1. A COMMUNITY-BASED CONFERENCE ON COMPULSIVE HOARDING: A GRANT PROPOSAL By Zeyda Linarez California State University, Long Beach May 2012 A COMMUNITY-BASED CONFERENCE ON COMPULSIVE HOARDING: A GRANT PROPOSAL By Zeyda Linarez California State University, Long Beach May 2012

2. COMPULSIVE HOARDING Compulsive Hoarding A behavior characterized by the acquisition and failure to discard useless objects, the inability to utilize rooms in the home for their intended use due to clutter, and the impairment or major distress of normal function due to hoarding (Frost & Hartl, 1996). Prevalence According to the San Francisco Task Force on Compulsive Hoarding (2009), 6-12 million adults in the United States exhibit hoarding behavior. Older adults are more likely to demonstrate compulsive hoarding behaviors than are young adults (Samuels et al., 2008). Compulsive Hoarding Negatively Impacts Health Health Safety Safety Occupational Functioning Occupational Functioning Social Functioning Social Functioning Community Community Purpose of the Project The purpose of this project was to write a grant to fund a community-based dissemination conference on the topic of compulsive hoarding and to identify potential funding sources. This community-based conference will provide information and training on compulsive hoarding and the importance of community collaboration within Los Angeles County. Studies report that the collaborative efforts of community-based services through community awareness of issues provide an effective way to encourage response and development of interventions (Chen, Kramer, Chen, Chen, and Chung, 2005). A community-based conference on hoarding is expected to make the process for the individual hoarder healthier and the goals of the agencies more attainable.

3. SOCIAL WORK RELEVANCE It is the fundamental role for social work professionals to focus on environmental forces that create, present, and assert problems in living (National Association of Social Workers, 2008). Moreover, social workers look to promote the action of communities, organizations, and social institutions to address individuals’ needs and social problems. A community-based conference with the intent to create a collaborative intervention with compulsive hoarders will address this growing social problem in our community. The social work relevance of this proposal is to expand social work knowledge, skills, and values through an effective collaborative intervention toward individuals with compulsive hoarding.

4. CROSS-CULTURAL RELEVANCE This grant will be created to support the uniquely diverse population within Los Angeles County who is affected by compulsive hoarding. The Los Angeles County Department of Mental Health (n.d.) serves over 250,000 residents of all ethnicities and ages each year. According to the U.S. Census Bureau (2012), the ethnic makeup for Los Angeles County is as follows: 50.3% White 50.3% White 47.7% Hispanic or Latino 47.7% Hispanic or Latino 27.8% White persons not Hispanic 27.8% White persons not Hispanic 13.7% Asian, 8.7% African American 13.7% Asian, 8.7% African American 0.7% American Indian and Alaska Native 0.7% American Indian and Alaska Native 0.3% Native Hawaiian and other Pacific Islander 0.3% Native Hawaiian and other Pacific Islander 4.5% of two or more races 4.5% of two or more races The U.S. Census Bureau (2012) reports older adults (age 65 and over) make up 10.9% of the population in Los Angeles County.

5. METHODS Target Population First responders in hoarding cases who work in private and public agencies within Los Angeles County First responders in hoarding cases who work in private and public agencies within Los Angeles County Mental Health Clinicians Mental Health Clinicians Social Service Workers Social Service Workers Case Managers Case Managers Police Officers Police Officers Fire Fighters Fire Fighters Paramedics Paramedics Building and Safety Inspectors Building and Safety Inspectors Code Enforcement Officials Code Enforcement Officials Animal Control Personnel Animal Control Personnel Strategies used to identify a funding source Multiple grant funding databases via the Internet Multiple grant funding databases via the Internet U.S. Administration on Aging (www.aoa.gov) U.S. Administration on Aging (www.aoa.gov) National Institutes of Health (www.nih.gov) National Institutes of Health (www.nih.gov) U.S. Environmental Protection Agency Aging Initiative (www.epa.gov/aging) U.S. Environmental Protection Agency Aging Initiative (www.epa.gov/aging) Grants.gov (www.grants.gov) Grants.gov (www.grants.gov) USA.gov (www.usa.gov) USA.gov (www.usa.gov) State of California (www.ca.gov/Grants.html) State of California (www.ca.gov/Grants.html) Key terms and phrases Key terms and phrases Public Health Grants Public Health Grants Mental Health Grants Mental Health Grants Older Adult Grants Older Adult Grants Compulsive Hoarding Grants Compulsive Hoarding Grants Community Health Grants Community Health Grants Healthy Community Grants Healthy Community Grants Strategies used to select a funding source Review potential funding sources’ mission Review potential funding sources’ mission National Adult Protective Services Resource Center National Adult Protective Services Resource Center Grants to Enhance Older Adult Behavioral Health Services Grants to Enhance Older Adult Behavioral Health Services California Endowment California Endowment

