AMU Emergency Management Health & Fitness Opinion Public Safety Resource

Hoarding: A Public Safety Issue That Needs to Be Addressed

By Allison G. S. Knox
Contributor, EDM Digest

Hoarding cases only come to the attention of the public when the media shines a light on the most egregious cases. To cite a few instances:

  • Authorities find 35 cats in a trailer home.
  • First responders have difficulty rescuing an elderly man, because his house is stacked high with old newspapers.
  • A run-down building is condemned because of trash throughout the property and an excessive number of vehicles on the lawn.

As the Washington Post reported last year, “Hoarding is a serious disorder that is getting worse in the U.S.” Hoarding is also a serious fire hazard that creates a multitude of potential emergencies for emergency managers to handle. The National Fire Protection Association notes that “Many fire departments are experiencing serious fires, injuries and deaths as the result of compulsive hoarding behavior.”

Public policies are mostly reactive, which makes it difficult to combat hoarding before it happens. It is important for emergency managers to collaborate with public health officials to publicize the issue of hoarding and what communities can do to resolve it. By creating a public program that focuses on hoarding prevention, local governments might prevent their citizens from hoarding before that behavior becomes a public safety hazard.

Hoarding Behavior Is Considered a Psychiatric Illness in Some States

In some states, hoarding is a psychiatric condition that is listed in the Diagnostic and Statistical Manual of Mental Disorders (DSM-5). In Massachusetts, for example, preventing someone from renting an apartment because of hoarding behavior can be considered discriminatory and a violation of the state’s fair housing laws.

Some organizations, including the Institute of Real Estate Management, offer advice on how to handle hoarding situations. Nonetheless, hoarding as a violation of fair housing laws affects how public policies are created to combat it.

In some cases, it is particularly beneficial to work with a state’s Department of Health to create a program that teaches the community to deal with hoarding cases in a holistic fashion, rather than waiting for the problem to become a public safety hazard. The Metropolitan Boston Housing Partnership’s “Rethinking Hoarding Intervention” offers ways to help combat hoarding behavior in a comprehensive fashion.

Houston City Government Developed a Multi-Prong Plan to Combat Hoarding

As Governing magazine reported, the Houston, Texas, city government passed a comprehensive ordinance in 2014 to combat hoarding. The Houston Police Department will enforce the ordinance, while other municipal agencies work to assess the hoarding situation and take steps to lessen the public safety risks.

This new policy opened a conversation between agencies and departments to resolve community hoarding problems through collaboration. Their idea could be the beginning of a more holistic approach to combating hoarding cases before they become a serious safety concern for citizens.

Emergency Managers Should Collaborate with Public Health Officials to Prevent Hoarding

Georgia State University professors William L. Waugh Jr. and Gregory Streib wrote in a 2006 Public Administration Review article: “Collaboration is a necessary foundation for dealing with both natural and technological hazards and disasters and the consequences of terrorism.” On a small scale, the same principles of emergency management collaboration apply to hoarding.

If hoarding is such a problem for public safety and the numerous departments affected by hoarding, it is worthwhile for emergency managers to collaborate with public health officials to develop an anti-hoarding program. Knowing the needs of a community is an important step to understanding how to resolve public safety issues like hoarding.

Ultimately, emergency managers must know and understand their given jurisdictions to prevent certain public safety emergencies from happening and resolve some of the issues surrounding hoarding behavior.

Allison G.S. Knox

Allison G. S. Knox teaches in the fire science and emergency management departments at the University. Focusing on emergency management and emergency medical services policy, she often writes and advocates about these issues. Allison works as an Intermittent Emergency Management Specialist in the Administration for Strategic Preparedness and Response. She also serves as the At-Large Director of the National Association of Emergency Medical Technicians, Chancellor of the Southeast Region on the Board of Trustees with Pi Gamma Mu International Honor Society in Social Sciences, chair of Pi Gamma Mu’s Leadership Development Program and Assistant Editor for the International Journal of Paramedicine. Prior to teaching, Allison worked for a member of Congress in Washington, D.C. and in a Level One trauma center emergency department. She is an emergency medical technician and holds five master’s degrees.

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