A Hoarding Alliance local resource guide

Hoarding support in Alma, Nebraska.

You deserve support that starts with you—not shame or pressure to make everything look different overnight. This guide brings together local and regional pathways for people affected by clutter, along with friends, family, and supporters.

People first.Then the stuff.A Fight the Blight initiative

Start here - Fight the Blight

You can start with a conversation, not a cleanup plan.

Tell Fight the Blight what feels most important right now. You can ask about peer support, a virtual group, family guidance, or how to identify a next step. You decide what to share and what happens next.

Talk through what is happening and ask about peer support, a virtual group, family guidance, or another next step. You choose what to share; confirm current availability and any eligibility directly.

Role: nonprofit hoarding-support front door and virtual-group navigation; geography: remote starting point for Harlan County and beyond; cost/eligibility: ask about current group options and eligibility; emergency limit: not therapy, clinical care, or emergency response

For immediate danger

If someone is in immediate danger or needs urgent medical, fire, or police help, call 911. For emotional distress or thoughts of suicide, call or text 988. Nebraska's domestic- and sexual-violence network can connect survivors to a local provider; use a safe way to seek help. This guide is not emergency response.

First conversations

A few good places to start

You do not need to know the perfect service name before reaching out. These organizations can help you understand the landscape and identify a next step.

Role: private-pay peer-informed support for family and friends through The Peer Tree LLC; geography: online group pathway; cost/eligibility: paid enrollment; confirm current price, schedule, and fit; emergency limit: not therapy, clinical care, or emergency support | Alma and Harlan County, Nebraska

The Peer Tree

The Peer Tree LLC operates this online Supporter Circle pathway. Review the current enrollment terms and ask about schedule, cost, and fit before joining; this is peer-informed support, not clinical treatment.

Role: digital peer-support pathway and tools; geography: online; cost/eligibility: confirm current access and any pricing; emergency limit: not therapy, clinical care, or emergency support | Alma and Harlan County, Nebraska

Unburied

A judgment-free digital place for people affected by hoarding and for friends and family supporters. Use it for peer support and ongoing tools, not urgent or clinical care.

Role: local health-system behavioral-health information and outpatient-care starting point; geography: Alma clinic is listed; cost/eligibility: confirm where the named clinician is currently seeing clients, intake, age range, insurance, fees, and openings; emergency limit: email and routine clinic visits are not crisis response | Alma and Harlan County, Nebraska

Harlan County Health — mental-health information

Harlan County Health lists a mental-health counselor and clinic contact. The page's biography also references work in Hastings, so call to verify current Alma availability and fit before relying on it.

Safety and stability

When the concern involves safety, housing, or crisis

These pathways serve different situations. Read the labels carefully before calling, especially when a response may involve crisis care, protective services, shelter, housing rules, legal advocacy, or emergency dispatch.

Role: emergency dispatch for immediate danger or urgent medical, fire, or police response; geography: United States; cost/eligibility: call for an emergency; emergency limit: not routine resource navigation | Alma and Harlan County, Nebraska

911 — immediate emergency response

Use 911 when someone faces immediate danger or needs urgent emergency response.

Role: emotional distress, suicide, and mental-health crisis support; geography: United States; cost/eligibility: call or text 988; emergency limit: call 911 for immediate danger or urgent medical response | Alma and Harlan County, Nebraska

988 Suicide & Crisis Lifeline

Call or text 988 for crisis support. It is not a substitute for emergency medical care or local hoarding services.

Role: local law-enforcement non-emergency contact; geography: Harlan County; cost/eligibility: call for non-emergency matters; emergency limit: call 911 for immediate danger | Alma and Harlan County, Nebraska

Harlan County Sheriff — non-emergency contact

The county directory lists the sheriff at this number. Ask for the appropriate office for a non-emergency concern; this is not a behavioral-health or housing intake line.

Role: local hospital emergency department; geography: Alma; cost/eligibility: ask the hospital about charges and financial assistance when it is safe to do so; emergency limit: for urgent medical needs, not routine counseling or home cleanout | Alma and Harlan County, Nebraska

Harlan County Health System Emergency Department

The health system operates a Critical Access Hospital in Alma. For immediate danger or urgent medical, fire, or police help, call 911.

