For adults with disabilities or special needs, disorganization can be a huge problem — for both the individual and the family. Learn how we help clients and their families deal with hoarding disorder. 

Case Study


  • 87-year-old man residing in a co-op building
  • Suffers from severe hoarding
  • Court order clean out initiated by management company


  • Client has suffered from anxiety all his life
  • Kind and well loved
  • Home has piles of paper and debris consistent with level IV hoarding
  • Hoarding has recently progressed with age and drinking
  • Good support system of neighbors and friends
  • No local family support


  • Resistance, forced to do the clean out
  • Discovered during the process that the client was not managing ADL’s
  • 3 years of unpaid taxes and IRS is calling
  • Eating spoiled food
  • Falling
  • Car accident which initiated need for additional services and family involvement


  • Settle all aspects of the car accident
  • Enlist an attorney and put an estate plan and trust in place
  • Obtain a doctor’s report to evoke power of attorney
  • Engage an accountant, gather all supporting information and file all back taxes
  • Coordinate the reissue of all un-cashed dividend checks
  • Implement care givers
  • Distribute contents of a storage unit
  • Downsize and transition into assisted living
    (Including inventory of belongings, shipping them to family or selling them, staging home, move remaining belongings to new location, forward mail/change of address and managing client’s anxiety through this difficult process)
  • Assist in gathering all assets to be allocated to his private trust
  • Care management on a weekly basis
  • Continuity of care/care coordination