Self-neglect and hoarding is present in 1 of 5 social work cases in mental health and older people's services. These cases can be the most alarming and challenging on a social worker's caseload. A skilled, thorough risk assessment of the behaviours of self-neglect is needed in order to ensure effective care and support is available. This guide offers practical and applicable tools and solutions for all professionals involved in working with people who self-neglect. It includes tips for assessment and decision-making in the support process, and updates following the implementation of the Care Act 2014, which deemed self-neglect a safeguarding matter.