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V

Hoarding Level V: Severe

Level V is severe. The home is unsafe or close to unlivable. Utilities may be off, there may be major structural, fire or health hazards, and the council, landlord or another agency is often already involved. A coordinated response from several services is needed.

Signs of a Level V home

Access
Entry and movement through the home are very difficult or impossible.
Rooms
Most rooms can’t be used. The person may be living in one small area.
Utilities
Water, power or gas may be disconnected.
Structure
Major damage, such as rot, collapsed ceilings or unsafe floors.
Hygiene
Severe contamination, including waste, heavy infestation or rotting food.
Agencies
Council, landlord, health or other services may already be involved.

Risks at this level

  • Immediate danger from fire, collapse or illness
  • Emergency services may not be able to reach someone
  • Risk of losing housing
  • Severe health effects for anyone living in or visiting the home

First steps

  1. If anyone is in immediate danger, call 000
  2. Contact the person’s GP and any agencies already involved
  3. Agree on one coordinated plan between family, health services and trades
  4. Use specialist biohazard and structural trades for the physical work
  5. Keep the person involved in decisions wherever safe

If it’s a family member’s home

You don’t have to manage a Level V situation alone, and you shouldn’t try. Work with the GP, council and other services, and look after your own wellbeing too.

How to help a parent who hoards →

Common questions about Level V

What happens at Level V?

A coordinated response. Health services, the council or landlord, and specialist trades usually work together to make the home safe. We support the person and family by video through the process.

Can a Level V home recover?

Yes, with time and the right support. Safety work comes first. Lasting change depends on the person staying involved and having ongoing support afterwards, so the home doesn’t slide back.

Based on the Clutter–Hoarding Scale® developed by the Institute for Challenging Disorganization. This page is a plain-language summary, not an assessment or diagnosis.