Critical Time Intervention for Individuals With Hoarding Disorder

NCT02367430 | Completed Results DMC

• 1 other identifier: 6681
• Study Type: interventional
• Target: 14
• Locations: 0 countries
• Sites: N/A

Brief Summary

The purpose of this study is to investigate whether a well-established case management model called Critical Time Intervention (CTI) can help individuals with hoarding disorder who are concerned about the risk of eviction. Each individual with hoarding disorder will be assigned to work with a CTI Specialist for 9 months, who will provide referrals for mental health treatment, legal consultations, and registration for entitlements. All participants will be offered a facilitated group intervention called the Buried in Treasures Workshop. The CTI Specialist will also facilitate reconnecting the individual with supportive family/friends and will monitor and support the de-cluttering of the patient's home.

Conditions

Hoarding Disorder

Outcome Measures

Primary Outcomes (2)

• Savings Inventory-Revised

  The Saving Inventory-Revised scale (SI-R) is a 23-item questionnaire with 3 factor-analytically defined sub-scales for difficulty discarding, excessive clutter, and compulsive acquisition. The total score (sum of 23 items) ranges from 0 to 92. Total score higher than 41 shows significant difficulty with clutter. For the acquisition subscale we sum items 2 (reverse score), 9, 11, 14, 16, 18 and 21. The subscale ranges from 0 to 28 and score greater than 13 indicates difficulty with excessive acquisition. For the difficulty discarding subscale we sum items 4(reverse score), 6, 7, 13, 17, 19, 23. The subscale ranges from 0 to 28 and score greater than 13 indicates difficulty with discarding. For the clutter subscale we sum items 1, 3, 5, 8, 10, 12, 15, 20, 22. The subscale ranges from 0 to 36 and score greater than 15 indicates difficulty with accumulated clutter.

  Baseline, 3 months, 6 months and 9 months

• Clutter Image Rating Scale

  Clutter Image Rating ScaleL Three sets of photographs, each containing nine photos of a single room with varying levels of clutter. A selection is made as to which photograph best resembles their own home. This scale assesses the clutter levels in the bedroom, living room and kitchen. The scale for each room ranges from 1 to 9. Clutter that reaches the level 4 indicates significant difficulty with clutter that affects the person's life.

  Baseline, 3 months, 6 months and 9 months

Study Arms (1)

Critical Time Intervention for Hoarding Disorder

EXPERIMENTAL

Patients with Hoarding Disorder received CTI Model

Behavioral: Critical Time Intervention With Buried in Treasures included

Interventions

Critical Time Intervention With Buried in Treasures included BEHAVIORAL

Critical Time Intervention and BIT Workshop

Critical Time Intervention for Hoarding Disorder

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• primary Hoarding Disorder
• age 18 or over
• Individuals concerned with the threat of eviction due to clutter
• Patient must be physically healthy
• Willing and able to understand and complete consent procedure
• English speaking

You may not qualify if:

• Not primary Hoarding Disorder
• Severly depressed patients; Hamilton depression rating scale greater than 30 or judged clinically to be at risk of suicide with Columbia Suicide Severity Rating Scale

Sponsors & Collaborators

• New York State Psychiatric Institute: lead

Related Publications (1)

• Millen AM, Levinson A, Linkovski O, Shuer L, Thaler T, Nick GA, Johns GK, Vargas SM, Rottier KA, Joyner E, Girson RB, Zwerling J, Sonnenfeld D, Shapiro AM, Tannen A, Conover S, Essock S, Herman D, Simpson HB, Rodriguez CI. Pilot Study Evaluating Critical Time Intervention for Individuals With Hoarding Disorder at Risk for Eviction. Psychiatr Serv. 2020 Apr 1;71(4):405-408. doi: 10.1176/appi.ps.201900447. Epub 2020 Jan 8.

  PMID: 31910750 RESULT

MeSH Terms

Conditions

Hoarding Disorder

Condition Hierarchy (Ancestors)

Obsessive-Compulsive Disorder; Anxiety Disorders; Mental Disorders

Results Point of Contact

• Title: Dr. Carolyn Rodriguez
• Organization: Columbia University

cr2163@stanford.edu

650-723-6158

Study Officials

• H Blair Simpson, MD, PhD

  Columbia-NYSPI-RFMH

  PRINCIPAL INVESTIGATOR

• Carolyn I Rodriguez, MD, PhD

  Stanford University

  PRINCIPAL INVESTIGATOR

Publication Agreements

• PI is Sponsor Employee: Yes
• Restrictive Agreement: No

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Associate Chair for Inclusion and Diversity in the Department of Psychiatry

Study Record Dates

• First Submitted: February 13, 2015
• First Posted: February 20, 2015
• Study Start: January 1, 2013
• Primary Completion: July 1, 2015
• Study Completion: July 1, 2015
• Last Updated: February 11, 2020
• Results First Posted: February 11, 2020

Record last verified: 2020-02