Role: locate confidential survivor services and local network providers; geography: Nebraska; cost/eligibility: network services are described as free and confidential; ask the local provider about access; emergency limit: not general hoarding support or emergency dispatch | Alma and Harlan County, Nebraska

Nebraska domestic- and sexual-violence service locator

The statewide Coalition does not provide direct services; use its locator to find the provider serving your area and contact them safely. Confirm current coverage and a safe contact method.

Role: report suspected abuse, neglect, or exploitation of a vulnerable adult and ask about protective-service screening; geography: Nebraska; cost/eligibility: contact the state hotline for guidance; emergency limit: call 911 for immediate danger | Alma and Harlan County, Nebraska

Nebraska Adult Protective Services

Use this state pathway for concerns about abuse, neglect, or exploitation of a vulnerable adult. It is not a general home-organizing or cleanup service.

Role: information and referral for community, housing, food, and basic-needs resources; geography: Nebraska; cost/eligibility: call 211 or search the directory and confirm each program's rules; emergency limit: not emergency dispatch or a guaranteed shelter bed | Alma and Harlan County, Nebraska

Nebraska 211 — urgent community-resource navigation

Ask for current Harlan County options and confirm hours, eligibility, transportation, and availability directly with the listed provider.

Role: county disaster preparedness, response, and recovery coordination; geography: Harlan County; cost/eligibility: contact the county for alerts and non-emergency preparedness information; emergency limit: call 911 for immediate danger | Alma and Harlan County, Nebraska

Harlan County Emergency Management

The county describes this office's role in planning for and coordinating disaster response and recovery. Ask the county about current alerts and preparedness resources.

Role: information, options counseling, benefits assistance, and mobility-resource referral; geography: Nebraska; cost/eligibility: for Nebraskans 60+, people with disabilities of any age, caregivers, and advocates; confirm service details; emergency limit: not emergency response | Alma and Harlan County, Nebraska

Nebraska Aging and Disability Resource Center

The state says local ADRCs help people access community services and long-term-care options. Call to ask about Harlan County referrals, transportation, benefits, and current access.

People and practical help

Housing, food, care, transportation, and ongoing support

These listings connect the local community with housing, food, behavioral health, benefits, transit, survivor advocacy, disability support, peer support, and practical resources. Ask about current availability, cost, scope, consent, and safety before relying on them.

Role: intensive outpatient group therapy for older adults; geography: Alma health system; cost/eligibility: provider describes program for adults over 65 after an individual assessment; confirm referral, coverage, fees, and current openings; emergency limit: not crisis or emergency response | Alma and Harlan County, Nebraska

Harlan County Health — Senior Life Solutions

The program page describes group therapy three times weekly following an individual assessment for older adults experiencing depression or anxiety. Ask the program whether it fits your needs and what payment options apply.

Role: hospital-based medical social-work support and referrals; geography: Harlan County Health patients; cost/eligibility: ask the hospital which services are available to you and whether charges apply; emergency limit: not emergency dispatch | Alma and Harlan County, Nebraska

Harlan County Health — social services

The health system lists help with financial information, family concerns, illness-related adjustments, and referrals for care after hospitalization. The page describes a patient service, not open community case management.

Role: general-public curb-to-curb transportation; geography: Harlan County; cost/eligibility: provider lists weekday service and 24-hour advance reservations; ask dispatch for current fare, route, accessibility, and capacity; emergency limit: not emergency transport | Alma and Harlan County, Nebraska

Harlan County Public Transportation

Harlan County Health says service operates Monday–Friday, 7 a.m.–6 p.m., with dispatch 8 a.m.–5 p.m. and advance reservations. Confirm the current booking number and fare before relying on a ride.

Role: community-action intake and referrals across housing, food, weatherization, health, and transportation programs; geography: state agency listing includes Harlan County; cost/eligibility: program-specific, agency listing says income and need; confirm current funding and eligibility; emergency limit: not emergency dispatch or guaranteed shelter | Alma and Harlan County, Nebraska

Community Action Mid-Nebraska

Nebraska's Client Assistance Program lists Harlan among counties served and describes several program areas. Contact the agency to ask which current service is available in Harlan County and how to apply.

