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San Diego Hoarding Collaborative

February 16, 2011

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San Diego Hoarding Collaborative (SDHC)

Hoarding Treatment Information
and Resources List

January 2011

Announcements:
*Meetings are open to the public:
3851 Rosecrans Street (County Mental Health facility) – 3rd Wed of every month, 9-10:30

*SDHC website coming soon!

Table of Contents

MISSION STATEMENT

EMERGENCY RESPONDERS
City of San Diego
Psychiatric Emergency Response Team (PERT)
Police Department
Fire-RESCUE Department Services
County of San Diego
Sheriff Deputies
Heartland Fire and Rescue
Serving the Cities of El Cajon, La Mesa and Lemon Grove

SECONDARY RESPONDERS
City of San Diego
City Attorney’s Office-Code Enforcement Unit
Neighborhood Code Compliance Division
Environmental Services
County of San Diego
Aging & Independence Services – Adult Protective Services (APS) Program AND the SENIOR Mental Health TEAM
County Department of Animal Services
County Office of the Public Conservator
County Public Administrator & Public Guardian
San Diego Humane Society and SPCA

TREATMENT CONSULTATION / COMMUNITY EDUCATION
Catherine R. Ayers, Ph.D., ABPP
Sanjaya Saxena, M.D.
International OCD Foundation (IOCDF)
Depression and Bipolar Support Alliance

TREATMENT RESOURCES
UCSD
UCSD Obsessive-Compulsive Disorders Clinic
UCSD OCD Research Program

VETERANS ADMINISTRATION
VA San Diego Healthcare System, Anxiety Disorders Clinic
VA San Diego Healthcare System Hoarding TREATMENT Research
HERITAGE CLINIC – Center for Aging Resources
COUNTY OF SAN DIEGO – Mental Health Services
ST. PAUL’S PACE (Program of All-Inclusive Care for the Elderly)

PRIVATE PRACTICE
Catherine R. Ayers, Ph.D., ABPP
The San Diego Regional Program for Obsessive Compulsive Disorders and Trichotillomania
Lori L. Riddle-Walker, MA, MFT
Escondido OCD Group

SUPPORT GROUPS
Hoarders Support San Diego (HSSD)
National Alliance on Mental Illness (NAMI) – San Diego
Mid-County OCD and OC Spectrum Support Group
San Diego Obsessive Compulsive Anonymous Meeting
San Diego Phobia Foundation Support Groups
San Diego County Council on Aging (SDCCOA)

VENDORS
A Better Solution in Home Care, Inc.
Assertive Care at Home
Ann Butterfield, RN, CMC
National Association of Professional Organizers (NAPO)
Jewish Family Service – Fix-IT
Senior Move Masters
Sharon Mabrey, Domestic Assistant
Simply Marvelous Organizing

INTRODUCTION
The San Diego Hoarding Collaborative Resource Directory was compiled to assist providers and front line workers who work with persons exhibiting hoarding behaviors.

This directory was developed by the San Diego Hoarding Collaborative in summer 2010 and updated through January, 2011. The resource descriptions are designed to provide general information about known services in San Diego County. Those who use this book should not consider this directory as the sole information source of services for persons with hoarding behaviors in San Diego County.

The SDHC cannot endorse or recommend any of the resources described. Rather, this material should be utilized as the first step toward investigating appropriate individualized services needed to assist persons with hoarding behaviors.

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MISSION STATEMENT

SAN DIEGO HOARDING COLLABORATIVE [SDHC]

The San Diego Hoarding Collaborative is a collaborative team effort of diverse professional agencies who seek to identify and understand the issues, difficulties and causes of hoarding behavior, to educate the public about these behaviors, and to develop a case treatment approach.

EMERGENCY RESPONDERS

City of San Diego
Psychiatric Emergency Response Team (PERT)
PERT provides emergency assessment and referral for individuals with mental illness who come to the attention of law enforcement through phone calls from community members or in-field, law enforcement requests for emergency assistance. PERT pairs licensed mental health clinicians with uniformed law enforcement officers/deputies.

Clinicians work out of individual law enforcement divisions and respond in the field, with their law enforcement partners. The PERT team evaluates the situation, assesses the individual’s mental health condition and needs, and, if appropriate, transports individual to a hospital or other treatment center, or refers him/her to a community-based resource or treatment facility.

PERT is often contacted to accompany City or County inspectors responding to a hoarder situation and will provide an assessment of the resident. Assistance from PERT can be initiated by calling your local police or sheriff department.

The community is instructed to contact their local law enforcement agency or 911, if PERT is needed. For general, non-emergency information, the community may contact the PERT Administration Office, Mon – Fri, 9:00 am – 5:00 pm. The PERT Admin office will not dispatch out PERT teams.

Jim Fix, Psy.D., Executive Director, PERT, Inc.
(619) 276-8112 office / (619) 276-8230 fax
jfix@comresearch.org
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Police Department
Headquarters: 1401 Broadway, San Diego, CA 92101-5729
To report a non-emergency, call (619) 531-2000 or (858) 484-3154.
To report an emergency, call 9-1-1 www.sandiego.gov/police/

San Diego Police Dept. Homeless Outreach Team (HOT)
Contact: Sergeant Rick Schnell (619) 850-0655

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Fire-RESCUE Department Services
The City of San Diego’s Fire-Rescue Department provides citizens throughout the City of San Diego with emergency and non-emergency fire, medical, and lifeguard services.

