A Hoarding Alliance local resource guide

Hoarding support in Buffalo, New York.

A respectful place to begin, whether you are looking for support for yourself, worried about someone you love, or trying to respond to a safety, housing, care, or practical concern in Buffalo and Erie County.

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

Start here - Fight the Blight

You do not have to know the perfect next step.

Fight the Blight is the nonprofit and virtual-group front door for people affected by hoarding and clutter concerns, including people who are directly affected and supporters who want to learn how to provide support. People in Buffalo and Erie County can also use current city, county, state, nonprofit, peer-support, qualified-care, housing, shelter, food, legal, utility, transit, code, disposal, and practical pathways. No outside listing is an endorsement; each organization sets its own eligibility, cost, hours, service area, capacity, consent, and safety rules.

For immediate danger

For immediate danger, fire, serious injury, or a life-threatening medical emergency, call 911. For behavioral-health crisis support, call or text 988 or call Erie County Crisis Services at 716-834-3131. For non-crisis peer listening, Erie County's current warmline is 1-844-749-3848, daily 5-11 p.m. For housing, shelter, food, utility, and benefits navigation, call 211 or 1-888-696-9211 and confirm current eligibility, capacity, and the current Erie County Emergency Services intake location. Emergency routes are not hoarding-support or cleanup services.

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.

Free regional navigation - Western New York; 24/7/365; program eligibility and capacity vary

211 WNY

211 WNY is a free and confidential health and human-services referral line for Western New York. It can help search for housing, food, health, mental-health, disability, legal, transportation, and support-group resources. Call 211 or 1-888-696-9211, or search by ZIP code; ask about current availability, language access, and after-hours housing routes.

Aging and long-term-care navigation - Erie County; older adults, caregivers, and people planning support

Erie County NY Connects

Erie County NY Connects helps older adults, caregivers, and people planning long-term support find information about in-home services, benefits, transportation, and living in the community. Call the point of entry to discuss the situation and confirm the current assessment, eligibility, wait-time, and provider pathway.

Public behavioral-health system - Western New York; intake, program fit, and payment rules apply

Buffalo Psychiatric Center

Buffalo Psychiatric Center is part of New York State's public mental-health system and lists outpatient and recovery-oriented services for adults. The reviewed page does not promise hoarding-specific treatment, so ask about current intake, care coordination, insurance, and whether a local program fits the person's needs.

Information, referral, and peer navigation - Buffalo and Western New York; current hours apply

Mental Health Advocates of WNY

Mental Health Advocates of WNY describes information, referral, family, and peer-support pathways that can help people locate community resources or treatment. This is not a promise of hoarding-specific care or emergency response; confirm current hours and the kind of support needed.

Public housing and voucher navigation - City of Buffalo; income, household, waitlist, documentation, and housing-quality rules apply

Buffalo Municipal Housing Authority

The Buffalo Municipal Housing Authority publishes public-housing, Housing Choice Voucher, application, and applicant-information pathways. A list or program may be closed, have a wait, or require a separate screening; check the current notices and applicant instructions rather than assuming an opening or emergency placement.

County behavioral-health navigation - Erie County; crisis, urgent-care, and program fit vary

Erie County Department of Mental Health

Erie County's mental-health pages organize local pathways for adult crisis care, community services, housing, recovery, and peer support. Use the county's current resource pages to understand options and confirm hours, intake, insurance, and level of care directly.

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.

Immediate danger and emergency dispatch - Buffalo and New York; use for fire, medical emergency, violence, or immediate threat

911 Emergency Services

Call 911 for fire, medical emergency, violence, immediate threat, or a dangerous condition that cannot wait for a scheduled service. Emergency dispatch is not a hoarding-support program, counseling service, or cleanup provider.

Behavioral-health crisis - Erie County; 24/7 hotline

Erie County Crisis Services

Erie County lists Crisis Services as a 24-hour crisis hotline for anyone experiencing or having experienced a mental-health crisis. It is not a cleanup, housing, or hoarding-specific service; call 911 for immediate danger, fire, or a medical emergency.

Behavioral-health crisis - New York and nationwide; free, confidential, 24/7

988 Suicide and Crisis Lifeline

Call or text 988 for free, confidential crisis support and connection to local resources. It is not a hoarding-specific service, emergency cleanup line, or replacement for 911 when there is immediate danger.

