A Hoarding Alliance local resource guide

Hoarding support in Choteau, Montana.

You deserve support that begins with your goals, not a judgment about your home. You can ask about one next step—feeling safer, keeping housing, finding support, or getting through this week—without agreeing to sort or discard anything today.

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

Start here - Fight the Blight

Start with the concern that matters most to you

You do not need a complete plan before reaching out. A first step might be a conversation, peer support, behavioral-health care, a housing question, or practical help. These are separate organizations with different roles; ask what each can offer.

A first conversation can help you sort through what kind of support may fit. Ask whether a virtual group or conversation is currently available for your situation and location; no local service availability is assumed.

Role: nonprofit first-conversation and virtual peer-group front door; geography: remote, ask about Teton County fit; cost/eligibility: confirm current program availability and any cost; emergency limit: nonclinical support is not therapy, crisis response, shelter, or cleanup

For immediate danger

For immediate danger, fire, or urgent medical help, call 911. For emotional distress or a behavioral-health crisis, call or text 988; a particular local response or placement is not guaranteed. For housing, food, transportation, and community-service referrals, call 211 or visit Montana 211. These routine pathways are not emergency dispatch, shelter placement, clinical treatment, 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.

Role: private-pay hoarding-related coaching and practical support; geography: confirm whether current service reaches Teton County; cost/eligibility: private-pay, ask for current rates and scope; emergency limit: not therapy, crisis response, emergency shelter, or emergency cleanup | Independent options, not endorsements or guarantees. Confirm service area, eligibility, cost, hours, intake, capacity, waitlists, and travel requirements directly. No provider was contacted. A local hoarding-specialty clinician, dedicated hoarding peer group, and independent hoarding-specific cleanout provider were not verified; that does not mean none exist.

The Peer Tree

The Peer Tree offers private-pay support for people affected by hoarding and their families. Ask about current service options, remote or travel availability, fees, and fit before making plans.

Role: digital peer-support pathway for people affected and friends or family; geography: online; cost/eligibility: check current access and any fees; emergency limit: peer support, not therapy, clinical care, crisis response, or emergency support | Independent options, not endorsements or guarantees. Confirm service area, eligibility, cost, hours, intake, capacity, waitlists, and travel requirements directly. No provider was contacted. A local hoarding-specialty clinician, dedicated hoarding peer group, and independent hoarding-specific cleanout provider were not verified; that does not mean none exist.

Unburied

Unburied offers a digital place to explore peer support and practical tools at your own pace. Confirm current access details directly; it is not a substitute for clinical care or urgent help.

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, fire, or urgent medical need; geography: United States, including Teton County; cost/eligibility: call 911; emergency limit: use for an emergency, not routine service navigation | Independent options, not endorsements or guarantees. Confirm service area, eligibility, cost, hours, intake, capacity, waitlists, and travel requirements directly. No provider was contacted. A local hoarding-specialty clinician, dedicated hoarding peer group, and independent hoarding-specific cleanout provider were not verified; that does not mean none exist.

911 — immediate danger or urgent medical emergency

Call 911 when someone is in immediate danger, there is a fire, or urgent medical help is needed. Do not wait for routine intake or a cleanup appointment during an emergency.

Role: 24/7 emotional-distress and behavioral-health crisis counseling; geography: Montana, including Teton County; cost/eligibility: call or text 988 at no charge; emergency limit: call 911 for immediate physical danger or urgent medical need | Independent options, not endorsements or guarantees. Confirm service area, eligibility, cost, hours, intake, capacity, waitlists, and travel requirements directly. No provider was contacted. A local hoarding-specialty clinician, dedicated hoarding peer group, and independent hoarding-specific cleanout provider were not verified; that does not mean none exist.

Montana 988 Suicide and Crisis Lifeline

Montana DPHHS says 988 connects callers with crisis support; Montana calls are routed to Voices of Hope in Great Falls. Ask the counselor about options. A specific mobile response, appointment, or placement is not guaranteed.

Role: free, confidential information and referrals for health and human services; geography: statewide, including Teton County; cost/eligibility: call 211 or use online search; emergency limit: not 911 dispatch or a guarantee of housing, food, transportation, or service availability | Independent options, not endorsements or guarantees. Confirm service area, eligibility, cost, hours, intake, capacity, waitlists, and travel requirements directly. No provider was contacted. A local hoarding-specialty clinician, dedicated hoarding peer group, and independent hoarding-specific cleanout provider were not verified; that does not mean none exist.

