The Consortium for Research in Elder Self-Neglect of Texas (CREST) reported a Self-Neglect Severity Scale. The authors are from Baylor College of Medicine and Texas Adult Protective Services.
Domains:
(1) hygiene
(2) functioning
(3) environment
(4) overall risk assessment (from 0 to 10)
Hygiene (from 0 to 4 or NA):
(1) hair
(2) nails
(3) skin
(4) clothing
(5) insect infestation
Functioning (either 0, 4 or NA)
(1) Wolf-Klein clock score
(2) evidence of a delusional state
(3) able to respond to an emergency
(4) usual source of care
(5) time since last medical visit
(6) untreated condition
Environment (from 0 to 4 or NA)
(1) condition of yard
(2) condition of roof
(3) condition of exterior windows
(4) condition of exterior walls
(5) interior odors
(6) kitchen cleanliness
(7) bathroom cleanliness
(8) living room cleanliness
(9) clutter kitchen
(10) clutter bathroom
(11) clutter bedroom
(12) clutter living room
(13) structure of kitchen
(14) structure of bathroom
(15) structure of bedroom
(16) structure of living room
(17) condition of pets
(18) utilities
subscore for each domain =
= SUM(points for items in the domain)
Interpretation:
• minimal subscore: 0
• maximal subscore for hygiene: 20
• maximal subscore for functioning: 24
• maximal subscore for environment: 72
• maximal overall risk: 10
• The higher the score the greater the problem of self-neglect
