The role of the Occupational Therapist in the management of Compulsive Hoarding

Background: Compulsive hoarding (DSM-V, 2013) is recognised to have a severe impact on all aspects of a person’s occupational, vocational and social functioning (Tolin et al, 2008). While it has been argued that a... [ view full abstract ]

Background:
Compulsive hoarding (DSM-V, 2013) is recognised to have a severe impact on all aspects of a person’s occupational, vocational and social functioning (Tolin et al, 2008). While it has been argued that a multi-disciplinary approach and close cooperation between professionals and agencies is most effective in addressing its complexities (Koenig et al 2013, Bratiotis et al 2011), Dissanayake (2012) has posed that occupational therapists have a specific role in the assessment and treatment of hoarding. This study aimed to identify: to what extent occupational therapists employed within a large NHS Trust in Central London had encountered hoarding within clinical settings, their perspectives on the role of occupational therapy with this client group, and required training and development needs.
Method:
An anonymous, structured online survey was sent to a total of 222 qualified occupational therapists working within a wide range of physical and mental health services.
Results:
The survey yielded a 50% response rate. Findings included: 76% of participants (n84) had encountered those who hoard within their clinical practice, 82% (n91) felt that occupational therapy has a key role in the assessment and treatment of compulsive hoarding, and 78% (n87) felt that they needed additional support and information regarding working with individuals who hoard.
Conclusion:
The hypothesis was confirmed that there is a role for occupational therapy with those who hoard.
Application to Practice:
Conduct further research to evaluate the effectiveness of occupational therapy interventions for those who hoard. Hoarding assessment and treatment to be included in pre-registration training.