Montana 211 — community resource referrals

Montana 211 describes a free, confidential referral service. Ask for current local options and verify eligibility, hours, waitlists, and capacity with each provider.

Role: local law-enforcement non-emergency contact; geography: Teton County, Montana; cost/eligibility: call 406-466-5781 for routine matters; emergency limit: call 911 for an emergency | Independent options, not endorsements or guarantees. Confirm service area, eligibility, cost, hours, intake, capacity, waitlists, and travel requirements directly. No provider was contacted. A local hoarding-specialty clinician, dedicated hoarding peer group, and independent hoarding-specific cleanout provider were not verified; that does not mean none exist.

Teton County Sheriff — non-emergency contact

The Sheriff lists 911 for emergencies and 406-466-5781 as its 24-hour non-emergency number. Use the non-emergency line for routine law-enforcement questions, not medical or behavioral-health treatment.

Role: report and assessment pathway for suspected abuse, neglect, self-neglect, or exploitation of a vulnerable adult; geography: Montana, including Teton County; cost/eligibility: call to discuss reporting criteria; emergency limit: call 911 first for immediate danger | Independent options, not endorsements or guarantees. Confirm service area, eligibility, cost, hours, intake, capacity, waitlists, and travel requirements directly. No provider was contacted. A local hoarding-specialty clinician, dedicated hoarding peer group, and independent hoarding-specific cleanout provider were not verified; that does not mean none exist.

Montana Adult Protective Services

Montana DPHHS lists APS reporting for eligible adults, including older adults and adults with disabilities. Call 1-844-277-9300 during listed business hours to ask about criteria and next steps. APS is not a routine clutter complaint or cleanup service.

Role: confidential domestic-violence support, advocacy, and referrals; geography: provider listing includes Teton County; cost/eligibility: call to discuss safety and fit; emergency limit: call 911 for immediate danger; shelter or placement is not guaranteed | Independent options, not endorsements or guarantees. Confirm service area, eligibility, cost, hours, intake, capacity, waitlists, and travel requirements directly. No provider was contacted. A local hoarding-specialty clinician, dedicated hoarding peer group, and independent hoarding-specific cleanout provider were not verified; that does not mean none exist.

Hi-Line’s Help for Abused Spouses

Montana DOJ lists this provider for Choteau and Teton County among its service communities. Call the crisis line to ask what confidential support is currently available. Consider a safer device if phone or browsing activity may be monitored.

Role: county health and wellness information and community connections; geography: Teton County; cost/eligibility: contact the County Health Department to confirm current offerings; emergency limit: not emergency dispatch, crisis counseling, or a substitute for clinical care | Independent options, not endorsements or guarantees. Confirm service area, eligibility, cost, hours, intake, capacity, waitlists, and travel requirements directly. No provider was contacted. A local hoarding-specialty clinician, dedicated hoarding peer group, and independent hoarding-specific cleanout provider were not verified; that does not mean none exist.

Teton County CARES — health and wellness information

The county health department describes CARES as community health and wellness work. Use it for local information and connections; confirm whether a particular service is currently offered and who can access it.

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: local primary and behavioral-health clinic; geography: Choteau; cost/eligibility: ask about service-specific intake, insurance, fees, and openings; emergency limit: scheduled clinic care is not crisis dispatch or urgent emergency care | Independent options, not endorsements or guarantees. Confirm service area, eligibility, cost, hours, intake, capacity, waitlists, and travel requirements directly. No provider was contacted. A local hoarding-specialty clinician, dedicated hoarding peer group, and independent hoarding-specific cleanout provider were not verified; that does not mean none exist.

Alluvion Health — Choteau clinic

Alluvion lists its Choteau clinic at 19 1st St NE, Choteau, MT 59422, phone 406-466-3574, and describes medical and behavioral-health services. Call to confirm which services are available locally, current hours, coverage, fees, and appointments; listing does not guarantee intake.

Role: behavioral-health provider and counseling access point; geography: Choteau, by appointment; cost/eligibility: ask about service-specific availability, insurance, sliding fees, and charity care; emergency limit: appointment contact is not crisis response | Independent options, not endorsements or guarantees. Confirm service area, eligibility, cost, hours, intake, capacity, waitlists, and travel requirements directly. No provider was contacted. A local hoarding-specialty clinician, dedicated hoarding peer group, and independent hoarding-specific cleanout provider were not verified; that does not mean none exist.

