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A title slide displays the Jefferson Center logo at the top with the tagline “With you in mind.” Centered on the slide in large text is the title “Hoarding Disorder 101.” Below the title, smaller text reads, “The reality vs. what you see on reality TV.” Underneath, it lists “Amy Miller, LCSW, Senior Services Manager.” At the bottom of the slide, a blue banner reads, “Speakers Bureau | jcmh.org.”

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A slide with the heading “Jefferson Center is here for YOU!” appears at the top. On the left side, two bullet points read: “Our mission is to inspire hope, improve lives, and strengthen our community by providing mental health and related solutions for individuals and families.” and “We have been your community mental health center for over 60 years.” On the right side of the slide, there is a photo of a smiling young girl with long brown hair hugging an adult, her arms wrapped around the adult’s shoulders, outdoors in a softly blurred natural setting.

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A slide titled “About Jefferson Center” appears at the top. On the left side, a bullet point states, “We serve everyone! Children, youth, families, seniors, veterans, and military personnel.” Below that, another section reads, “What do we offer?” followed by a list: “Individual, Group and Family Therapy; Peer Specialist Support; Wellness Classes and Coaching; Parenting Resources; School Based Services; Substance Use Treatment.” On the right side of the slide, there is a photo of a smiling adult man outdoors with a young child sitting on his shoulders, both raising their arms in the air, appearing joyful in a bright outdoor setting.

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Large black text centered on a light background reads, “Hoarding Disorder 101.”

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A slide titled “Agenda” appears at the top left. Below are five bullet points that read: “What is Hoarding Disorder and how common is it,” “Why people develop Hoarding Disorder,” “How to assess for Hoarding Disorder,” “Treatment strategies,” and “Where to go to learn more.”

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A slide with the heading “Special thanks to:” appears at the top. Below are two bullet points that read: “Dr. Gail Steketee, PhD” and “Dr. Christiana Bratiotis.”

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A slide titled “What is Hoarding Disorder?” appears at the top. Below are three bullet points. The first states, “Persistent difficulty discarding or parting with possessions because of a perceived need to save them,” with a sub-point that reads, “’discarding’ vs. ‘letting go.’” The second bullet reads, “The person experiences distress at the thought of getting rid of the items.” The third bullet states, “Excessive accumulation of items, regardless of actual value, occurs.”

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A graphic displays four connected orange rounded squares. In the center, a larger square reads “Clutter.” Above it, a smaller square reads “Acquiring.” Below and to the left, another square reads “Saving.” Below and to the right, a fourth square reads “Disorganization.” The layout visually links acquiring, saving, and disorganization to clutter.

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A slide titled “By the numbers” appears at the top. Below are three bullet points: “Prevalence is approx. 5% in the U.S.” with a citation to “Samuels et al., 2008,” “Average age symptoms appear is 16.7” with a citation to “Zaboski et al., 2019,” and “Moderate to severe hoarding peaks in later life, age 50 to 55,” with a citation to “Tolin et al., 2010.”

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A slide displays a bar graph titled “Moderate to Severe Hoarding Peaks Mid-Life.” The vertical axis on the left shows percentages from 0 to 100 percent. The horizontal axis along the bottom is labeled “Age in Years,” with age ranges starting at 0 to 5 and increasing in intervals up to 70. Blue bars gradually increase in height from early childhood through adulthood, rising steadily through the 20s and 30s, reaching high levels around ages 50 to 60, and then leveling off slightly in later years. A citation to Tolin et al., 2010 appears in the upper right corner. Small video thumbnails of two presenters are visible along the right edge of the slide, indicating a virtual presentation format.

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A slide titled “Diagnostic Criteria” appears at the top. Below are lettered points: A. Difficulty discarding or parting with objects. B. Difficulty discarding due to urges to save. C. Symptoms result in accumulation of possessions that clutter living areas. D. Distress or interference. E. Not better accounted for by a medical condition. F. Not better accounted for by other mental illnesses. At the bottom, it reads, “Diagnostic Specifiers: With excessive acquisition, level of insight.”

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A slide titled “What people with Hoarding Disorder save” appears at the top. Below, a bullet point reads, “The same types of things people without hoarding disorder save,” followed by sub-bullets: “Magazines, newspapers, other reading materials,” “Clothes,” “Dishes,” and “Containers.” A final bullet point states, “Disorganization leads to items of different value being mixed in together.”

