A Hoarding Alliance local resource guide

Hoarding support in Elko, Nevada.

You do not have to be ready to sort or clear anything to ask for support. A first step can be about safety, housing, health, or finding someone to talk with.

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Find a next step that feels manageable

Start with a nonprofit conversation, private-pay support, or digital peer support. These are separate organizations; ask each about fit, service area, cost, and current availability.

A first conversation can help 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; cost/eligibility: ask about fit, current 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 suicidal thoughts, call or text 988. Nevada’s Rural Clinics CARE Team offers immediate mental-health telephone triage for adults in rural Nevada at 775-364-8500; confirm its response hours and scope. Survivors can contact the Committee Against Domestic Violence hotline at 775-738-9454. These pathways do not replace 911 for immediate danger.

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-disorder support, organizing assistance, groups, and family guidance; geography: ask whether remote or in-person services currently reach Elko County; cost/eligibility: private-pay, confirm rates and fit before booking; emergency limit: not crisis response, emergency cleanup, or urgent medical help | Confirm current scope, eligibility, cost, access, and availability directly; no outcome is guaranteed.

The Peer Tree

The Peer Tree offers private-pay support, including sorting and organizing assistance. Ask about current service area, scope, fees, consent, safety, and timing; no local provider or appointment is promised.

Role: digital peer-support tools and community for people affected by hoarding and clutter; geography: online; cost/eligibility: confirm current access and any charges; emergency limit: not therapy, emergency support, or a substitute for local crisis care | Confirm current scope, eligibility, cost, access, and availability directly; no outcome is guaranteed.

Unburied

Unburied offers a digital peer-support pathway for people directly affected and friends or family supporters. Use it for connection and ongoing peer support, not clinical or emergency care.

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 response for immediate danger, fire, or urgent medical need; geography: United States; cost/eligibility: call 911; emergency limit: immediate emergencies only | Confirm current scope, eligibility, cost, access, and availability directly; no outcome is guaranteed.

911 Emergency Response

Call 911 when someone is in immediate danger, there is a fire, or urgent medical help is needed. For non-emergency questions, contact the relevant local agency.

Role: emotional distress, suicidal thoughts, or behavioral-health crisis support; geography: United States; cost/eligibility: call or text 988 at no charge; emergency limit: not 911 dispatch or an in-person medical assessment | Confirm current scope, eligibility, cost, access, and availability directly; no outcome is guaranteed.

988 Suicide & Crisis Lifeline

Call or text 988 for emotional distress, suicidal thoughts, or a mental-health crisis. If there is immediate danger or urgent medical need, call 911.

Role: immediate mental-health triage and short-term clinical support; geography: adults anywhere in rural Nevada; cost/eligibility: call to confirm fit and any charges; emergency limit: not a 911 substitute, emergency department, or guaranteed in-person response | Confirm current scope, eligibility, cost, access, and availability directly; no outcome is guaranteed.

Nevada Rural Clinics CARE Team

The State says telephone triage is open 24/7 and CARE Team response hours are 9 a.m.–6 p.m. seven days a week, excluding holidays. Call 775-364-8500 to ask what support is available now.

Role: state outpatient behavioral-health, counseling, medication, case-management, and support services; geography: Elko and rural Nevada, confirm clinic service area; cost/eligibility: screening, coverage, and fees vary; emergency limit: routine clinic access is not emergency dispatch | Confirm current scope, eligibility, cost, access, and availability directly; no outcome is guaranteed.

Elko Rural Counseling & Supportive Services

Nevada Rural Clinics lists an Elko location at 1825 Pinion Road, Suite A. Call ahead to confirm current services, intake, eligibility, hours, and availability.

Role: confidential domestic- and sexual-violence advocacy and safety planning; geography: Elko, Eureka, and White Pine counties; cost/eligibility: contact advocate to confirm access; emergency limit: if immediate danger, call 911 | Confirm current scope, eligibility, cost, access, and availability directly; no outcome is guaranteed.

Committee Against Domestic Violence (CADV) / Harbor House

Nevada victim-resource listings identify CADV in Elko and a survivor hotline at 775-738-9454. Ask the organization about current shelter access, advocacy, language access, and safe contact options.

Role: emergency shelter and case management; geography: Elko County; cost/eligibility: confirm intake, household fit, and current capacity; emergency limit: shelter does not replace 911 or medical crisis response | Confirm current scope, eligibility, cost, access, and availability directly; no outcome is guaranteed.

