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Further Information

Self-neglect and hoarding

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Self-neglect and hoarding strategy (2.0)

Self-neglect is a complex area of work, arising as it does from a large range of causal factors. The Care Act 2014 recognises self-neglect as a potential safeguarding matter among those who are either in receipt of, or in need of care and support, and when their health and wellbeing or that of others is seriously compromised. Safeguarding Adult Review (SAR) reports frequently highlight self-neglect signs and symptoms as a factor in or indicators of subsequent serious events that have resulted in life threatening consequences or even death. When seen in isolation, self-neglect and/or hoarding behaviours may not give rise to safeguarding intervention. However, when viewed alongside other potential risks, a very different picture often emerges.

To address and coordinate this important area of work across partner agencies, the Norfolk Safeguarding Adults Board has published this strategy (version 2.0). This revised strategy aims to be part of the growing work around early intervention and preventative agendas. As such it directs collaborative multi-agency discussions of self-neglect and/or hoarding cases to the Early Help Hubs (EHH). To encourage a more preventative approach to cases of self-neglect and/or hoarding, the trigger point for taking a case to the EHHs is level 2 (image 4 upwards) on the Clutter Image Rating Scale (CIRT). The strategy sets out clearly that a collaborative and multi-disciplinary approach to those at risk is the most effective way to achieve creative and proportionate interventions that respect the individual’s right to self-determination. The strategy includes the Self-neglect and Hoarding Assessment Triangle which might be helpful to practitioners. 

Click here to download the strategy.

Published alongside the strategy is a Practitioners Guide. This guide is intended as a toolkit to support practitioners from a range of agencies with management of cases where an adult is deemed to be at risk due to self-neglecting and/or hoarding behaviours.  

The Practitioners Guide including:

  • The Clutter Image Rating Scale (CIRT)
  • Assessment Tool Guidelines
  • Guidance for practitioners
  • Guidance questions which could be used during an assessment
  • Hoarding self assessment form

Click here to download the Practitioners Guide.