A Hoarding Alliance local resource guide

Hoarding support in Bottineau, North Dakota.

You do not have to clear everything at once. Start with the safest next conversation, then build a plan around the person, the home and the support that is actually available.

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

Start here - Fight the Blight

Start with one safe next step

These first options help you sort out what kind of support may fit. Ask about current service area, fees, eligibility, wait times and whether the provider has experience with hoarding-related situations.

Fight the Blight is the nonprofit front door for a respectful first conversation about hoarding-related safety, support and property stabilization.

Role: nonprofit hoarding-support and property-stabilization entry point | geography: online intake for Bottineau County and North Dakota; confirm current grant/service area | cost/eligibility: ask about nonprofit funding, program eligibility, travel, wait time and what help is available; no service is guaranteed | emergency limit: not emergency response, medical care, fire/code enforcement or a promise of cleanup

For immediate danger

If there is immediate danger, fire, violence, a medical emergency or a dangerous structural condition, call 911. The resources below are not a promise of same-day service, housing, cleanup, clinical care or emergency follow-up.

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: public-benefit, family-support and human-service navigation | geography: Bottineau, McHenry and Pierce Counties; Bottineau host office at 314 5th St W Suite 1 | cost/eligibility: SNAP, TANF, heating assistance, Medicaid, childcare, basic-care and other programs have separate rules and documentation; ask what applies | emergency limit: not emergency dispatch, same-day housing placement or cleanup | Bottineau and Bottineau County details can change; confirm current hours, eligibility, geography, cost and capacity before relying on a listing.

Northern Prairie Human Service Zone

The Northern Prairie zone can help a household identify public benefits, basic supports and referrals without assuming that a hoarding concern fits one program.

Role: regional behavioral-health assessment, counseling and crisis-support pathway | geography: serves Bottineau and surrounding north-central counties; clinic in Minot | cost/eligibility: walk-in assessments are listed during weekday hours, sliding-fee and no-denial-for-inability-to-pay information is posted, but confirm current scope and fees | emergency limit: call 911 for immediate danger; use 988 or the clinic crisis route for behavioral crisis support | Bottineau and Bottineau County details can change; confirm current hours, eligibility, geography, cost and capacity before relying on a listing.

North Central Behavioral Health Clinic

North Dakota HHS lists a regional clinic serving Bottineau County; it is a behavioral-health option, not a promise of hoarding-specific treatment.

Role: local hospital, clinic and medical-care entry point | geography: 316 Ohmer St, Bottineau, North Dakota 58318 | cost/eligibility: the hospital says it serves patients regardless of ability to pay and describes discounts for essential services based on family size and income; confirm coverage and financial-assistance rules | emergency limit: call 911 for an immediate medical emergency | Bottineau and Bottineau County details can change; confirm current hours, eligibility, geography, cost and capacity before relying on a listing.

SMP Health St. Andrew's

St. Andrew's is a local medical-care option when health, mobility or environmental exposure needs attention; it is not listed as a hoarding specialist.

Role: public, accessible and reservation-based transportation | geography: Bottineau County, including city service and a Thursday Bottineau-to-Minot route | cost/eligibility: reservations, fares, pickup details and route availability apply; the posted city fare is $2 each way and the Minot route is listed at $12, so confirm before travel | emergency limit: not an ambulance or same-day emergency transport | Bottineau and Bottineau County details can change; confirm current hours, eligibility, geography, cost and capacity before relying on a listing.

Souris Basin Transit — Bottineau County

Souris Basin describes origin-to-destination transportation that may help a person reach appointments, food or services when driving is difficult.

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 police, fire and ambulance dispatch, with 24/7 county dispatch information | geography: Bottineau and Renville County dispatch area; call 911 for an emergency | cost/eligibility: emergency dispatch is for immediate danger, fire, serious medical need or crime; non-emergency lines have different uses | emergency limit: 911 is the emergency route; the sheriff's non-emergency number is not a substitute for 911 | Bottineau and Bottineau County details can change; confirm current hours, eligibility, geography, cost and capacity before relying on a listing.

911 and Bottineau County Sheriff's dispatch

The county sheriff page directs residents to call 911 in an emergency and lists the non-emergency office line for situations that are not immediate.

Role: fire and emergency-medical response information | geography: Bottineau County fire and EMS zones; use the county page to identify the local district | cost/eligibility: emergency response is dispatched through 911; non-emergency coordination and local coverage should be confirmed with the county | emergency limit: call 911 for fire, rescue, dangerous conditions or a medical emergency | Bottineau and Bottineau County details can change; confirm current hours, eligibility, geography, cost and capacity before relying on a listing.

