A Hoarding Alliance local resource guide

Hoarding support in Fayetteville, West Virginia.

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.

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

Start here - Fight the Blight

Start with a respectful conversation

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

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

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 support; geography: confirm service area and travel; cost/eligibility: private pay; ask for current fees, scope, and fit; emergency limit: not emergency care.

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.

Role: digital peer support for people and supporters; geography: online; cost/eligibility: confirm current access and terms; emergency limit: not therapy, emergency support, or local case management.

Unburied

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.

Role: basic-needs information and referrals; geography: Fayette County and West Virginia; cost/eligibility: referral access is free; phone or carrier charges may apply; emergency limit: not emergency dispatch or a guarantee of aid, housing, or placement.

West Virginia 211

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

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: police, fire, rescue, or urgent medical dispatch; geography: Fayetteville, Fayette County, and the United States; cost/eligibility: response is dispatched for emergencies; ambulance and follow-up charges may vary; emergency limit: call 911 for immediate danger or urgent response.

Immediate emergency response

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.

Role: hospital emergency department; geography: Oak Hill, Fayette County; cost/eligibility: hospital and emergency charges vary; ask about billing and insurance; emergency limit: call 911 when immediate danger or emergency transport is needed.

Plateau Medical Center Emergency Department

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.

Role: qualified behavioral-health crisis assessment and response; geography: FMRS service area, including Fayette County; cost/eligibility: call to confirm the appropriate service and any charges; emergency limit: call 911 for immediate physical danger or urgent medical response.

FMRS 24-hour crisis response

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.

Role: emotional-distress and suicide-crisis support; geography: statewide by call, text, or chat; cost/eligibility: free and confidential; emergency limit: call 911 for immediate danger or urgent medical response.

West Virginia 988

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.

Role: behavioral-health and substance-use support and referrals; geography: West Virginia; cost/eligibility: helpline access is available statewide; treatment and carrier costs vary; emergency limit: not 911 dispatch or a guarantee of a treatment opening.

Help4WV

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.

Role: domestic-violence, sexual-assault, stalking, dating-violence, and trafficking advocacy; geography: New River Gorge region, including Fayette County outreach; cost/eligibility: free and confidential; emergency limit: not general housing or emergency dispatch; call 911 for immediate danger.

AWAY — survivor support

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.

Role: reporting suspected child abuse/neglect or vulnerable-adult abuse/neglect; geography: West Virginia; cost/eligibility: reporting is available statewide; call for the appropriate process; emergency limit: call 911 for immediate danger.

West Virginia Centralized Intake

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.

Role: poison-exposure information and treatment guidance; geography: United States; cost/eligibility: call and online guidance are free; emergency limit: call 911 for collapse, seizure, trouble breathing, or another life-threatening emergency.

Poison Control

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.

Role: county emergency-services administrative contact; geography: Fayette County; 1047 Nick Rahall Greenway, Fayetteville; cost/eligibility: ask the office about the reason for contact; emergency limit: not emergency dispatch; use 911 for urgent response.

Fayette County Office of Emergency Services — non-emergency

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

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 benefits and family-services office; geography: 1400 Virginia Street, Oak Hill; Fayette County; cost/eligibility: program-specific eligibility and verification apply; call before visiting; emergency limit: not emergency dispatch or crisis response.

Fayette County Department of Human Services

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.

Role: online screening and applications for state benefits; geography: West Virginia; cost/eligibility: screening is not an official eligibility decision; program rules apply; emergency limit: not emergency assistance or a guaranteed approval.

WV PATH benefits portal

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.

Role: food-benefit information and applications; geography: West Virginia; cost/eligibility: household eligibility rules apply; apply through WV PATH or DoHS; emergency limit: not a guaranteed immediate food supply or emergency service.

West Virginia SNAP

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.

Role: short-term assistance during qualifying financial crises; geography: West Virginia; cost/eligibility: eligible households must meet current program rules; assistance is limited and not guaranteed; emergency limit: not emergency dispatch or same-day guaranteed payment.

West Virginia Emergency Assistance

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.

Role: local public-health services and information; geography: 5495 Maple Lane, Fayetteville; Fayette County; cost/eligibility: services and fees vary; call before visiting; emergency limit: not urgent medical care or emergency dispatch.

Fayette County Health Department

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.

Role: nutrition program information and appointments; geography: 1822 East Main Street, Oak Hill; Fayette County; cost/eligibility: WIC eligibility applies; ask about documents and current appointment availability; emergency limit: not emergency food aid or emergency care.

Fayette County WIC

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.

Role: qualified outpatient behavioral-health assessment and care; geography: Fayette County; local office at 209 West Maple Avenue, Fayetteville; cost/eligibility: ask about insurance, fees, intake, service fit, and availability; emergency limit: not a crisis hotline or emergency response.

FMRS Adult Behavioral Health

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.

Role: community health-center location and pharmacy; geography: 217 West Maple Avenue, Fayetteville; cost/eligibility: insurance, sliding-fee eligibility, prescription costs, and appointments vary; confirm first; emergency limit: not an emergency department.