6. METHODS Funding Source The California Endowment The California Endowment National Adult Protective Services Resource Center National Adult Protective Services Resource Center Awarded 682 grants-ranging from $1,500 to $3,036,655-in the fiscal year 2010-2011 Awarded 682 grants-ranging from $1,500 to $3,036,655-in the fiscal year 2010-2011 Building Healthy Communities 2010: 10-year strategic plan to support the development of California communities Building Healthy Communities 2010: 10-year strategic plan to support the development of California communities Grant application can complete a Letter of Inquiry online Grant application can complete a Letter of Inquiry online Needs Assessment Sources used to obtain information about hoarding behavior Sources used to obtain information about hoarding behavior San Francisco Task Force on Compulsive Hoarding: Community Collaboration and Task Forces San Francisco Task Force on Compulsive Hoarding: Community Collaboration and Task Forces International OCD Foundation: Community Collaboration and Task Forces International OCD Foundation: Community Collaboration and Task Forces Empirical Studies and Articles: Prevalence, Characteristics, Impact, Assessment Tools, Intervention and Treatment Empirical Studies and Articles: Prevalence, Characteristics, Impact, Assessment Tools, Intervention and Treatment U.S. Census Bureau-Statistics U.S. Census Bureau-Statistics Projected Budget Range and Categories Project Budget of $60,000 Project Budget of $60,000 Salaries and Benefits Salaries and Benefits Program Coordinator (MSW)—PTE$25,000 Benefits @ 23% $5,750 Total Salaries and Benefits $30,750 Direct Program Costs Direct Program Costs Supplies $3,000 Copying and Printing $3,000 Website Maintenance $1,000 Keynote Speakers $7,000 Conference Center Rental $3,000 Audio and Visual Devices Rental$1,250 Food Supplies$3,500 Total Direct Program Costs $21,750 Indirect Program Costs Indirect Program Costs Administrative Overhead @ 10%$6,000 Office Furniture$1,500 Total Indirect Program Costs $1,500 Total Project Cost $60,000

7. GRANT PROPOSAL The purpose of this project is to fund a community-based conference to address compulsive hoarding for first responders in Los Angeles County Program Summary and Description Awareness Awareness Compulsive Hoarding: Prevalence, Diagnostic Criteria, Characteristics, Animal Hoarders, and related factors Compulsive Hoarding: Prevalence, Diagnostic Criteria, Characteristics, Animal Hoarders, and related factors Assessment, Intervention, and Treatment Assessment, Intervention, and Treatment Community Resources Community Resources Project Goals Project Goals Raise Awareness of the Problem of Hoarding Raise Awareness of the Problem of Hoarding Reduce Stigma Reduce Stigma Build Community Partnerships and Collaboration Build Community Partnerships and Collaboration Description of the Program Description of the Program Community-Based Conference: A 1-day, 8-hour training Community-Based Conference: A 1-day, 8-hour training Location: County of Los Angeles at GENESIS Location: County of Los Angeles at GENESIS Accommodate 100 attendees from Los Angeles County public and private agencies Accommodate 100 attendees from Los Angeles County public and private agencies Keynote speakers specializing in compulsive hoarding Keynote speakers specializing in compulsive hoarding Workshops focused on compulsive hoarding awareness and intervention tactics Workshops focused on compulsive hoarding awareness and intervention tactics Population Served First Responders in Los Angeles County First Responders in Los Angeles County Mental Health Clinicians Mental Health Clinicians Social Service Workers Social Service Workers Case Managers Case Managers Police Officers Police Officers Fire Fighters Fire Fighters Paramedics Paramedics Building and Safety Inspectors Building and Safety Inspectors Code Enforcement Officials Code Enforcement Officials Animal Control Personnel Animal Control Personnel