Bottineau County Fire and EMS contacts

Fire and EMS concerns can be safety-critical in a cluttered or blocked home; the county page provides the local emergency boundary and contact context.

Role: free, confidential listening, crisis intervention and referral navigation | geography: all of North Dakota and parts of Minnesota; ask for Bottineau County resources | cost/eligibility: 211 and the listed text route are free; referred programs set their own eligibility, cost and capacity | emergency limit: not emergency dispatch; call 911 for immediate danger | Bottineau and Bottineau County details can change; confirm current hours, eligibility, geography, cost and capacity before relying on a listing.

FirstLink 211 resource navigation

FirstLink can help identify current food, housing, utility, transportation and support referrals when the right local program is not obvious.

Role: 24/7 mental-health, substance-use and suicide-crisis support | geography: North Dakota; FirstLink answers the state's 988 contacts | cost/eligibility: call or text 988 for free crisis support; a counselor determines the next step and local referral options | emergency limit: call 911 when there is immediate physical danger or a life-threatening medical emergency | Bottineau and Bottineau County details can change; confirm current hours, eligibility, geography, cost and capacity before relying on a listing.

988 Suicide and Crisis Lifeline

988 is a crisis pathway, not therapy, cleanup or a housing-placement service; it can help when distress or behavioral crisis makes the next step hard to find.

Role: public-health nursing, WIC and local health education | geography: Bottineau County office at 314 5th St W Suite 7; staff may be offsite | cost/eligibility: programs, appointments and WIC eligibility are separate; confirm hours and whether a nurse is available before visiting | emergency limit: not emergency medical care, crisis dispatch or home-cleanup response | Bottineau and Bottineau County details can change; confirm current hours, eligibility, geography, cost and capacity before relying on a listing.

Bottineau County Public Health Nurse

The county nurse can be a practical health-navigation point when home conditions, medication access or family health concerns need a nonjudgmental conversation.

Role: state child-safety reporting and emergency-referral pathway | geography: North Dakota, including Bottineau County | cost/eligibility: anyone may report a concern; the state evaluates the report and determines the response, and 911 is used for an immediate emergency | emergency limit: this is not a cleanup or family-support guarantee; call 911 when a child is in immediate danger | Bottineau and Bottineau County details can change; confirm current hours, eligibility, geography, cost and capacity before relying on a listing.

North Dakota child-abuse and neglect reporting

When a child may be unsafe, use the state reporting route rather than trying to manage a dangerous situation alone.

Role: county-listed domestic-violence safety contact | geography: Bottineau County; the sheriff page lists a domestic-violence number but readers should confirm the current program and intake route | cost/eligibility: ask about confidential advocacy, shelter and safety-planning eligibility; availability is not guaranteed | emergency limit: call 911 for immediate danger or an assault in progress | Bottineau and Bottineau County details can change; confirm current hours, eligibility, geography, cost and capacity before relying on a listing.

Bottineau County domestic-violence contact

The county sheriff page lists a domestic-violence contact; use it as a starting point and ask what confidential local advocacy is currently available.

Role: local medical evaluation for illness, injury or health effects | geography: Bottineau hospital and clinic; confirm the right department before travel | cost/eligibility: insurance, self-pay, Medical Assistance and financial-assistance rules vary; ask what applies before non-emergency care | emergency limit: call 911 for severe symptoms, immediate danger or a life-threatening condition | Bottineau and Bottineau County details can change; confirm current hours, eligibility, geography, cost and capacity before relying on a listing.

SMP Health St. Andrew's urgent medical route

Medical symptoms connected to unsafe living conditions need medical triage; this resource does not inspect or clean a home.

Role: regional behavioral-health assessment and crisis-support connection | geography: Bottineau County is listed in the North Central service area; Minot clinic and regional routes apply | cost/eligibility: the clinic describes walk-in assessment and sliding-fee information; confirm current hours, service fit and transportation | emergency limit: 911 is for immediate danger; 988 is available for crisis support | Bottineau and Bottineau County details can change; confirm current hours, eligibility, geography, cost and capacity before relying on a listing.

North Central Human Service Center crisis and behavioral care

This North Dakota HHS route may help when anxiety, depression, substance use or another behavioral-health concern is affecting safety or follow-through.

Role: statewide homelessness prevention, shelter, rapid-rehousing and housing-navigation information | geography: North Dakota; ask FirstLink or the state program which local partner serves Bottineau County | cost/eligibility: each grant, shelter and partner has its own eligibility, documentation, funding and capacity | emergency limit: the page is not a shelter reservation or same-day placement; call 911 for immediate danger | Bottineau and Bottineau County details can change; confirm current hours, eligibility, geography, cost and capacity before relying on a listing.

