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Hoarding Disorder: A Collaborative Approach

Credit Available - See Credits tab below.

Anne B. Pagano, LCSW, ACSW, BCD, C-ASWCM
Course Levels:
3 Hours
Access for 30 day(s) after program date.

Please Note: Programs with a ☾ insignia begin after 5pm or air on the weekend.


Join hoarding disorder expert Anne B. Pagano, LCSW, ACSW, BCD, C-ASWCM for comprehensive live webcast and learn about hoarding disorder as a complex mental health condition in which the pathological attachment to possessions is often more important to the hoarding individual than human relationships.


This program is designed for introductory and intermediate level social workers and case managers who practice counseling and/or direct case work with people with mental health issues. 


Learn proven strategies and techniques derived from evidence based research to help understand the mental health roots of hoarding disorder, what defines hoarding disorder from other behaviors and diagnoses, develop awareness of clinical treatment and harm reduction approaches, and how to help clients cope with the emotional, relational, and environmental impacts related to this chronic condition.


Please join us for this live interactive program which will cover the following topics:

  • Distinction between clutter, chronic disorganization and hoarding
  • The DSMV criteria for a psychiatric diagnosis of hoarding disorder
  • What and why people hoard
  • Distress caused by compulsive hoarding
  • Review of hoarding assessment tools
  • Development of harm reduction plans of care
  • Reasonable accommodations under the Americans with Disabilities Act.
  • Clinical treatment modalities





Objective #1 Illustrate how compulsive acquisition behavior, inability to discard, and distress in discarding are key components of hoarding disorder.
Objective #2 Assess and identify if a client fits the DSM-V clinical qualifiers for a diagnosis of hoarding disorder.
Objective #3 Identify a clinical intervention approach for persons with hoarding disorder utilizing research supported therapeutic modalities.
Objective #4 Utilize an advocacy approach for Reasonable Accommodations under the Americans with Disabilities Act when initiating a Harm Reduction approach.


Credit Tab Statement

NOTE: Registration includes one free CE Certificate (participant will be able to print the certificate of completion after completing and passing the on-line post-test  quiz and evaluation). 

Continuing Education Information: Listed below are the continuing education credit(s) currently available for this live interactive webcast. This webcast is a broadcast of a live event. You will be able to type questions to the speaker. The speaker will see the questions and address them during the presentation as time allows. Please note, your state licensing board dictates whether web based activities are an acceptable form of continuing education. Please refer to your state rules and regulations. If your profession is not listed, please contact your licensing board to determine your continuing education requirements and check for reciprocal approval. For other credit inquiries not specified below, please contact  or 914-229-2244 before the event.

Materials that are included in this course may include interventions and modalities that are beyond the authorized practice of mental health professionals.  As a licensed professional, you are responsible for reviewing the scope of practice, including activities that are defined in law as beyond the boundaries of practice in accordance with and in compliance with your profession’s standards.

CE Information is based on 100% attendance.

Information obtained in this course should be used within your scope of practice.

Social Workers

Aging Remix, Inc., #1445, is approved to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Organizations, not individual courses, are approved as ACE providers. State and provincial regulatory boards have the final authority to determine whether an individual course may be accepted for continuing education credit. Aging Remix, Inc. maintains responsibility for this course. ACE provider approval period: June 8, 2019 - June 8, 2022. Social Workers completing this course receive 3 Clinical Practice continuing education credits. Course Level: Introductory to Intermediate. Full attendance is required; no partial credits will be offered for partial attendance. A certificate of attendance will be awarded at the end of the program to social workers who complete the program evaluation.

New York Social Workers

Aging Remix, Inc., #SW-0301 is recognized by the New York State Education Department's (NYSED) State Board for Social Work as an approved provider of continuing education for licensed social workers. This activity will qualify for 3 contact hours. Full attendance is required; no partial credits will be offered for partial attendance. 

Certified Case Managers

This program has been pre-approved by the Commission for Care Manager Certification to provide continuing education credit to CCM ® board certified case managers (CCMs).  This program is approved for 3 CE contact hours. 

Certified Case Manager

Through a collaborative agreement with the Commission for Case Manager Certification (CCMC), this CE activity is approved by the American Case Management  Assoociation (ACMA) for 3 ACMA® Certification renewal credits For more information visit



Anne B. Pagano, LCSW, ACSW, BCD, C-ASWCM's Profile

Anne B. Pagano, LCSW, ACSW, BCD, C-ASWCM Related seminars and products

Founder, Aging Remix, Inc.

