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Further Information

Self-neglect and Hoarding

Self-neglect and hoarding strategy 

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 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, which proposes intervention at a stage when self-neglect and/or hoarding have given rise to significant concerns that an individual (and/or others) may be at risk of serious harm. It sets out clearly that a collaborative and multi-disciplinary approach to those at high risk is the most effective way to achieve creative and proportionate interventions that respect the individual’s right to self-determination.

# PLEASE NOTE # - following a pilot of the High Risk Panels (HRP) between November 2016 and end of September 2017, they were found not to be effective and therefore have been stood down. The strategy is current under review and the aim is to develop a new approach linked to the Early Help Hubs. It is hoped to relaunch version 2.0 of the strategy in the late spring 2018. In the meantime the tools listed below are still good for practitioners to use. 

The strategy provides tools to support practitioners, including:

  • The Clutter Image Rating Scale (CIRT)
  • Assessment Tool Guidelines
  • Guidance for practitioners

To download the strategy click here.