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Self-neglect is the lack of self-care; lack of care for one's environment; and/or the refusal of services, to an extent that it threatens personal health and safety.

Self Neglect Framework for multi-agency partners

The LSAB has produced a Self-Neglect Framework which provides process guidance for multi-agency partners.

The framework aims to support practitioners in taking the most appropraite action and response when concerns of Self-Neglect have been identified.  The framework is supported by Hoarding Guidance which is published as an appendix.

Types of Self-Neglect:

  • Lack of self-care
  • Neglecting to care for one’s personal hygiene, health or surroundings
  • Inability to avoid self-harm
  • Failure to seek help or access services to meet health and social care needs
  • Inability or unwillingness to manage one’s personal affairs

Possible signs to look out for:

  • Very poor personal hygiene
  • Unkempt appearance
  • Lack of essential food, clothing or shelter
  • Malnutrition and/or dehydration
  • Living in squalid or unsanitary conditions
  • Neglecting household maintenance
  • Hoarding
  • Collecting a large number of animals in inappropriate conditions
  • Non-compliance with health or care services
  • Inability or unwillingness to take medication or treat illness or injury


  S-N 1