Coordination of services: they need to work together to deliver a consistent approach. A case manager or key worker should be identified to lead the response. Ideally, there is one coordinated intervention plan across agencies to facilitate collaboration and clear communication (including clear goals, support and timeframes). Match the assessment to specific specialist services and interventions, including: Treat comorbidity and the underlying causes of the hoarding and squalor. Arrange for community services to support people with functional impairment. Some people may not be able to have their complex or high needs met at home and may need to enter a residential aged-care facility or supported accommodation. Occupational or functional assessment may assist. Arrange for services to assist with cleaning. Consider making a cleaning agreement with the person and actively involve them, where appropriate, to reduce trauma. Arrange or notify services as indicated e.g. Child Protection Services, RSPCA, Ageing and Disability Abuse Helpline. A Team Care Arrangement may help keep track of the numerous referrals and agencies involved and review outcomes. Support the individual, their carers and relatives. Interventions are often experienced as very stressful and there may be multiple unsuccessful attempts. When someone is not ready for change, relatives may need support. Resources and strategies for families and carers may be found in the book ‘Digging Out’ by Michael Tompkins et al.,31 or online e.g. Hoarder.org. Arrange ongoing funding source (e.g. National Disability Insurance Scheme, My Aged Care), with ongoing home-visit-based case management and domestic assistance for support and monitoring to ensure maintenance of treatment gains.