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Pilot Study Evaluating Critical Time Intervention for Individuals With Hoarding Disorder at Risk for Eviction
Andrea M Millen1, Amanda Levinson1, Omer Linkovski1
1Department of Psychiatry and Behavioral Sciences, Stanford University, Stanford, California (Millen, Linkovski, Zwerling, Rodriguez); Department of Clinical Psychology, Stony Brook University, New York (Levinson); Mutual Support Consulting, Easthampton, Massachusetts (Shuer); New York State Psychiatric Institute, New York (Thaler, Rottier, Joyner, Girson, Sonnenfeld, Simpson); Nathan Kline Institute for Psychiatric Research, Orangeburg, New York (Nick); Eviction Intervention Services, New York (Johns, Shapiro, Tannen); Department of Psychology, University of Southern California, Los Angeles, and Department of Psychiatry and Biobehavioral Sciences, Semel Institute for Neuroscience and Human Behavior, University of California, Los Angeles, Los Angeles (Vargas); Silberman School of Social Work, Hunter College, New York (Conover, Herman); Department of Psychiatry, Vagelos College of Physicians and Surgeons, Columbia University, New York (Essock, Simpson); Veterans Affairs Palo Alto Health Care System, Palo Alto, California (Rodriguez). Marcela Horvitz-Lennon, M.D., and Kenneth Minkoff, M.D., are editors of this column.
Critical Time Intervention for Hoarding Disorder (CTI-HD) showed modest improvements in hoarding severity for individuals at risk of eviction. However, CTI-HD alone may not fully prevent eviction for those with severe hoarding symptoms.
Area of Science:
- Mental Health
- Social Work
- Public Health
Background:
- Hoarding disorder presents significant health risks, notably the threat of eviction.
- Critical Time Intervention (CTI) is an effective case management model for vulnerable populations.
Purpose of the Study:
- To adapt and evaluate the effectiveness of CTI for individuals with severe hoarding disorder at risk of eviction (CTI-HD).
Main Methods:
- A pilot study involving 14 adults with severe hoarding disorder at risk for eviction.
- Participants underwent a 9-month Critical Time Intervention for Hoarding Disorder (CTI-HD) intervention.
- Hoarding severity and eviction risk were assessed post-intervention.
Main Results:
- Eleven out of 14 enrolled participants (78.6%) completed the 9-month intervention.
- Completers reported a modest decrease in hoarding severity.
- The intervention, while helpful, did not eliminate eviction risk for all severe cases.
Conclusions:
- CTI-HD shows potential in reducing hoarding severity among high-risk individuals.
- CTI-HD alone may be insufficient to fully mitigate eviction risk in severe hoarding disorder cases.
- Further research is needed to enhance intervention strategies for this population.
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