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A slide titled “Why people save or acquire items” appears at the top. Below are bullet points that read: “Sentimental-emotional attachment,” “Instrumental-useful,” and “Intrinsic-beautiful.” Another bullet reads, “Values,” with sub-bullets listed as “Frugal,” “Creative,” and “Resourceful.”

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A slide titled “Comorbid mental health concerns” appears at the top. On the left side, bullet points list: “Major Depressive Disorder: 50.7%,” “Generalized Anxiety Disorder: 24.4%,” “Social Anxiety Disorder: 23.5%,” “ADHD: 27.8%,” and “PTSD: 6.9%.” On the right side, additional bullet points read: “Any Anxiety Disorder: 53.5%” and “Any anxiety or mood disorder other than OCD: 76.5%.” A citation at the bottom reads, “Frost, Steketee, and Tolin, 2011.”

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A slide titled “Why People Hoard” appears at the top. Below, a bullet point reads, “Complex interplay of:” followed by sub-bullets listing “Evolutionary,” “Biology,” “Neurobiology,” “Genetics,” “Thoughts,” “Emotions,” and “Life experiences.” Near the bottom, another bullet states, “Resist reductionist tendencies – no single causal factor.” A citation appears on the lower right referencing Mathews et al., 2007 and Timpano et al., 2011.

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A slide titled Screening and Assessing appears at the top. Below is a heading that reads Hoarding Rating Scale HRS followed by a horizontal scale labeled from 0 to 8. The scale indicates 0 as None or not at all, 2 as Mild, 4 as Moderate, 6 as Severe, and 8 as Extreme. Below the scale are five numbered questions. Because of the clutter or number of possessions, how difficult is it for you to use the rooms in your home? To what extent do you have difficulty discarding, or recycling, selling, or giving away ordinary things that other people would get rid of? Do you currently have a problem with collecting free things or buying more things than you need or can use or can afford? To what extent do you experience emotional distress because of clutter, difficulty discarding, or problems with buying or acquiring things? To what extent do you experience impairment in your life, such as daily routine, job or school, social activities, family activities, or financial difficulties, because of clutter, difficulty discarding, or problems with buying or acquiring things? A citation at the bottom reads Tolin, Frost and Steketee, 2010; Tolin et al., 2018.

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A slide titled Clutter Image Rating: Bedroom appears at the top with the instruction to select the photo that most accurately reflects the amount of clutter in the room. Below are nine photos of the same bedroom labeled 1 through 9. Image 1 shows a tidy bedroom with a made bed, clear floor, and minimal items. Image 2 shows slight clutter with a few items on the floor and bed. Image 3 shows more noticeable clutter with clothing and objects beginning to accumulate. Image 4 shows increased clutter covering parts of the floor and furniture. Image 5 shows substantial clutter with piles of clothes and items covering much of the bed and floor. Image 6 shows heavy clutter with large piles covering most surfaces and limiting movement. Image 7 shows very heavy clutter with items stacked high across the room. Image 8 shows extreme clutter with piles nearly reaching the height of the bed and furniture. Image 9 shows the most severe clutter, with belongings densely packed and stacked throughout the room, leaving very little visible open space.

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A slide titled Clutter Image Rating Scale: Kitchen appears at the top. Below are nine photos of the same kitchen labeled 1 through 9, showing increasing levels of clutter. Image 1 shows a clean, organized kitchen with clear counters and open floor space. Image 2 shows minor clutter with a few items on the floor or counters. Image 3 shows noticeable clutter beginning to accumulate along the floor and surfaces. Image 4 shows moderate clutter with stacks of items along walls and appliances. Image 5 shows heavier clutter with piles of belongings covering parts of the floor and counter space. Image 6 shows significant clutter obstructing movement and covering most surfaces. Image 7 shows very heavy clutter with large piles filling much of the room. Image 8 shows extreme clutter with belongings stacked high and tightly packed. Image 9 shows the most severe level, with the kitchen densely filled with items, leaving minimal visible open space and limited access to appliances and pathways.

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A slide titled Clutter Image Rating: Living Room appears at the top with instructions to select the photo that most accurately reflects the amount of clutter in the room. Below are nine photos of the same living room labeled 1 through 9, showing increasing levels of clutter. Image 1 shows a clean and organized space with clear surfaces and open floor area. Image 2 shows minor clutter with a few items on tables and the floor. Image 3 shows noticeable clutter beginning to accumulate around furniture. Image 4 shows moderate clutter covering parts of the floor and seating. Image 5 shows heavier clutter with piles of items on furniture and across the room. Image 6 shows significant clutter limiting movement and covering most surfaces. Image 7 shows very heavy clutter with large piles stacked across the living area. Image 8 shows extreme clutter with belongings densely packed and rising high above furniture level. Image 9 shows the most severe clutter, with the room almost completely filled with stacked items, leaving minimal visible open space and restricted pathways.