North Dakota housing and homelessness navigation

State housing information can help identify the right local partner when a home is unsafe or a household is at risk of losing housing.

Role: municipal government, public-safety, utilities, permits and zoning information | geography: City of Bottineau; county residents outside city limits may have different authorities | cost/eligibility: permits, utility accounts, code questions and inspections follow city rules; ask which office handles the specific issue | emergency limit: municipal information is not emergency dispatch; call 911 for immediate danger | Bottineau and Bottineau County details can change; confirm current hours, eligibility, geography, cost and capacity before relying on a listing.

City of Bottineau public safety and utilities

When blocked exits, utilities, permits or local code questions are part of a home-safety plan, start with the city's current office directory rather than guessing who has authority.

Role: local law-enforcement contact directory and safety information | geography: Bottineau County; the page includes non-emergency dispatch, domestic-violence, poison-control and sexual-assault numbers | cost/eligibility: individual hotlines and agencies set their own intake rules; confirm the right route for the situation | emergency limit: call 911 for an emergency rather than a listed office number | Bottineau and Bottineau County details can change; confirm current hours, eligibility, geography, cost and capacity before relying on a listing.

Bottineau County sheriff safety contacts

The sheriff's page is a useful local cross-check for safety contacts, but listed numbers and programs should be confirmed before relying on them.

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: county department directory and local-government navigation | geography: Bottineau County offices at and around the county courthouse in Bottineau | cost/eligibility: each department sets its own hours, records, fees and service rules; confirm the right office before visiting | emergency limit: a county directory is not emergency dispatch or a guarantee of same-day assistance | Bottineau and Bottineau County details can change; confirm current hours, eligibility, geography, cost and capacity before relying on a listing.

Bottineau County official departments and contact directory

The county contact page brings together social services, the county nurse, emergency management, sheriff, 911 coordination and other local offices.

Role: online public-benefit application and benefit-navigation route | geography: North Dakota households, including Bottineau County | cost/eligibility: SNAP, Medicaid, heating, childcare and other programs have separate household, income and document rules; applying is not approval | emergency limit: not emergency shelter, crisis response or a promise of immediate benefits | Bottineau and Bottineau County details can change; confirm current hours, eligibility, geography, cost and capacity before relying on a listing.

North Dakota Apply for Help

Use the state application route to check current public-assistance pathways instead of assuming that a household qualifies for a specific program.

Role: qualified behavioral-health and substance-use assessment and outpatient-care option | geography: 104 11th St W Suite 6, Bottineau; listed by North Dakota HHS | cost/eligibility: screening, assessment, therapy and outpatient levels have their own insurance, self-pay, referral and availability rules; confirm current scope | emergency limit: not emergency response and not identified as a hoarding-specialist service; use 911 or 988 for crisis needs | Bottineau and Bottineau County details can change; confirm current hours, eligibility, geography, cost and capacity before relying on a listing.

Essential Family Solutions

North Dakota HHS lists Essential Family Solutions as a Bottineau behavioral-health provider; readers should ask directly whether the presenting concern fits its current services.

Role: statewide behavioral-health and substance-use provider search | geography: filter or ask for Bottineau County and nearby north-central service areas | cost/eligibility: directory entries and providers change; confirm licensure, service type, insurance, fees, wait time and hoarding experience | emergency limit: a directory is not crisis care; call 988 or 911 when appropriate | Bottineau and Bottineau County details can change; confirm current hours, eligibility, geography, cost and capacity before relying on a listing.

North Dakota Behavioral Health Directory

The state directory is a way to look beyond one listed clinic without implying that every provider serves hoarding-related needs.

Role: hospital billing, financial-assistance and payment-information pathway | geography: SMP Health St. Andrew's patients and families in Bottineau | cost/eligibility: discounts for essential services depend on family size, income, account and application information; approval is not guaranteed | emergency limit: billing help is not emergency medical care or housing assistance | Bottineau and Bottineau County details can change; confirm current hours, eligibility, geography, cost and capacity before relying on a listing.

SMP Health St. Andrew's financial assistance

The hospital's patient information says it serves patients regardless of ability to pay and describes financial-assistance questions to ask about a specific account.

Role: public library, free internet, information access and community connection | geography: courthouse location at 314 W 5th St, Bottineau; bookmobile and outreach details vary | cost/eligibility: library-card, computer, program and room rules apply; confirm current hours and access needs | emergency limit: not crisis response, housing placement, cleanup or clinical care | Bottineau and Bottineau County details can change; confirm current hours, eligibility, geography, cost and capacity before relying on a listing.

