I was born in the war so we made use of everything. Coupled with the extraordinary post war boom in the purchase of possessions it has become very hard for some people to dispose of items. When this is combined with aging and the way items become the trigger for memories that confirm the person's identity, it becomes a complex problem to balance the requirements of modern life against the personal needs of the client.
The advantage of this thread is that it can be read by anyone so I have tried to pull in as many sources of information as possible. I do not wish Mrs. Appleton's death to be in vain. I would hope it would inform practice so that practice improves.
It is very sad that the social Care Institute for Excellence SCIE guidance hasn't been updated since April 2014
www.scie.org.uk/publications/guides/guide53/frontline-housing/self-neglect/examples-from-practice.asp
Tenants who self-neglect: Examples from practice
Guidance for frontline housing staff and contractors
Bournville Village Trust is developing relationships with its local mental health trust at a senior and local level to improve responses to local citizens, both tenants and freeholders, who are self-neglecting and are potentially in need of safeguarding. The aim of this exercise is to be able to talk through individual cases where a housing officer is concerned, to see what proactive intervention or support might be available for the individual.
Hull City Council provides safeguarding training to housing providers. This covers the Mental Capacity Act, the person’s ability to take on and retain a tenancy, positive risk-taking, some of the challenges related to risky lifestyles and hoarding, and lessons learned from serious case reviews.
Thurrock Council has commissioned specialist training on hoarding and the Mental Capacity Act from a housing perspective.
Circle Housing, Merton Priory, held an event on hoarding with local partners. Speakers included support groups and a leading academic in the field. The aim was to build a shared understanding of hoarding between all agencies and recognition of hoarding disorder, including balancing the related safeguarding, fire and tenancy risks. Agencies would work together more closely to find solutions to support residents to sustain their tenancies. This work provided a platform to develop a more detailed multi-agency hoarding protocol, including a toolkit for practitioners. Complex hoarding cases will now automatically trigger a safeguarding alert.
SHARE: Part of: Adult safeguarding for housing staff
Last updated: April 2014
Fortunately there is some more recent and helpful advice for support workers and practitioners
Summary
The research on which this briefing is based set out to identify what could be learnt from
policies and practices that have produced positive outcomes in self-neglect, from the
perspectives of key groups of stakeholders – practitioners and managers in adult social
care and in safeguarding, and people who use services.
Self-neglect practice was found to be more successful where practitioners:
took time to build rapport and a relationship of trust, through persistence,
patience and continuity of involvement
tried to ‘find’ the whole person and to understand the meaning of their selfneglect
in the context of their life history, rather than just the particular need
that might fit into an organisation’s specific role
worked at the individual’s pace, but were able to spot moments of motivation
that could facilitate change, even if the steps towards it were small
ensured that they understood the nature of the individual’s mental capacity in
respect of self-care decisions
were honest, open and transparent about risks and options
had an in-depth understanding of legal mandates providing options for
intervention
made use of creative and flexible interventions, including family members and
community resources where appropriate
engaged in effective multi-agency working to ensure inter-disciplinary and
specialist perspectives, and coordination of work towards shared goals
www.scie.org.uk/search?sq=Self-neglect+policy+and+practice%3A