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Substandard housing is a growing issue. It’s estimated that 330 million urban households worldwide live in substandard housing. In the United States alone there are about six million homes and apartment buildings listed as substandard, and the problem isn’t going away any time soon.

According to the American Psychiatric Association, hoarding is a disorder in which someone has extreme difficulty discarding items that others may sometimes view as valueless. This disorder leads to extreme clutter and disrupts their ability to function in their living and workspace. Hoarding is not simply being messy or collecting something. Hoarding is an extreme accumulation of a variety of materials.

The Mayo Clinic defines hoarding as “the excessive collection of items, along with the inability to discard them,” and notes the following characteristics as signs and symptoms: cluttered living spaces, inability to discard items, acquiring unneeded or seemingly useless items (including trash), excessive attachment to possessions, and discomfort letting others touch or borrow possessions, among others.