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Thats a hard one. Is the age of 66 her age or yours. (The system screws things up) Your profile says this person is already living in a NH. If there is no Dementia just be honest. If there is a Social Worker maybe she can help since relative suffers from anxiety.
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If she has dementia, you may not have to tell her at all. Or if you do, she soon may forget it. Perhaps someone else could tell her, such as the social worker or another relative. If you're going to be her primary caregiver, you might not want to make her angry with you.

Caution: don't take her into your home. Hoarders have a mental illness. It's a lot to deal with, and you should insist that you're not qualified to deal with her. These situations tend to stretch into weeks, months, years, and eons, and once she's in, you'd have a hard time getting her out.

She certainly needs a lot of help, but it doesn't have to come from you.

Good luck with this situation.
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I would have a social worker with you to lead this discussion.

If no one is her legal guardian (and she needs one now due to her BI and incapacity) then the county can become her guardian.
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FamilyNeeded Dec 1, 2023
People often recover from a BI ...she is in recovery now. It is despicable that they did this to her!
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You say "The Board of Health visited your apartment and found it hoarded. They condemned it and demanded a clean out. They have evicted you".
Sorry but I don't know what your acronym BI means. Looked up I can only come up with bisexual and I doubt that's what you mean.

The real question is who is POA, is your relative incompetent in her own care, a danger to self and others with this hoarding, and what are plans ongoing for permanent care placement? Because honestly it is a great relief that this situation has been "taken care of" for the family. Hopefully there wasn't cash hidden all over this hoard, as that's quite common.

As she is in care there will be social worker access, I am hoping. Tell your relative with them present if you are indeed in charge of notifying her.
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Igloocar Dec 2, 2023
I think BI in this context means bladder infection.
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It seems that someone from the apartment reported the hoarding to the Board of Health in your county/state. There’s nothing you can do about this except to tell your LO the truth that the BOH came in and deemed the apartment as a hazard.
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Never heard of a BOH for apts, condos, yes. It seems the BOH entered the apt and declared it inhabitable. They have strict rules and some a lot of authority. But was it legally done? Hoarding does not mean she was dirty, just means a lot of junk that can be cleaned out.

I too would like to know what a BI is. What I found was it was a Mitral valve. Those are repairable. Especially if the person is only 66.
I think we need more info.
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97yroldmom Nov 27, 2023
I thought she meant brain injury??
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A BI can be catastrophic, as is this news. Personally I wouldn’t tell her while she is trying to heal. I would let her care team know that she is going to need a place to live should she be discharged and that she has no responsible party if that is the case.
You might ask her doctor or social worker based on her current condition when would be the right time to let her know she has lost what was so important to her.
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I agree, what is meant by BI ? I also thought brain injury but what and how? A stroke?
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I thought Blood Infection!
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waytomisery Nov 27, 2023
I guessed the same . I was thinking elderly with a UTI that went to sepsis ( blood infection ) .
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Brain Infarction
Bowel Infarction
Bone Infarction.

Just guessing what all these abbreviations mean to the OP.
Feel I should wait for the OP (original poster) to return and update this post.

Maybe reinforce that the patient won't be going home, when and if she asks.

Have the doctor tell her, and the nursing staff reinforce it.
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JanieMB Nov 28, 2023
So sorry! BI stands for brain injury… hers was due to a brain aneurism, so there is some damage to the brain, cognitive issues, short term memory, some confusion too.
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The question is will she be able to return to her apartment?
If the answer to that is no then you do not have to tell her.
How is she cognitively? If she is not cognizant then "therapeutic lies" when she asks "when can I go home" or "where is my-----fill in the blank-----".
Hoarding is not "just" collecting a bunch of stuff it is a mental health problem and she should be having sessions with a therapist if she is to return home.
Think of it this way she is healing from 2 separate medical conditions.
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FROM OP JANIE

“So sorry! BI stands for brain injury… hers was due to a brain aneurism, so there is some damage to the brain, cognitive issues, short term memory, some confusion too.”
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Dupedwife Nov 28, 2023
For some people who have a brain aneurysm, apart from what you mentioned, they can also suffer a stroke. I have had a brain aneurysm, but thank God I have not suffered any residual from my aneurysm.
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The condition of "hoarding" exists on a continuum, doesn't it? (e.g., "hoarder" versus "extreme hoarder" as in reality television)

Normally I would assume that the the Board of Health sets the bar high for hoarding. But recently I've had to deal with medical personnel and government workers empowered to bring enormous subjectivity to their roles. 

I like to save stuff that I might use again (happens all of the time, and I'm always so glad to have kept the thing). Fabric scraps, containers, etc. Especially if I know Goodwill would just toss it in the dumpster. I'd hate to have some Marie Kondo zealot violating my home.

Anyway, clearly OP's relative's apartment was a genuine problem. So I guess this note is just a plea to show some compassion for people declining to participate in throw-away culture, even if they ultimately go too far and lose their grasp on reason.

Congrats to OP for proceeding with caution and gentleness.

