Abstract: Hoarding is a significant problem both for the individual patient and the larger community. With DSM 5, hoarding disorder is now an independent diagnosis. Although this syndrome typically begins by early adulthood, severity increases with age. As older adults who hoard begin to confront the medical, cognitive, and social challenges of late-life, the condition of their living environment may deteriorate. Mental health providers and social service agencies are often asked to manage the situation. This workshop will focus on treatment methods and community resources that can help these vulnerable seniors, who are often socially isolated, to remain safely in their homes. Workshop participants will learn how to use objective rating scales to assess patients' living conditions and the contributors to hoarding including: excessive accumulation, difficulty with discarding, and lack of awareness. We will go step-by-step through a short-term cognitive-behavioral treatment model, detailing with clinical examples how to conceptualize cases, address motivation, and implement harm reduction-based therapeutic methods. Exposure strategies that address acquiring and discarding challenges will be showcased. The valuable role of home visits, and clinician apprehension about these visits, will be covered. In isolation, psychiatric treatment for hoarding in elderly patients is a limited intervention. Thus, the workshop will highlight the importance of identifying and pairing with community based organizations that are familiar with the circumstances of hoarding seniors. These partners can provide concrete support to seniors while addressing issues of immediate safety that interfere with therapy progress. Community workers interact intensively with their hoarding clients and can strongly reinforce the aims of therapy (e.g. assist a struggling senior with homework completion). Dividing the roles of the therapist and the community agency can be challenging and guidelines to work in an integrated fashion will be discussed. Workshop panelists will include a research psychologist, a community social worker, and a geriatric psychiatrist. Data on the effectiveness of a short-term comprehensive intervention with older adults will be presented. Finally, we will illustrate an approach to hoarding that build networks between providers and includes other stakeholders, including governmental agencies, to better coordinate services for this at-risk population. Participants will be encouraged to consider ways that geriatric providers can advocate for a more successful and humane community response to seniors who hoard.