The Peer Tree
Ask who makes decisions about belongings and whether travel, disposal or other work would cost extra.
A Hoarding Alliance local resource guide
You can get support without agreeing to a cleanout. Think about what you need to be able to do safely today, such as getting from the bed to the bathroom or letting someone in through the front door. If you are helping someone else, agree on one task and ask what they want left alone.
Start here - Fight the Blight
If a notice or inspection has a deadline, keep the paperwork and lead with the date when you ask for housing or legal help. If there is no deadline, you can start with a conversation about peer support or treatment.
Ask what a first conversation would cover or how a virtual group works. You can ask without sending photos or arranging a home visit.
Role: nonprofit front door for hoarding support and virtual groups; geography: ask about joining online from Elmira or elsewhere in Chemung County; cost/eligibility: confirm registration, group fit and any fees; funded local home services are not assumed; emergency limit: not therapy or emergency response.
For an active fire, serious injury, or immediate danger, get to safety if you can and call 911. Give the address, unit or floor, and tell the dispatcher if an entrance is blocked or someone needs help leaving.
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 who makes decisions about belongings and whether travel, disposal or other work would cost extra.
Use the online community or tools to plan one manageable change or work out how to support someone without taking over.
Give your ZIP code and describe the help you need, such as a meal, a ride or a housing referral.
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.
Call from a safe place if possible. Say whether anyone is still inside or needs help leaving.
Use emergency care for a medical problem that cannot wait. The Arnot hospital list distinguishes Arnot Ogden from the St. Joseph’s campus and from walk-in care.
Use the crisis section to find a local service for urgent behavioral health needs. Ask an outpatient provider about ongoing treatment.
When it is safe, check which exits are usable and what makes them difficult to reach. Do not move belongings during a fire.
Tell intake if you have nowhere safe to stay tonight or a deadline on a housing notice. Ask which county or partner intake is open now.
Ask which program handles your situation and whether you should start with the agency or county Social Services. Mention any accessibility needs.
Have your lease, notice or court papers ready. Give intake the exact deadline and ask what steps to take while you wait.
Describe concrete safety concerns and what help is already available. Ask how the adult’s preferences are considered during assessment.
If someone is threatening you or controlling access to your home, ask about safer ways to communicate and what support is available.
Ask which conditions need to be corrected and how the city records progress. If your housing is at risk, seek legal help separately.
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.
Ask whether a clinician treats hoarding disorder specifically or can refer you to someone who does. You can describe how home conditions affect daily life without showing photos.
Ask about a primary care visit if falls, breathing concerns or other health issues are making home harder to use. Ask for a referral if you want more specialized support.
If isolation makes it harder to ask for help, ask what one-to-one mentoring involves and how often participants meet.
If substance use is also making daily life harder, ask about peer recovery or an assessment. Use a separate hoarding support pathway for clutter or difficulty discarding.
Ask how the provider treats hoarding disorder and how you would choose goals together.
If you have trouble preparing meals, ask about assessment and let the program know how a delivery person can safely reach your door.
Tell the operator why you need the trip and where you are going. Ask which ride program fits before relying on a reservation.
If your kitchen is hard to use right now, a prepared meal may help while you decide what would make cooking easier.
Use a computer or printer to keep a copy of a notice or application. Sign out and take any printed pages with you.
Check one item before putting it out. If you rent, ask who arranges collection and what to do with furniture or other large items.
Before transporting an old chemical, paint or electronic item, check the current disposal guide for that material. Ask for instructions if a container leaks or has no label.
Keep your account information and any shutoff notice nearby. Tell intake the date on the notice and ask what can be reviewed.
Before an assessment, ask which parts of the home workers need to reach and whether the work can be planned in stages.
If you need food today, use a local meal program while asking the county about applying or getting screened for expedited benefits.
A note from the Alliance
This guide is anchored in Elmira, 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