Adults 18+ - Abuse, neglect, exploitation, hazardous situations, or self-neglect; assessment and consent rules apply

Erie County Adult Protective Services

Erie County Adult Protective Services assesses vulnerable adults age 18 and older who may be unable to protect themselves from abuse, neglect, exploitation, or hazardous situations. The county may link eligible people to housing improvement, homemaker or chore services, home management, health services, residential placement, and information and referral. Adults generally retain the right to accept or refuse services; confirm whether the concern fits APS before assuming it is the right path.

Housing, utility, moving, storage, and essential-repair assistance - Erie County; income and program eligibility apply

Erie County Emergency Services

Erie County's Emergency Services unit lists possible assistance for homelessness, eviction or foreclosure, utility arrears, moving or storage, essential home repair, extermination, and household establishment. Benefits are not automatic and require an application and eligibility review. The county announced that applications move to 460 Main Street, second floor, effective September 1, 2026; confirm the current location, documents, and intake before traveling.

City services and housing concerns - City of Buffalo; non-emergency requests and city jurisdiction apply

Buffalo 311

Buffalo 311 provides centralized access to city services, information, and non-emergency requests. Use it for a city property or service concern that fits Buffalo's role, not as a substitute for consent-based support, crisis care, or 911.

Walk-in urgent behavioral-health care - Buffalo; adults in crisis who do not require psychiatric emergency or inpatient care

ECMC Help Center

Erie County describes ECMC's Help Center as an urgent-care service for adults in crisis who do not require psychiatric emergency treatment or inpatient care. The county lists walk-in and virtual pathways with current hours; call first to confirm access and use 911 for a medical or psychiatric emergency.

Home repair and safety - Erie County outside several separately administered municipalities; owner-occupied and income rules apply

Erie County Housing Rehabilitation Program

Erie County describes housing rehabilitation, accessibility, lead-paint, utility-connection, and related programs for eligible households, with county service-area and income rules. The current intake page says the City of Buffalo and some other municipalities administer their own programs, so Buffalo residents should confirm the correct city or county route, current waitlist, income limits, and whether the work qualifies.

Non-crisis peer listening and resource navigation - Erie County; free, confidential, daily 5-11 p.m.

Erie County Warmline

Erie County's current warmline page describes free, confidential, peer-provided support for people having difficulty coping with life experiences and needing someone to listen or help locate resources. It is for non-crisis calls and is not a substitute for a mental-health provider, 988, crisis services, or 911.

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.

Local peer support - Buffalo; current schedule and RSVP required

Hoarding 2 Healing - Western New York Independent Living

Western New York Independent Living lists Hoarding 2 Healing as a judgment-free peer group focused on organizing, cleaning schedules, decluttering, and building skills. The current group information lists Mondays from 3:00 to 4:30 p.m. and asks people to call the facilitator to confirm the next meeting and location. Confirm access needs and schedule changes before traveling.

Practical disposal - City of Buffalo; property, material, set-out, and item limits apply

Buffalo Bulk Trash and Streets/Sanitation

The City of Buffalo's current sanitation page lists weekly bulk-trash limits, large-item dimensions, district collection timing, and a special Pick and Pay option that starts at $150 for a specified pile size. The city also describes East Side Transfer Station residential drop-off rules and items not accepted curbside, including electronics and hazardous materials. Confirm residency, property type, set-out timing, and current rules before placing anything outside.

Code and safety information - City of Buffalo; inspection, notice, correction, and enforcement rules apply

Buffalo Building Code and Property Maintenance

Buffalo's Building Code page identifies the city's code and property-maintenance framework, including the updated New York State code effective December 31, 2025. Code information can help clarify a safety or habitability concern, but a code process is not consent-based support, clinical care, or a cleanup service; confirm the correct city department and response timeline.

Caregiver and in-home navigation - Erie County; assessment, eligibility, and provider availability vary

Erie County NY Connects Caregiver and Aging Resources

Erie County's senior-services and NY Connects pathways can help older adults and caregivers ask about benefits, case management, transportation, long-term-services information, and living safely in the community. This is a navigation pathway rather than a general cleanup service; ask about assessments, wait times, caregiver options, and whether a home-management or chore service is available.

