Hoarding by Gail Steketee

Author:Gail Steketee
Language: eng
Format: epub
Publisher: Oxford University Press
Published: 2020-10-15T00:00:00+00:00

What other assessments can help determine the severity of hoarding?

In this chapter we’ve directed the reader to the most commonly used methods of measuring the severity of hoarding and assessing related features. These include self-report and clinician-administered tests that are applicable to research and practice contexts for clinical and community providers. We conclude by drawing attention to a few additional assessment instruments relevant to hoarding and squalor in case these are useful to readers in the course of their work on hoarding. These measures can be found through an online search. The first two are diagnostic instruments intended to determine the presence of HD.

• Structured Interview for Hoarding Disorder (SIHD) is based on the criteria for HD in the fifth edition of the American Psychiatric Association’s Diagnostic and Statistical Manual of Mental Disorders (DSM-5). It contains questions about clutter, difficulty discarding, acquisition, distress, and interference and inquires about co-occurring mental and medical conditions in order to make a differential diagnosis. It is intended for use by trained clinicians and can be found through an internet search.

• Diagnostic Interview for Anxiety, Mood, and OCD and Related Neuropsychiatric Disorders (DIAMOND) is a promising semistructured diagnostic interview for DSM-5 disorders that includes a specific segment to identify HD and make a differential diagnosis.

• UCLA Hoarding Severity Scale (UHSS) is a 10-item semistructured interview that contains questions similar to the HRS described above and also includes assessment of indecisiveness, procrastination, perfectionism, and task completion rate. It is designed for use by mental health clinicians and can be found through an internet search.

• Compulsive Acquisition Scale (CAS) is an 18-item assessment to determine the presence of excessive acquisition. The measure has two subscales: compulsive buying (12 items about the reasons for buying and interference caused) and acquisition of free things (6 items about picking up free things). The CAS can be used in clinical and community settings and is especially relevant for those with serious acquiring problems.

• Environmental Cleanliness and Clutter Scale was developed by Dr. John Snowden and colleagues to measure aspects of domestic squalor such as accumulation of items, cleanliness, and the presence of vermin. Individual items of this scale were also shown to be closely related. A score greater than 12 usually indicates moderate or severe squalor. It is available at projects.hsl.wisc.edu.

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