Fire personnel, including paramedics, occasionally respond to emergency calls to residences and encounter hoarding conditions where combustible items are stacked to the ceilings and throughout the house, creating a fire hazard. In extreme situations, pathways to rooms are obstructed, making the emergency response problematic.

The Fire-Rescue Department works with the City Attorney’s Office and other City Departments in abating the fire hazards and public nuisance conditions caused by hoarding cases around the exterior of the property.

Additional information regarding the Fire-Rescue Department may be found at http://www.sandiego.gov/
Complaints regarding the accumulation of combustible materials may be referred to (619) 533-4411.

Pamela R. Thomas, Fire Prevention Supervisor
San Diego Fire-Rescue Department, 1010 Second Avenue, Suite 300, San Diego, CA 92101
Office (619) 533-4458 / Fax (619) 544-6806
County of San Diego
Sheriff Deputies
FOR EMERGENCIES DIAL 9-1-1
Non-emergency dispatch (858) 565-5200 http://www.sdsheriff.net/

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Heartland Fire and Rescue
Serving the Cities of El Cajon, La Mesa and Lemon Grove
Heartland Fire and Rescue conducts fire prevention and fire investigations for the cities of El Cajon, La Mesa and Lemon Grove to inspect occupancies and enforce fire code regulations. They may become aware of and involved with hoarding issues while on inspections or at fire investigations.

Chuck Strickland, Division Chief
Fire Prevention/Investigations
(619) 667-1470
cstrickland@heartlandfire.net

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SECONDARY RESPONDERS

City of San Diego

City Attorney’s Office-Code Enforcement Unit
The City Attorney’s Code Enforcement Unit (CEU) enforces a wide range of land use regulations which affect San Diego’s quality of life. Prosecutors receive cases from code enforcement inspectors who enforce San Diego’s housing, zoning, building, litter, sign, fire and health and safety ordinances.

The types of violations prosecuted include public nuisances, substandard housing, abandoned and structurally unsafe buildings, illegal dumping or storage, illegal businesses, fire hazards, destruction of environmentally sensitive land, unpermitted uses in residential zones, and water theft.

CEU also works closely with the San Diego Police Department on addressing problem properties and participates in the City’s Drug Abatement Response Team (DART) which consists of a prosecutor, a code inspector, and the police to address properties with ongoing narcotic activity.

Cases are filed criminally as misdemeanors, or civilly, seeking injunctive relief. Prosecution typically results in fines and penalties, the recovery of restitution and investigative costs, and innovative sentencing terms.

Hoarding cases are sometimes referred to the City Attorney’s Office. The CEU prosecutor works closely with City Departments, Police, and other agencies to address health and safety and nuisance issues while ensuring that the hoarder receives appropriate assistance from social service agencies and mental health professionals. When appropriate, court actions are filed resulting in an abatement order to clean the premises.

Questions regarding cases in the City Attorney’s Code Enforcement Unit or requests for speakers and training may be directed to (619) 533-5655.

Diane Silva-Martinez, Chief Deputy City Attorney
Chelly Bolger Wathen, Paralegal
Code Enforcement Unit – San Diego City Attorney’s Office
(619) 533-5655
Neighborhood Code Compliance Division
The City of San Diego’s Neighborhood Code Compliance Division (NCCD) works in partnership with the citizens of San Diego to promote and maintain a safe and desirable living and working environment; improve the quality of San Diego’s neighborhoods through education, enforcement, and abatement; respond to community concerns; and attain compliance with state and local codes. Inspectors respond on a complaint basis to investigate a wide range of zoning, building, housing, and noise violations citywide.

Hoarding conditions at a residence may render it substandard and uninhabitable and violate state and local building and housing codes. The conditions may also constitute a public nuisance. NCCD inspectors work closely with the property owner, Police, City Attorney’s Office and social service agencies to ensure that health and safety issues are timely addressed and that available resources are provided to the hoarder.

Complaints regarding hoarding conditions may be referred to (619) 236-5500. Complaint forms are also available online at http://www.sandiego.gov/nccd/report/

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Environmental Services
The Environmental Services Department was established to protect the environment and to provide San Diego residents with properly disposed municipal solid waste, along with an environment free of litter and illegal dumping. The Department provides refuse pickup and curbside recycling and yard waste collection throughout the city. It also pursues waste reduction and recycling; composting and environmentally-sound landfill management to meet the city’s long-term waste disposal needs.

In addition, Environmental Services oversees the City’s management of energy, pursues innovative energy independence goals and works to advance more sustainable practices within the City organization and the community.

The Solid Waste Code Enforcement Program section is responsible for enforcing compliance with State and federal regulations and City Municipal Codes relating to solid waste; assisting community groups and volunteers organizing clean up/recycling events; and investigating illegal dumping complaints.

Inspectors may encounter hoarding cases when responding to complaints of waste and storage violations on private property. The inspector then works with the property owner, Police, City Attorney’s Office, and social service agencies to ensure that health and safety issues are timely addressed and that available resources are provided to the hoarder.