Bottineau County Public Library

The county library can provide a low-pressure place to connect with information, online applications and community programs.

Role: local food-pantry access and basic-needs support | geography: 122 5th St W, Bottineau; Great Plains lists the pantry as a partner | cost/eligibility: the partner directory lists a third-Wednesday 10 a.m.–2 p.m. distribution, but another state listing differs; confirm the current schedule, eligibility and ID rules | emergency limit: food assistance is not shelter, medical care or emergency response | Bottineau and Bottineau County details can change; confirm current hours, eligibility, geography, cost and capacity before relying on a listing.

Bottineau Food Pantry

Great Plains Food Bank lists the Bottineau Food Pantry and phone number; because published schedules conflict, confirm before making the trip.

Role: regional food-access directory and partner-pantry search | geography: North Dakota and surrounding service area, including the Bottineau listing | cost/eligibility: each pantry sets its own schedule, service area, household and documentation rules; confirm availability | emergency limit: a locator cannot provide emergency shelter or medical response | Bottineau and Bottineau County details can change; confirm current hours, eligibility, geography, cost and capacity before relying on a listing.

Great Plains Food Bank partner pantry locator

The current partner list is a useful cross-check when a local pantry schedule changes or a household needs another food-access option.

Role: accessible local and regional transportation for appointments, food and services | geography: Bottineau County, city of Bottineau and the posted Thursday Minot route | cost/eligibility: reservation, pickup, fare, schedule and accessibility rules apply; confirm the ride before relying on it | emergency limit: not emergency transport or an ambulance | Bottineau and Bottineau County details can change; confirm current hours, eligibility, geography, cost and capacity before relying on a listing.

Souris Basin Transit city and Minot routes

Transportation can be part of a realistic support plan when a person cannot drive or needs to reach a provider outside Bottineau.

Role: statewide renter, housing-program and tenant-resource navigation | geography: North Dakota renters, including Bottineau County; ask which local agency serves the address | cost/eligibility: program openings, income rules, waitlists, landlord terms and legal rights vary; the state page cannot confirm a unit | emergency limit: not emergency shelter or a same-day housing placement | Bottineau and Bottineau County details can change; confirm current hours, eligibility, geography, cost and capacity before relying on a listing.

North Dakota renter resources

Use the state's renter page to compare housing-program and tenant-resource routes without assuming that a local unit or subsidy is available.

Role: income-limit reference for selected North Dakota housing programs | geography: the state page includes county-based limits; check Bottineau County and the current effective date | cost/eligibility: limits, household size, program rules and funding all apply; a number on the page is not an approval | emergency limit: income-limit information is not shelter or emergency rental assistance | Bottineau and Bottineau County details can change; confirm current hours, eligibility, geography, cost and capacity before relying on a listing.

North Dakota Housing income limits

A current income-limit reference can help a household prepare questions for a housing program, but eligibility must be determined by the program.

Role: housing-authority and rental-assistance navigation for a listed northwest North Dakota region | geography: the state veterans resource page identifies Bottineau County in the Northwest Regional Housing Authority service area | cost/eligibility: ask the authority about current programs, waitlists, income, veteran and household rules; assistance is not guaranteed | emergency limit: not emergency shelter or immediate relocation | Bottineau and Bottineau County details can change; confirm current hours, eligibility, geography, cost and capacity before relying on a listing.

Northwest Regional Housing Authority service area

The state resource page is a starting point for confirming the housing authority serving Bottineau; ask for the current local contact and program openings.

Role: free civil legal-assistance and legal-information pathway | geography: North Dakota residents with a North Dakota civil legal issue; confirm service for the specific county and matter | cost/eligibility: generally income and case-type rules apply, with different limits for some matters and older adults; criminal representation is not provided | emergency limit: not emergency response or a substitute for 911 | Bottineau and Bottineau County details can change; confirm current hours, eligibility, geography, cost and capacity before relying on a listing.

Legal Services of North Dakota

Legal Services of North Dakota explains online, in-person and phone intake for eligible civil matters such as housing or benefits questions.

Role: 24/7 information-and-referral navigation for food, rent, utilities, transportation, support and crisis resources | geography: North Dakota, including Bottineau County | cost/eligibility: the call, text and chat routes are free; each referral determines its own rules and capacity | emergency limit: not emergency dispatch; call 911 for immediate danger | Bottineau and Bottineau County details can change; confirm current hours, eligibility, geography, cost and capacity before relying on a listing.

FirstLink local program navigation

FirstLink is useful when a household needs a current referral list rather than a generic statewide search.