8. GRANT PROPOSAL Geographic Area to Be Served The Diverse Population of Los Angeles County The Diverse Population of Los Angeles County 50.3% White 50.3% White 47.7% Hispanic or Latino 47.7% Hispanic or Latino 27.8% White persons not Hispanic 27.8% White persons not Hispanic 13.7% Asian, 8.7% African American 13.7% Asian, 8.7% African American 0.7% American Indian and Alaska Native 0.7% American Indian and Alaska Native 0.3% Native Hawaiian and other Pacific Islander 0.3% Native Hawaiian and other Pacific Islander 4.5% of two or more races 4.5% of two or more races Program Objectives Program Objectives Objective 1: First responders will increase their knowledge about compulsive hoarding. Objective 1: First responders will increase their knowledge about compulsive hoarding. Objective 2: First responders will increase their knowledge about assessing, intervening, and treating individuals with compulsive hoarding. Objective 2: First responders will increase their knowledge about assessing, intervening, and treating individuals with compulsive hoarding. Objective 3: First responders will increase their knowledge about community resources. Objective 3: First responders will increase their knowledge about community resources. Program Evaluation Evaluation is to evaluate the knowledge level of the attendees on the topic of compulsive hoarding Evaluation is to evaluate the knowledge level of the attendees on the topic of compulsive hoarding Pretests: Beginning of the conference Pretests: Beginning of the conference Posttests: End of the conference Posttests: End of the conference * Posttest will include a set of questions to evaluate the overall effectiveness of the training. * Posttest will include a set of questions to evaluate the overall effectiveness of the training.

9. LESSONS LEARNED AND IMPLICTIONS FOR SOCIAL WORK Analysis of Application Process The process of developing this grant project provided the author with valuable knowledge and experience. Many of the skills developed as a result of this project are needed in the social work profession, such as planning, researching, developing a program, budgeting, and organizing. This project resulted in an increase in knowledge in grant writing, which is extremely beneficial in social work practice. Grant writing is vital to nonprofit organizations and community projects that are created and continue to exist due to funding sources. Moreover, the complexities of compulsive hoarding behaviors became clearer to the grant writer during the research as well as the adversary effects these behaviors create in the lives of individuals, families, and communities. Therefore, it is important to educate agencies within the community on the effects of hoarding and community collaborative interventions. Relevance to Social Work Policy and Practice In the profession of social work, it is basic practice to focus on environmental forces that create, present, and assert problems in living (National Association of Social Workers, 2008). Addressing social issues and individuals’ needs to promote the action of communities, organizations, and social institutions is the duty of all social workers. The ability to generate funding to promote this action is relevant to social work policy and practice. In addition, addressing the social problem of compulsive hoarding behavior through a community- based conference will educate community agencies and create collaboration among them. The social work relevance of this grant project is to expand social work knowledge, skills, and values through an effective collaborative intervention toward individuals with compulsive hoarding.

10. REFERENCES California Endowment. (2011). About us. Retrieved from http://www. calendow.org/Article.aspx?id=134&ItemID=134 Chen, H., Kramer, E. J., Chen, T., Chen, J., & Chung, H. (2005). The bridge program: A model for delivering mental health services to Asian Americans through primary care. AAPINexus: Policy, Practice, and Community, 3(1), 13-29. Frost, R. O., & Hartl, T. L. (1996). A cognitive-behavioral model of compulsive hoarding. Behaviour Research and Therapy, 34, 341-350. Frost, R. O., Steketee, G., & Williams, L. (2000). Hoarding: A community health problem. Health and Social Care in the Community, 8(4), 229-234. Grisham, J. R., Steketee, G., & Frost, R. O. (2008). Interpersonal problems and emotional intelligence in compulsive hoarding. Depression and Anxiety, 25(9), E63-E71. Los Angeles County Department of Mental Health. (n.d.). About DMH. Retrieved from http://dmh.lacounty.gov/wps/portal/dmh/aboutdmh National Association of Social Workers. (2008). NASW code of ethics. Retrieved from http://www.socialworkers.org/pubs/code/code.asp Samuels, J. F., Bienvenu, O. J., Grados, M. A., Cullen, B., Riddle, M. A., Liang, K.,... Nestadt, G. (2008). Prevalence and correlates of hoarding behavior in a community sample. Behavior Research and Therapy, 46, 836-844. San Francisco Task Force on Compulsive Hoarding. (2009). Beyond overwhelmed: The impact of compulsive hoarding and cluttering in San Francisco and recommendations to reduce negative impacts and improve care. Retrieved from http://www.mha-sf.org/documentSharing/BeyondOverwhelmed.pdf Tolin, D. F., Fitch, K. E., Frost, R. O., & Steketee, G. (2010). Family informants’ perceptions of insight in compulsive hoarding. Cognitive Therapy and Research, 34(1), 69-81. U.S. Census Bureau. (2012). Los Angeles County statistics. Retrieved from http://quickfacts.census.gov/qfd/states/06/06037.html