Hoarding Intervention Training

program

Hoarding Intervention Training (HIT) is an in-home training for those who struggle with excessive acquiring, saving, and hoarding. HIT is available for clients to attend individually and/or with a relative seeking training on how to support the individual at their own pace.

The training is provided by a qualified provider in the home 4 hours per week and follows a curriculum to develop insight & strategies to reduce acquiring and improve discarding. Individuals acquire skills, learn and implement techniques to improve home safety. The therapist provides extensive physical assistance for sorting and organizing items. During discarding, the therapist provides comfort and support during decision making and to maintain progress.

This service is offered through Professional Rehabilitation Consultants and eligible under the HBCS waiver.

Objectives

Develop strategies for reducing excessive acquiring, saving, and hoarding
Improve decision-making skills for keeping, organizing, discarding and donating
Reduce stigma associated with hoarding behaviors
Build insight into causes & personal costs
Reduce anxiety related to remediating cluttered spaces
Improve collaboration with support teams
Improve home and community safety & self-advocacy skills

HIT Referral

Client Information

Name

First Name

Last Name

Date of Birth

YYYY

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

Diagnoses

Waiver Case Manager Information

Waiver Case Manager Name

First Name

Last Name

Company

Phone

(###)

###

####

Referred By:

Name

First Name

Last Name

Company

Phone

(###)

###

####

Date of referral submission:

YYYY

Reason for Referral:

Does the client struggle with excessive acquiring, saving, and/or hoarding?

Yes

Is the client currently at risk of losing their housing?

Yes

Additional details regarding risk of housing loss:

Please provide any known history of pests:

Describe and share any information related to the excessive saving, acquiring, and/or hoarding situation:

What type of housing are they currently in?

Does the client have roommates/pets?

Yes

If yes, please provide details:

Do you know if/when they will be having housing inspections?

What other support services is the person currently receiving?

What does the client hope to get out of our service?

What does the referring provider hope the client accomplishes with our service?

Please share any mental health, cognitive, or physical health concerns that our providers should be aware of in order to best help us support the client:

Describe any service-interfering behaviors and/or areas of concern for in-home staff to be aware of.

Which statement below best describes the client's insight regarding service need:

Good or fair insight: The adult recognizes that hoarding-related beliefs and behaviors (relating to difficulty discarding items, clutter or excessive acquisition) are problematic. The adult recognizes these behaviors in themselves.

Poor insight: The adult is mostly convinced that hoarding-related beliefs and behaviors (relating to difficulty discarding items, clutter or excessive acquisition) are not problematic despite evidence to the contrary. The adult might recognize a storage problem but has little self-recognition or acceptance of their own hoarding behavior.2

Absent (delusional) insight: The adult is convinced that hoarding-related beliefs and behaviors (relating to difficulty discarding items, clutter or excessive acquisition) are not problematic despite evidence to the contrary. The adult is completely accepting of their living environment despite it being hoarded and possibly a risk to health.

Any additional referral information regarding client needs (e.g. concerns regarding maintaining current housing, mental or physical health symptoms, mobility, recent hospitalization, triggers, etc.)

Please submit recent H&P, CSSP, & DA (as available) via fax at (651) 603-9009 or via email to theresa@prcmn.com