Role: public and other income-qualified housing contact; geography: Alma; cost/eligibility: HUD's contact report and Nebraska 211 list an authority; confirm current office, properties, rent, eligibility, applications, and waitlist directly; emergency limit: not emergency shelter | Alma and Harlan County, Nebraska

Alma Housing Authority

Nebraska's housing-authority contact list and HUD identify the Alma Housing Authority at 1103 4th Street and phone (308) 928-2161. Availability and current program rules are not established here; call before visiting or making housing plans.

Role: local food pantry and emergency-food resource listed by the public-health district; geography: Alma; cost/eligibility: call to confirm current hours, intake, and any requirements; emergency limit: not an emergency-response service | Alma and Harlan County, Nebraska

Harlan County Caring Cupboard — food assistance

Two Rivers Public Health District's food resource sheet lists the Caring Cupboard at 807 Main Street in Alma and asks people to call for more information. Confirm current operations and food availability before traveling.

Role: used clothing and small household-item thrift shop; geography: Alma; cost/eligibility: Nebraska 211 lists items priced as marked and open-to-the-public access; confirm hours and current inventory; emergency limit: not crisis or housing placement | Alma and Harlan County, Nebraska

Harlan County Caring Cupboard — thrift store

Nebraska 211's listing, last assured January 21, 2026, describes a public thrift store with clothing and some small household items at 807 Main Street. It is not a disposal or cleanout service.

Role: senior information, activities, and social connection; geography: Alma; cost/eligibility: ask about current programs, age eligibility, and any charges; emergency limit: not emergency response | Alma and Harlan County, Nebraska

Harlan County Senior Center

The City of Alma lists the Harlan County Senior Center at 608 W. Main Street. The city's page shows temporary office hours, so call before visiting and ask about current programs.

Role: public library, quiet space, fax/copier access, and reading resources; geography: Alma; cost/eligibility: ask the library about card residency rules and any service fees; emergency limit: not crisis or social-service intake | Alma and Harlan County, Nebraska

Hoesch Memorial Public Library

The City lists the library at 1114 W. 2nd Street and publishes current hours and contact details. Call ahead to confirm hours, access needs, or fax/copier charges.

Role: city residential and commercial trash collection information; geography: Alma city limits and city-defined service; cost/eligibility: extra trash may be charged and rules vary by property; contact the City; emergency limit: not a hoarding cleanout or debris-removal contractor | Alma and Harlan County, Nebraska

Alma sanitation and solid-waste service

The City publishes pickup-day and container rules and says larger items require scheduling and may incur an extra charge. Confirm service area, fees, and accepted items before moving belongings; the rules do not authorize another person's waste to be placed in a household container.

Role: city water service information; geography: Alma utility customers; cost/eligibility: ask about account responsibility, deposits, rates, and service conditions for your property; emergency limit: not environmental-health or cleanup response | Alma and Harlan County, Nebraska

Alma Water Department

Use the City page to reach the Water Department and verify utility questions for the specific address. Do not assume that water, sewer, or account arrangements transfer with occupancy.

Role: route residents to county departments, including assessor, clerk, roads, planning/zoning, and sheriff; geography: Harlan County; cost/eligibility: ask each office about service rules and fees; emergency limit: call 911 for an emergency | Alma and Harlan County, Nebraska

Harlan County offices and service directory

The county's official phone directory provides current department contacts. Ask which office handles the specific property, paperwork, or county-service question; this listing does not establish a county-funded cleanup program.

Role: state nutrition benefit application and eligibility information; geography: Nebraska; cost/eligibility: income, household, and program rules apply; confirm current criteria through DHHS; emergency limit: not a same-day food pantry | Alma and Harlan County, Nebraska

Nebraska SNAP food assistance

Use the state page to review SNAP and apply or ask questions. For immediate food, contact the local pantry or Nebraska 211 and confirm current access.