Many Rivers Whole Health — Choteau by-appointment services

Many Rivers lists Choteau contact at 1 Main Ave S, Choteau, MT 59422, 406-466-5681, by appointment. Its insurance page describes accepted plans and financial assistance options; confirm current coverage, fees, intake, and appointment availability directly.

Role: county public-health information and services; geography: Teton County, with offices in Choteau; cost/eligibility: confirm current programs, fees, and eligibility; emergency limit: not emergency medical response | Independent options, not endorsements or guarantees. Confirm service area, eligibility, cost, hours, intake, capacity, waitlists, and travel requirements directly. No provider was contacted. A local hoarding-specialty clinician, dedicated hoarding peer group, and independent hoarding-specific cleanout provider were not verified; that does not mean none exist.

Teton County Health Department

The county lists its Health Department and public-health information. Call to ask what is currently available, whether an appointment is needed, and whether costs or eligibility rules apply.

Role: food assistance and referrals; geography: Teton County residents; cost/eligibility: monthly emergency food is described for low-income residents, with other programs for defined groups; confirm current intake and pickup; emergency limit: not emergency shelter or medical care | Independent options, not endorsements or guarantees. Confirm service area, eligibility, cost, hours, intake, capacity, waitlists, and travel requirements directly. No provider was contacted. A local hoarding-specialty clinician, dedicated hoarding peer group, and independent hoarding-specific cleanout provider were not verified; that does not mean none exist.

Teton County Food Pantry

Teton County CARES says the pantry provides monthly emergency food disbursements for low-income residents and other scheduled programs. New households can request assistance online and a volunteer will follow up; confirm current eligibility, timing, and pickup arrangements.

Role: application access for food and other public-assistance programs; geography: Montana, including Teton County; cost/eligibility: state program rules and household eligibility apply; emergency limit: online application is not immediate food or emergency response | Independent options, not endorsements or guarantees. Confirm service area, eligibility, cost, hours, intake, capacity, waitlists, and travel requirements directly. No provider was contacted. A local hoarding-specialty clinician, dedicated hoarding peer group, and independent hoarding-specific cleanout provider were not verified; that does not mean none exist.

Montana SNAP and public assistance

Montana’s assistance portal links residents to state applications and program information. Review current eligibility and application steps; if food is needed sooner, ask the local pantry or Montana 211 about current options.

Role: housing navigation, homelessness prevention, rental support, and housing programs; geography: regional provider explicitly lists Teton County in its service area; cost/eligibility: program criteria and waitlist status apply; confirm current intake and capacity; emergency limit: no placement or same-day shelter is guaranteed | Independent options, not endorsements or guarantees. Confirm service area, eligibility, cost, hours, intake, capacity, waitlists, and travel requirements directly. No provider was contacted. A local hoarding-specialty clinician, dedicated hoarding peer group, and independent hoarding-specific cleanout provider were not verified; that does not mean none exist.

Opportunities, Inc. — housing services

Opportunities, Inc. lists Teton among the counties served and describes housing assistance, including a Housing Choice Voucher waitlist process. Call to confirm current programs, eligibility, application status, and local capacity; the page does not guarantee a housing placement.

Role: LIHEAP heating-bill and weatherization information; geography: provider lists Teton County; cost/eligibility: income, season, household, and program requirements apply; confirm current application window; emergency limit: assistance is not guaranteed and does not replace emergency utility response | Independent options, not endorsements or guarantees. Confirm service area, eligibility, cost, hours, intake, capacity, waitlists, and travel requirements directly. No provider was contacted. A local hoarding-specialty clinician, dedicated hoarding peer group, and independent hoarding-specific cleanout provider were not verified; that does not mean none exist.

Opportunities, Inc. — energy assistance

Opportunities, Inc. says it provides LIHEAP services in Teton County, for eligible renters and homeowners, during the heating season. Contact the provider to confirm the current season, application process, eligibility, and available funding.

Role: information, screening, and referral for aging and disability services; geography: statewide, including Teton County; cost/eligibility: programs may have age, disability, income, or priority criteria; confirm screening and availability; emergency limit: not emergency response or guaranteed in-home support | Independent options, not endorsements or guarantees. Confirm service area, eligibility, cost, hours, intake, capacity, waitlists, and travel requirements directly. No provider was contacted. A local hoarding-specialty clinician, dedicated hoarding peer group, and independent hoarding-specific cleanout provider were not verified; that does not mean none exist.

Montana Aging and Disability Resource Center

Montana DPHHS describes the ADRC as a resource for information and referral, including supports such as transportation and nutrition. Call 800-551-3191 to ask about local contacts, eligibility, and current availability.

