Self-neglect Self-care causing First signs of failing Refusing medical Lack of self-care Life in danger without some concern - no to engage with treatment results in significant intervention signs of harm or professionals High level of clutter deterioration in Chaotic substance distress Property neglected /hoarding health/wellbeing misuse Property Evidence of hoarding Insanitary conditions Chaotic substance Environment injurious neglected but all Lack of essential in property misuse to health* main services amenities Won’t engage with Environment Imminent fire risk/gas work No access to support professionals injurious to health leaks Some evidence of Problematic Potential fire risk or Access obstructed hoarding - no substance misuse gas within property major impact on Potential fire risk/gas Others affected by Multiple reports from health/safety leaks self-neglect other agencies Multiple reports from Multiple reports from Behaviour poses risk to others other agencies self/others Self-neglect is life Behaviour poses risk threatening to self/others Failure to arrange access to lifesaving services or medical care Only exceptional cases of self-neglect will trigger adult safeguarding. All standard interventions must be used first to manage risk e.g. Care Management/Care Plan Approach/Multi-Disciplinary Team Appropriate services must be notified there is a risk to others e.g. fire, environmental health
Self-neglect Self-care causing some concern - no signs of harm or distress Property neglected but all main services work Some evidence of hoarding - no major impact on health/safety First signs of failing to engage with professionals Property neglected Evidence of hoarding Lack of essential amenities No access to support Refusing medical treatment High level of clutter /hoarding Insanitary conditions in property Won’t engage with professionals Problematic substance misuse Potential fire risk/gas leaks Multiple reports from others Self-neglect is life threatening Lack of self-care results in significant deterioration in health/wellbeing Chaotic substance misuse Environment injurious to health Potential fire risk or gas Others affected by self-neglect Multiple reports from other agencies Behaviour poses risk to self/others Failure to arrange access to lifesaving services or medical care Life in danger without intervention Chaotic substance misuse Environment injurious to health* Imminent fire risk/gas leaks Access obstructed within property Multiple reports from other agencies Behaviour poses risk to self/others Only exceptional cases of self-neglect will trigger adult safeguarding. All standard interventions must be used first to manage risk e.g. Care Management/Care Plan Approach/Multi-Disciplinary Team Appropriate services must be notified there is a risk to others e.g. fire, environmental health
hsab-levels-of-need-guidance-v4-110817.docx