Role: energy-cost assistance application information; geography: Nebraska; cost/eligibility: income, household, and current funding rules apply; verify with DHHS or the intake agency; emergency limit: not utility emergency repair | Alma and Harlan County, Nebraska

Nebraska Energy Assistance

Review state energy-assistance information and ask the designated intake agency about current eligibility, application timing, and required documents.

Role: civil legal information and eligible legal assistance; geography: Nebraska; cost/eligibility: service and financial eligibility vary; contact Legal Aid to screen; emergency limit: not emergency response or legal representation guaranteed | Alma and Harlan County, Nebraska

Nebraska Legal Aid

Ask about a housing, benefits, consumer, or other civil legal issue and whether Legal Aid can assist. Court deadlines may need prompt attention from an attorney.

Role: state protective-services screening for suspected abuse, neglect, or exploitation of vulnerable adults; geography: Nebraska; cost/eligibility: contact DHHS for screening; emergency limit: call 911 for immediate danger | Alma and Harlan County, Nebraska

Nebraska Adult Protective Services

This state pathway is for protective concerns involving a vulnerable adult, not a general cleaning, housing, or home-support program.

Role: statewide information, options counseling, benefits assistance, and mobility referrals; geography: Nebraska; cost/eligibility: 60+, people with disabilities of any age, caregivers, and advocates; confirm current service details; emergency limit: not emergency response | Alma and Harlan County, Nebraska

Nebraska Aging and Disability Resource Center

Ask the ADRC about Harlan County resources for transportation, benefits, housing options, in-home services, and long-term-care navigation. Services differ by need and location.

Role: regional housing, weatherization, nutrition, health, and transportation programs; geography: state directory lists Harlan County; cost/eligibility: program-specific; ask about current local access and funding; emergency limit: no guaranteed emergency housing or utility assistance | Alma and Harlan County, Nebraska

Community Action Mid-Nebraska — service and eligibility information

The state agency listing includes Harlan County in its service area and lists income/need-based services. Confirm which programs are currently available in Harlan County and how to apply.

Role: hospital billing, financial-assistance, and payment information; geography: Harlan County Health patients; cost/eligibility: ask billing staff about current policies and required forms; emergency limit: not a source of clinical triage | Alma and Harlan County, Nebraska

Harlan County Health System patient financial information

The health system publishes patient information and financial-aid links. Contact billing to ask about the current policy and whether it applies to your specific service.

Role: verify public-library system membership and contact information; geography: Alma and Nebraska; cost/eligibility: library-card terms and fees are set locally; confirm with Hoesch Memorial Public Library; emergency limit: not crisis support | Alma and Harlan County, Nebraska

Nebraska Library Commission — public library directory

The state Library Commission lists Hoesch Memorial Public Library in Alma. Use the City library page for local hours and card requirements.

Role: federal directory for public housing agency contact details; geography: Alma, Nebraska; cost/eligibility: this report is not an application or proof of openings; verify current local program details directly; emergency limit: not emergency shelter | Alma and Harlan County, Nebraska

HUD — Public Housing Agency contact report

HUD's report identifies Alma Housing Authority and a contact number. Ask the authority about current office access, programs, waiting lists, income rules, and application steps.

Role: find a local confidential survivor-services provider; geography: Nebraska; cost/eligibility: statewide network advertises free and confidential support, with service details set by local provider; emergency limit: Coalition does not provide direct services and this is not general hoarding support | Alma and Harlan County, Nebraska

Nebraska Coalition to End Sexual and Domestic Violence — local provider locator

Use the Coalition locator to identify the provider serving the area, then confirm coverage and safe contact options directly. No specific Harlan County shelter or bed is promised here.

A note from the Alliance

Start with the person. Then decide what the situation needs.

This guide is anchored in Alma, Nebraska, and includes city, county, state, nonprofit, national, and independent pathways. A listing here does not mean Fight the Blight endorses every provider or can guarantee availability. The Hoarding Alliance is not a city or county agency, therapy practice, emergency service, or cleanup company. We will keep reviewing this page, but please confirm details directly before relying on them.

Need help choosing a path? Contact Fight the Blight