{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T20:06:59Z","timestamp":1792094819663,"version":"4.4.0"},"reference-count":39,"publisher":"Public Library of Science (PLoS)","issue":"3","license":[{"start":{"date-parts":[[2023,3,9]],"date-time":"2023-03-09T00:00:00Z","timestamp":1678320000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["www.plosone.org"],"crossmark-restriction":false},"short-container-title":["PLoS ONE"],"abstract":"<jats:p>Hoarding disorder is characterised by the acquisition of, and failure to discard large numbers of items regardless of their actual value, a perceived need to save the items and distress associated with discarding them, significant clutter in living spaces that render the activities associated with those spaces very difficult causing significant distress or impairment in functioning. To aid development of an intervention for hoarding disorder we aimed to identify current practice by investigating key stakeholders existing practice regarding identification, assessment and intervention associated with people with hoarding disorder. Two focus groups with a purposive sample of 17 (eight male, nine female) stakeholders representing a range of services from housing, health, and social care were audio recorded, transcribed verbatim and analysed thematically. There was a lack of consensus regarding how hoarding disorder was understood and of the number of cases of hoarding disorder however all stakeholders agreed hoarding disorder appeared to be increasing. The clutter image rating scale was most used to identify people who needed help for hoarding disorder, in addition to other assessments relevant to the stakeholder. People with hoarding disorder were commonly identified in social housing where regular access to property was required. Stakeholders reported that symptoms of hoarding disorder were often tackled by enforced cleaning, eviction, or other legal action however these approaches were extremely traumatic for the person with hoarding disorder and failed to address the root cause of the disorder. While stakeholders reported there was no established services or treatment pathways specifically for people with hoarding disorder, stakeholders were unanimous in their support for a multi-agency approach. The absence of an established multiagency service that would offer an appropriate and effective pathway when working with a hoarding disorder presentation led stakeholders to work together to suggest a psychology led multiagency model for people who present with hoarding disorder. There is currently a need to examine the acceptability of such a model.<\/jats:p>","DOI":"10.1371\/journal.pone.0282365","type":"journal-article","created":{"date-parts":[[2023,3,9]],"date-time":"2023-03-09T18:38:40Z","timestamp":1678387120000},"page":"e0282365","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":11,"title":["\u201cIn an ideal world that would be a multiagency service because you need everybody\u2019s expertise.\u201d Managing hoarding disorder: A qualitative investigation of existing procedures and practices"],"prefix":"10.1371","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8061-0428","authenticated-orcid":true,"given":"Catherine","family":"Haighton","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roberta","family":"Caiazza","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nick","family":"Neave","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"340","published-online":{"date-parts":[[2023,3,9]]},"reference":[{"key":"pone.0282365.ref001","doi-asserted-by":"crossref","first-page":"100","DOI":"10.1016\/j.copsyc.2020.08.016","article-title":"The things that make us: self and object attachment in hoarding and compulsive buying-shopping disorder","volume":"39","author":"R Moulding","year":"2021","journal-title":"Current Opinion in 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McPhillips","year":"2015"},{"issue":"3","key":"pone.0282365.ref018","doi-asserted-by":"crossref","first-page":"245","DOI":"10.1111\/hsc.12010","article-title":"Community hoarding task forces: a comparative case study of five task forces in the United States.","volume":"21","author":"C. Bratiotis","year":"2013","journal-title":"Health & Social Care in the Community"},{"issue":"4","key":"pone.0282365.ref019","doi-asserted-by":"crossref","first-page":"1160","DOI":"10.1111\/hsc.12948","article-title":"How can cities tackle hoarding? 