I care for for both of my parents on a pt basis. My siblings and I are trying to get them to go to assisted living, but my Mom refuses to leave and my father won't go without her. We have had numerous people assess their needs and no one seems to notice the hoarding as being a critical issue. Their health is declining and I find myself getting more involved with their care. I am a newly single Mom of a 16 year old girl. She needs me to be a Mom, and the issues with caring for my parents is affecting her. I am trying to go back to work as I haven't been able too due to the extra time in caring for my parents. Additionally my mother is very selfish and manipulative, and honestly a toxic person. I know I have to release the ties or it will have negative affects on my well being and then my daughters. Can anyone provide insight you provide guidance or resources for dealing with the hoarding issue? I have exhausted all community resources, and their PCP physician has put his hands up as to what he can do.
Also my Mom is open to getting care in the home on a daily basis, but she has control and trust issues, so she only wants certain people doing it for her. Just wondering if others have dealt with hoarding issues?
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They are competent to make their own bad choices; you make your own good ones.
You have a 16 yo daughter who has just had her world rocked by her parents' divorce. That is where your obligations lies right now.
What happens is that we, the grown child, are enabling our parents to keep up their own lifestyle while we need to make major changes to our own. I bet 10 years ago if you asked your parents about caregiving, saying you would need to quit your job, and spend less time with your daughter, your parents would have said "no, do not do that".
As for the hoarding, I seen enough shows on TV to notice that is it almost impossible to curb the hoarding, it will continue no matter what. There are some successes, but not many. Most caregiving Agency will not send their employees into a hoarding situation.
Sadly we need to wait for an emergency situation before we can finally get a parent to move into Assisted Living if they can budget such the cost, or into a nursing home where Medicaid [different from Medicare] will fund the cost.
I had to do that 'wait' with my own parents [in their 90's], wait for that panic call, run down to the house, then call 911. In the mean time you are sitting on pins and needles every time the telephone rings, and have many sleepless nights, while the parents are sleeping soundly with no care in the world. Not fair, is it.
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Sadly, her dad died before the mother. He wouldn't leave his wife either.
The mother ended up in a NH after the dad was gone. He had been the care giver but he enabled the mother in all her issues.
After the mother died, the daughters had the chore of cleaning the house. Two floods made a nice mess.
Do not allow your mom to suck the life out of you. This is a critical time for your daughter and for you.
If you could get the dad out, she might follow but probably not.
Get yourself and daughter into therapy. You have to detach.
If the hoarding is hazardous to their health -- attracting varmints, threatening to topple over on them, making egress from some rooms dangerous -- then report them to Adult Protective Services. If it poses no danger, let them live in it.
You need to detach from your parents. You need to nurture your daughter. I'm sure you know this, but having dysfunctional upbringing may make that especially hard. If you are having a difficult time doing what you know you need to do, seek counseling.
I'm familiar with hoarding because I have two friends who hoard. Hoarders need to be treated by a mental health expert who has specific training in this disorder AND the treatment needs to happen at the person's home. Office / Clinic / Hospital based treatment for hoarding has been proven to be ineffective and can make the problem worse.
Before going ahead, you want to assess how much of a problem hoarding actually is. Here is a link to the Internal OCD Foundation's Clutter Image Rating Scale: http://www.hoardingconnectioncc.org/Hoarding_cir.pdf This rating scale has nine pictures of living rooms, bedrooms and kitchens, in various levels of clutter. It does take some judgement, but what you do is choose the picture that best describes the level of clutter you are seeing. If the average level of clutter is similar to rooms #4 or higher, you really do have reason to be concerned. I live in federally subsidized housing. Where I live, if your place looked like that in #2 or higher during an annual inspection, you would get into trouble.
The first thing I would do is contact your Council for the Aging. Hoarding is a common problem amongst seniors. My local COA has a social worker who is trained to treat hoarding. Not only does she do home visits, she has a group for 'clutterers' that meets regularly at the local senior center. She's in contact with local training programs and can arrange for a hoarder to work with an occupational therapist or social work trainee who is learning to treat hoarding. These trainees are well supervised and enthusiastic. Unfortunately, these sort of training programs are few and far between. If you don't know / can't find a local Council for the Aging, I would call your state's Office of Elder Affairs--they'll know who to talk to. If that doesn't work, call your state senator or state representative's office. They have a constituent services representative, who will work on your behalf to figure out who you should call.
In my area, we have Elder Services--which is a different organization (with different eligibility rules) than the Council for the Aging. I would try contacting them as well.
If this doesn't work, I would consider consulting a private Elder Care Coordinator who has mental health training and experience. Mine was an advanced practice nurse who was a nursing supervisor for the geriatric unit at a well-known psychiatric hospital. She was very good at sussing out the situation and helping you create a plan as to where to go from here. She was experienced organizing interventions, moderating family meetings, supervising care, etc. I would consider going this route.
This is important: hiring an organizer / cleaning service to help your parents de-hoard is only a temporary solution. The research is very clear on this--when hoarders are forced to clean up, but the hoarding itself is not professionally treated, they will continue to hoard and it's likely that they will recreate the problem within a few years. This is why hoarders need to work with someone with mental health training. In my friend's case, she did get a cleaning service to help--but only after she made significant improvements in her hoarding behavior and was actively getting rid of junk. My friend 'graduated' from the mental health intervention, to the 'Certified Professional Organizer' and is doing really, really well.
If the hoarding problem is serious, potentially life threatening AND your parents don't / can't do anything about it, then it's time to call Adult Protective Services. Remember that your parents are adults and adults are free to make some pretty dumb decisions.
Your first responsibility is to your own family, especially your 16 year old daughter. She comes first... if it's between taking her to a band performance and visiting your parents, please, take your daughter to band--and enjoy the performance. If it's between taking your daughter on a trip to visit colleges or minding your parents, go take your daughter to visit colleges. (Visiting colleges is fun!) It's not your job to wait hand and foot on your parents.
I'm almost 60 yrs old. I've spent the last 20 of it trying to do what I thought was best for my mom and my own health is in the toilet. She's healthier than I am and I'll probably die before she does.
I'm telling you all this to stop you now, before you make the same mistakes I did. Take care of you and your daughter, you come first. Whatever spare time you have, try to involve your daughter so she understands but don't force her.
I'm praying for you and I pray you find a good job that will support you and your daughter, that you and your daughter can work together on the grandparent issues and take care of yourself first. You're no good to anyone if you end up like me. Prayers and goodluck to you, you're a great mom and daughter, don't ever forget it!
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