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.
A Hoarding Alliance local resource guide
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.
Start here - Fight the Blight
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
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
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.
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.
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.
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
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.
Use 911 when someone faces immediate danger or needs urgent emergency response.
Call or text 988 for crisis support. It is not a substitute for emergency medical care or local hoarding services.
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.
The health system operates a Critical Access Hospital in Alma. For immediate danger or urgent medical, fire, or police help, call 911.
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.
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.
Ask for current Harlan County options and confirm hours, eligibility, transportation, and availability directly with the listed provider.
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.
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
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
Review state energy-assistance information and ask the designated intake agency about current eligibility, application timing, and required documents.
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.
This state pathway is for protective concerns involving a vulnerable adult, not a general cleaning, housing, or home-support program.
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.
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.
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.
The state Library Commission lists Hoesch Memorial Public Library in Alma. Use the City library page for local hours and card requirements.
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.
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
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