ASSESSMENT
Instruments to evaluate where someone with hoarding behavior is in their recovery journey both quantitatively and qualitatively.
Assessment
1 / Clutter Image Rating Scale
The Clutter Image Rating is a tool that helps standardize definitions of clutter by showing a series of images depicting rooms in various stages of clutter. This allows the observer to select the image on the scale that best corresponds with the state of rooms in the home. In general, rooms that are rated as picture #4 or higher indicate a probable hoarding problem/HD diagnosis.
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Source: Frost et al.
2 / San Francisco Health and Fire Code Compliance Guidelines
The Health and Fire Code Compliance Guidelines detail the conditions that housing inspectors are looking for to ensure safety of a dwelling.
Source: https://www.sfdph.org/dph/files/EHSdocs/ehsHoteldocs/HealthFireComplianceGuide.pdf
7 / Buried in Treasures Exercise:
Comparing Your Perceptions With Those of Others
This questionnaire has 10 questions, half are for the person who has (or might have) a hoarding problem and the second half are for someone else to answer about the person who has (or might have) a hoarding problem. The other participant should be a friend, family member, therapist, or other social service worker who has seen the home and is in a good position to comment on the severity of the problem.