Why do you have this here? Affirm explanation that the client gives Touch only with permission Creatively brainstorm other locations for possessions that maintain similar function and convenience with the client Help the client clear, relocate, and protect (CRP) L.E.A.R.N. to clear targets: Listen to the client’s ideas and plans for their possessions and explore their solutions to the problem (both realistic and unrealistic) and accommodate them if possible Empathize by letting the client know that the therapist has similar feelings about their own possessions and that sometimes it is also difficult for the therapist to part with them Affirm by letting the client know that the therapist understands how attached they are to their possessions and how much their possessions mean to them Redirect the client back to the harm reduction target and harm reduction agreement in a gentle but firm and clear manner Negotiate using creativity around adherence to the harm reduction contract A contract with client is developed that includes agreed-upon goals and strategies. These goals should be specific, measureable, achievable and relevant time-bound (SMART) as in the following example: S.M.A.R.T. Harm Reduction Targets: Keep clutter out of swing areas of front and back doors (specific) Keep clutter out of swing areas of front and back doors so that doors swing fully to the door stops (specific and measurable) Work with community health worker to clear clutter from swing areas (attainable) of front and back doors so that doors swing fully to the door stops (specific, measurable, attainable) Target is relevant when focused on safety (and then comfort) Work with community health worker to clear clutter from swing areas of front and back doors so that doors swing fully to the door stops between visits (time-bound) Next, an action plan is determined based on prioritized areas of critical need including (e.g., blocked egress, fire hazard, animal/human waste, trash and spoiled food, fall risk, access risk for fire department/first responders) and any other areas that may be of concern. Implementation of the plan may include the following harm reduction activities: Reduce incoming paper (stop the delivery of junk mail and limit magazine and newspaper subscriptions to two magazines and one newspaper per year) Eliminate trailing electrical leads, especially under carpets and through doorways Eliminate areas that represent a fire risk Eliminate areas that represent a fall risk Reduce overloaded sockets
Why do you have this here? Affirm explanation that the client gives Touch only with permission Creatively brainstorm other locations for possessions that maintain similar function and convenience with the client Help the client clear, relocate, and protect (CRP) L.E.A.R.N. to clear targets: Listen to the client’s ideas and plans for their possessions and explore their solutions to the problem (both realistic and unrealistic) and accommodate them if possible Empathize by letting the client know that the therapist has similar feelings about their own possessions and that sometimes it is also difficult for the therapist to part with them Affirm by letting the client know that the therapist understands how attached they are to their possessions and how much their possessions mean to them Redirect the client back to the harm reduction target and harm reduction agreement in a gentle but firm and clear manner Negotiate using creativity around adherence to the harm reduction contract A contract with client is developed that includes agreed-upon goals and strategies. These goals should be specific, measureable, achievable and relevant time-bound (SMART) as in the following example: S.M.A.R.T. Harm Reduction Targets: Keep clutter out of swing areas of front and back doors (specific) Keep clutter out of swing areas of front and back doors so that doors swing fully to the door stops (specific and measurable) Work with community health worker to clear clutter from swing areas (attainable) of front and back doors so that doors swing fully to the door stops (specific, measurable, attainable) Target is relevant when focused on safety (and then comfort) Work with community health worker to clear clutter from swing areas of front and back doors so that doors swing fully to the door stops between visits (time-bound) Next, an action plan is determined based on prioritized areas of critical need including (e.g., blocked egress, fire hazard, animal/human waste, trash and spoiled food, fall risk, access risk for fire department/first responders) and any other areas that may be of concern. Implementation of the plan may include the following harm reduction activities: Reduce incoming paper (stop the delivery of junk mail and limit magazine and newspaper subscriptions to two magazines and one newspaper per year) Eliminate trailing electrical leads, especially under carpets and through doorways Eliminate areas that represent a fire risk Eliminate areas that represent a fall risk Reduce overloaded sockets
Hoarding%20White%20Paper.docx