Abstract
Hoarded homes present a significant threat to the safety of occupants of the home and adjacent homes as well as emergency responders. Extreme accumulation of combustible materials raises the fuel load and prevents egress. Despite having regulatory tools related to fire prevention, fire departments generally lack the necessary background to address the many challenges related to the complex mental health problem of hoarding. Using Vancouver as a case study, this paper highlights the role of Vancouver Fire and Rescue Services in the City’s coordinated hoarding response and outlines their fire code inspections protocol developed for use in hoarding cases. On the basis of fire inspection reports, we compare the processes and outcomes of complaint-driven hoarding inspections with standard annual fire inspections of restaurants. Hoarding cases take longer to resolve and are more challenging, but inspectors achieved satisfactory status in 94% of cases without prosecution. About 20% of hoarding complaints do not involve fire code violations. Although this approach requires an investment and engagement with other community agencies, it represents a useful model for other jurisdictions.
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Notes
The team continues to operate at the time of this writing, but it has evolved over time. Because we are presenting data gathered during a discrete time period, this paper describes the structure and processes of the team at that time.
Due to the positive skew of case duration data, analyses were also conducted using log-transformed data. Because results were similar, raw data analyses are reported.
References
CBC News (2011) Fire rips through Vancouver hoarder’s home. In: CBC News. http://www.cbc.ca/news/canada/british-columbia/fire-rips-through-vancouver-hoarder-s-home-1.995551
Hansen D (2013) Special team tackled more than 200 cases of hoarding in Vancouver in past year. http://www.vancouversun.com/health/Special+team+tackled+more+than+cases+hoarding+Vancouver+past+year/8224833/story.html
Powell B (2013) 200 Wellesley St. fire: 600 tenants to share in $4.85M compensation. In: Star. https://www.thestar.com/news/crime/2013/09/30/200_wellesley_st_fire_600_tenants_to_share_in_485m_compensation.html
NFPA (2012) Hoarding and fire safety. http://www.nfpa.org/public-education/by-topic/safety-in-the-home/hoarding-and-fire-safety
CBC News (2013) Vancouvver hoarding lucky to escape house fire. In: CBC News. http://www.cbc.ca/news/canada/british-columbia/vancouver-hoarder-lucky-to-escape-house-fire-1.1913360
Baker R (2016) Questions abound after dead hoarder found buried in debris. In: CBC News. http://www.cbc.ca/news/canada/british-columbia/questions-abound-after-dead-hoarder-found-buried-in-debris-1.3433309
CTV News (2014) “There”s no help’: chronic hoarder goes public. In: CTV News. http://bc.ctvnews.ca/there-s-no-help-chronic-hoarder-goes-public-1.1966788
Bratiotis C (2013) Community hoarding task forces: a comparative case study of five task forces in the United States. Health Soc Care Community 21:245–253
Association AP (2013) Diagnostic and statistical manual of mental disorders, 5th edn. American Psychiatric Press Inc., Arlington
Frost RO, Steketee G, Tolin DF (2011) Comorbidity in hoarding disorder. Depress Anxiety 28:876–884. doi: 10.1002/da.20861
Ierovlino AC, Perroud N, Fullana MA, et al (2009) Prevalence and heritability of compulsive hoarding: a twin study. Am J Psychiatry 166:1156–1161
Mueller A, Mitchell JE, Crosby RD, et al (2009) The prevalence of compulsive hoarding and its association with compulsive buying in a German population-based sample. Behav Res Ther 47:705–709
Timpano KR, Glaesmer H, Rief W, et al (2011) The epidemiology of the proposed DSM-5 hoarding disorder: exploration of the acquisition specifier, associated features, and distress. J Clin Psychiatry 72:780–786
Lauster N, McKay A, Kwok N, et al (2016) How much of too much? What inspections data say about residential clutter as a housing problem. Hous Stud 31:519–539
Kim H-J, Steketee G, Frost RO (2001) Hoarding by elderly people. Health Soc Work 26:176–184
Norberg MM, Snowdon J (2012) Severe domestic squalour. The Oxford handbook of hoarding and acquiring
Homchenko M, Lackie J, Morse B, Scott D (2014) An analysis of hoarding and squalor related incidents and responses by the Metropolitan Fire and Emergency Services Board. Worcester Polytechnic Institute, Worcester
Mataix-Cols D, Pertusa A, Snowdon J (2011) Neuropsychological and neural correlates of hoarding: a practice friendly review. J Clin Psychol 67:467–476
Lucini G, Monk I, Szlatenyi C (2009) An analysis of fire incidents involving hoarding households. Worcester Polytechnic Institutek, Worcester
Frost RO, Steketee G (2010) Stuff: compulsive hoarding and the meaning of things. Houghton, Mifflin Harcourt, New York
Pennington R (2014) Firefighting techniques: the dangers of hoarder fires. In: Fire Engineering. http://www.fireengineering.com/articles/2014/07/the-dangers-of-hoarder-fires.html
Khazan O (2015) Hoarding is making firefighting harder. In: The Atlantic. http://www.theatlantic.com/technology/archive/2015/08/hoarding-firefighting/402703/. Accessed 15 Jun 2016
Hoarders C (2013) Hoarder homes: more dangers than fire. http://chamberofhoarders.com/press/content/entry/hoarder-homes-more-dangers-than-fire. Accessed 26 Jun 2016
Tolin DF, Fitch KE, Frost RO, Steketee G (2010) Family informants’ perceptions of insight in compulsive hoarding. Cogn Ther Res 34:69–81
Frost RO, Tolin DF, Maltby N (2010) Insight-related challenges in the treatment of hoarding. Cogn Behav Pract 17:404–413
Hartl TL, Frost RO, Allen GL, et al (2004) Actual and perceived memory deficits in individuals with compulsive hoarding. Depress Anxiety 20:59–69
Rodriguez CI, Herman D, Alcon J, et al (2012) Prevalence of hoarding disorder in individuals at potential risk of eviction in New York City: a pilot study. J Nerv Ment Dis 200:91–94. doi:10.1097/NMD.0b013e31823f678b
Tolin DF, Frost RO, Steketee G, et al (2008) The economic and social burden of compulsive hoarding. Psychiatry Res 160:200–211
Grisham J, Frost R, Steketee G, et al (2006) Age of onset of compulsive hoarding. J Anxiety Disord 20:675–686
Boddy T (2004) New urbanism: the Vancouver model. Places 16:14–20
Bratiotis C, Sorrentino Schmalisch C, Steketee G (2011) The hoarding handbook: a guide for human service professionals. Oxford University Press, Oxford
City of Vancouver (2000) The Vancouver fire by-law no. 8191
Statistics Canada (2011) Focus on geography series: census subdivision for Vancouver, BC
Ahrens M (2008) Home smoke alarms: the data as context for decision. Fire Technol 44:313–327
Acknowledgements
This research was supported in part by grants from the Social Sciences and Humanities Research Council of Canada. The authors are grateful for the contributions of Captain Doug Booth and other members of the Fire Prevention Branch of Vancouver Fire and Rescue Services. Thank you to Dr. Beth Weckman for providing useful feedback to a previous version of this manuscript.
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Kwok, N., Bratiotis, C., Luu, M. et al. Examining the Role of Fire Prevention on Hoarding Response Teams: Vancouver Fire and Rescue Services as a Case Study. Fire Technol 54, 57–73 (2018). https://doi.org/10.1007/s10694-017-0672-0
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DOI: https://doi.org/10.1007/s10694-017-0672-0
Keywords
- Hoarding
- Fire prevention
- Hoarding response team
- Multi-disciplinary