Additional information regarding Environmental Services, including how to refer a complaint, may be found at http://www.sandiego.gov/environmental-services/ep/illegal/related.shtml. Violations may also be reported to (858) 694-7000.

County of San Diego

Aging & Independence Services – Adult Protective Services (APS) Program AND the SENIOR Mental Health TEAM
Aging and Independence Services (AIS) is the leader in Advocacy, Information & Safety to foster dignity and enhance the quality of life for seniors and persons with disabilities.

Adult Protective Services (APS) is the program mandated to investigate allegations of elder and dependent adult abuse and neglect throughout San Diego County.

Allegations investigated include self neglect which can involve hoarding. Reports are made by calling 1-800-510-2020. Callers are often professionals who are mandated to report abuse and neglect or individual citizens in the community who are concerned about an elder or dependent adult.

Acceptance of APS remedial services is voluntary. Services can include: referrals for treatment, professional organizers, companies that provide heavy cleaning, and many others.

In cases where there is concern of animal hoarding or code violations, APS would make reports to the appropriate agency as allowed by law. APS investigators have up to 10 calendar days to respond to a report.

Carlos Morales. Senior Adult Protective Services Specialist
Jennifer Bransford-Koons , Manager
Adult Protective Services and Senior Mental Health Team
(800) 510-2020

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County Department of Animal Services
The County of San Diego Department of Animal Services is the governmental agency that provides animal law enforcement services to the unincorporated areas of the county and the cities of Carlsbad, Encinitas, Solana Beach, Del Mar, San Diego, and Santee.

We provide educational intervention about proper care and housing of pets, as well as investigations into both neglect/cruelty and regulatory violations related to animals. We pursue criminal and administrative action against offenders, including hoarders.

In criminal prosecution, our focus is on protecting the animals and getting the offender assistance–not just punishment. One positive aspect of criminal prosecution is that a judge must order counseling for the offender in most cases.

We provide service to the public throughout our geographic jurisdiction, and when requested, may assist allied agencies–including providing training–outside our jurisdiction, as part of mutual aid.

Most calls come from neighbors or family members of hoarders, although some reports come from other service providers such as delivery persons, utility workers, fire and law enforcement personnel, and social workers. The vast majority of cases reported to us, involve the collecting of animals, and they are usually in unhealthy conditions.

Harold Holmes, Lieutenant, Hearing Officer / Special Investigations
Department of Animal Services, 5480 Gaines Street, San Diego, CA 92110
(619) 767-2673 office
(619) 823-3826 cell
harold.holmes@sdcounty.ca.gov
County Office of the Public Conservator
The Office of the Public Conservator (PG) investigates county-wide referrals for Lanterman-Petris-Short Act* (LPS) conservatorships to arrange placement and mental health treatment for adults and children who are gravely disabled (unable or unwilling to provide for basic food, shelter, and clothing needs) as a result of a mental … [more]disorder.

We perform investigations and makes recommendations to the Superior Court regarding a variety of matters that relate to conservatees. We determine whether legal criteria are met to request court-ordered psychiatric evaluations of individuals with mental illness and provide information and referrals to the community.

An individual who hoards may come to our attention through general information calls from the public, and through investigations we perform for LPS conservatorships and court-ordered psychiatric evaluations.

For LPS conservatorships, a referral must come from a psychiatrist and the majority of individuals are in psychiatric hospitals at the time of the referral. For a court-ordered psychiatric evaluation, we meet people where they reside and may run into hoarders in these situations.

Beth Olin, LCSW, Mental Health Program Manager
Office of the Public Conservator
(619) 767-5046
Beth.Olin@sdcounty.ca.gov

*The Lanterman-Petris-Short Act, often abbreviated LPS, (Cal. Welf & Inst. Code, sec. 5000 et seq.) concerns the involuntary civil commitment to a mental health institution in the State of California.

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County Public Administrator & Public Guardian
The Public Administrator and Public Guardian provide services County-wide. Both Public Administrator and Public Guardian are referred cases involving hoarders.

The Public Administrator (PA) receives most referrals from the Medical Examiner and hospitals but may also receive referrals from anyone in the community. The Public Administrator investigates and administers the estates of persons who die with no will or without an appropriate person to act as an administrator; and protects the decedent’s property from waste, loss, or theft and ensures the estate is administered according to the decedent’s wishes. The Public Administrator serves on cases where someone has died and there is no will or an appropriate person to act as estate administrator. The Public Administrator serves persons of any age or status.

The Public Guardian (PG) serves as the legally appointed guardian or conservator for persons found by the Courts to be unable to take care of themselves or their assets – generally older, frail, and vulnerable adults who are at risk or have been a victim of abuse or neglect. The Public Guardian serves adults 18+ for person matters and can serve any age for estate matters. The Public Guardian may serve persons of any status. The Public Guardian receives referrals from the community and other County departments (i.e., Adult Protective Services, Public Conservator, and Code Enforcement). The Public Guardian is appointed conservator for one or more of the following reasons:

• The person is incapable of managing their finances/personal affairs, has an estate that requires management, and has no family.
• The person is incapable of managing their finances/personal affairs, has an estate that requires management and family members are unable, because of illness, distance or other circumstances to provide assistance.
• The person is incapable of managing their finances/personal affairs, friends or family members have exploited or neglected the person and are not suitable conservators, and the person is subject to further abuse or neglect without intervention.

