Understanding Hoarding Disorder Presentation - Spring 2014
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The document provides an overview of hoarding disorder, detailing its definition, symptoms, types, and consequences, which include isolation, financial dysfunction, and mental health declines. It also outlines the probate process, types of powers of attorney, and the guardianship and conservatorship process. Additionally, it references literature on hoarding and statistics about its prevalence.
Understanding Hoarding Disorder Presentation - Spring 2014
- 1. UNDERSTANDING HOARDING DISORDER SPRING 2014
- 2. OVERVIEW 1. What is Hoarding 2. The Probate Process 3. Powers of Attorney 4. The Guardianship and Conservatorship Process
- 4. Definition of Hoarding Disorder… • A persistent difficulty discarding or parting with personal possessions, even those of apparent useless or limited value, due to strong urges to save items, distress and/or indecision associated with discarding. • The symptoms cause clinically significant distress or impairment in social, occupational, or other important areas of functioning (including keeping a safe area for self and/or others.
- 5. TYPES OF HOARDING • Not discarding day-to-day items (passive) • Bought Items and collectibles (active) • Animals • Supplies • Clothing • Food • Papers, newspapers, magazines, books, bills • Storage units • And many more…
- 6. CONSEQUENCES OF HOARDING Isolation (by self or by others who don’t want to visit) Debt or financial dysfunction (unpaid/late taxes, bills, storage unit fees) Unable to use home or rooms for intended purposes Safety and health issues; blocked exits, fire, water damage, mold, spoiled food, insects Negative effects on family members Mental health declines, suicide ideation and actions Legal issues (eviction, tickets, CPS, lawsuits)
- 7. Differences between Chronic Disorganization and Hoarding Chronic Disorganization Hoarding Unable to decide Unwilling to decide Worried about potential need for item Over-valuing of item for function, sentimentality or resale, etc. Unintentional “churning” (unproductive shuffling of items) Deceptive churning “organizing” to disguise lack of discarding Embarrassed/ashamed; overwhelmed with backlog; willing to learn and change despite discomfort Defensive/paranoid, sometimes with façade of embarrassed and appreciation of help; passive aggressive sabotage of clean up Poor spatial relations an/or sense of time; unrealistic optimism Significant distortions re: value of, and something actual, physical condition of hoarded item
- 8. PREVALENCE OF HOARDING DISORDER • First documented story about compulsive hoarding in 1940’s • 3 million – 1% (A&E “Hoarders” TV stat) • 6million – 2-5% (Time Magazine stat, 2010) • 75 hoarding task forces in U.S. (Time, 2010) • Personal consumption expenses and storage unit rental have increased 20% since 1980 (U.S. Chamber of Commerce)
- 9. BOOKS ABOUT HOARDING • Compulsive Hoarding and the Meaning of Stuff by Randy O. Frost and Gail Steketee • Cluttered Lives, Empty Souls: Compulsive Stealing, Spending and Hoarding.by Terrance Shulman • Buried Treasure. by Tolin, Frost and Steketee • Overcoming Compulsive Hoarding by Berbick, Perkins, et al • Digging Out: Helping Your Loved One Unclutter. By Thompkins and Harti • The Hoarder in You: How to Live a Happier, Healthier, Uncluttered Life. by Robin Zaslo • It’s All Too Much. By Peter Walsh
- 11. THE PROBATE PROCESS Admission and administration of an estate under a will Determining and preserving assets Notice to creditors and payment of claims Inventory Fees Timeframe
- 13. POWERS OF ATTORNEY Durable Power of Attorney Patient Advocate Designation HIPAA Release Power of Attorney over Children
- 14. DURABLE POWER OF ATTORNEY • Allows a person to name another to act on the person’s behalf • Does not require Probate Court action • Who to name as Attorney in Fact • Effective dates and Durability
- 15. KINDS OF POWERS GRANTED WITH A DURABLE POWER OF ATTORNEY • Banking • Social Security / Pension • Taxes • Litigation • Care Issues • Extraordinary Powers –Gifting –Prepare or Amend an Estate Plan
- 16. THE PATIENT ADVOCATE • Patient names a Patient Advocate to make decisions about care, custody and treatment • End of Life Decision-Making – Whether to withhold treatment – Whether to withhold food and water • Patient Advocate must adhere to Patient’s expressly stated wishes • Does NOT require Probate Court action
- 17. MENTAL HEALTH DECISIONS • What does it cover? • Waiver of the right to revoke as to mental health treatment decisions
- 19. GUARDIANSHIP AND CONSERVATORSHIP PROCESS • Court appointment of Guardian or Conservator through the probate court • Guardian or Conservator must be willing and qualified to serve • Cannot block non-custodial parent from custody by naming a third party guardian/conservator • Children 14 and older have a say • Guardians and Conservators are not personally responsible to provide for the child with their own money
- 20. NO WRITTEN PLAN IN PLACE… • Guardianship oCourt appointed oMedical care oFood, clothing, shelter needs • Conservatorship oCourt appointed oFinancial issues
- 21. Presented by: HOWARD H. COLLENS GALLOWAY AND COLLENS, PLLC 26075 WOODWARD AVENUE SUITE 200 HUNTINGTON WOODS, MICHIGAN 48070 (248) 545-2500 GALLOWAYCOLLENS.COM Howard@GallowayCollens.com Twitter: @howardcollens