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Multi-agency protocol on self-neglect and hoarding (East Lothian and Midlothian Public Protection Committee)

The aim of this document is to provide guidance for multi-agency staff supporting adults with care and support needs who are at risk of harm as a result of self-neglect and/or hoarding. The protocol looks, in detail, about the possible reasons for self-neglect and/or hoarding, the legal context, use of the Clutter Image Rating Scale (CIRS) and the local multi-agency process. The protocol also includes a decision-specific screening tool.

Logo of East Lotian and Midlotian Public Protection

Self-neglect and hoarding protocol and toolkit: Practitioner guidance (Orkney)

The aim of this Self Neglect and Hoarding Protocol and Toolkit is to provide practitioners in Orkney with a toolkit for assessment and intervention, where appropriate. The guidance contains information on what hoarding and self-neglect are, legal duties, and good practice principles. There are additional information and images from the Clutter Image Rating Scale (CIRS) and the practice implications of each level.

Cover of guidance

Supporting people affected by hoarding disorder (Pan Ayrshire Partnership)

This guidance is intended to provide a concise overview of what hoarding is. It outlines some of the issues that practitioners should take into account when supporting or providing a service to people affected by hoarding disorder. The resource includes two case studies, information on the Clutter Image Rating Scale (CIRS) and a process flowchart.

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ASPire 2024: Self-evaluation (webinar)

This is an ASPire webinar from November 2024. Its theme is self-evaluation and it has sessions from Ann-Marie Bruce (Chair of the national sub-group on self-evaluation), the Care Inspectorate (on the Quality Improvement Framework for Adult Support and Protection), Ronan Burke (on self-evaluation and hoarding), East Ayrshire Advocacy (on the ASP Lived Experience project) and Kenny O'Brien (on the NHS Public Protection Accountability and Assurance Framework).

ASPire 2023: Domestic abuse - overlaps and gaps (input 1) and Trauma-informed approach to Adult Support and Protection (input 2) (webinar)

This webinar looks at two specific areas. For the first two sections, Anne Hayne considers the overlaps and gaps in Adult Support and Protection and domestic abuse provision. In the final section, Frances Toland shares Renfrewshire's trauma-informed approach to ASP. There is also an accompanying briefing about the Renfrewshire approach.

Title screen for input 1 of video

Leading chronology improvement: Podcast (Moray / Iriss)

This podcast is a conversation between Vicki Low (Moray) and Ellen Daly (Iriss). Vicki talks to Ellen about the improvement work she led around chronologies. Topics covered include getting started, impact, messaging and measurement, and gaining support.

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Pathway for capacity assessments for protection-based decisions (Grampian): Screening tool

This tool provides a structured way for professionals to consider systematically whether an adult requires a formal assessment of their capacity for decision making. It is designed to support professionals to consider key factors relating to an adult’s capacity at an early point and record that information. This document is featured in the Grampian pathway for capacity assessments for protection-based decisions.

Image of screening tool

Pathway for capacity assessments for protection-based decisions (Grampian)

This pathway is designed to clarify the process for seeking a capacity assessment where there are protection-based decisions linked to concerns about mental incapacity. Included with the pathway are guidance notes, information on escalation arrangements, and appendices that provide suggested text to request capacity assessments.

Overview of pathway diagram