Adults who are reluctant or do not engage with services can have complex and diverse needs that often fall between different agencies.
Self-neglect can cover a wide range of behaviours such as neglecting to care for one’s personal hygiene, health or surroundings and includes behaviour such as hoarding.
The adults’ needs are generally long standing and recurring and may frequently put themselves and others a high risk.
Managing the balance between protecting adults at risk from self-neglect or hoarding behaviours against their right to self-determination is a serious challenge for services.
Working with people who are difficult to engage can be exceptionally time consuming and stressful for all concerned.
A failure to engage with people who are not looking after themselves, whether they have mental capacity or not, can:
- have serious implications for the health and well-being
- damage the reputations of the local authority or health agencies involved.
Self-neglect and hoarding behaviours can put neighbours, family and animals at risk of harm with the risk of fires, gas and water leaks and infestations spreading.
Contact the Access to Adults Social Care Team:
Online: Safeguarding Concern form
Tel: 0208 430 2000 option 2
Fax: 0208 430 1025
The Self-Neglect and Hoarding Protocol offers guidance on how the needs or presenting problems of difficult to engage adults who hoard or self-neglect should be addressed.
The guidance is for operational staff and managers.
It suggests multi-agency partnership working to determine the most favourable approach for achieving engagement with the adult in need.
Self-Neglect and Hoarding Protocol 2015
Appendix 1: Risk assessment and risk levels matrix
Appendix 2: Clutter image rating
Appendix 3: Powers available by various agencies
Appendix 4: HOMES risk assessment tool
Appendix 5: Useful resources
Getting started - tips and ideas to support people who self neglect and hoard
SCIE self neglect managers briefing
Self neglect as a safeguarding concern. implications for SABs
SCR and SAR presentation - Adults who self-neglect
British psychological society hoarding
Contact details for key services and organisations