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How is a Hoarder allowed to adopt?

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I saw this on A&E's series, Hoarders.

Doug, 38, is a single dad of two adopted children. Kylie (6) and Nate (8) both have special needs and the conditions of their home are only adding to their problems. The family's kitchen is hardly usable and the refrigerator doesn't always work. In fits of rage, Nate pushes over hoarded stacks and throws anything in sight. Now, a social worker will be visiting the house along with the children's therapist, and Doug fears they may remove his kids from the home.

Clip related to Season 2, episode 17: http://bcove.me/m7ca8js7

On the A&E message board, someone posted a very good question.

Do any of you think that people who adopt a lot of kids might be hoarding kids? I know a few families who have adopted kid after kid after kid, and the parents are MISERABLE! The kids seem like objects. I guess my question is: Can someone hoard people like they do cats and memorbilia from lost relatives and birds and newspapers? There was a couple in Ohio (where I live) who adopted several kids with special needs and kept them in wooden boxes! They were finally convicted of some kind of child abuse, but I think it turned out to be a misdemeanor(sp)! The people I know are always getting positive feedback and I see something like a martyr syndrome going on.

[From:  http://community.aetv.com/service/displayDiscussionThreads.kickAction?as...]

According to the A&E website, hoarding is "a serious pathological condition" which requires specialized therapy and treatment.

If hoarding is a pathological disorder, HOW does a Hoarder pass the home-study and get social worker/adoption agency approval to adopt, in the first place?

by Kerry on Monday, 04 July 2011