Public Administrator-Guardian Duty Deputy
(858) 694-3500 (calls and referrals during regular business hours)

Others

San Diego Humane Society and SPCA
Serving San Diego County since 1880, the San Diego Humane Society and SPCA (a private, nonprofit organization) provides vital services to animals and people alike. With campuses in both central San Diego and Oceanside, the San Diego Humane Society and SPCA’s programs include sheltering and adopting animals, investigating animal cruelty and neglect including animal hoarding cases, rescuing animals in emergency situations, providing positive reinforcement behavior training for adoptable and owned animals through public training classes, providing adult and youth education programs, and sharing animals through pet-assisted therapy.

In Oceanside and Vista, the San Diego Humane Society’s North Campus provides municipal animal field services for lost and stray animals.

Denise Gove, Lieutenant, ARR, Training and Outreach
San Diego Humane Society and SPCA, 5500 Gaines Street, San Diego, CA 92110
(619) 243-3414 / cell (619) 993-4544 / fax (619) 299-0198
dgove@sdhumane.org

http://www.sdhumane.org

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TREATMENT CONSULTATION / COMMUNITY EDUCATION

Catherine R. Ayers, Ph.D., ABPP
Assistant Professor, Department of Psychiatry, University of California, San Diego
Program Director, Anxiety Disorders Clinic, VA San Diego Healthcare System
Phone: (858) 552-8585, x-2976 or (858) 220-4041
E-mail: cayers@ucsd.edu

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Sanjaya Saxena, M.D.
Director, UCSD Obsessive-Compulsive Disorders Program
Director, UCSD Outpatient Psychiatric Services
Professor, UCSD Department of Psychiatry
Phone: (858) 642-3472
E-mail: ssaxena@ucsd.edu

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International OCD Foundation (IOCDF)
www.ocfoundation.org

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Depression and Bipolar Support Alliance
www.dbsalliance.org

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TREATMENT RESOURCES

UCSD
UCSD Obsessive-Compulsive Disorders Clinic
The UCSD Obsessive-Compulsive Disorders (OCD) Clinic offers specialized assessment, diagnosis, and treatment of patients with OCD, related disorders such as Compulsive Hoarding, Trichotillomania, Body Dysmorphic Disorder, and Tourette syndrome, and co-occurring conditions, in an elegant outpatient setting. We offer treatment with both medications and cognitive-behavioral therapy (CBT) and stress the integration of psychopharmacological and psychological treatment interventions.

The clinic is staffed by a multi-disciplinary faculty of clinicians with expertise in OCD and related disorders, as well as trainees, including UCSD Psychiatry residents and fellows. All patients seen by trainees are also seen by faculty supervisors. Individual faculty clinicians see other patients on several different days of the week.

Patient must have mental health care insurance.

Families or patients should contact the UCSD OCD clinic for an initial appt.

Sanjaya Saxena, MD, Director, Professor of Psychiatry, UCSD
La Jolla Village Professional Center, Suite B225, 8950 Via La Jolla Drive, La Jolla, CA 92037
Intake Number: (858) 534-6200

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UCSD OCD Research Program
Research opportunities for treatment of hoarding (e.g., medication or therapy).

Currently have two (2) active protocols; one medication study for adults, and one psychotherapy study for older adults. Participants must complete full screening process.

Families or patients should contact the UCSD OCD research clinic for screening.

Sanjaya Saxena, M.D., Director, Professor of Psychiatry, UCSD
Catherine Ayers, Ph.D., ABPP, Assistant Professor, Department of Psychiatry, UCSD
Jennifer Sumner, Ph.D., Study Coordinator, UCSD
8950 Villa La Jolla Drive, Suite 207 , La Jolla, CA 92037
Dr. Saxena/Dr. Sumner: (858) 534-8056
Dr. Ayers: 858-552-8585, x-2976

VETERANS ADMINISTRATION
VA San Diego Healthcare System, Anxiety Disorders Clinic
The mission of the Anxiety Disorders Clinic (ADC) is to provide quality outpatient multidisciplinary treatment and comprehensive psychosocial assessment to veterans who suffer from anxiety disorders.

The ADC offers assessment, diagnosis, and specialized treatment of patients with complex Anxiety Disorders and co-morbid conditions. The mission of the Anxiety Disorders clinic is to provide empirically based services to our Veterans through:

1) Valid and reliable diagnostic assessments to identify anxiety disorders and other psychopathology;
2) On-going medication management for anxiety disorders;
3) Group cognitive-behavioral treatment (CBT) for panic disorder, social phobia, generalized anxiety disorder, post-traumatic stress disorder (civilian), obsessive compulsive disorder, and specific phobias using empirically validated techniques;
4) Individual CBT for patients with panic disorder, social phobia, generalized anxiety disorder, post-traumatic stress disorder (civilian), obsessive compulsive disorder, and specific phobias; and
5) Process improvement evaluations to improve CBT interventions for Veterans.

In addition, the program provides training and supervision to VA personnel and trainees from the disciplines of psychiatry and psychology.