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A proposal for an integrated community response to hoarding in Edmonton 2013 Accessed 11\/09\/22 https:\/\/www.mysage.ca\/public\/download\/documents\/6142."},{"key":"pone.0282365.ref022","doi-asserted-by":"crossref","first-page":"484","DOI":"10.11622\/smedj.2015131","article-title":"Hoarding in Singapore.","volume":"56","author":"KW Choo","year":"2015","journal-title":"Singapore Medical Journal"},{"key":"pone.0282365.ref023","author":"A Kaup-Fett","year":"2019","journal-title":"The Clark County Hoarding Task Force: Using innovative actions to reduce the health and safety threats posed by hoarding-type situations"},{"issue":"6","key":"pone.0282365.ref024","doi-asserted-by":"crossref","first-page":"766","DOI":"10.1007\/s10597-017-0192-x","article-title":"The role of public health in the development of a collaborative agreement with rural and semi-urban partners in cases of severe domestic squalor and hoarding","volume":"54","author":"MC Lacombe","year":"2018","journal-title":"Community Mental Health Journal"},{"issue":"1","key":"pone.0282365.ref025","doi-asserted-by":"crossref","first-page":"93","DOI":"10.1177\/1044389418802450","article-title":"Coordinated community-based hoarding interventions: Evidence of case management practices.","volume":"100","author":"C Bratiotis","year":"2019","journal-title":"Families in Society."},{"issue":"3","key":"pone.0282365.ref026","doi-asserted-by":"crossref","first-page":"535","DOI":"10.1177\/0038038509103208","article-title":"Implementing, embedding, and integrating practices: An outline of normalization process theory.","volume":"43","author":"C May","year":"2009","journal-title":"Sociology"},{"key":"pone.0282365.ref027","article-title":"Developing and evaluating complex interventions: the new Medical Research Council guidance","volume":"337","author":"P Craig","year":"2008","journal-title":"British Medical Journal"},{"issue":"2","key":"pone.0282365.ref028","doi-asserted-by":"crossref","first-page":"201","DOI":"10.1080\/2159676X.2019.1704846","article-title":"To saturate or not to saturate? Questioning data saturation as a useful concept for thematic analysis and sample-size rationales.","volume":"13","author":"V Braun","year":"2021","journal-title":"Qualitative Research in Sport, Exercise and Health."},{"issue":"7227","key":"pone.0282365.ref029","doi-asserted-by":"crossref","first-page":"114","DOI":"10.1136\/bmj.320.7227.114","article-title":"Qualitative research in health care: Analysing qualitative data","volume":"320","author":"C Pope","year":"2000","journal-title":"British Medical Journal"},{"issue":"8","key":"pone.0282365.ref030","doi-asserted-by":"crossref","first-page":"723","DOI":"10.1080\/01634372.2010.517697","article-title":"Hoarding cases involving older adults: The transition from a private matter to the public sector","volume":"53","author":"RK Chapin","year":"2010","journal-title":"Journal of Gerontological Social Work"},{"issue":"3","key":"pone.0282365.ref031","doi-asserted-by":"crossref","first-page":"193","DOI":"10.1017\/cha.2020.16","article-title":"Community-based interventions for hoarding: Impacts on children, youth and families.","volume":"45","author":"C. 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No room to spare: Ottawa\u2019s Community Response to Hoarding Plan. Ottawa, ON. 2006."},{"key":"pone.0282365.ref039","unstructured":"Mental Health Association of San Francisco. Beyond Overwhelmed: The Impact of Compulsive Hoarding and Cluttering in San Francisco and Recommendations to Reduce Negative Impacts and Improve Care. San Francisco, CA. 2009."}],"container-title":["PLOS ONE"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/dx.plos.org\/10.1371\/journal.pone.0282365","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,10,16]],"date-time":"2024-10-16T02:32:55Z","timestamp":1729045975000},"score":1,"resource":{"primary":{"URL":"https:\/\/dx.plos.org\/10.1371\/journal.pone.0282365"}},"subtitle":[],"editor":[{"given":"Mohammed","family":"Ayalew","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"editor"}]}],"short-title":[],"issued":{"date-parts":[[2023,3,9]]},"references-count":39,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2023,3,9]]}},"URL":"https:\/\/doi.org\/10.1371\/journal.pone.0282365","relation":{},"ISSN":["1932-6203"],"issn-type":[{"value":"1932-6203","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,3,9]]}}}