Akinyemi, Olusolape Margaret. Implementation of the hoarding severity rating scale in a behavioral health outpatient clinic: a quality improvement project. Retrieved from https://doi.org/doi:10.7282/t3-fxce-xr40
DescriptionBackground: Hoarding disorder is the difficulty of parting with possession due to the perceived need to keep items. Individuals with hoarding disorder are at increased risk of falls due to clutter.
Purpose: This quality improvement project aims to analyze the efficacy of a hoarding disorder screening tool in identifying individuals with hoarding disorder in an outpatient behavioral health clinic. The question guiding this project was that among adults 18-80yrs old, does the implementation of a hoarding rating scale help identify patients with hoarding disorder compared to non-utilization of a screening tool?
Method: The University of California, Los Angeles Hoarding Severity Scale was administered to 60 adult patients who attended a behavioral outpatient clinic. Additionally, a self-reported history of falls due to clutter was obtained along with demographic characteristics. Hoarding disorder was defined with a UHSS score of 17 points and higher. The relationship between hoarding disorder and the history of fall was assessed.
Results: A substantial proportion of the intake and follow-up patients had a history of falls due to clutter. The UHSS identified 43% of the respondents as having hoarding disorder. Hoarding disorder was significantly associated with falls due to clutter. After adjusting for demographic characteristics, patients with hoarding disorder were 16 times more likely to have a history of falls due to clutter.
Conclusion: The UHSS may be a useful screening tool to identify patients with hoarding disorder. Early identification of hoarding disorder might improve the quality of care of patients.