All trainees are supervised by a multi-disciplinary faculty of psychiatrists and clinical psychologists. We stress the integration of pharmacological and psychological treatment interventions. Residents will learn syndrome-specific pharmacotherapies for anxiety disorders, including strategies for chronic or refractory illness. All trainees learn the basic principles of cognitive-behavioral therapy (CBT) and can become proficient in specialized forms of CBT that have demonstrated efficacy for specific anxiety disorders: panic disorder, generalized anxiety disorder, obsessive-compulsive disorder (OCD), social phobia, and simple phobia, as well as OCD Spectrum Disorders such as trichotillomania, body dysmorphic disorder, compulsive hoarding, and tic disorders.

Must be a Veteran and willing to engage in mental health services. DAV can sometimes provide transportation if necessary. All age ranges, economic or residential status levels are accepted. Patients may not have a concurrent substance abuse diagnosis.

VA provider will submit a consult or a Veteran will ask their VA provider to generate a consult to the clinic.

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VA San Diego Healthcare System Hoarding TREATMENT Research
Free treatment offered to individuals 60 or older with clinically significant hoarding symptoms. Participants must complete an in-person screening session and will be randomized to one of two treatment conditions. Treatment will take place at the La Jolla VA Hospital and in the participant’s home.

Catherine R. Ayers, Ph.D., ABPP
Assistant Professor, Department of Psychiatry, UCSD
Program Director, Anxiety Disorders Clinic, VA San Diego Healthcare System
3350 La Jolla Village Drive (116B)
San Diego, CA 92161
(858) 552-8585, x-2976

HERITAGE CLINIC – Center for Aging Resources
Heritage Clinic’s multi-disciplinary team provides comprehensive, publicly-funded, culturally competent, strength-based mental health treatment and services to adults 55 years of age and older throughout San Diego County.
Services include mental health and substance abuse screening, in-home psychotherapy and rehabilitation counseling for homebound seniors who are unable to travel to a center/office, outpatient psychotherapy and rehabilitation counseling in the clinic for older individuals, crisis intervention, peer counseling, coordination of care and linkage with other service providers and mental health care management, community outreach and referral, benefits establishment, employment and housing related services, psychological assessment and neuropsychological evaluation, and psychiatric medication services.
Older adults who are experiencing difficulties related to chronic hoarding in the context of a significant psychiatric disorder are eligible for services which address such coexisting problems. Services include assessment of co-morbid chronic hoarding and serious psychiatric disorders, such as Major Depressive Disorder, Bipolar Disorder, Age-Related Cognitive Decline, and various psychotic disorders; psychotherapy and rehabilitation counseling; assessment of the severity of hoarding; case management services to assist clients to access needed medical and psychiatric services, financial benefits, and access affordable and safe alternative housing (if eviction is inevitable and/or current housing is unsafe/uninhabitable); and education of the client and family regarding chronic hoarding.
Hoarding problems come to the attention of Heritage Clinic staff through referral sources such as Aging and Independence Services, family members, guardians, conservators, housing staff/ landlords, as well as client self-reports, and direct observation by Heritage Clinic staff.
James Bazzetta, Ph.D.
Heritage Clinic, 6160 Mission Gorge Road, Suite 120, San Diego, CA 92102
(619) 282-2232, x-218 / Fax: (619) 282-2992
Email: jbazzetta@heritageclinic.org

http://www.heritageclinic.org

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COUNTY OF SAN DIEGO – Mental Health Services

County of San Diego Mental health Systems of Care
The County of San Diego Mental Health Systems of Care provide specialty mental health services to Medi-Cal beneficiaries and to uninsured, low income individuals, of all ages, who meet criteria.

Programs include long-term care; emergency psychiatric care; acute inpatient care; short-term residential crisis stabilization; outpatient care; case management; prevention and early intervention programs; assertive community treatment programs; school-based programs; peer support programs; support lines; Clubhouse-based rehabilitation support; and others.

Some programs gear mental health services to meet the needs of specialty populations such as homeless; runaways; persons with justice involvement; Deaf and Hard-of Hearing; victims of trauma and torture; Transition Age Youth; foster youth; Seniors; Latinos; Asian-Americans and Pacific Islanders; American Indians; Middle-Eastern refugees and immigrants; Somali seniors, etc.

For a complete listing of all programs, go to the San Diego Network of Care website:

http://sandiego.networkofcare.org/mh

In an effort to engage clients who have failed to link to traditional outpatient settings and to insure that clients receive services in the least restrictive setting, field-based programs have increased over the past five years. These programs, such as case management or assertive community treatment designed programs have come in contact with clients who exhibit hoarding behaviors more often than traditional outpatient settings since they are sometimes visiting clients in their homes. Persons with hoarding behaviors may receive County-funded mental health services, if they meet specialty mental health and income or Medi-Cal criteria.

For assistance with a referral to a specific program, call the Access and Crisis Line at 1-800-479-3339.

Virginia West, LCSW
Adult/Older Adult Mental Health System of Care
Health & Human Services Agency
(619) 563-2744 / Fax: (619) 563-2760
virginia.west@sdcounty.ca.gov

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ST. PAUL’S PACE (Program of All-Inclusive Care for the Elderly)
St. Paul’s PACE is a State program under the Department of Health Care Services, Long Term Care Division, and CMS (the Centers for Medicare and Medi-Cal Services).

