Case example: Susan, a 60-year-old, single Caucasian woman living alone had a water leak that was weakening her neighbor's wall. Because of embarrassment about her hoarding, she ignored multiple letters from the management company that sought access to her apartment over a three-month period. When Susan received an eviction notice, she contacted EIS; reluctantly, she agreed to crisis intervention with a full cleaning service and legal representation. In court, the lawyer was able to postpone her eviction with evidence that Susan sought help from EIS and was cooperating with the plumbing repairs. However, several months after the cleaning, the clutter had reaccumulated. Susan then accepted personalized EIS services, including weekly home visits from a housing advocate and weekly individual sessions with a social worker. Building on her confidence in EIS, Susan agreed to accept a referral to ADC. At ADC intake, major depression was diagnosed, and after a course of an SSRI and CBT, her mood and energy improved. With the help of EIS and ADC, she has changed her behavior in a meaningful way to minimize clutter and prevent eviction.