![]() It is therefore vital that all efforts to engage with and support an individual are clearly recorded. Sometimes, even when all agencies have done everything in their power to support an individual, they may die or suffer significant harm as a result of their own action or inaction. But there are limitations to what others can do if the adult has mental capacity to make their own decisions about how they live. Family or neighbours can sometimes be critical of professionals because they don’t do anything to improve the situation of the individual. People who neglect themselves often decline help from others in many cases they do not feel that they need it. Hoarding can sometimes relate to obsessive compulsive disorder but hoarding and self-neglect do not always appear together and one does not necessarily cause the other. Hoarding is now widely considered as a mental health disorder and appears in the US ‘Diagnostic and statistical manual of mental disorders’ (5th Edition). There is often an assumption that self-neglecting behaviours indicate a mental health problem but there is no direct correlation. People with mental health problems may display self-neglecting behaviours. Sometimes self-neglect is related to deteriorating health and ability in older age and the term ‘Diogenes syndrome’ may be used to describe this.
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