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Hoarding: a community health problem
- Authors:
- FROST Randy, STEKETEE Gail, WILLIAMS Lauren
- Journal article citation:
- Health and Social Care in the Community, 8(4), July 2000, pp.229-234.
- Publisher:
- Wiley
This study examines the frequency of complaints about hoarding behaviour to responding health departments in one state of the United States and explores the nature of these complaints. Results found that complaints typically involved multiple community agencies and occasionally resulted in significant cost to the community. Only half of the hoarders recognised the lack of sanitation in their home, and fewer than one third of complainants willingly co-operated to resolve the complaint against them. Hoarding behaviours were judged to seriously jeopardise the health of the individual and those around them.
Family responses and multifamily behavioural treatment for obsessive-compulsive disorder
- Authors:
- VAN NOPPEN Barbara, STEKETEE Gail
- Journal article citation:
- Brief Treatment and Crisis Intervention, 3(2), Summer 2003, pp.231-247.
- Publisher:
- Oxford University Press
Family responses to obsessive-compulsive disorder (OCD) that have relevance to behavioural treatments for adults with this disorder include family accommodation, family members' expression of emotion (EE) toward patients, and the effects of including family members in treatment. Family accommodation to OCD symptoms has been linked to greater severity of symptoms and poorer family mental health. Components of EE, including hostility and perceived criticism, have proved predictive of poorer outcome following behavioural treatment, but nonhostile criticism appears to improve outcomes. A model of multifamily behavioural treatment, in which relatives and patients are trained in exposure and blocking of rituals, as well as behavioural contracting to improve communication, is presented and illustrated in case examples.
Assessment of obsessive-compulsive disorder and spectrum disorders
- Authors:
- STEKETEE Gail, NEZIROGLU Fugen
- Journal article citation:
- Brief Treatment and Crisis Intervention, 3(2), Summer 2003, pp.169-185.
- Publisher:
- Oxford University Press
This paper summarizes a variety of assessment tools for use with obsessive-compulsive disorder (OCD) and obsessive-compulsive (OC) spectrum conditions. The description of instruments and methods of assessment is intended to help clinicians identify measures that might be especially useful in determining, first, what problems to address in treatment and, second, whether therapy is having the desired effect. Included are clinician interviews, self-report questionnaires, clinician-rated forms, and behavioral observations and self-monitoring by the patient. These cover patients' presenting symptoms, comorbid conditions, mood, ability to function, family aspects, and cognitive factors including insight, beliefs, and motivation. Clinicians are encouraged to provide immediate feedback about patients' responses to interviews, questionnaires, and behavioural measures so that they understand the purpose of the instrument and its relevance to their treatment.