New River Health Fayetteville Clinic and Pharmacy

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.

Role: sliding-fee and payment-policy information; geography: New River Health service locations, including Fayetteville; cost/eligibility: the organization says qualifying uninsured, underinsured, or unemployed patients may arrange an income-based sliding scale; confirm documentation and eligibility; emergency limit: not emergency financial aid or a promise of free care.

New River Health Financial Assistance

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.

Role: public-housing applications and housing information; geography: Mount Hope and Fayette County; cost/eligibility: income and HUD eligibility rules apply; waitlist status and openings must be confirmed; the Authority says it does not offer Housing Choice Vouchers; emergency limit: not emergency shelter or a guaranteed housing placement.

Mount Hope Housing Authority

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.

Role: statewide homelessness-service assessment and navigation; geography: West Virginia; cost/eligibility: services are provided when appropriate and available; contact DoHS/211 for current local process; emergency limit: not 911, and no shelter bed or placement is guaranteed.

West Virginia Homeless Services information

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.

Role: housing counseling and housing-resource locator; geography: West Virginia and nationwide; cost/eligibility: counselor fees and eligibility vary; ask before enrolling; emergency limit: not emergency shelter or a guarantee of housing.

HUD housing counseling

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.

Role: civil legal help and application intake; geography: West Virginia; cost/eligibility: legal services are free for eligible applicants; generally low-income or survivor eligibility; court filing fees may still apply; emergency limit: not criminal defense or emergency legal dispatch; call promptly for a deadline.

Legal Aid of West Virginia

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.

Role: civil legal information and assistance for older adults; geography: West Virginia residents age 60 and older; cost/eligibility: age and residency criteria apply; ask about service scope and any costs; emergency limit: not criminal defense, emergency response, or a substitute for an urgent court deadline.

West Virginia Senior Legal Aid

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.

Role: information and navigation for long-term services and supports; geography: West Virginia; cost/eligibility: the organization describes its assistance as free; program eligibility varies; emergency limit: not emergency services or a guarantee of program enrollment.

West Virginia Aging and Disability Resource Center

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.

Role: Medicaid home- and community-based support information; geography: West Virginia; cost/eligibility: age 18+, financial and medical eligibility, nursing-home level-of-care assessment, safe work setting, and an available program opening are required; emergency limit: not emergency care or a guaranteed caregiver, home repair, or service start.

Aged and Disabled Waiver

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.

Role: scheduled rides to covered medical services; geography: West Virginia; cost/eligibility: Medicaid/WVCHIP membership and covered-service rules apply; call the broker about lead time and ride eligibility; emergency limit: not ambulance service or general-purpose transit.

Medicaid and WVCHIP Non-Emergency Medical Transportation

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.

Role: food-program and distribution-site information; geography: West Virginia; cost/eligibility: each program and local partner sets eligibility and distribution details; confirm hours and supplies; emergency limit: not a guaranteed pantry appointment or emergency service.

West Virginia Food Distribution Program

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.

Role: searchable health and human-services referral listings; geography: West Virginia; search by Fayette County or ZIP; cost/eligibility: search is free; listed organizations set their own eligibility and costs; emergency limit: non-emergency only; call 911 for emergency response.

WV 211 searchable resource directory

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.

Role: public library information and community access; geography: Fayette County branches; cost/eligibility: ask about card eligibility, hours, and any program-specific fees; emergency limit: not emergency shelter, case management, or urgent assistance.

Fayette County Public Library

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.

Role: free delivery of library materials; geography: Fayette County residents who are homebound because of age, long-term illness, injury, or disability; cost/eligibility: free; a library card in good standing is required or the library can help obtain one; emergency limit: not medical, emergency, or in-home support services.

Fayette County Library Homebound Program

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.

Role: local education and practical information programs; geography: 104 East Wiseman Avenue, Fayetteville; Fayette County; cost/eligibility: program enrollment or materials may have specific costs; ask about the current program; emergency limit: not health care, housing assistance, or emergency response.

WVU Extension Fayette County

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.

Role: solid-waste, recycling, authorized-hauler, and disposal information; geography: Fayette County; programs and drop-off locations vary by municipality; cost/eligibility: hauler, landfill, accepted-material, pickup, and disposal charges vary; confirm current rules and fees; emergency limit: not a hoarding cleanout provider, emergency service, or promise of pickup.

Fayette County Solid Waste Authority

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.

Role: municipal recycling drop-off information; geography: Town of Fayetteville; cost/eligibility: the Town describes drop-off opportunities; accepted materials and locations may change, so confirm first; emergency limit: not bulk-trash pickup or a cleanout service.

Fayetteville Residential Recycling

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.

Role: municipal information, permits, and local-service contacts; geography: City limits of Fayetteville; cost/eligibility: fees and procedures depend on the service; confirm jurisdiction and costs before applying; emergency limit: not a cleanup referral, crisis response, or emergency dispatch.

Town of Fayetteville departments and services

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

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

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