1. CANVASED CLUTTER
HOARDING PROJECT 2012
H P PA E P I T T
CAROL SHULER, DANA CANELLI, KENDA BILSKI, MARK
THOMPSON, MARY BRODLAND, QIYI ZHANG

2. WHAT IS HOARDING?
Pathological or compulsive hoarding
Acquiring and failing to throw out a large number
items without little or no value
Severe cluttering of home
No longer able to function as a living space
Causing significant distress or impairment of
work or social life

3. HOARDING SCALE
LEVEL 1
LEVEL 2
LEVEL 3
LEVEL 4
LEVEL 5

7. HELPFUL LINKS: HOARDING SCALES &
PICTURES
http://www.science.smith.edu/departments/PSYCH
/rfrost/Hoarding_Images.htm (Clutter Image
Rating Scales)
http://www.ocfoundation.org/hoarding/ (Hoarding
information and rating scales)

8. MEDIA AND HOARDING
Several reality TV shows about hoarding
help to raise awareness
Reality shows depict unrealistic timeline to
“clean up”
TV shows often do not show the
psychiatric counseling involved in
treating a hoarder
TV shows have consequently led to
misconceptions and unrealistic
expectations

9. OUR INTENTIONS
To educate and spread awareness
To destroy the stigma attached to hoarding
To capture the humanity behind hoarding
To build a bridge between community
members and hoarders and promote the
common good

10. PUTTING A HUMAN FACE ON HOARDING

11. Why Older Adults?

12. scumdoctor.com
http://www.topnew
s.in/loss-
1.) Loss
selfcontrol-old-
age-may-lead-
problem-gambling-
2191400
2.) Mobility
kneescooter.net

13. 3.) LONELINESS
raindeocampo.word pxleyes.com
press.com
4.) MEMORIES
infobarrel.com us.moo.com

14. 5.) Need to Conserve
6.) Stigma
7.)
alyboyce.wikispaces.com

15. Intergenerational Challenges
healthystate.org

16. CATEGORIES OF HOARDING
1. Effects on the family:
Intergenerational
Emotional
Physical health
Relationships
Social aspects
Expenses and Clean-up
2. Emotional-psychological toll on the individual
embarrassment/shame/guilt/fear
anxiety/obsessive compulsive disorder/depression
treatment options

17. CATEGORIES OF HOARDING (CONTINUED)
3. Triggers/risk factors
Sentimental value
Home shopping network, ebay, dollar store, credit cards
Death of loved one
Trauma(severe illness)
Familial history of OCD
4. Societal Perspectives
The Great depression
Dollar stores
History/culture
International

18. CATEGORIES OF HOARDING (CONTINUED)
5. Health and physical toll
Stress on caregiver
Safety related to falls, fire hazards
Sanitation-air quality/circulation
asthma, pet dander
6. Monetary Cost
Debt
Insurance coverage
Help for cleaning and psychiatric issues
Professional organization

19. CATEGORIES OF HOARDING (CONTINUED)
7. Roots of hoarding
Sexual abuse
Mental abuse
Physical abuse
Historical occurrences: The Great
Depression
Trauma

20. THANK YOU FOR PAYING ATTENTION!
• hoarding.pitt@gmail.com
Carol Shuler, Dana Canelli, Kenda Bilski, Mark Tompson, Mary Brodland, Qiyi Zhang