PACE participants are seniors (55+) who, due to chronic illness, need support to continue to live safely in their home vs. having to move to an assisted living or skilled nursing facility. Coordinated care services include: Primary Care Doctor, Physiatrist, Psychologist, medications and medication management; therapy such as social, physical, occupational and speech therapy; home care including bathing, laundry, cleaning, and meal preparation (as needed).

PACE participants are served by medical specialties, as needed, including (but not limited to) podiatry, optometrist, dentist, and hearing. PACE provides transportation to our PACE center on Elm Street where medical services are provided along with a day center which provides hot meals daily Monday-Friday.

Due to the population we serve, PACE has many Participants with mild to extreme Hoarding behavior. Our homecare staff members have assisted several Participants with mild behaviors by sorting rooms with a strong emphasis on safety. With this in mind, it is generally the bathing and kitchen areas which we treat with priority followed by bedroom and of course access to each. PACE contracts with various experts such as exterminators and cleaning companies for higher levels of need which are out of the scope of our homecare team’s ability; this is coordinated by our PACE Home Care Supervisor.

In terms of cognitive needs, our Psychologist and Psychiatrist meet with participants weekly and as needed both in one-on-one and group sessions to support behavioral change. Our Social Workers coordinate efforts with family and county resources to help the Participant maintain a safe environment with the goal of continuing to live in the home as long as the safety element is not compromised. Frail seniors who are struggling to live at home independently, and/or who have chronic illness, are referred to PACE by various County organizations including APS and IHSS.

The goal of PACE is to ensure frail San Diego Seniors are living in their homes with pride and dignity.

Seniors over 55+ will qualify for PACE services if they live in our designated service area (see website); are safe at home with the addition of PACE services; and are approved by DHCS as nursing home level of care.

If you know a senior who is struggling to live at home safely, and who has chronic health conditions, please contact Amanda Dunkin at St. Paul’s PACE.

Seniors with Medi-Cal or Medi-Cal + Medicare combo, with no share of cost, do not pay any fees, co-pays, or out-of-pocket costs for this program.

Amanda Dunkin, Marketing Director
ST PAUL’S PACE
111 Elm Street
San Diego, CA 92101
(619) 677-3800 / (619) 677-3888 fax
marketing@stpaulspace.org
CHECK OUT OUR NEW WEBSITE: www.stpaulspace.org

Providing San Diego seniors with a caring network of social and medical services so they can continue to live in their own home with independence and dignity.

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PRIVATE PRACTICE
Catherine Ayers, Ph.D., ABPP
This outpatient practice specializes in hoarding and obsessive-compulsive disorder. Individual psychotherapy, diagnostic evaluation, and consultation appointments are available. The treatment modality of the practice is cognitive-behavioral therapy (CBT).

Catherine R. Ayers, Ph.D., ABPP
3790 Via de la Valle, Suite 118E, Del Mar, CA 92014
858-220-4041 Phone / 760-230-2206 Fax

The San Diego Regional Program for Obsessive Compulsive Disorders and Trichotillomania
The San Diego Regional Program for OCD and Trichotillomania is a private practice providing individual, group, and relationship counseling for people, or families, suffering from all forms of OCD including Compulsive Hoarding. Standard cognitive-behavioral therapy of Exposure and Response Prevention is used in the office and as homework; home visits are offered when needed, and both group therapy, as well as a free public support group, are available.

Jim Hatton, Ph.D., MFT, APC
The San Diego Regional Program for Obsessive
Compulsive Disorders and Trichotillomania
5665 Oberlin Drive, Suite 201, San Diego, CA 92121
(858) 457-8428 Phone/Fax
jdhatton@ucsd.edu

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Lori L. Riddle-Walker, MA, MFT
Assessment, diagnosis, and treatment for patients with Obsessive-Compulsive Disorders (OCD), Trichotillomania, and Compulsive Hoarding and Acquiring are offered in an outpatient, private practice setting.

Treatment is provided using cognitive-behavioral therapy and clients are referred, when appropriate, for additional psychopharmacological treatment. Individual, family, and group therapy is available as well as in-home behavioral coaching support. Patients are referred by agencies, mental health providers, or are self-referred. Please call with medical insurance questions.

502 W. El Norte Parkway, Escondido CA 92026
(760) 715-7273
www.lrwalker.net
llrwalker@sbcglobal.net

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Escondido OCD Group
Last Monday of each month, 7 pm
Escondido, CA
Contact: Lori Riddle-Walker, MFT (760) 715-7273

SUPPORT GROUPS
Hoarders Support San Diego (HSSD)
This is a free, confidential, in-person, support group only open to people who hoard.

Referrals come from participants, therapists, agencies, grief counselors, and more. Group members are committed to conquering our hoarding to the greatest extent possible and reclaiming our lives. We get and give moral support; express our frustrations and problems; offer help and solutions; share information on treatment; watch related videos; and discuss resources . . . and we have a lot of fun along the way.

One of our on-going activities is reading Buried in Treasures: Help for Compulsive Acquiring, Saving, and Hoarding a book by David F. Tolin, Randy O. Frost, and Gail Steketee. We discuss our reading and the exercises in the book.

