Hammersmith & Fulham
Safeguarding Adults Board

Self-neglect

This covers a wide range of behaviour neglecting to care for one’s personal hygiene, health or surroundings and includes behaviour such as hoarding.

Self-neglect can have a significant impact on a person's wellbeing.

Signs that someone is self-neglecting could include:

  • very poor personal hygiene and unkempt appearance. They lack essential food, clothing or shelter.
  • unwillingness or inability to take medication or treat illness or injury. Person may be malnourished or dehydrated. and refusing offers of support
  • living in squalid or unsanitary conditions and neglecting household maintenance.
  • long-term hoarding behaviours, with an inability to throw away items without experiencing fear and anxiety

Self-neglect is a complex issue. It can be intentional, such as not going to the doctor when they know they are unwell.

Sometimes it is unintentional or passive, for example, a person with dementia not remembering to cook food for themselves due to memory loss.