Samaritan House Emergency Shelter — Elko F.I.S.H.

Elko F.I.S.H. describes Samaritan House as an emergency homeless shelter. Contact F.I.S.H. before traveling to verify the current intake process, hours, eligibility, and bed availability.

Role: report concerns about child abuse or neglect; geography: Elko area; cost/eligibility: public reporting pathway; emergency limit: call 911 for immediate danger | Confirm current scope, eligibility, cost, access, and availability directly; no outcome is guaranteed.

Nevada Child Protective Services — Elko

Nevada’s essential-services page lists an Elko child-protection contact at 775-753-1300. Use 911 for a child facing immediate danger and confirm current reporting contacts with the State.

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 assistance navigation for rent, utilities, medical needs, and referrals; geography: Elko County; cost/eligibility: income, residency, documentation, and current funding rules apply; emergency limit: applications are not immediate shelter or crisis response | Confirm current scope, eligibility, cost, access, and availability directly; no outcome is guaranteed.

Elko County Human & Social Services

The State lists the Elko County office at 540 Court Street, Suite 105, and 775-738-4375. Contact the County to confirm which programs are currently open, eligibility, documents, and funding.

Role: ask the County about a possible rental, utility, medical, or other assistance application; geography: Elko County; cost/eligibility: screening and available funds determine eligibility; emergency limit: an application is not immediate crisis response | Confirm current scope, eligibility, cost, access, and availability directly; no outcome is guaranteed.

Elko County assistance application

The County’s assistance form is dated 2022. Call Human & Social Services before using it to confirm the current application, programs, residency rules, and required documents.

Role: rental assistance information; geography: Elko and other rural Nevada counties; cost/eligibility: income, household, unit, and current waitlist rules apply; emergency limit: not emergency shelter or guaranteed placement | Confirm current scope, eligibility, cost, access, and availability directly; no outcome is guaranteed.

Nevada Rural Housing — Housing Choice Voucher

Nevada Rural Housing serves Elko County. Check current open waitlists and program requirements directly; rental assistance and units are not guaranteed.

Role: family medicine, dental, pharmacy, telemedicine, and behavioral health; geography: Elko; cost/eligibility: accepts several insurance types and offers income-based sliding fee discounts; confirm coverage and fees; emergency limit: clinic visits are not 911 emergency response | Confirm current scope, eligibility, cost, access, and availability directly; no outcome is guaranteed.

Nevada Health Centers — Elko Family Medical & Dental Center

The clinic lists behavioral-health services and appointments at 775-738-5850. Confirm provider availability, appointment access, payment options, and whether a specific service fits your needs.

Role: primary and behavioral health, pharmacy, telehealth, and nurse advice; geography: eligible American Indian and Alaska Native patients served by the Elko Service Unit; cost/eligibility: confirm eligibility and referral rules with IHS; emergency limit: urgent nurse advice is not 911 | Confirm current scope, eligibility, cost, access, and availability directly; no outcome is guaranteed.

Southern Bands Health Center — Elko Service Unit

The Indian Health Service lists the Southern Bands Health Center in Elko and describes integrated behavioral health and telehealth. Confirm patient eligibility, Purchase/Referred Care rules, and current service availability.

Role: behavioral-health and substance-use services; geography: provider reports serving Elko County and other Nevada communities; cost/eligibility: accepts some insurance and offers a sliding fee scale; verify coverage and charges; emergency limit: routine treatment is not emergency dispatch | Confirm current scope, eligibility, cost, access, and availability directly; no outcome is guaranteed.

Vitality Unlimited — behavioral health and recovery services

Vitality describes community behavioral-health services in Elko and a sliding-scale payment option. Contact the consumer-services line to confirm the current clinic, programs, intake, and availability.

Role: family case management, referrals, WIC, and peer-support recovery connections; geography: Elko and specified Northeastern Nevada communities; cost/eligibility: program-specific; confirm eligibility and fees; emergency limit: not emergency response | Confirm current scope, eligibility, cost, access, and availability directly; no outcome is guaranteed.

Family Resource Centers of Northeastern Nevada

The Center lists information and referral, case management, WIC, and recovery peer support. Ask which program serves your address and what eligibility or appointment requirements apply.

