A Hoarding Alliance local resource guide

Hoarding support in Devils Lake, North Dakota.

If clutter, housing pressure, or a difficult change is weighing on you or someone you care about, you do not have to solve everything at once. Start with a conversation, respect the person's choices, and ask local programs what is available before making a plan.

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

Start here - Fight the Blight

A small first conversation can be enough for today.

You can ask about options without agreeing to a cleanout or a big plan. If you are supporting someone else, begin with listening and consent. A next step should fit the person, the home, and what feels manageable.

Fight the Blight offers a respectful first conversation and virtual support groups for people affected by hoarding and clutter concerns. Ask what is currently available and what may fit your situation.

Role: nonprofit hoarding-support and virtual-group entry point; geography: ask about Ramsey County and online options; cost/eligibility: confirm current group fit, schedule, and availability; emergency limit: not therapy or emergency response.

For immediate danger

If anyone faces immediate danger, fire, a serious injury, or a life-threatening medical emergency, call 911. For emotional crisis support, call or text 988. Do not wait for a routine appointment or resource referral in an emergency.

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 support; geography: remote options and service area must be confirmed; cost/eligibility: private-pay; request current rates and scope before scheduling; emergency limit: not emergency or clinical care. | Confirm current hours, availability, eligibility, and cost directly

The Peer Tree

The Peer Tree offers private-pay support that may include groups, sorting and organizing help, decluttering, deep cleaning, and guidance for family or friends. Ask what is available, what it costs, and whether the work can proceed at the person's pace.

Role: digital peer support and education; geography: online; cost/eligibility: review current access and any fees on its site; emergency limit: not therapy, clinical treatment, crisis response, or emergency support. | Confirm current hours, availability, eligibility, and cost directly

Unburied

Unburied is a peer-led space for people affected by clutter and hoarding concerns, including friends and family. Its tools and supporter pathway can offer a place to explore small, self-directed next steps.

Role: statewide resource navigation and crisis connection; geography: North Dakota; cost/eligibility: 211 is a referral line and program rules vary; emergency limit: call 911 for immediate physical danger or urgent medical response. | Confirm current hours, availability, eligibility, and cost directly

FirstLink 2-1-1 and 988

FirstLink operates North Dakota 211 and 988. Call 211 for community-resource navigation or call/text 988 for emotional crisis support. Text your ZIP code to 898-211 for 211 text referrals; confirm each referral's availability and requirements.

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; geography: Devils Lake and Ramsey County; cost/eligibility: call 911 for emergencies; emergency limit: immediate danger, fire, serious injury, or urgent medical need only—not routine service navigation. | Confirm current hours, availability, eligibility, and cost directly

911 emergency dispatch

Call 911 when someone is in immediate danger or needs urgent medical or fire response. For non-emergency questions, contact the appropriate local office instead of emergency dispatch.

Role: emotional crisis support; geography: nationwide, including North Dakota; cost/eligibility: call or text 988; emergency limit: not a substitute for 911 for immediate physical danger or urgent medical need. | Confirm current hours, availability, eligibility, and cost directly

988 Suicide & Crisis Lifeline

Call or text 988 for support during a mental-health or emotional crisis. If there is immediate physical danger or a life-threatening emergency, call 911.

Role: regional behavioral-health assessment and services; geography: Devils Lake clinic serves a multi-county region; cost/eligibility: HHS says inability to pay does not bar care and an income-based sliding fee schedule is available; confirm fees and intake; emergency limit: call 911 for immediate danger. | Confirm current hours, availability, eligibility, and cost directly

Lake Region Behavioral Health Clinic

North Dakota Health and Human Services lists walk-in assessment hours Monday through Friday, 8 a.m.–5 p.m., at the Devils Lake clinic. Call before traveling to confirm current access, services, and cost. The clinic is not emergency dispatch.

Role: emotional crisis listening and connection; geography: North Dakota; cost/eligibility: call or text 988; emergency limit: not emergency dispatch; call 911 for immediate danger. | Confirm current hours, availability, eligibility, and cost directly

FirstLink crisis support

FirstLink connects North Dakotans with the 988 Suicide & Crisis Lifeline and other crisis support. Use 911 for immediate physical danger, fire, or urgent medical care.

Role: survivor advocacy, peer support, and shelter pathway; geography: Devils Lake/Ramsey County area; cost/eligibility: contact confidential advocates to confirm services and availability; emergency limit: call 911 for immediate danger. | Confirm current hours, availability, eligibility, and cost directly

Safe Alternatives for Abused Families (SAAF)

The North Dakota Care Choice directory lists SAAF for domestic-violence-related advocacy and shelter services, including 24-hour support. Ask about safe contact methods and current options; shelter or placement is not guaranteed.

Role: adult services and protective-services intake; geography: Ramsey County; cost/eligibility: ask whether the concern and person meet program criteria; emergency limit: not a routine cleanup or general hoarding-support service; call 911 for immediate danger. | Confirm current hours, availability, eligibility, and cost directly

Ramsey County Adult Services

The county describes adult services for eligible older adults and people with disabilities, including protective services and supports such as chore, homemaker, and respite services. Call to confirm current eligibility and whether a specific need is in scope.