Role: older-adult and disability resource navigation; geography: Area III service includes Teton County; cost/eligibility: ask about screening, program eligibility, transportation, and any fees; emergency limit: not emergency transportation or guaranteed service | Independent options, not endorsements or guarantees. Confirm service area, eligibility, cost, hours, intake, capacity, waitlists, and travel requirements directly. No provider was contacted. A local hoarding-specialty clinician, dedicated hoarding peer group, and independent hoarding-specific cleanout provider were not verified; that does not mean none exist.

Area III Agency on Aging — North Central Montana

Montana DPHHS lists Area III for the north-central region. Call to ask whether a specific service is available for your address and situation; confirm eligibility, scheduling, and capacity before relying on a ride or other support.

Role: municipal garbage, roll-off, and limited recycling information; geography: city services apply within Choteau city limits and disposal-site rules may differ; cost/eligibility: verify address, accepted material, site access, current hours, and fees; emergency limit: not a cleanup contractor or hazardous-material service | Independent options, not endorsements or guarantees. Confirm service area, eligibility, cost, hours, intake, capacity, waitlists, and travel requirements directly. No provider was contacted. A local hoarding-specialty clinician, dedicated hoarding peer group, and independent hoarding-specific cleanout provider were not verified; that does not mean none exist.

City of Choteau — refuse and recycling information

The City lists its roll-off site north of Choteau, garbage schedules, and accepted recycling/compost materials. Call before traveling to confirm current hours, access, fees, and what items are accepted; do not assume these services cover all county addresses.

Role: county refuse-district information; geography: District No. 1 only, not all Teton County; cost/eligibility: confirm whether your address is in the district, membership, accepted items, and fees; emergency limit: not a hoarding cleanup or hazardous-waste service | Independent options, not endorsements or guarantees. Confirm service area, eligibility, cost, hours, intake, capacity, waitlists, and travel requirements directly. No provider was contacted. A local hoarding-specialty clinician, dedicated hoarding peer group, and independent hoarding-specific cleanout provider were not verified; that does not mean none exist.

Teton County Refuse District No. 1

The county lists Refuse District No. 1 information. Confirm your address and district eligibility before relying on a site or service; district boundaries and rules should not be assumed countywide.

Role: statewide public-transit provider directory; geography: Montana, with local service varying by route and county; cost/eligibility: contact providers about route, fare, reservation, and accessibility; emergency limit: directory is not a ride booking or emergency transport | Independent options, not endorsements or guarantees. Confirm service area, eligibility, cost, hours, intake, capacity, waitlists, and travel requirements directly. No provider was contacted. A local hoarding-specialty clinician, dedicated hoarding peer group, and independent hoarding-specific cleanout provider were not verified; that does not mean none exist.

Montana public transit directory

Montana DOT publishes transit information, but this guide did not verify a general public transit route serving all Teton County residents. Check current listings and confirm service directly before planning travel.

Role: civil legal-aid intake and eligibility screening; geography: statewide, including Teton County; cost/eligibility: financial, case-type, and capacity screening apply; confirm current criteria; emergency limit: not emergency dispatch or legal representation guarantee | Independent options, not endorsements or guarantees. Confirm service area, eligibility, cost, hours, intake, capacity, waitlists, and travel requirements directly. No provider was contacted. A local hoarding-specialty clinician, dedicated hoarding peer group, and independent hoarding-specific cleanout provider were not verified; that does not mean none exist.

Montana Legal Services Association

Montana Legal Services Association describes an application process for civil legal help. Apply or call to check whether your issue and household qualify; not every case or applicant can be served.

Role: search directory for clinicians, support groups, clinics, and community professionals; geography: searchable by location, including Montana; cost/eligibility: providers set their own fees and criteria; verify credentials, fit, and availability; emergency limit: directory is not clinical assessment or crisis response | Independent options, not endorsements or guarantees. Confirm service area, eligibility, cost, hours, intake, capacity, waitlists, and travel requirements directly. No provider was contacted. A local hoarding-specialty clinician, dedicated hoarding peer group, and independent hoarding-specific cleanout provider were not verified; that does not mean none exist.

International OCD Foundation — hoarding help finder

The IOCDF directory lets visitors search by location and type of help. A local hoarding-specialty clinician, dedicated peer group, and independent hoarding-specific cleanout provider were not verified for this guide; search results can change, so confirm directly.

A note from the Alliance

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

This guide is anchored in Choteau, Montana, 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