Aging Remix, Inc.

Anne B. Pagano, LCSW, ACSW, BCD, C-ASWCM, is the Founder of Aging Remix, Inc. and Executive Director of the Hoarding Disorder Resource and Training Group, Inc. She is a Licensed Clinical Social Worker with over 35 years’ experience in direct clinical services, supervision and administration in hospitals and long-term care facilities, and as a certified geriatric care manager. Anne was also a faculty member at the Fordham University Graduate School of Social Services in New York as an adjunct professor in the field of Aging.  She has keynoted many national conferences and has been a guest on a local news programs promoting research-based techniques for working issues of hoarding disorder. In 2014, she was honored for outstanding excellence in social work and the achievement of women, by the National Association of Professional Women She holds a Master’s in Social Work from Simmons College School of Social Work in Boston and a Post-Master’s Certificate in Gerontology from the Hunter-Brookdale Center on Aging in New York City. Anne also works as an Aging Life Care Specialist through Pagano Senior Care, LLC.

Target Audience

  • Social Workers
  • Case Managers
  • Psychologists
  • School Psychologists
  • Marriage and Family Therapists
  • Other Helping Professionals that Work with Hoarding Situations
  • Special & General Educators
  • School Guidance Counselors
  • Educational Paraprofessionals
  • Counselors


Hoarding Disorder Overview

Initial Participant Poll

  1. Demographics / Statistics
  2. Diagnostic criteria – DSM-V

                 Effective communication with client

  1. Using reflective listening skills
  2. Communication with A.C.E.S.
  3. Action words
  4. Curious Questioning
  5. Empathetic Statements
  6. Statements of Concern
  7. Focus on relationship building instead of clutter reduction


  1. Excessive acquisition -  Attachment Values – Difficulty Discarding
  2. Informational Processing Deficits
  1.  Visual / Spatial issues    
  2. Categorization and under-inclusion
  1. Effects of hoarding
  1. Estrangement and Social Isolation
  2. Neglect and Disrepair of living environment
  3. Self-neglect and impact on health and well-being


Overview of therapeutic models of intervention 

1)  Psychotropic Medications

2)  Cognitive Behavioral Therapy

3)  Motivational Interviewing

4)  Exposure Therapy

5)  Mindfulness
6) Peer lead groups


How to proceed once a hoarded environment has been identified

1) Harm reduction model

a)  Goals of Harm Reduction:  Safety   -  Health   - Comfort 

-  Issues of Self-neglect

- Harm Reduction Principles

                              b)  Harm Reduction treatment plan

  -Code violations

            -Imminent Risk / Red Flags

            - Reasonable Accommodations

                                                        - Legal aspects 

Americans with Disabilities Act

Fair Housing Laws

Reasonable Accommodations

Court System

                                    c) Building a Collaborative Team approach

Review of assessment tools and levels of scope and severity

  1. ICD chronic Disorganization Scale
  2. Clutter Image Rating Scale
  3. H.O.M.E.S. Multi-Disciplinary Risk Assessment tool
  4. Uniform Inspection Checklist

Participant Question and Answer Session

Post Presentation Quiz and Evaluation

Satisfaction Guarantee
Your satisfaction is our goal and our guarantee. Concerns should be addressed to: Aging Remix, 14 Nosband Ave, Suite 3C, White Plains, NY 10605, through email at or by calling 1-914-229-2244.

ADA Needs

We would be happy to accommodate your ADA needs; please contact our Customer Service Department for more information at 1-914-229-2244.

Registration Cancellation
There will be a $5.00 cancellation fee for all paid webinar cancellations. Registration fees may be transferred to another individual; in certain circumstances.

No Penalty Refunds
If registration cancellation is made prior to the event date, you will have the option to apply the registration fee towards a gift card to be used at a later date. The gift card can be used for any of our upcoming webinars.  Gift card balance does not expire.

No Show
If you did not attend a workshop or login to the seminar in time please contact us at 914-229-2244.
If you are having difficulties accessing the program, please contact technical 877-602-9877. 

Unforeseen Circumstances
Unforeseen circumstances is used to describe an event that is unexpected and prevents Aging Remix from continuing with a webinar. Examples of such circumstances can include, but are not limited to, inclement weather or other natural disasters, site unavailability, technology challenges, and presenter absence.  We will do our best to notify all participants prior to the event time.

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