The hoarding syndrome: screening and treatment.

Hoarding syndrome is a serious public health hazard. It may pose risk of fire, falls, infestation, and bacterial growth. Hoarding can reduce activities of daily living, adherence to treatment, and quality of life. The hoarder collects excessive quantities of poorly useable items of little value, fails to discard items, and has difficulty organizing tasks. Hoarding places the individual at risk for social, psychological, and physical outcomes, which lead to a decline in quality of life. This article examines the etiology, characteristics, signs and symptoms, evaluation, and treatment of hoarding syndrome. A case example illustrates the management of hoarding syndrome in home care.