The earth is becoming a giant garbage heap. Our junk is now even orbiting the earth. We're all grotesquely complicit in this outcome.
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Sendhelp Nov 28, 2023
"I'd hate to have some Marie Kondo zealot violating my home."

Ho ho ho ho ho!

I agree on this!
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BOTH my parents were hoarders, my father being the worst. Just saved and could not let go of anything. He even caused a mouse infestation at their Independent Living apartment.
They each had their own separate room at ALF. When my mom passed, the ALF still charged $150 per day until her room was completely emptied out (which I learned after the fact) and it took me 6 days by myself. There were so many boxes of old paperwork and photos, I had to take them to my house to sort. It took me months to go through every piece of paper to see if it was important or could be shredded. She had saved every statement, invoice, etc. in their ORIGINAL ENVELOPES, 20 years worth! Good thing I went through it all; I did find a couple envelopes with cash as well as 2 life insurance policies I knew nothing about.
17 months later, I went through the same mess with my father's room. He passed on a Saturday evening and hubby and I went there the next day and did a kamikaze style clean out. ALF was on pandemic lockdown but they let us in if we wore masks. We threw everything that could be important into boxes and filled the car. Everything else was junk, old, broken, or worn. His clothes weren't even donatable. We filled up their entire dumpster to overflowing! Had to hire a couple people to move the furniture out, so we still got charged for 3 days.
Between the 2 rooms, I ended up taking 60 pounds of paperwork to bulk shredding.
When will people learn that their heirs do not want their useless stuff?
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NeedHelpWithMom Dec 1, 2023
Oh, so true!

I had older relatives that tried to dump a set of very old encyclopedias on me.

When I saw them walking towards my home with boxes of outdated books, I immediately stated that they were of no use to me or anyone else.

I was shocked when they were offended by my comment.

They thought the outdated encyclopedias were perfectly good and that my children would use them. I told them my children used the internet for their school work!

Some people ask me why am I getting rid of something that they feel is perfectly good. I say to them because I hate clutter and no longer want it. I donate items to thrift shops and people who want them can buy them.
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Hoarding is my own particular bugaboo--meaning, it drives me nuts!

Own as much 'stuff' as you want, but keep it organized and clean. Ah ha--that's the difference between a 'collection' and a 'hoard'.

Oh, and once there's mice or rats or bugs--it's a dirty hoard and that's NOT ok in my book.

I've 'helped' enough people with their hoards that I know that it is basically impossible to change. You can clean, sort, dust, vaccum and sort for days and I guarantee in a month you won't know anything was ever done. Without the hoarder ACCEPTING help and making CHANGES, it's pointless.

If the BOH has stepped in, that's apretty good clue that this hoard is out of control. My experience has that the BOH has really, really low standards for 'proper' livng conditions.

I had a 'friend' who got custody of her 3 grandkids and she had the BOH called numerous times on her. Even with an overflowing cat litter box within a few feet from where she prepared food and piles of dog feces in every corner of the house--she only ever got a warning and they NEVER followed up.

She was exhausted all the time and simply didn't 'see' or 'smell' her home. It went on the market in as 'as is' condition and she couldn't even get people to walk in the door.

She acted like she didn't understand--and she wasn't really even offended by people's gagging at the front door and refusal to even come in the house--

Hoarding is a mental disorder, and by not dealing with THAT, then any cleanup is pointless.

IDK how you're going to approach your relative. I guess the truth is the first thing to consider--and getting her some mental health help might be helpful. (Hoarders have a really different mindset, for sure).

Wishing you luck. I have helped many a hoarder and not one has maintained the more organized way of living.
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Are you going to request their employees to move her?
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Is that even legal? I think the family should sue! Just because someone is hoarding does not mean they can remove all their belongs while they are recovering from a stroke. People often recover from these injuries.

Was the family able to recover anything at all. What about her bed, clothing, etc. This is absolutely despicable!

If I were you I would try to find out what you can do to find her a new apartment and get the rest of the family together to help get her what things she needs.

I am so sorry that they did this to her! Please look into legal action. File a complaint and let others in the apartment complex know what they did.
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ZippyZee Dec 1, 2023
It was a Board of Health mandate. It was legal.
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Does she have anything at all now? Did they also steal her car in addition to everything else? I don't think what they did was legal! This is robbery! I would file a complaint and look into suing them. They did not do this when she was living there, but waited until she was in the hospital and unable to do anything about it.

Hopefully she will have a complete recovery, but until then she needs her family and friends to come together for her as much as possible.

You may also want to look into setting up a GiveSendGo or GoFundMe for her to raise money to help her get another place.

I am disgusted with the complete lack of compassion and humanity right now. People have become so evil and not caring at all about others ...just themselves and their own greed!

Praying for her and you to come through this all right!
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Ask social worker/case manger to "visit" when you are there to break the news. Social worker/case manager will most likely be needed to help find a new housing option.
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What gives the Board of Health the right to throw away all of your belongings ???