Local mental-health navigation - Erie County; urgent-care, recovery, and program fit vary

Erie County Community Mental-Health Resources

Erie County's community-resources pages describe local behavioral-health, recovery, housing, peer, and urgent-care pathways, including 211, ECMC Help Center, and the Kirsten Vincent Respite and Recovery Center. These programs have different voluntary-intake, hours, eligibility, and level-of-care rules; confirm the current route directly.

Family and peer navigation - Buffalo and Western New York; confidential support and referrals

NAMI Buffalo and Western New York HelpLine

NAMI Buffalo and Western New York describes a HelpLine and family-support groups staffed by people who can help locate services and understand mental-health systems. This is not a crisis line, hoarding-specific treatment, or cleanup service; confirm current hours, registration, and whether the group is for a family member or caregiver.

Qualified-care and support search - National directory; provider credentials, fees, and availability must be verified

IOCDF Hoarding Resource Directory

The International OCD Foundation directory can help people search for therapists, programs, support groups, organizers, and task forces with hoarding-related experience. IOCDF says listings are not endorsements and provider information can change; confirm credentials, licensure, fees, insurance, service area, privacy, and fit directly.

Food access and pantry navigation - Western New York; household and distribution rules vary

FeedMore WNY

FeedMore WNY provides food-access and community nutrition pathways, including food pantries, mobile distributions, and meal programs. Use its current help pages to search by location and confirm dates, documentation, household limits, transportation, and availability before traveling.

Shelter, meals, and practical support - Buffalo; intake, capacity, safety, and program rules apply

Buffalo City Mission

Buffalo City Mission describes shelter, meals, clothing, recovery, and other practical services for people experiencing homelessness or instability. Contact the mission or 211 to confirm current intake, bed availability, identification requirements, and whether the service fits the immediate need; it is not a hoarding-specific program.

Meals, outreach, and homelessness support - Buffalo; current hours and capacity apply

Friends of Night People

Friends of Night People provides practical assistance and outreach for people experiencing poverty or homelessness, including meals and connection to services. Confirm current hours, eligibility, capacity, and whether an intake or referral is needed before traveling.

Civil legal aid - Western New York; income, issue, and service-area eligibility apply

Neighborhood Legal Services

Neighborhood Legal Services provides civil-legal information and representation pathways for eligible people, including housing and benefits concerns. Ask about current intake, income rules, issue type, language access, and whether the matter is within its service area; legal aid is not a cleanup or emergency-dispatch service.

City housing programs and development - Buffalo; program, income, property, and funding rules apply

Buffalo Housing and Community Development

The City of Buffalo's Housing and Community Development office publishes city housing-program and community-development information. Programs and funding can change, and some are limited to particular owners, tenants, neighborhoods, or income levels; review current notices and confirm the correct intake route.

Heating and utility assistance - New York; income, household, fuel, and seasonal eligibility rules apply

New York HEAP

New York's Home Energy Assistance Program may help eligible households with heating costs, equipment repair or replacement, and emergency utility needs. Benefit availability and application windows change; review current state guidance and confirm the Erie County application route before relying on assistance.

Benefits screening and applications - New York; program eligibility and documentation rules apply

New York MyBenefits

New York's MyBenefits portal can help screen for and apply for programs such as SNAP, Medicaid, HEAP, and other assistance. A screening result is not an approval; confirm current documents, deadlines, and county follow-up.

Free public information and community connection - Buffalo and Erie County; branch hours and program availability vary

Buffalo and Erie County Public Library

The Buffalo and Erie County Public Library offers free public access to information, computers, internet, programs, and community-resource connection. It is not a clinical, crisis, housing, or cleanup service; confirm branch hours, accessibility, and current program schedules.

Practical and peer support - Private-pay pathway; confirm fit, scope, pacing, privacy, and fees

The Peer Tree

The Peer Tree offers nonclinical hoarding and clutter support, including organizing help, groups, family guidance, and practical next steps. Ask about current availability, service area, scope, pacing, privacy, and fees before beginning. The Peer Tree is a separate private-pay pathway from Fight the Blight's nonprofit programming.

Digital peer support - Available online; not therapy, clinical care, crisis, or emergency support

Unburied

Unburied, from The Peer Tree, offers a judgment-free digital peer-support pathway with groups and tools for people directly affected by hoarding and clutter concerns and for friends, family, property managers, municipal workers, nonprofits, and other supporters who want to learn how to help. It is not therapy, clinical care, a crisis service, or emergency support.

A note from the Alliance

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

This guide is anchored in Buffalo, New York, 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