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Hoarding Disorder: Towards a unified approach beyond disciplines

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This Iriss Insight explores how transdisciplinary collaboration across health, social work, social care, housing, environmental health, emergency services, third sector support and other related professionals can transform practice and reduce low-value interventions for people with hoarding disorder.

This Iriss Insight explores how transdisciplinary collaboration across health, social work, social care, housing, environmental health, emergency services, third sector support and other related professionals can transform practice and reduce low-value interventions for people with hoarding disorder.

Key points

  • Hoarding Disorder (HD) exemplifies a ‘wicked problem’ as a complex condition, rooted in psychological, social, and biological causes, that has no single or simple solution.

  • Lack of national guidelines or corresponding care pathway for HD in Scotland or the UK leads to implementation of reactive and harmful low-value care (LVC) interventions.

  • Multidisciplinary practitioners need to work ‘as one’ and move beyond traditional roles and disciplines to de-implement ineffective and coercive measures and create a new unified transdisciplinary framework.

  • Specialist skills and knowledge are required for practitioners involved in managing hoarding situations to enhance their confidence and understanding of the multifaceted nature of HD.

  • Commissioners need to think differently and consider the substantial evidence base when commissioning services for HD and mental health.

https://www.iriss.org.uk/resources/insights/hoarding-disorder-towards-unified-approach-beyond-disciplines