Role: food assistance, meals, clothing and basic-needs support; geography: Elko County and nearby rural communities; cost/eligibility: ask about current service requirements and availability; emergency limit: not emergency medical or crisis response | Confirm current scope, eligibility, cost, access, and availability directly; no outcome is guaranteed.

Elko F.I.S.H. food and neighbor services

Elko F.I.S.H. describes a food bank, soup kitchen, clothing support, and Samaritan House. Call before visiting to confirm current hours, locations, and what is available.

Role: older-adult meals, social connection, referral, and activity programs; geography: Elko County; cost/eligibility: membership and meal criteria vary; ask about age, delivery area, and donations; emergency limit: not crisis or emergency transport | Confirm current scope, eligibility, cost, access, and availability directly; no outcome is guaranteed.

Elko Senior Center / Terrace at Ruby View

The Center lists weekday meals and home-delivered meal inquiries for eligible residents who cannot leave home. Contact staff to verify eligibility, delivery area, current schedule, and transportation options.

Role: public and demand-response transportation; geography: Elko, Spring Creek, Lamoille and some other county communities; cost/eligibility: fares, booking, service boundaries, and accessible trips must be confirmed; emergency limit: not emergency transport | Confirm current scope, eligibility, cost, access, and availability directly; no outcome is guaranteed.

GET My Ride — Elko County Transit

Elko County’s transit department lists GET My Ride at 540 Court Street. Call dispatch to verify current routes, fares, service days, advance registration, and pickup availability before planning a trip.

Role: navigator for housing, food, health, utilities, and local support; geography: Nevada; cost/eligibility: referral line is free, programs have separate criteria and fees; emergency limit: not 911 or crisis dispatch | Confirm current scope, eligibility, cost, access, and availability directly; no outcome is guaranteed.

Nevada 211

Call 211 or use the statewide directory to identify current programs and service-area contacts. Confirm details with the organization before traveling or sharing personal information.

Role: public-benefit applications and service navigation; geography: district office serving Elko and Winnemucca areas; cost/eligibility: program-specific eligibility and documents apply; emergency limit: not immediate shelter or emergency response | Confirm current scope, eligibility, cost, access, and availability directly; no outcome is guaranteed.

Nevada Division of Welfare and Supportive Services — Elko/Winnemucca district

The State’s district-office page lists current office information for Elko. Check the page or call to confirm office hours, benefits, application methods, and required documents.

Role: energy-bill assistance information; geography: Nevada; cost/eligibility: income, household, funding, and application rules apply; confirm current intake; emergency limit: does not guarantee immediate utility protection | Confirm current scope, eligibility, cost, access, and availability directly; no outcome is guaranteed.

Nevada Energy Assistance Program

Nevada’s Division of Welfare and Supportive Services lists Elko-area intake sites. Contact the State or local intake office to confirm whether applications are open and which documents are needed.

Role: civil legal assistance and legal information; geography: Elko and the provider’s service area; cost/eligibility: intake screening and case priorities apply; confirm whether help is available for your issue; emergency limit: not emergency shelter or law enforcement | Confirm current scope, eligibility, cost, access, and availability directly; no outcome is guaranteed.

Nevada Legal Services — Elko office

Nevada Legal Services lists an Elko office and online intake. Call or apply to verify current hours, eligibility, and whether the organization handles your legal issue.

Role: civil legal aid for rural residents; geography: rural Nevada counties; cost/eligibility: screening and attorney capacity apply; confirm current county coverage and issue fit; emergency limit: not emergency protection or dispatch | Confirm current scope, eligibility, cost, access, and availability directly; no outcome is guaranteed.

Volunteer Attorneys for Rural Nevadans

VARN provides a current resource list for rural Nevada and identifies legal pathways. Contact the organization to confirm intake, service area, and whether it can help with your situation.

Role: housing stability, weatherization, and home-repair program information; geography: rural Nevada including Elko County; cost/eligibility: each program has separate income, property, and availability rules; confirm current openings; emergency limit: not emergency repair dispatch | Confirm current scope, eligibility, cost, access, and availability directly; no outcome is guaranteed.

Nevada Rural Housing — home repair and weatherization navigation

Nevada Rural Housing describes multiple programs. Ask whether your household and address qualify, whether applications are open, and what work is or is not covered.

