The Role of Public Health in the Development of a Collaborative Agreement with Rural and Semi-urban Partners in Cases of Severe Domestic Squalor and Hoarding

When confronted with complex situations of hoarding and severe domestic squalor, small municipal communities and their partners frequently feel overwhelmed due to limited resources at their disposal. Stakeholders often report these situations to Public Health Service and seek their support. In order to facilitate more effective and coordinated actions, the main stakeholders involved (municipal, fire, police, public health and the regional health center) must agree on the most appropriate intervention strategies. An agreement providing services for the management of severe cases of domestic squalor in rural and semi-urban areas located in Quebec, Canada was produced by the Laurentians regional public health, and signed with fourteen local municipalities.

Dear Doc: advice for collaborators

Years ago, when Doc was a junior faculty member she became aware of a situation that changed her life. An extremely well-known senior scientist in her department took the data of a graduate student and published it in a very significant, oft-cited paper without crediting the student in any way. That this action had the tacit approval of the department chair was confusing. Dismayed by this violation of trust and feeling powerless to intervene, she decided to become the Dear Abby of Science. Working in the lab during the day she was becoming a world-renowned researcher as well as a highly revered mentor to younger scientists. At night, disguised as Dr. Doc she began advising other researchers who were looking for help with their sticky situations. As word of mouth spread about Doc more and more researchers sought out her advice about a wide range of problems in their labs and in their collaborations. She is currently entertaining a proposal from a collaborative group of editors from high-impact journals to develop a web presence that would offer insightful advice to struggling scientific collaborators around the world. The following is a selection of letters from Doc's files focused on collaboration. The names and details in the letters have been changed to protect confidentiality.