Frequently Asked Questions

How are people referred to the program at NSES?

A good number of referrals are self-referrals, with someone identifying himself or herself as needing help. As the program gains recognition, there are more referrals coming from physicians, housing agencies, and other community partners.  We also have a number of family members or caregivers who recognize the disorder and call on the behalf of someone.

How is it determined that someone is eligible for services through the program?

Firstly, it is not a pre-requisite that a person has a diagnosis of hoarding disorder. We see varying levels of hoarding behaviors.  We have no age or geographic restrictions.  That makes our program different.  I do a careful screening with the first phone call.  I discuss all the services we offer, along with the cost involved. I try to gage where the person is at in their goal of receiving help.  I also conduct an initial assessment, whether in the home or in the office, regardless of someone wanting to begin with individual counseling or group sessions.

What takes place during this initial assessment?

I focus on the person, not the stuff. I want to develop a relationship and build a rapport with the person first.  I use the Uniform Inspection Checklist, which provides an objective stance and focuses on safety.  It allows us to stay focused on specifics.  The checklist raises awareness and often insight into areas where someone can improve upon.  It provides areas where someone can start with.  You can view the checklist at https://nselder.org/uniform-inspection-checklist/

What follow-up is there after the initial assessment?

It depends solely on what the person wants. We have to determine together what works best for the client.  Sometimes it involves weekly visits.  We establish if someone is ready to participate, whether with individual counseling or group sessions.  I discuss what personal goals the client has and develop a treatment plan.  A typical treatment should last three months.

What services does the program offer?

We offer ten week support groups which focus on underlying issues and triggers.  We work on strategies for managing behavior and maintaining progress in a skill-based group.  These groups are offered year round. 

We also now have a support group twice a year for family members or those who identify themselves as a caregiver to the person with the hoarding problem.  This group is a structured model with a specific curriculum.  The group runs for four weeks. The next group starts on March 27, 2018.  See the flyer for more information. 

We conduct a thorough screening process for our different groups.

There is individual and family counseling sessions that also involve teaching skills and strategies for managing behavior and maintaining progress.

 Crisis Case Management is another service we offer.  After an assessment of the home and individual, a collaborative plan is developed to resolve safety issues in the home.  This is a client-centered multi-disciplinary team approach. This program does not emphasize clean ups or organizational services. If someone is interested in these types of services, one may contact our program and we will provide connections with the appropriate community resources.

Professional educational trainings tailored to specific audience are offered.

What cost is there for the various services offered?

Family Support Group: $40.00 for 4 weeks

Support Group for Individuals: $250 for 10 weeks

Individual & Family Counseling: $100.00 per session

Crisis Case management: $100.00 per hour

What goals do you have for the program?

I would like to see the program expanded so we can offer services to more people. The Medicare billing will be instrumental in helping more people.  Down the road we hope to be able to bill other insurances as well.

One topic I would like to explore more and include in discussions is the issue of animal hoarding. I would like to provide more education about what someone does when encountering this.

What kind of treatment is available?

Cognitive Behavior Therapy (CBT) is the only psychological treatment that has been studied in the treatment of hoarding. Treatment focuses on behavior modification and skills development, like sorting and discarding.  We always have open discussion about progress and regression.  It is important to anticipate regression and to maintain the momentum towards progress.

What is the process to refer to the program?

There is a referral form that can be found on our website ( https://nselder.org/north-shore-center-for-hoarding-cluttering-referral-form/).  We need to have a completed referral form. If you have questions about the form, you can call NSES and check with Information Services.