By the time hoarding reaches Level V, a house is virtually unlivable. There is structural damage. In addition, there typically is no power, water, or sewer service. There are also excessive hazardous materials at the premises.
Obvious insect and rodent infestation exist at the property. The kitchen and bathroom are unusable. There is no real sleeping space for the occupant in the residence. There is human and animal waste located throughout the premises.
At Level V, assistance is needed from multiple sources. A full team should be organized before the process of addressing the hoard is undertaken. The team members need to include a professional hoarder property cleanup service. Family members, if available need to be part of the team. Psychological, medical, and financial professionals need to be included in the team.
By the time a person is a Level V hoarder, the individual’s mental health may be at a juncture at which a guardianship and conservatorship may be necessary to protect his or her interests going forward.