Pilot Study Evaluating Critical Time Intervention for Individuals With Hoarding Disorder at Risk for Eviction

Andrea M Millen; Amanda Levinson; Omer Linkovski; Lee Shuer; Tracey Thaler; Gilbert A Nick; Gaël Krajzman Johns; Sylvanna M Vargas; Kim Aisling Rottier; Emily Joyner; Robyn B Girson; Jordana Zwerling; Danae Sonnenfeld; Arvra Michelle Shapiro; Audrey Tannen; Sarah Conover; Susan Essock; Daniel Herman; Helen Blair Simpson; Carolyn I Rodriguez

doi:10.1176/appi.ps.201900447

Pilot Study Evaluating Critical Time Intervention for Individuals With Hoarding Disorder at Risk for Eviction

Psychiatr Serv. 2020 Apr 1;71(4):405-408. doi: 10.1176/appi.ps.201900447. Epub 2020 Jan 8.

Authors

Andrea M Millen¹, Amanda Levinson¹, Omer Linkovski¹, Lee Shuer¹, Tracey Thaler¹, Gilbert A Nick¹, Gaël Krajzman Johns¹, Sylvanna M Vargas¹, Kim Aisling Rottier¹, Emily Joyner¹, Robyn B Girson¹, Jordana Zwerling¹, Danae Sonnenfeld¹, Arvra Michelle Shapiro¹, Audrey Tannen¹, Sarah Conover¹, Susan Essock¹, Daniel Herman¹, Helen Blair Simpson¹, Carolyn I Rodriguez¹

Affiliation

¹ Department 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.

Abstract

Hoarding disorder has significant health consequences, including the devastating threat of eviction. In this pilot study, critical time intervention (CTI), an evidence-based model of case management shown to be effective for vulnerable populations, was adapted for individuals with severe symptoms of hoarding disorder at risk for eviction (CTI-HD). Of the 14 adults who enrolled, 11 participants completed the 9-month intervention. Completers reported a modest decrease in hoarding severity, suggesting that, while helpful, CTI-HD alone is unlikely to eliminate the risk of eviction for individuals with severe symptoms of hoarding disorder.

Trial registration: ClinicalTrials.gov NCT02367430.

Keywords: anxiety; anxiety disorders; critical time intervention; hoarding; hoarding disorder; obsessive-compulsive disorder.

Publication types

Research Support, N.I.H., Extramural
Research Support, Non-U.S. Gov't

MeSH terms

Aged
Case Management*
Comorbidity
Female
Hoarding Disorder / epidemiology
Hoarding Disorder / therapy*
Housing*
Humans
Ill-Housed Persons
Male
Middle Aged
Outcome Assessment, Health Care
Pilot Projects
Psychiatric Rehabilitation / methods*
Time Factors

Associated data

ClinicalTrials.gov/NCT02367430

Abstract

Publication types

MeSH terms

Associated data

Grants and funding