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.
| Original language | English |
|---|---|
| Pages (from-to) | 405-408 |
| Number of pages | 4 |
| Journal | Psychiatric Services |
| Volume | 71 |
| Issue number | 4 |
| DOIs | |
| State | Published - 1 Apr 2020 |
| Externally published | Yes |
Bibliographical note
Publisher Copyright:© 2020 American Psychiatric Association. All rights reserved.
Funding
the critical time intervention manual for use with individuals who have hoarding disorder and are at risk for eviction. Dr. Simpson has received royalties from Cambridge University Press and UpToDate, research grant support from Biohaven Pharmaceuticals, and a stipend from the American Medical Association. Dr. Rodriguez has served as a consultant for Allergan, BlackThorn Therapeutics, Rugen Therapeutics, and Epiodyne and receives research grant support from Biohaven Pharmaceuticals and a stipend from the American Psychiatric Association. The other authors report no financial relationships with commercial interests. 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, Sonnen-feld, Simpson); Nathan Kline Institute for Psychiatric Research, Orange-burg, 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. Send correspondence to Dr. Rodriguez ([email protected]). Dr. Millen and Ms. Levinson contributed equally. This study was presented in part at the 21st Annual OCD Conference, July 18–20, 2014, Los Angeles, and at the annual meeting of the Anxiety and Depression Association of America, March 31–April 3, 2016, Philadelphia. This study was supported by grants from the New York Office of Mental Health Policy Scholars Program (Dr. Rodriguez), the New York Presbyterian Empire Clinical Research Investigator Program (Dr. Rodriguez), and the National Institute of Mental Health (K23MH092434 [Dr. Rodriguez] and K24MH09155 [Dr. Simpson]). Clinicaltrials.gov registry number: NCT02367430. The authors thank those who generously donated their time to participate in this study. The authors appreciate Dr. Lisa Dixon’s feedback on adapting This study was supported by grants from the New York Office of Mental Health Policy Scholars Program (Dr. Rodriguez), the New York Presbyterian Empire Clinical Research Investigator Program (Dr. Rodriguez), and the National Institute of Mental Health (K23MH092434 [Dr. Rodriguez] and K24MH09155 [Dr. Simpson]). Clinicaltrials.gov registry number: NCT02367430. The authors thank those who generously donated their time to participate in this study. The authors appreciate Dr. Lisa Dixon's feedback on adapting the critical time intervention manual for use with individuals who have hoarding disorder and are at risk for eviction.
| Funders | Funder number |
|---|---|
| Biohaven Pharmaceuticals | |
| BlackThorn Therapeutics | |
| New York Office of Mental Health Policy Scholars Program | |
| Rugen Therapeutics | |
| National Institute of Mental Health | K24MH091555, K23MH092434, K24MH09155, NCT02367430 |
| American Psychiatric Association | |
| American Medical Association |
