title: How and when to intervene in cases of severe domestic squalor.
abstract: BACKGROUND
  Little has been published concerning how best to intervene in cases of severe domestic squalor.
  
  
  METHODS
  Background literature and reports on how best to intervene in cases of severe domestic squalor were reviewed.
  
  
  RESULTS
  Reports by groups in London (Ontario), and Sydney (Australia) have provided recommendations for development of coordinated services to intervene in cases of squalor. Guidelines have been issued. Treatments for compulsive hoarding may contribute to improvement in cases where squalor is attributable to restricted access due to clutter.
  
  
  CONCLUSIONS
  Effective interventions in cases of severe domestic squalor are commonly expensive and require good inter-agency collaboration. Budgetary support must be available to enable appropriate services to take on cases and provide case management.
authors: Discipline of Psychological Medicine, University of Sydney, Concord Hospital, Sydney, Australia. jsnowdon@mail.usyd.edu.au
authors: John
authors: J
authors: Snowdon
authors: Graeme
authors: G
authors: Halliday
mesh_terms: D000368:Aged; D000544:Alzheimer Disease / Q000534:rehabilitation*; D003153:Community Health Services / Q000331:legislation & jurisprudence*; D003156:Community Mental Health Services / Q000331:legislation & jurisprudence*; D003192:Compulsive Behavior / Q000523:psychology / Q000534:rehabilitation*; D003299:Cooperative Behavior; D003431:Cross-Cultural Comparison; D016852:Housing for the Elderly / Q000331:legislation & jurisprudence*; D006801:Humans; D006920:Hygiene / Q000331:legislation & jurisprudence*; D033183:Interdisciplinary Communication; D009517:New South Wales; D009864:Ontario; D011634:Public Health / Q000331:legislation & jurisprudence*; D012037:Refuse Disposal / Q000331:legislation & jurisprudence; D012931:Social Environment; D014768:Virginia