Role: community-resource information and referral; geography: North Dakota; cost/eligibility: referral is free, but each program sets its own rules and availability; emergency limit: not shelter placement or emergency response. | Confirm current hours, availability, eligibility, and cost directly

FirstLink 2-1-1 resource navigation

Call 211 or text a ZIP code to 898-211 to ask about local food, housing, utility, and other community resources. Confirm hours, eligibility, and availability directly with each referred program.

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: behavioral-health assessment and outpatient care; geography: Devils Lake regional clinic; cost/eligibility: HHS describes an income-based sliding fee schedule and says inability to pay does not bar care; confirm your cost and access; emergency limit: not an emergency department. | Confirm current hours, availability, eligibility, and cost directly

Lake Region Behavioral Health Clinic

The clinic provides a local behavioral-health pathway. HHS lists weekday walk-in assessments; call to confirm current hours, clinical scope, insurance, and cost. No hoarding-specific clinical specialty is implied.

Role: statewide behavioral-health service locator; geography: North Dakota; cost/eligibility: contact each provider to confirm insurance, fees, and intake; emergency limit: directory search is not crisis or emergency care. | Confirm current hours, availability, eligibility, and cost directly

North Dakota Behavioral Health Directory

Use the state directory to search for care and ask providers about experience with hoarding disorder, trauma-informed support, telehealth, cost, and wait times. No specific specialist is endorsed here.

Role: primary and specialty medical care; geography: Devils Lake; cost/eligibility: ask about insurance, referral requirements, and charges; emergency limit: clinic appointments are not emergency care. | Confirm current hours, availability, eligibility, and cost directly

Sanford Devils Lake Clinic

Sanford lists primary care and specialty services in Devils Lake, including same-day urgent appointments when available. Contact the clinic to confirm current scheduling, scope, and costs.

Role: counseling and substance-use services; geography: Devils Lake; cost/eligibility: provider states ability-to-pay discounts may be available; confirm current intake, fees, and fit; emergency limit: not emergency response. | Confirm current hours, availability, eligibility, and cost directly

Evolution Counseling

The provider describes mental-health and substance-use services and says discounts may be based on household size and income. Ask about current services and experience; no hoarding specialty is asserted.

Role: county human-service and economic-support navigation; geography: Ramsey and neighboring counties; cost/eligibility: program-specific; confirm income, household, and documentation rules; emergency limit: applications are not immediate emergency response. | Confirm current hours, availability, eligibility, and cost directly

Mountain Lakes Human Service Zone

The zone provides a local point of contact for human services and benefit pathways. Call to identify the right program and ask about application steps and processing time.

Role: public-benefit applications and eligibility screening; geography: Ramsey County; cost/eligibility: varies by program, income, household, and other rules; confirm directly; emergency limit: approval and timing are not guaranteed. | Confirm current hours, availability, eligibility, and cost directly

Ramsey County Economic Assistance

The county lists economic-assistance programs including food, energy, and medical coverage pathways. Contact the office to ask which programs fit and what documents are needed.

Role: nonprofit housing, energy, transportation, and household-stability programs; geography: Devils Lake area is listed in its service regions; cost/eligibility: income and program rules apply and funds vary; confirm availability; emergency limit: application is not a promise of assistance. | Confirm current hours, availability, eligibility, and cost directly

Dakota Prairie Community Action

The nonprofit lists programs that may include rent or deposit assistance, energy help, transportation, weatherization, and other supports. Review current guidelines and call about eligibility, open funds, and required documents before relying on a program.

Role: public and affordable housing application pathway; geography: Ramsey County; cost/eligibility: income, household, and program screening apply; ask about waitlists and current openings; emergency limit: not emergency shelter or immediate housing. | Confirm current hours, availability, eligibility, and cost directly

North Central Housing Authority — Ramsey County public housing

The housing authority describes public-housing options and application information for Ramsey County. Wait times can be substantial; contact the authority to confirm current waitlists, requirements, and reasonable-accommodation processes.

Role: rental assistance and housing information; geography: select programs and properties in Devils Lake; cost/eligibility: program/property criteria apply and availability changes; confirm directly; emergency limit: not immediate shelter placement. | Confirm current hours, availability, eligibility, and cost directly

North Dakota Housing renter resources

The state lists renter programs, including assistance tied to eligible properties. Ask the program or property about current participation, vacancies, income requirements, and application timelines.

Role: community food pantry; geography: Devils Lake; cost/eligibility: confirm current service area, intake rules, hours, and food availability; emergency limit: not a substitute for emergency medical or safety response. | Confirm current hours, availability, eligibility, and cost directly

Hope Center food pantry

The Hope Center publishes pantry and crisis-resource information. Its online pages show differing hours, so call or check the current notice before traveling; ask about household eligibility and available items.