21. BIBLIOGRAPHY
Allen, M.W. & Wilson, M. (2005). Materialism and food security. Appetite (45) 314-323
Allen, George J. , Duffany, Shannon R., Frost, Randy O., Hartl, Tamara L., & Steketee, Gail. (2005) Relationships among compulsive hoarding,
trauma, and attention-deficit/hyperactivity disorder. 43, 2.
Anderson, S., Damasio, H., and Damasio, R. (2005). A neural basis for collecting behavior in humans. Brain. 128: 201-212.
Bellay, Yvonne M., Brown, Katherine M., Cantor Fredric L., Castrodale, Louisa, Patronek, Gary J., Gibbons, John D., Headrick, Marcia L., Leslie,
Mira J., MacMahon, Kathleen, O’Quin, Jeanette M., Silva Rodrigo A., Wright, James C, Yu, Dina T. General Public Health Considerations
For Responding to Animal Hoarding Cases. Journal of Environmental Health, 72:7, 14.
Bratiotis, C., Hussey, A., & Flowers, K.. (2008). COMMUNITY-BASED COMPULSIVE HOARDING INTERVENTION WITH OLDER ADULTS. The
Gerontologist: 61st Annual Scientific Meeting "Resilience in an Aging... SPECIAL ISSUE III, 48, 647-648. Retrieved July 27, 2011, from
ProQuest Psychology Journals. (Document ID: 1647962061).
Brown, W. and Meszaros, Z. (2007). Psychiatric Times. 24-1 p. 50.
CNN Health. (2011). Hoarding. Retrieved July 20, 2011 http://www.cnn.com/HEALTH/library/hoarding/DS00966.html
Cook, M. (2010, October 9). Hoarding, hoarding, hoarding, hoarding. The Leader-Post, pp. G3
Cromer K.R., Schmidt N.B., Murphy D.L. (2007). Do traumatic events influence the clinical expression of compulsive hoarding? Behaviour
Research and Therapy, 45 (11), pp. 2581-2592.
Frost, R., Hristova, V. ( 2011). Assessment of Hoarding. Journal of Clinical Psychology. 67:5. p. 456-466.
Frost, R., Steketee, G. and Williams, L. (2000), Hoarding: a community health problem. Health & Social Care in the Community, 8: 229–234. doi:
10.1046/j.1365-2524.2000.00245.x
Frost, R., Steketee, G., and Tolin, D. (2011). Commodity in Hoarding Disorder. Depression and Anxiety. 0: p. 1-9.
Frost, R.O., Tolin, D.F., Steketee, G., Fitch, K.E., & Selbo-Burns, A. (2009). Excessive acquisition in hoarding. Journal of Anxiety Disorders (23)
632-639
Frost, Randy., Steketee, G.(2011).Stuff: Compulsive Hoarding and the Meaning of Things. Houghton Mifflin Harcourt. Boston, NY.

22. BIBLIOGRAPHY CONTINUED
Hartl T.L., Duffany S.R., Allen G.J., Steketee G., Frost R.O. (2005).Relationships among compulsive hoarding, trauma, and attention-deficit/
hyperactivity disorder. Behaviour Research and Therapy, 43 (2), pp. 269-276.
Head, B. (2010). Top 10 Reasons Why the Elderly are at Greater Risk for Hoarding. Retrieved July 20, 2011 from
http://www.homeinsteadlynchburg.com/2010/04/28/top-10-reasons-why-the-elderly-are-at-greater-risk-for-hoarding/
Kim, HJ., Steketee, G., & Frost, R. O. (2001). Hoarding by elderly people. Health and Social Work, 26(3), 176-184. Retrieved July 27, 2011 from
http://www.allbusiness.com/human_resources/3589247-1.html
Koenig, Terry L., Chapin, Rosemary and Spano, Richard 'Using Multidisciplinary Teams to Address Ethical Dilemmas With Older Adults Who
Hoard', Journal of Gerontological Social Work, 53:2, 137 - 147
Mueller A., Mitchell J.E., Crosby R.D., Glaesmer H., de Zwaan M. (2009).The prevalence of compulsive hoarding and its association with
compulsive buying in a German population-based sample. Behaviour Research and Therapy, 47 (8), pp. 705-709.
Neziroglu, F., Slavin, J., & Donnelly, K. (2010). How Compulsive Hoarding Affects Families. Retrieved July 27, 2011, from International OCD
Foundation: http://www.ocfoundation.org/hoarding/family.aspx#affects_families
O'Sullivan, S. S., Djamshidian, A., Evans, A. H., Loane, C. M., Lees, A. J. and Lawrence, A. D. (2010), Excessive hoarding in Parkinson's
disease. Movement Disorders, 25: 1026–1033. doi: 10.1002/mds.23016
Patronek, Gary J.(1999). Hoarding of Animals: An Under-Recognized Public Health Problem in a Difficult-to-Study Population. Public Health
Reports, 11, 81-87.
Pavlou, M. P. and Lachs, M. S. (2006), Could Self-Neglect in Older Adults Be a Geriatric Syndrome?. Journal of the American Geriatrics
Society, 54: 831–842. doi: 10.1111/j.1532-5415.2006.00661.x
Pertusa, A., Fullana, M. A., Singh, S., Alonso, P., Menchon, J. M., Mataix-Cols, D. (2008). Compulsive hoarding: ocd symptom, distinct clinical
syndrome, or both? Am J Psychiatry, 165 (10), 1289-1298. Retrieved July 26, 2011 from
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Thobaben, M. (2006). Understanding Compulsive Hoarding. Home Health Care Management & Practice. Volume 18, Number 2, 152-154.
Tolin, D. F., Frost, R. O., Steketee, G., & Fitch, K. E. (2009). Family Burden of Compulsive Hoarding: Results of an Internet Survey. Behav Res
Ther., 334-344.
Slideshow edited and created by Mary Brodland