They do NOT have that right!!!
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AlvaDeer Dec 2, 2023
FamilyNeeded, please see my post below in response to one of yours.
I am sorry, but you are absolutely wrong in most juristrictions.
The Board of Health and the Landlord are completely right and operating legally in this circumstances in almost all areas.
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I'm going to be unpopular here--but knowing that this hoarding was taking place in an apartment building makes a LOT of difference.

We managed apartments when we were in college and newlyweds. Our landlord insisted that we be at full capacity at all times. We had a person come to fill out am application. I got very bad vibes off her. I told the landlord she seemed to have a lot of problems and I didn't want her problems to be mine.

He insisted that we rent to her--and we did.

Within a month, the whole apartment complex was ridden with cockroaches (which, to my knowledge, 45 years later, they are STILL dealing with!) Plus the tenant was a prostitute and was bringing home clients 2-3 times a night. We lived directly downstairs from her. Let your mind run wild on that.

She was evicted, but it took months to get her out and yes, the BOH got involved. They did remove a lot of her garbage as she was able to totally hoard out the place in a couple months.

Apartment dwellers have rules that are much stricter than, say, a single homeowner. She signed the contract stating she'd obey all the rules & bylaws. She didn't, so she was evicted.

I have no sympathy for the person in this post whose stuff was removed by the BOH. These days, with meth labs being everywhere--most landlords I know are extremely strict about their renters. To live with a lot of other people in the same building--you have rights, but not the right to make other people's homes uninhabitable.

No doubt your relative had MANY MANY warnings. The BOH doesn't have time or resources to spend looking for trouble. If they've stepped in, then there's trouble that wasn't settled without the long arm of the law.

Sorry if this offends. I can still remember the roaches coming down through the heat vents of OUR apartment. I had a 3 month old baby at that time. Do you think I felt sorry for this woman b/c she got evicted?? We eventually moved, ourselves, the problem was so bad. Finding a roach on my baby about put me in the grave.
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FamilyNeeded Dec 1, 2023
That was an entirely different situation. This 66 year old woman was NOT a prostitute. There was absolutely no indication that she was ever a problem.

It was after she had a stroke that they had her things removed to make room for a new renter! She never had a chance to even pick anything up since she was in recovery. If you ever land in the hospital and everything you own is taken away ...you might not agree that was the right thing to do!
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Renters are protected from unjust evictions. They evicted her after she went into the hospital. Before that they did not have a problem with her.

The people who are trying to say there were cockroaches don't know if any of that is even true!

Bottom line. They took advantage of this woman after she had a stroke. Did they notify the family? What happened to all her belongings ...her car, furniture, clothing ...etc.?

Do you think it ok to take someones car and other valuables while they are in the hospital? I DO NOT!!!

Instead of doing this, they could have cleaned the place up for her. That would have been the kind thing to do. No profit in that though is there!
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horticulturist Dec 4, 2023
I'm a bit confused. Is FamilyNeeded the original poster of this question?
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JanieMB: Perhaps you can speak to a social worker.
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If the challenge in front of me is to notify a loved one about this, I'd put all the icing on that sh!t cake I possibly could.

"There was a BOH decision to remove your things from your place while you've been away receiving care. I'm so sorry no one told you in advance. We just learned, and we'll help you file an appeal, but unfortunately, it was done. I know you're heartbroken. We are, too. Here are some options for housing we've found for you. You can go here for now, and we'll sort out what's happened."

It doesn't change anything, but it softens the big blow in that moment and provides for *some* optimism and a different perspective. Cold, hard reality will settle in over the coming days and weeks, but I wouldn't serve it up all at once, especially to someone undergoing rehab from serious illness/injury.

It will never be easy, but that's how I would frame it if I needed to have this conversation.

If there is short/long-term memory loss, you can get more creative with your therapeutic re-framing.
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My mother lost everything, her home that she lived in for over 50 years, plus all of her possessions in hurricane Katrina.

Shortly after she moved in with us, I took her to Mass. We arrived early and everyone was outside of church chatting about the devastating storm that blew through our city.

The storm was bad enough, but our levees breaking on top of that caused my mother to have nine feet of water in her home. Her home could not be repaired. It was demolished.

Mom was devastated and it broke my heart to see her this way. I was devastated as well, this was my childhood home that held many memories for me. I would never again see our childhood photos, graduation photos or wedding photos on my mom’s walls ever again.

I was telling a woman before Mass how I felt and I will never forget her response. She said, “Honey, your mom is alive. You were able to get to your mom and evacuate. So many people died in this storm.”

Then this wise woman said to me, “Years ago I had an awful fire. My house burned to the ground. I lost everything just like your mom has. I was sad. I grieved like your mom is doing. Then I realized, it’s just things. I am grateful that I didn’t burn up like my house did. Your mom will be okay, just like I am.”

After speaking with this woman. I gained a whole new perspective and it completely changed my outlook on material possessions.

In fact I don’t even like that people refer to the people of New Orleans as survivors. We are strong people who chose to rebuild our lives. I prefer to look at it as reclaiming our lives.

In devastating times, we grieve for our losses, but it’s also an opportunity to reclaim our lives and move on.
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Tell her it was put into storage and then keep delaying retrieving things.
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