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A slide titled Options for Intervention appears at the top. Below are bullet points that read: Supportive, step-by-step reduction of clutter, with sub-points including Behavioral coach, in-home; Mental health treatment, with sub-points Individual treatment, specialized CBT for hoarding; Group treatment; Community led interventions; Bibliotherapy; and Harm reduction strategies. Additional bullet points read: Supported clean-out; Clean out without control or presence; and Eviction or condemnation of the home.

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A slide titled Cleanouts don’t work appears at the top. Below is a bar graph with four categories. The first bar is labeled Sustained Improvement and shows 0.15. The second bar is labeled Improvement and Relapse and shows 0.08. The third bar is labeled No Change and shows 0.43, which is the tallest bar. The fourth bar is labeled Clutter Worsened and shows 0.15. A citation at the bottom reads Kim, Steketee, and Frost, 2001.

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A slide titled Treatment: Specialized CBT for Hoarding appears at the top. Below are bullet points that read: Assessment and case formulation; Enhance motivation; Reduce acquiring; Train skills including organizing, problem solving, and cognitive rehabilitation; Practice sorting and discarding unwanted items referred to as exposure; Cognitive therapy to challenge beliefs; Maintain gains and prevent relapse. A citation at the bottom reads Steketee and Frost, 2007; 2014.

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A slide titled Community support is critical appears at the top. Below are two bullet points. The first states that there is a need for support from housing, social services, hauling services, health, family, peers, and mental health treatment. The second explains that hoarding can impact the entire community around the individual, including family, neighbors, and law enforcement, so support is needed from all areas.

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A slide titled Where to learn more: Books appears at the top. Below are bullet points listing the following books: Stuff: Compulsive Hoarding and the Meaning of Things by Gail Steketee and Randy Frost. Treatment for Hoarding Disorder: Workbook and Therapist Guide, part of the Treatments That Work series, by Gail Steketee and Randy Frost. The Hoarding Handbook: A Guide for Human Service Professionals by Christiana Bratiotis, Cristina Sorrentino Schmalisch, and Gail Steketee. Buried in Treasures: Help for Compulsive Acquiring, Saving, and Hoarding by David Tolin, Randy Frost, and Gail Steketee. Decluttering at the Speed of Life: Winning Your Never-Ending Battle with Stuff by Dana White. Digging Out: Helping Your Loved One Manage Clutter, Hoarding, and Compulsive Acquiring by Michael A. Tompkins and Tamara L. Hartl.

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A slide titled Buried in Treasures workshops appears at the top. Below are two bullet points that read 15 weeks and Peers work through the book Buried in Treasures and support each other in doing the assessments and exercises. On the right side of the slide is an image of the book cover Buried in Treasures: Help for Compulsive Acquiring, Saving, and Hoarding by David Tolin, Randy O. Frost, and Gail Steketee, Second Edition.

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A slide titled International OCD Foundation appears at the top. Below is the website http://www.iocdf.org. Two bullet points read Find a provider and Online Hoarding Meeting. Additional text states Friday, August 14 to Saturday, August 15 and $25 for community members. A web link appears at the bottom beginning with https://web.cvent.com/event followed by a long event URL.

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A slide titled About Jefferson Center Speakers Bureau appears at the top. Below are three bullet points that read Offered free to community groups, All presentations are given by a licensed professional, and Presentations on a variety of mental health and wellness topics. At the bottom right of the slide is a photo of a presenter standing at the front of a room speaking to an audience seated in rows of chairs in a bright conference setting.

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A slide titled How Can You Get Involved with Jefferson Center appears at the top. Below are four bullet points that read Stay in the loop, Donate, Get certified in Mental Health First Aid, and Attend an event. At the bottom, text reads Learn more at http://www.jcmh.org/getinvolved

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A closing slide displays the Jefferson Center logo with the tagline With you in mind at the top. Below, large text reads Contact Us. The contact information listed is Amy Miller, LCSW, amym@jcmh.org, jcmh.org, and phone number 720 595 0880.