Reviews: "Dr. Tompkins has produced an excellent clinician guide that focuses on harm reduction treatment for serious hoarding behavior. Mental health clinicians, and many other professionals who encounter hoarding, will find this book particularly helpful in working with people who hoard, their family members, friends, and neighbors. This well-organized and user-friendly book makes it easy to understand hoarding and to respond compassionately and effectively. The focused team approach that includes the sufferer is an excellent strategy, and the troubleshooting recommendations are especially helpful. I highly recommend it!" Gail Steketee, Ph.D., Dean and Professor, Boston University School of Social Work and co-author of Stuff: Compulsive Hoarding and the Meaning of Things "Michael Tompkins is one of those rare hoarding experts whose brain you wish you could somehow inhabit in order to soak up his knowledge and experience.
Short of this Malkovichian fantasy, ordinary clinicians like me must rely on his written word. Thankfully, his written word is rich with clinical anecdotes and laced with scientific knowledge. And his new book, Clinician s Guide to Severe Hoarding: A Harm Reduction Approach , is no different. His novel harm reduction perspective is highly refreshing and intuitive, and his hoard of useful techniques will have you finally feeling armed to approach this seemingly intractable public health challenge. Most impressive, however, is that Michael Tompkins refuses to shy away from hot button hoarding issues, like maximizing treatment leverage, addressing cleanout decisions, and navigating the legal challenges. Every clinician will find something in this book that will enhance their effectiveness with people who hoard." Gregory S. Chasson, Ph.
D Licensed Psychologist; Assistant Professor, Department of Psychology, Towson University; Director, CBT Solutions of Baltimore "Those of us who have worked on identifying ways to decrease the saving and acquiring behaviors characteristic of hoarding disorder (HD) have encountered several nasty truths along the way. Many people who have HD don t want our help. Many of those who want help can t get complete control over their behaviors. Many have co-occurring psychiatric, neurological, or medical issues that make it difficult for them to participate in, or benefit from, psychological treatment. In many cases, there are multiple stakeholders, not just the person with HD but also family members, neighbors, municipalities, and other service agencies. In this powerful book, Michael Tompkins addresses these problems head on and makes a compelling argument for the use of Harm Reduction strategies for people with HD. With an expert eye based on front-line experience, Dr. Tompkins walks the reader through several of the more difficult aspects of the intervention, and this book should be on the shelf of any professional working with difficult hoarding cases.
" David F. Tolin, Ph.D., ABPP Author, Buried in Treasures: Help for Compulsive Acquiring, Saving and Hoarding "I recommend the Clinician''s Guide to Severe Hoarding: A Harm Reduction Approach to every member of a harm reduction team including: code enforcement officers, professional organizers, social workers, firefighters, property owners, and property managers. The insights and advice of Dr. Tompkins are critical to understanding hoarding disorder and establishing realistic benchmarks for harm reduction. This book provides all the necessary tools and tactics for team members to give clients a minimum standard of comfort and safety." Geralin Thomas, Professional Organizer, Metropolitan Organizing, LLC "It really doesn t matter how much technical information you have if you can t help your client.
In the Clinician s Guide to Severe Hoarding: A Harm Reduction Approach, Michael Tompkins offers you compassionate strategies while encouraging you to think outside the box, with one goal in mind to help your client who hoards live a safe and meaningful life. As a veteran certified professional organizer I highly recommend this book to my colleagues." Standolyn Robertson, CPO, past President of the National Association of Professional Organizers "Clinicians, organizers, first responders, responsible family members, and researchers - this book is for you. This is by far the most comprehensive hoarding guide on the market. Every aspect covered. Every question answered. Dr. Tompkins has done it again!" Dorothy Breininger, Featured Organizing Expert, Hoarders TV Series "Finally, we have a comprehensive and extremely well-written reference on how to identify and treat patients who hoard.