Role: local public-health programs; geography: Devils Lake and Lake Region; cost/eligibility: varies by program; confirm service location, appointment, and fees; emergency limit: public-health office is not emergency medical care. | Confirm current hours, availability, eligibility, and cost directly

Lake Region District Health Unit

The district lists public-health services and programs. Contact it to confirm which service is available locally, whether an appointment is needed, and any cost or eligibility rules.

Role: public library, information, and computer access; geography: Devils Lake and Ramsey County; cost/eligibility: county residents may qualify for free library service; confirm residency and card rules; emergency limit: not emergency response. | Confirm current hours, availability, eligibility, and cost directly

Lake Region Public Library

The library offers community information and public resources. Ramsey County says residents can use library services without charge; check the library for current hours, computer availability, and account requirements.

Role: local public transportation; geography: in-town Devils Lake and listed regional trips; cost/eligibility: published in-town fare is $3; confirm current fares, schedule, booking, and accessibility; emergency limit: not emergency transport. | Confirm current hours, availability, eligibility, and cost directly

Devils Lake Transit

Senior Meals & Services publishes Devils Lake Transit routes and a rider policy. Contact the service to confirm pickup arrangements, current fare, service area, and any accessibility needs before depending on a trip.

Role: municipal waste collection and recycling information; geography: City curbside collection is limited to city rules and the recycling center serves listed City/County residents; cost/eligibility: confirm special pickup, fees, and residency; emergency limit: not a hoarding cleanout or crisis service. | Confirm current hours, availability, eligibility, and cost directly

Devils Lake sanitation and recycling

City Public Works explains curbside sanitation and recycling. Contact the city about current collection rules, special items, drop-off requirements, and fees. This is municipal waste information, not a specialized cleanout service.

Role: civil legal aid screening and information; geography: statewide, including Ramsey County; cost/eligibility: income, case type, and capacity screening apply; confirm acceptance; emergency limit: not emergency response or a guarantee of representation. | Confirm current hours, availability, eligibility, and cost directly

North Dakota Legal Services

Legal Services of North Dakota accepts requests for help with eligible civil matters. Apply or call to learn whether your issue and circumstances qualify; the state court self-help center is another source of general legal information, not legal advice.

Role: court forms and general legal information; geography: North Dakota; cost/eligibility: online resources are available to the public; confirm filing rules with the court or a lawyer; emergency limit: not legal representation or emergency help. | Confirm current hours, availability, eligibility, and cost directly

North Dakota Courts self-help center

The court provides self-help information for common legal processes. It is not legal advice; contact the court or a qualified attorney about deadlines and how rules apply to a specific situation.

Role: independent-living information, referral, and disability advocacy; geography: verify Devils Lake service coverage; cost/eligibility: ask about eligibility and any fees; emergency limit: not emergency response or clinical care. | Confirm current hours, availability, eligibility, and cost directly

Options Independent Living Center

Options describes independent-living supports, advocacy, peer visiting, information and referral, and equipment resources. Contact the center to confirm service area and whether a specific need fits its programs.

Role: county public-health information and program connection; geography: Ramsey County; cost/eligibility: service-specific; confirm appointment, coverage, and fees; emergency limit: not urgent or emergency medical care. | Confirm current hours, availability, eligibility, and cost directly

Ramsey County Public Health

The county lists local public-health services and contacts. Ask which office provides the service you need and confirm location, hours, and any eligibility steps.

Role: statewide community-action program locator; geography: North Dakota; cost/eligibility: agency and program-specific income rules and funding; verify current funds and service county; emergency limit: locator is not a guarantee of aid. | Confirm current hours, availability, eligibility, and cost directly

North Dakota Community Action agencies

The state lists Community Action agencies and program information. Dakota Prairie Community Action is the listed regional starting point; call the agency to confirm a current program, service area, and application status.

Role: housing program information and rental assistance search; geography: statewide, with some Devils Lake properties; cost/eligibility: program rules, property participation, and funding vary; confirm current details; emergency limit: not emergency shelter. | Confirm current hours, availability, eligibility, and cost directly

North Dakota renter resources

Use the state housing page to review renter resources and ask providers about applications, property participation, wait times, and reasonable accommodation.

Role: veterans' benefits information and claims assistance; geography: Ramsey County; cost/eligibility: veterans and eligible dependents should confirm program rules; emergency limit: not emergency response or a benefits guarantee. | Confirm current hours, availability, eligibility, and cost directly

Ramsey County Veteran Service Officer

The county directory lists a Veteran Service Officer who can help eligible veterans and family members understand benefit pathways. Contact the office to confirm current appointment details and bring relevant records if requested.

Role: national search directory for hoarding-related clinicians and services; geography: online search, including possible regional or virtual options; cost/eligibility: confirm credentials, insurance, fees, and fit with each provider; emergency limit: not crisis or emergency care. | Confirm current hours, availability, eligibility, and cost directly

International OCD Foundation Hoarding Center directory

Search the directory and ask providers directly about training and experience with hoarding disorder, treatment approach, telehealth availability, and cost. A directory listing is not an endorsement or a guarantee of current availability.

A note from the Alliance

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

This guide is anchored in Devils Lake, 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