The second ongoing activity is cognitive behavior therapy, or CBT. The particular type of CBT we use is called Exposure and Response Prevention, or ERP. CBT is a method of learning to manage hoarding by practice exercises and thought. No medication is involved. Research shows CBT is more effective than any other method in helping hoarders learn to manage the disorder.

HSSD contact information, Inquiries are confidential
Lynne, at (619) 665-6330 or [five y’s in “spyyyyyke”]. spyyyyyke@igc.org
Meetings: Mission Bay area
6:30 – 9:00 pm, 1st & 3rd Tuesday of each month

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National Alliance on Mental Illness (NAMI) – San Diego

The National Alliance on Mental Illness, San Diego affiliate (NAMI San Diego) is a non-profit organization whose mission is to bring hope and healing by providing education, support, and advocacy to individuals with a mental illness, to their family members, and the community at large.

Frequently NAMI San Diego is the first point of entry into the mental health system. Requests for information regarding Hoarding Cases are received through the NAMI Helpline via phone calls or emails. We now refer to resources via the list collected from the San Diego Hoarding Coalition (SDHC), including the available support groups.

They provide an array of support, advocacy, and education services that are free to anyone affected by mental illnesses, including: a helpline and resource center; monthly education, and advocacy meetings; 12-week Family-to-Family and 10-week Peer-to-Peer educational programs; In Our Own Voice speakers’ bureau; and support groups.

NAMI San Diego services are all peer-based, meaning, “We have walked in your shoes; let us help guide you through this rollercoaster.”

NAMI San Diego’s Family & Peer Support Helpline
(619) 543-1434 or 1 (800) 523-5933
Email: information@namisd.org
Website: www.namisandiego.org
Schedule: Monday, and Wednesday–Friday, 10 am – 6 pm
Tuesday, Noon – 8 pm
Mid-County OCD and OC Spectrum Support Group
7:00 – 8:30 pm, 2nd and 4th Fridays of each month
Mesa Vista Hospital, 7850 Vista Hill Avenue, San Diego, CA 92123
Contact: Jim Hatton, Ph.D. (858) 457-8428

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San Diego Obsessive Compulsive Anonymous Meeting
Monday nights: 6:00 – 7:00 pm
The Department of Health Services Complex
Mission Room, 3851 Rosecrans Street, San Diego, CA 92110
(Across from the Old Town Trolley Station)
Contact: Jim P. 24-hour voice mail: (619) 757-6603

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San Diego Phobia Foundation Support Groups
Meets weekly. All Anxiety Disorders are welcome.
Contact: Leslie Fadem, MFT, (760) 944-6334
P.O. Box 3191, La Mesa, CA 91944-3191

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Others

San Diego County Council on Aging (SDCCOA)
The SDCCOA is a multi-disciplinary organization that promotes Education, Awareness, and Networking in San Diego County to enhance the quality of life for seniors.

Our Goals
Protect the Rights and Lifestyles of the senior population.
Remain informed regarding the fair allocation of government and private resources to serve the needs of seniors.
Provide education for professionals and the community to improve the quality of life for the senior population.
Collaborate with other senior organizations.

Jeannine Nash, President
San Diego County Council on Aging
527 H Street, Chula Vista, CA 91910
(619) 585-9011 office / (619) 392-7877 cell / (619) 585-9647 fax

VENDORS
A Better Solution in Home Care, Inc.
Mission Statement
The Quality of Our Caregivers is matched only by the dedication of our staff, and specifically suited to be the Solution to your Home Care Needs. When you need care for someone you love, we are “A Better Solution for In Home Care.”
A Better Solution In Home Care, Inc. is dedicated to each and every client. Quality of care and dignity in your home, are the reasons we started our company. We believe in quality rather than quantity, so we limit our caseload to provide each and every client the attention and comfort they deserve.

We offer different levels of care and different pricing strategies for short- and long-term goals that best suit you. From housekeeping to skilled companionship, we furnish San Diegans with responsible, reliable care. There is no need too small for our staff and we are on call to you 24-hours a day, 7-days a week, working to fill your needs.

Every case is assessed differently so clients are encouraged to call for information and price quotes. We offer one free assessment; there are no time-binding agreements and no hidden costs. We request one week’s deposit after service has begun, based on LOWEST estimated cost.

Jeannine Nash, Administrator
527 H Street, Chula Vista, CA 91910
(619) 585-9011 office / (619) 392-7877 cell / (619) 585-9647 fax

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Assertive Care at Home

Serving all areas of San Diego County. Assertive Care at Home Inc. is a non-medical, In-home-care agency, dedicated to helping individuals in need. You can rely on us to provide professional, compassionate and committed care givers. We are able and willing to work as a team with clinicians in order to create the best care plan possible to meet an individual’s needs.

Services are available from 2 to 24 hours. You can reach us at any time day or night.

We can provide personal care, medication reminders, housekeeping, as well as transportation to appointments or other errands as needed.

Assertive Care at Home Inc. has team members ready to assist immediately with clean outs related to compulsive hoarding.

Assessments are always performed free of charge. We are bonded and carry workers compensation and liability insurance.