Dr. Tompkins has produced an extraordinary volume on novel approaches to help improve the lives of those who hoard, borrowing from well-established harm reduction strategies used in the treatment of addictions. By describing many different types of hoarding behaviors, Dr. Tompkins helps us to understand this disorder better and provides options for treatment that reduce the personal risks to society, and more importantly, to the patients who suffer with hoarding behaviors of various levels of severity." Mason S. Turner, MD, President, Board of Directors, Mental Health Association of San Francisco; Chief, Department of Psychiatry, Kaiser Permanente San Francisco "The Clinician s Guide to Severe Hoarding provides in depth knowledge and practical suggestions to help clients and their families manage the most challenging hoarding situations. This will now be our go to resource guide for the many clients and families who struggle with severe hoarding and look to us for help." Stacey Miller, BSW, Manager, Community Services, A & O: Support Services for Older Adults, Manitoba, Canada "This book provides a useful and practical road map for clinicians who treatindividuals with severe hoarding disorder.
Dr. Tompkins lays out important steps such as building motivation, assessing harm, and utilizing interdisciplinarycommunity resources when working with someone with hoarding, who may resist treatment attempts. Critical informational gaps on howare now filledfor providers who treat hoarding disorder, as this material has never been presented in such a clear andthoughtful manner." Catherine R. Ayers, Ph.D., ABPP, Division Director, Outpatient La Jolla Mental Health Clinics, Assistant Professor, Department of Psychiatry, University of California, San Diego, VA San Diego Healthcare System "Michael Tompkins has created a comprehensive and practical guide for hoarding intervention that is accessible for both clinical and non-clinical professionals. So often, professionals struggle to understand the best approach to supporting clients suffering from hoarding disorder.
Using real life case examples, Tompkins, provides the reader with critical information on assessing harm potential, increasing client engagement and the importance of developing a team-based approach to hoarding intervention. This outstanding book is the first of its kind written to guide professionals through the process of utilizing harm reduction approaches in cases of severe hoarding." Jesse C. Edsell-Vetter, Hoarding Intervention Coordinator, Metropolitan Boston Housing Partnership "Clinicians have long been baffled by the enigma of hoarding. The devastating consequences of this disorder prompt many calls for help, but few of them are from the person who hoards. Very often, everyone, except the hoarder, wants help. Predictably, the caller is turned away. After all, how can you help someone who does not want it? The answer lies in redefining what you are helping and who and how you help.
Michael Tompkins book offers clinicians new, innovative strategies to curtail the harmful consequences of hoarding. If you are a clinician who would like to expand the range of lives you affect, read this book. If you do, you will have something to offer those calls for help other than an apology." C. Alec Pollard, Ph.D., Director, Center for OCD and Anxiety-Related Disorders, Saint Louis Behavioral Medicine Institute, Professor of Family and Community Medicine, Saint Louis University "Michael A. Tompkins Clinician s Guide to Severe Hoarding: A Harm Reduction Approach is a comprehensive guide to the Harm Reduction (HR) approach for addressing a situation in which an individual who is a severe hoarder, i.
e., a person who refuses help yet lives in a severely hoarded environment, and may lack insight into the fact that the effects of the hoarding behavior have compromised his or her own safety and possibly the safety of others in their community. The HR approach focuses on engaging the individual in the process of making the environment reasonably safe and comfortable. This approach requires ongoing monitoring and by nature requires the involvement of a team. Although the book is targeted specifically to mental health clinicians, it would also be a valuable resource for other professionals, including professional organizers, like myself, who work with clients who hoard. Also, visiting nurses, elder care specialists, home healthcare aids, code enforcement officers, police officers, and attorneys and judges who become involved extreme cases or hoarding would find it a useful resource. Cases requiring a HR approach are challenging and require the expertise, good intentions, and collaborative skills of a team. Tompkins is persuasive in his contention that the clinician is a natural fit for enlisting and engaging the HR team in the process of fulfilling the do no harm agenda and he models the process with the sensitivity and finesse gleaned from years of studying human nature firsthand.
The process requires real commitment and dedication from various individuals, including the client, who co-creat.