This case study explored how compulsive hoarding behavior in older adults impacts various levels of society. In-depth, individual interviews were conducted with eleven people regularly facing hoarding behavior. Participants included three older adults with hoarding behavior, four family members of, and four professionals working with, older adult hoarders. Each participant was asked six open-ended questions regarding hoarding and discussion followed.

Because individuals do not exist in a vacuum, hoarding behavior is not just an individual problem; it is also a family and community problem. The most commonly cited and significant impacts were in the areas of relationships, safety, and finances. The widespread negative impacts of hoarding behavior are just beginning to be understood. The struggle to balance autonomy and paternalism while addressing compulsive hoarding continues; therefore, more research, training, and strengthening of relationships is needed.