The Peer Tree
Ask whether you can work on just one task, who decides what gets moved, and what happens if you need a break.
A Hoarding Alliance local resource guide
You can ask for help with one thing: reaching the front door, using the stove, or making room for a repair. If you’re supporting someone else, ask which task would help most and what they want left alone.
Start here - Fight the Blight
If a notice, shutoff, or housing deadline is coming up, save the paperwork and say when it’s due. If nothing is urgent, you can ask about a conversation or group without agreeing to have anyone enter your home.
Ask about a first conversation or group before deciding what to share. If you are calling for someone else, ask how to support them without taking over decisions about their home.
Role: nonprofit front door for hoarding support and virtual groups; geography: ask about remote participation from Catskill and Greene County; cost/eligibility: confirm group fit, registration, and any fees; funded local in-home help is not assumed; emergency limit: not therapy or emergency response.
For an active fire, immediate danger, or a medical emergency, move to safety if you can and call 911. Tell the dispatcher if a door is blocked or someone needs help getting out.
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.
Ask whether you can work on just one task, who decides what gets moved, and what happens if you need a break.
Use peer support to plan a conversation or choose a small change you can try. Share only what feels right to you.
Give your ZIP code and name the issue with the shortest deadline. Ask whether a program can help if you cannot travel or need assistance reading forms.
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.
Give the street address and explain whether an entrance is blocked or someone needs help leaving. Follow the dispatcher’s instructions.
For serious injury or sudden illness, use emergency care. The Hudson emergency department is separate from the outpatient offices in Catskill.
Make sure you can reach an exit and keep items away from anything that gets hot. Don’t ask someone to move heavy or dangerous items alone.
If you have a notice, keep it and ask which condition needs attention first, what the deadline is, and how the office will confirm that you addressed it.
Say right away if you cannot safely stay at home, have an eviction deadline, or are running out of heating fuel. Ask who can help if the office is closed.
If an adult cannot manage essential needs safely and lacks reliable help, ask what a protective-services assessment would involve.
If arrears or a move threaten your housing, ask about screening and next steps. Bring any dates or notices and ask what help is available if the program is full.
If someone is using your home, money, or belongings to control you, use a safe device to ask an advocate about options and safety planning.
If you received papers from a landlord or court, have them handy. Give the date you received them and any hearing date when asking for help.
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.
Describe what is hard right now, such as discarding items or using a room. Ask if a clinician has relevant experience or can make a specialty referral.
Ask about health problems connected to how you’re managing at home, such as falls or difficulty keeping up with medicines. A primary-care clinician can help you decide whether a referral is useful.
Ask a clinician about experience with hoarding disorder and whether they offer care where you live. Check whether a directory entry is accepting new clients.
Ask what a first visit involves. If you’re nervous about joining a group, ask whether you can start with a brief conversation with a peer specialist.
If your kitchen is hard to use, ask about food that needs little cooking or refrigeration. Check the schedule before arranging a ride.
Ask which areas an assessor must be able to reach. If you can’t clear access safely, explain that before the visit and ask how to prepare in stages.
Keep a heating bill or shutoff notice handy. Ask which benefit may fit if fuel is low or the heat is off.
If daily tasks are getting harder, ask what help might make staying at home easier and which options need an assessment.
If it’s hard to shop or cook and you don’t have reliable help, ask about assessment and wait times. For a more immediate need, start with a pantry or 211.
If you are unsure where to turn after a landlord letter, ask about tenant resources. If there is a court date, seek legal help promptly.
Check the last return trip before making an appointment. If reaching a stop is difficult, ask transit staff about available options.
Confirm where large items, electronics, paint, or chemicals belong before loading anything. Ask your own municipality about curbside collection.
A note from the Alliance
This guide is anchored in Catskill, 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