Need assistance? We can help!
Craig May Marketing Coordinator
Alaina Sims Marketing Coordinator
(619) 466-6890
Email info@assertivehomecare.com
Website www.assertivehomecare.com
Ann Butterfield, RN, CMC

Types of Services Provided:
• Establish personal relationship with senior
• Offer eldercare counseling and support
• Provide consumer education and advocacy
• Create comprehensive Geriatric Assessment
• Conduct home safety assessment
• Develop geriatric Care Plan
• Provide outside referrals
• Provide crisis intervention
• Coordinate medical services and care
• Supervise hospital and nursing home care
• Facilitate hospital or nursing home discharge
• Train and supervise in-home staff
• Provide communication to family members or designee regarding status of client
• Life care management
• Not billable to Medicare; hourly private-pay rate

Ann Butterfield, RN, CMC
Geriatric Care Manager
(858) 232-9979 phone
(619) 312-0152 fax

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National Association of Professional Organizers (NAPO)
NAPO is a dedicated group of 4200 professional organizers along with industry members whose goal is “to help individuals and businesses bring order and efficiency to their lives” through educational programs, conferences, guidance, and community outreach.

I am the organizer representative to the San Diego Hoarding Collaborative for the local NAPO-San Diego chapter.

Risa Goldberg, Certified Professional Organizer (CPO®)
Simply Marvelous Organizing
420 West Lane, El Cajon, CA 92021
www.simplymarvelousorganizing.com
(619) 231-1113 business / (619) 440-1235 home

Jewish Family Service – Fix-IT
Creating a Safe Living Environment by providing free, minor, home-safety repairs and modifications for older adults 60+ years old, living in the service area. Funding is from the Caregiver Respite Program.

The JFS Fix-It Service plays a significant role in allowing older adults to remain in their homes safely. Many older adults live in San Diego County with the aid of spouses, family members, or friends, as unpaid caregivers. The JFS Fix-It Service eases the burden for caregivers by providing additional resources to aid the older adults in their care.

Most of the home-safety modifications provided by JFS Fix-It Service are the installation of bathroom safety bars, hand-held showers, other bathroom safety devices, outdoor handrails, wireless doorbells, smoke and/or carbon-monoxide detectors, and replacing light bulbs.

Sometimes it is little things, larger address numbers on the house so that home meal delivery services can find the home easily and deliver the much-needed meals.

Lighting is a major concern for older adults and JFS Fix-It Service installs dusk-to-dawn nightlights and solar-power, motion-sensor, outdoor lights that offer ease of walking in or out of doors after dark. They also repair window screens.

Home safety isn’t always the big stuff, but the little things that keep older adults in their homes safer…longer.

Melissa Dennison
(858) 637-3354
fixit@jfssd.org

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Senior Move Masters
Senior Move Masters is a senior relocation service that specializes in every aspect of a senior move, including but not limited to downsizing, packing, unpacking, storage, finding resources for unwanted or unneeded items, resettling in new communities; or creating comfortable living spaces in current residences.

We work with hoarders when a client has acknowledged they need help, are being seen by a therapist, and/or undergoing treatment for OCD. We have been called in by a residential community when the county had issued a citation with a time limit for clearing out the apartment to adhere to code. Within a specific time frame and working closely with the client, we were able to document and categorize everything before repacking and putting into storage. Our focus is seniors and we serve all of San Diego County.

Linda Diller, President
Senior Move Masters, P.O. Box 474, Cardiff, CA 92007
(760) 942-4525 / (800) 545-4775 toll free
(760) 942-4406 fax / (760) 310-1435 cell
linda@seniormovemasters.com
www.seniormovemasters.com

Sharon Mabrey, Domestic Assistant
Sharon Mabrey, “De-hoarding Specialist,” is a full-service company helping persons who hoard, with the following services, as needed:

 decluttering
 sanitation
 animal care
 recycling
 garage sales
 relocation
 referrals to mental health specialists

I serve compassionately, while getting the job done. References are available; licensed and bonded.

Sharon Mabrey
Domestic Assistant
(619) 993-2383 cell
(619) 523-6067 fax
Mabrey@cox.net

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Simply Marvelous Organizing
I’ve been providing a wide range of hands-on organizing, consulting and coaching services over 11 years to residences and small businesses –from children to seniors and special needs (hoarders, ADHD, Chronically Disorganized, Traumatic Brain Injury, and more). I’m the organizer representative to the San Diego Hoarding Collaborative for the local chapter of the National Association of Professional Organizers (NAPO); I also belong to the National Study Group for Chronic Disorganization (NSGCD). I hold both teaching and library credentials.

As an organizer working with a hoarder, I espouse both a collaborative approach working sensitively in tandem with a therapist as well as a harm reduction model where the goal is to keep the client safe and comfortable in his home and help him manage his hoarding problem.

My services to hoarders include a detailed report with analysis of the situation, strategies and resources for cleanup and a step-by-step plan of operation where an organizing team (along with a remediation crew, handyman, pest control specialist and other support personnel, if needed) would be involved.

I serve the entire county; I’m licensed and bonded.

Risa Goldberg, Certified Professional Organizer (CPO®)
Simply Marvelous Organizing
420 West Lane, El Cajon, CA 92021
www.simplymarvelousorganizing.com
(619) 231-1113 business / (619) 440-1235 home

Details

Date:
February 16, 2011
Cost:
0.00
Event Category:

Venue

County Mental Health facility
3851 Rosecrans Street San Diego, CA United States