was issue of
hoarding behavior
Consumer Housing Group
1997
“Pack Rat”
Conference
1997
• I&R line
• Peer Support Group
Hoarding Consortium
2000
Mental Health Association of SF
Hoarding Support History
MHASFAdvocacy
Information and
Referral
Community Education /
Trainings
Annual Conference
Support Groups
PEER SUPPORT GROUPS Weekly at MHASF
Drop-in
Harm Reduction Approach
Over 250 have engaged since in 2009
CBT TREATMENT GROUP
Group treatment—
10 participants
Therapist led
16 to 26 - week
group therapy
program
Launched in 2007
Members include major SF City Departments,
consumers, non-profit housing and service providers,
property managers and other community based
organizations
Focus on increasing collaboration and multi-
disciplinary solutions
Identify strategies to reduction evictions and improve
quality of life
SAN FRANCISCO TASKFORCE
Identify gaps and barriers in service
Assess current services and needs
Identify best practices to improve coordination of services, reduce eviction, improve quality of life
Raise awareness among the public and policy makers
Make policy recommendations
GOALS OF THE TASK FORCE
Weekly team meeting for group planning:
Program and policy design
Community presentations
Mutual support
Theory & language discussion
Flyers/outreach
Individual case conferences
Developing Peer Leadership
Purpose: Outreach, education & stigma reduction
Audience: Social services providers
Meals on Wheels, IHSS , APS ,DPH , etc.
Supportive Housing staff
conferences
Accomplishment:
50+ presentations in 2 ½ years
over 2000 audience members
Community Presentations
Strategy, emergency, referrals, support
FY3: 222 I&R calls(only initial call; often on-going followup)
(ICHC adds approximately same number)
106 agencies/landlords/lawyers/social workers
82 individuals with collecting behaviors
34 family/friends/neighbors
Consultation/I&R phone
support
Rapid response
Free to all SF residents
Non-judgmental empathy
“What’s going on? Where y’at?”
Trust & relationship building
Home visit a big step
Each case unique
No arbitrary limits to service
Value of 1:1
--Not financially sustainable
- travel time
- too much demand
--Better results from groups
--Too hard on peers
Current practice:
Use 1:1, if requested, for 2-3 visits to build relationship
Then encourage groups
Lessons Learned from 1:1
Moving 1:1 Group ModelBURIED IN TREASURES
15 sessions/20 wks.
10 participants
2 peer facilitators
Textbook-based
Facilitators’ Guide free: OCFoundation.org
Thank you:
Lee ShuerRandy O. Frost et al
Moving 1:1 Group Model ACTION GROUP
For grads of 15 wk. Treatment or Buried in Treasuresgroups
or in action
INTENSE 8 Weeks of active de-clutter
Meet Clutter Buddies in same phase/focus
Original Curriculum
Peer Learning &
Healing Center
Family & Friends
Acquiring
Therapist/ Provider
Resource Group
Organizing Skills
Celebrations
SRO/Small Space Design
“Where Do I Start?”
TAY: Living on Your Own
Narrative Therapy
Future Visions:
Peer
Response
Team
Support
Groups
Community
Education /
Trainings
Community
Building
1:1 Peer
Support Information &
referrals
Advocacy
Consultation
PEER RESPONSE TEAM
MHASF Support GroupsDrop-In Group
*expanding to every Mon/Wed.
CBT Treatment Group
Buried in Treasures
Unburied from Treasures
Open House Group (LGBT
Center)
MHASF: CONTINUUM OF SERVICES
Maintenance/ Continuation
Action
Group
Commitment/
Action
CBT Treatment
Group
Buried In Treasures
Low Threshold/
ContemplationDrop-in
PRT
1:1
UnBuriedWRAP
PCORI: GBiT vs GCBT Funded by PCORI:
Patient Center Outcomes Research Institute
Partnership with University of California, San Francisco – Carol Mathews, M.D.
3-years
PCORI (Patient-Centered Outcomes
Research Institute) Study with UCSF
Researching Therapist-led vs. Peer-led
groups
16 CBT Treatment Groups vs. 15 Buried in
Treasures Groups over 3 years
300 to 400 total participants
Bay area locations in San Francisco,
Alameda, and San Mateo Counties
1997
1st Consortium and Public Discussion
1997
Drop-in Peer Support Group
2000
Hoarding Consortium
2007
ICHC
SF Task Force
2008 Therapist-led
Treatment Group
2011
Peer Response
Team
2012
Expansion of Conference to two-days and training
2014
PCORI CBT v. BiT Research
Funded
HI/TPP Pilot Project
WE STARTED SMALL