Role: city residential waste and recycling information; geography: serviceable City of Elko addresses; cost/eligibility: service area, account, material rules, fees, and pickup schedules vary; confirm before setting items out; emergency limit: not a cleanup or hauling referral | Confirm current scope, eligibility, cost, access, and availability directly; no outcome is guaranteed.

Elko Sanitation — residential recycling and disposal guide

The provider explains curbside recycling rules and materials it does not accept. Confirm that the address is in its service area and ask about bulky items, electronics, hazardous waste, and fees before moving or discarding items.

Role: city permit and building-code information; geography: properties within Elko city jurisdiction; cost/eligibility: requirements and fees depend on project and address; confirm with City staff; emergency limit: not emergency housing or safety response | Confirm current scope, eligibility, cost, access, and availability directly; no outcome is guaranteed.

City of Elko — permits and building department

The City’s permit portal lists building-department contact information. Verify whether an address is inside city limits and ask about permits before starting construction, repair, or major alterations.

Role: outpatient behavioral-health and case-management pathway; geography: rural Nevada with clinic-specific services; cost/eligibility: screening, insurance, and fee details vary; confirm directly; emergency limit: outpatient care is not emergency dispatch | Confirm current scope, eligibility, cost, access, and availability directly; no outcome is guaranteed.

Nevada Rural Clinics — service overview

The State describes counseling, case management, medication services, and other supports, noting that not every service is offered at every clinic. Contact the Elko clinic to ask what is currently available.

Role: searchable rental and housing listings; geography: Nevada; cost/eligibility: rents and landlord screening vary; availability is not guaranteed; emergency limit: listings do not provide shelter or placement | Confirm current scope, eligibility, cost, access, and availability directly; no outcome is guaranteed.

Nevada Housing Search

Use the statewide housing search as one source of rental listings, then verify the unit, accessibility, costs, lease terms, and landlord directly. For immediate shelter needs, contact an emergency-shelter provider.

Role: county offices, courts, roads, public safety, and resident information; geography: Elko County; cost/eligibility: agency-specific; confirm jurisdiction and fees; emergency limit: website directory is not emergency dispatch | Confirm current scope, eligibility, cost, access, and availability directly; no outcome is guaranteed.

Elko County — official county services and contact directory

Use the County’s official website to locate current departments and contacts. For an address-specific concern, ask whether city, county, state, or another authority has jurisdiction.

Role: reference for city rules and enforcement processes; geography: City of Elko jurisdiction; cost/eligibility: rules depend on code section and property location; confirm current official interpretation with the City; emergency limit: code library is not legal advice or emergency help | Confirm current scope, eligibility, cost, access, and availability directly; no outcome is guaranteed.

Elko City Code — health, sanitation, and enforcement rules

The online city code includes health and sanitation provisions. Before taking action, verify the current official text and whether the property is within city limits; contact the City with address-specific questions.

Role: county protective-order procedures and court contact information; geography: Elko County; cost/eligibility: court processes and filing rules vary; confirm with the court or advocate; emergency limit: call 911 for immediate danger | Confirm current scope, eligibility, cost, access, and availability directly; no outcome is guaranteed.

Elko County — protective orders and court navigation

Elko County publishes protective-order information. For confidential planning, contact a survivor advocate; verify current filing steps and jurisdiction directly with the court.

Role: food-package program for eligible older adults; geography: includes an Elko distribution site; cost/eligibility: age, income, identity, residency, and program funding rules apply; confirm current enrollment; emergency limit: not emergency food delivery | Confirm current scope, eligibility, cost, access, and availability directly; no outcome is guaranteed.

Nevada Department of Agriculture — senior nutrition

Nevada lists Elko Senior Center as a distribution site for the Senior Nutrition and Wellness program. Contact the State or local center to verify current eligibility and distribution details.

Role: search for clinicians with hoarding-disorder expertise; geography: directory search by location and telehealth; cost/eligibility: provider fees and insurance vary; verify credentials and fit directly; emergency limit: directory is not crisis care | Confirm current scope, eligibility, cost, access, and availability directly; no outcome is guaranteed.

International OCD Foundation — provider directory

The IOCDF directory can help identify clinicians who report hoarding-disorder experience. A listing is not a recommendation or proof of current availability; ask about training, approach, fees, and service location.

A note from the Alliance

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

This guide is anchored in Elko, Nevada, 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