title: The experience of working with people that hoard: a Q-sort exploration.
abstract: BACKGROUND
  The impact and burden of working with people that hoard is largely unexplored.
  
  
  OBJECTIVE
  To explore professionals' varied experiences of engagement and intervention with this client group.
  
  
  METHODS
  Five semi-structured interviews were initially conducted with professionals with detailed experience of working with people that hoard. A thematic analysis then identified key statements for a 49-item Q-set. The Q-sort was subsequently administered to public sector professionals with wide experience of working with people who hoard (N= 36; fire-fighters, environmental health, housing and mental health). Organizational support and job-related wellbeing measures (anxiety/contentment and depression/enthusiasm) were also administered.
  
  
  RESULTS
  Factor analysis identified three distinct clusters (a) therapeutic and client focused (N = 15), (b) shocked and frustrated (N = 2) and (c) pragmatic and task focused (N = 5). Therapeutic and client focused professionals were significantly more content and enthusiastic regarding their work with clients with hoarding difficulties.
  
  
  CONCLUSIONS
  Professionals experience and approach their work with people that hoard in discrete and dissimilar ways. Service delivery and training implications are considered.
authors.affiliation: a Sheffield Children's Hospital NHS Foundation Trust , Sheffield , UK.
authors.forename: Kathryn
authors.initials: K
authors.lastname: Holden
authors.affiliation: b Centre for Psychological Services Research, University of Sheffield , Sheffield , UK.|c Sheffield Health and Social Care NHS Foundation Trust , Sheffield , UK , and.
authors.forename: Stephen
authors.initials: S
authors.lastname: Kellett
authors.affiliation: d Department of Psychology , College of Human and Health Sciences, Swansea University , Swansea , UK.
authors.forename: Jason
authors.initials: J
authors.lastname: Davies
authors.affiliation: c Sheffield Health and Social Care NHS Foundation Trust , Sheffield , UK , and.
authors.forename: Shonagh
authors.initials: S
authors.lastname: Scott
mesh_terms: D000328:Adult; D001291:Attitude of Health Personnel; D005260:Female; D000067836:Hoarding Disorder / Q000523:psychology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011369:Professional-Patient Relations; D011594:Psychometrics; D011779:Q-Sort
keywords: Hoarding; Q-sort; burden; professionals