The Peer Tree
The Peer Tree is a separate private-pay pathway for hoarding-related support. Confirm whether Fayette County is in the current service area, as well as the requested service, availability, travel, and fees before making plans.
A Hoarding Alliance local resource guide
You do not have to solve everything at once. Start with a conversation or one practical need, and confirm service fit, costs, and availability before making plans.
Start here - Fight the Blight
Fight the Blight is the nonprofit front door and offers virtual peer-support groups; ask about current fit, grant eligibility, and capacity. The Peer Tree is a separate private-pay pathway; confirm service area, scope, travel, and fees. Unburied is digital peer support, not therapy or emergency support. These are independent options, not endorsements. Local resources have their own service areas, eligibility rules, costs, and capacity.
For immediate danger, fire, rescue, or urgent medical response, call 911. For emotional distress or a behavioral-health crisis, call or text 988; FMRS lists 24-hour crisis response for its service area. AWAY offers free, confidential 24/7 support for survivors of domestic or sexual violence, stalking, dating violence, and trafficking, including outreach in Fayette County. West Virginia 211 can help locate current basic-needs referrals, but a referral does not guarantee aid, housing, or a shelter bed.
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.
The Peer Tree is a separate private-pay pathway for hoarding-related support. Confirm whether Fayette County is in the current service area, as well as the requested service, availability, travel, and fees before making plans.
Unburied is a digital peer-support pathway for people affected by hoarding and clutter, including friends and family. It is not therapy or emergency support and cannot replace local services.
Call 211 or 1-833-848-9905, or text a ZIP code to 898-211, to connect with a resource specialist about food, housing, utilities, health care, and transportation. Ask whether a provider is currently accepting people before traveling.
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 911 for immediate danger, fire, rescue, or urgent medical response. If safe, explain access, mobility, or communication needs. Administrative and non-emergency numbers are not substitutes for dispatch.
CAMC Plateau Medical Center lists an emergency department in Oak Hill. For urgent symptoms or emergency transport, call 911; contact the hospital about current access and billing questions.
FMRS says its crisis response specialists are available 24/7/365 and lists 304-256-7100 and 1-888-523-6437. Call to discuss the situation and current response options; this is not a substitute for 911 in immediate physical danger.
Call or text 988, or use online chat, to reach a trained crisis counselor. This is emotional-crisis support, not emergency dispatch or a guaranteed in-person response.
Help4WV offers support and help finding behavioral-health and substance-use options by call, text, or chat. Ask about current connections and services. For an overdose or immediate physical danger, call 911.
AWAY reports free, confidential 24/7 hotline support and outreach in Fayetteville for survivors of domestic or sexual violence, stalking, dating violence, and human trafficking. Contact the hotline to discuss safe options; the Beckley shelter is not a general shelter referral.
The West Virginia Department of Human Services lists a 24/7 Centralized Intake line for reports of suspected abuse or neglect. Use it for those reporting situations, not as a general housing, cleanup, or hoarding-support line.
For a possible poisoning, call 1-800-222-1222 or use Poison Control's online tool. If someone is unconscious, having a seizure, or struggling to breathe, call 911 immediately.
The Fayette County Office of Emergency Services lists 304-574-3590 for non-emergency matters. It is not dispatch or a crisis-counseling line; call 911 for immediate danger, fire, rescue, or urgent medical response.
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.
The state lists Medicaid, WVCHIP, SNAP, Emergency Assistance, energy assistance, transportation referrals, and social services through this office. It lists 304-465-9613 and weekday hours of 8:30 a.m.–5 p.m.; confirm the service, documents, and hours before traveling.
Use the state portal to screen for or apply for programs such as SNAP and health coverage. A screening result or application does not guarantee eligibility, approval, or a payment date.
The state describes SNAP as monthly food-purchasing benefits for eligible households. Review current criteria and apply through WV PATH or contact the county DoHS office; approval and timing are determined by the program.
The state says this program may help eligible households with needs such as rent, utilities, food, household supplies, clothing, transportation, or medical services when resources are unavailable. Contact the local DoHS office about criteria, documents, and current funds.
The state directory lists the Fayette County Health Department at 304-574-1617, weekdays 8 a.m.–4 p.m. Contact the department to confirm the service, eligibility, fees, and appointment needs.
The state lists Fayette County WIC at 304-465-5314, Monday–Thursday 8 a.m.–4:30 p.m. with a lunch closure. Call to check eligibility, appointment needs, and current access before traveling.
FMRS describes adult behavioral-health services and lists its Fayetteville office at 304-574-2100. Ask whether assessment or counseling fits your needs and whether hoarding-related expertise is available; no specialty is implied.
New River Health lists this Fayetteville location, weekday hours, and a pharmacy. Call 304-574-3991 to ask which clinical services are offered at this site, whether appointments are available, and what costs or insurance rules apply.
New River Health describes accepted coverage and an income-based payment scale for qualifying patients. Ask whether the policy applies to the particular service and Fayetteville location, and what proof or copay may be required.
The Authority says it serves Mount Hope and Fayette County and administers public-housing units for eligible households. It states it does not offer Housing Choice Vouchers. Ask whether applications or waitlists are currently open before gathering documents.
The state describes assessing claims and coordinating emergency food, shelter, medical care, and service plans when appropriate and available. Use WV 211 or DoHS to ask what local options are currently operating.
HUD provides information for finding approved housing counselors and other housing resources. Ask about service scope and fees; for urgent shelter needs, use 211 or state homeless-services navigation.
Legal Aid WV considers civil issues such as housing, benefits, and protective orders. Its site says many applicants must meet income or survivor criteria and urges people unsure of eligibility to apply. It does not handle criminal cases.
West Virginia Senior Legal Aid says initial qualification requires state residency and age 60 or older. Contact the program about civil legal issues and do not visit without an appointment.
The ADRC offers resource specialists who can explain possible supports such as in-home care, transportation, nutrition, and respite, and help people understand eligibility. Call to ask about options serving Fayette County.
The state waiver may provide personal assistance, case management, accessibility adaptations, and other supports to eligible members. The page states that an opening must be available; ask the state about waitlists and current timelines.
West Virginia says non-ambulance NEMT is managed through Modivcare for eligible covered appointments. Confirm the trip and schedule with the broker; urgent medical transport requires 911.
The Department of Agriculture describes state food-distribution programs. Use its current program information or call 211 to identify a Fayette County partner, then confirm eligibility, hours, and available supplies before traveling.
Search the statewide directory for local food, housing, utility, health, and transportation listings. Confirm the provider's location, current hours, eligibility, and availability directly before traveling.
The county library system lists branch and service information. Contact a branch to confirm current hours, access needs, computer/internet availability, and any rules before visiting.
The library describes free delivery of selected materials to eligible homebound patrons. Requests need advance planning—its page advises submitting a list 3–4 business days before the desired delivery date. Call to confirm current process.
The county Extension office lists agriculture and natural-resources information and 4-H youth programs. Ask about the current subject and schedule before visiting; participation and costs vary by program.
The County lists authorized haulers, permitted landfill information, and recycling guidance. Contact the Authority or local municipality before moving items; ask about the current service area, accepted materials, and full costs.
The Town lists mixed-recycling drop-off points and materials and says glass is not accepted. Call Town Hall before traveling to confirm locations and accepted items; do not assume recycling handles bulk discards.
The Town directory links to departments including fire, police, recycling, and zoning/code information. Call Town Hall to ask which office handles a practical question and whether local rules or fees apply; this is not a hoarding-support or cleanup service.
A note from the Alliance
This guide is anchored in Fayetteville, West Virginia, 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