Role: free and confidential long-term-services, caregiver and disability-resource navigation | geography: statewide North Dakota service search for older adults, people with disabilities, caregivers and families in Bottineau County | cost/eligibility: information is free, but individual home and community programs have separate eligibility and availability rules | emergency limit: not emergency medical response or same-day home support | Bottineau and Bottineau County details can change; confirm current hours, eligibility, geography, cost and capacity before relying on a listing.

North Dakota Aging and Disability Resource Link

ADRL can help a household explore in-home, caregiver, disability and community supports that may make safer living at home more realistic.

Role: veterans, dependents and survivors benefits-navigation | geography: Bottineau County office at 411 Main St, Bottineau; appointments and office hours should be confirmed | cost/eligibility: VA, federal, state and county benefits each have service, discharge, household and documentation rules; assistance is not an approval | emergency limit: benefits navigation is not emergency response or crisis care | Bottineau and Bottineau County details can change; confirm current hours, eligibility, geography, cost and capacity before relying on a listing.

Bottineau County Veterans Services

The county veterans office helps eligible veterans, widows and dependents file for benefits and can clarify which public pathway to ask about.

Role: WIC, public-health nursing and family-health navigation | geography: Bottineau County office; WIC and nurse schedules may differ and staff may be offsite | cost/eligibility: WIC and health programs have their own household and documentation rules; schedule or call before travel | emergency limit: not emergency medical care, crisis response or cleanup | Bottineau and Bottineau County details can change; confirm current hours, eligibility, geography, cost and capacity before relying on a listing.

Bottineau County WIC and public-health nursing

Public-health staff can help connect families to health and nutrition services while keeping the conversation focused on practical safety and support.

Role: county-court location and official courthouse information | geography: 314 W 5th St, Bottineau, North Dakota 58318 | cost/eligibility: court procedures, filing fees, records, legal help and deadlines depend on the matter; confirm with the court or legal advocate | emergency limit: court information is not emergency dispatch or a substitute for legal advice | Bottineau and Bottineau County details can change; confirm current hours, eligibility, geography, cost and capacity before relying on a listing.

Bottineau County courthouse and North Dakota Courts

The North Dakota Court System confirms Bottineau County's courthouse location and regular hours; legal questions should be routed to the court or qualified legal help.

Role: county emergency-management and preparedness contact | geography: Bottineau County; the county contact page lists emergency-management numbers | cost/eligibility: emergency-management staff determine the correct public-safety route; this is not a home-cleanout service | emergency limit: call 911 for an active emergency rather than waiting for a callback | Bottineau and Bottineau County details can change; confirm current hours, eligibility, geography, cost and capacity before relying on a listing.

Bottineau County emergency-management contact

Emergency management can clarify preparedness and public-safety questions, but immediate fire, medical or danger concerns belong with 911.

Role: private-pay hoarding-disorder support, sorting and organizing, decluttering and deep-cleaning pathway | geography: service area, travel and remote options must be confirmed for Bottineau County | cost/eligibility: private-pay rates, scope, scheduling and household consent apply; no grant coverage is implied | emergency limit: not emergency response, therapy, medical care or a promise of immediate cleanup | Bottineau and Bottineau County details can change; confirm current hours, eligibility, geography, cost and capacity before relying on a listing.

The Peer Tree

The Peer Tree is the private-pay pathway when a household wants support that is outside nonprofit or grant-funded eligibility.

Role: digital peer support, education, groups and structured tools for people affected by hoarding or clutter | geography: online access for Bottineau County and supporters; confirm current features and availability | cost/eligibility: account, program and any paid-feature rules apply; it is not a clinical treatment or cleanup service | emergency limit: not therapy, crisis intervention, medical care or emergency support; call 911 or 988 when appropriate | Bottineau and Bottineau County details can change; confirm current hours, eligibility, geography, cost and capacity before relying on a listing.

Unburied

Unburied offers a digital peer-support route for personal support, friends and family guidance and ongoing momentum between other forms of help.

Role: statewide search for aging, disability, caregiver and long-term-support resources | geography: search Bottineau County and nearby service areas | cost/eligibility: search results are leads, not approvals; each organization sets its own eligibility, cost, schedule and capacity | emergency limit: not emergency dispatch, shelter placement or same-day service | Bottineau and Bottineau County details can change; confirm current hours, eligibility, geography, cost and capacity before relying on a listing.

North Dakota Care Choice resource search

Care Choice can help a family look for supports that may reduce isolation or make daily tasks safer, while keeping the final eligibility check with the provider.

A note from the Alliance

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

This guide is anchored in Bottineau, North Dakota, 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