46 Adults who self-neglect or hoard may be open to accepting support, care or conversation; in these circumstances, case management and not safeguarding is likely to be the most appropriate approach. However, they may decline for many reasons. Detailed Self-neglect and hoarding guidance can be found here: https://www.bcpsafeguardingadultsboard.com/uploads/7/4/8/9/74891967/self_neglect_and_hoar ding_v2.0_final.pdf The Bournemouth, Christchurch and Poole and Dorset Safeguarding Adults Boards Self-Neglect and Hoarding Guidance should also be read in conjunction with Appendix 7 (Adults at risk who do not wish to engage). When working with adults who present with either self-neglect or hoarding behaviours, it is important for professionals to adopt a curious approach, to seek to understand why the adult is behaving or making the choices they appear to be making, to seek to understand the adult’s behaviours, choices and what is important to them. Adults may self-neglect or hoard for many reasons, a common link can be a history of trauma in the adult’s life. It is important for professionals to understand the principles of Trauma Informed Practice. Trauma-Informed Practice in Health & Social Care Trauma-informed practice is an essential approach that acknowledges the widespread impact of trauma and understands potential paths for recovery. This practice approach is rooted in the understanding that trauma can significantly affect a person’s mental, emotional, and physical well-being. Professionals and organisations should adopt a trauma-informed approach when undertaking Safeguarding activities, to create a safe and supportive environment for adults they have contact with, recognising the signs and symptoms of trauma and integrating this knowledge into their practice. Understanding Trauma Trauma can result from various experiences, including abuse, neglect, violence, and other adverse events. It affects individuals differently, influencing their behaviour, relationships, and overall functioning. Trauma-informed professionals should recognise that trauma is pervasive and can have long-lasting effects on an adult’s life. They should understand that behaviours, which may be seen as problematic, may be coping mechanisms developed in response to traumatic experiences (follow link for more information). Principles of Trauma-Informed Practice 1. Safety: Ensuring physical and emotional safety for adults, making sure they feel secure and respected. 2. Trustworthiness and Transparency: Building trust through clear communication and consistent practices helps adults feel more comfortable and engaged. 3. Peer Support: Encouraging connections with others who have experienced similar trauma can provide adults with a sense of belonging and understanding. 4. Collaboration and Mutuality: Working together as partners, recognizing that healing happens in relationships, sharing power and decision-making. 5. Empowerment, Voice, and Choice: Empowering adults by validating their experiences and encouraging them to take an active role in keeping themselves safe or in their ongoing recovery journey fosters resilience and self-efficacy. Appendix 2 – Self-neglect and hoarding
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