Group Treatment for Hoarding Disorder

Jordana Muroff, PhD, is an Assistant Professor at Boston University School of Social Work in the Clinical Practice Department. Trained in cognitive behavioral therapy methods (CBT), Dr. Muroff is a licensed social worker and trained psychologist with extensive clinical experience. Her research on mental health interventions has established the efficacy of group treatment for hoarding disorder. Patty Underwood, MSW, is a licensed independent clinical social worker in Massachusetts and a highly experienced clinician at Riverside Community Care, a large community-based mental health agency. She is a part-time lecturer at Boston University School of Social Work (BUSSW), teaching courses in clinical practice. She also serves on the Dean's Advisory Board at the Boston University School of Social Work. Gail Steketee, PhD, is Dean and Professor of the Boston University School of Social Work. Her research has focused on understanding the causes and consequences of obsessive-compulsive (OC) spectrum conditions, especially hoarding disorder, and on developing and testing evidence-based treatments for these conditions.

Acknowledgments ; Chapter 1 Introduction ; Chapter 2 Group Formation and Assessment ; Chapter 3 Group Process ; Chapter 4 Session 1: Introduction and Education ; Chapter 5 Session 2: Model Building ; Chapter 6 Session 3: Motivation ; Chapter 7 Session 4: Goals and Treatment Planning ; Chapter 8 Session 5: Reducing Acquisition ; Chapter 9 Session 6: More on Acquisition ; Chapter10 Session 7: Exposure Practice for Non-Acquisition ; Chapter 11 Session 8: Decisions about Saving and Discarding ; Chapter 12 Session 9: More on Decisions about Saving and Discarding ; Chapter 13 Session 10: Skills Training for Organizing ; Chapter 14 Session 11: Organizing Paper ; Chapter 15 Session 12: Cognitive Strategies ; Chapter 16 Session 13: Cognitive Therapy Skills for Letting Go ; Chapter 17 Session 14: Coaching and Letting Go ; Chapter 18 Session 15: Non-Acquisition Practice ; Chapter 19 Session 16: Barriers to Progress ; Chapter 20 Session 17: Maintaining Systems and Gains ; Chapter 21 Session 18: Review of Treatment Methods ; Chapter 22 Session 19: Assessment and Review of Progress ; Chapter 23 Session 20: Graduation and Next Steps ; Appendices ; 1. Hoarding Interview ; 2. Hoarding Rating Scale ; 3. Saving Inventory - Revised (SI-R) ; 4. Clutter Image Rating (CIR) Instructions, and pictures of LR, Kit, BR ; 5. Saving Cognitions Inventory (SCI) ; 6. Activities of Daily Living for Hoarding (ADL-H) ; 7. Safety Questions ; 8. Home Environment Inventory (HEI) ; 9. Binder Information Sheet (Session 1) ; 10. Session schedule (Session 1) ; 11. Group Session Forms [samples for each session] ; 12. Group Session Form [blank] ; 13. Confidentiality contract (Session 1) ; 14. Hoarding Disorder DSM-5 Criteria (Session 1) ; 15. Clinician's Group Progress Notes ; 16. Clinician's Group Progress Note [Example] ; 17. Blank Hoarding Model (Workbook, Ch. 3, p.31) ; 18. Brief Thought Record (Workbook, Ch. 3, p. 37) ; 19. Clutter Visualization Form (Workbook Ch. 4, p. 44) ; 20. Unclutter Visualization Form (Workbook, Ch. 4, p. 45) ; 21. Table of Signals of Ambivalence and Strategies (Session 3) ; 22. Table of Motivational Enhancement Strategies (Session 3) ; 23. Advantages and Disadvantages of Change Worksheet (Session 3) ; 24. Instructions to Coaches ; 25. Acquiring Form (Workbook, Ch. 5, p. 52) ; 26. Acquiring Visualization Form (Workbook, Ch. 4, p. 46) ; 27. Thought Listing Exercise Form (Session 8) ; 28. Behavioral Experiment Form (Workbook, Ch. 7, p. 83) ; 29. Table of Problematic Thinking Styles (Session 12; Workbook, Ch. 8, p. 86) ; 30. Thought Record (Workbook, Ch. 8, p. 93) ; 31. Non-acquiring Help Card (Session 15) ; 32. Practice Form (Workbook, Ch. 4, p. 47) ; 33. Personal worksheet for managing barriers (Session 16) ; 34. Family Response to Hoarding Scale (FRHS) (Session 16) ; 35. Weekly Scheduler (Session 17) ; 36. List of Treatment Techniques (Session 18) ; 37. Certificate of completion (Session 20) ; References ; Readings and Resources ; About the Authors ; Index