A Hoarding Alliance local resource guide

Hoarding support in Fincastle, Virginia.

Start with a respectful next step in Fincastle or elsewhere in Botetourt County. This guide connects people, families, supporters, and local systems with practical pathways while keeping emergencies and qualified care in the right lane.

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

Start here - Fight the Blight

A calm place to begin

You do not have to solve everything at once. Start with the pathway that fits the situation, then confirm current availability, eligibility, cost, jurisdiction, and safety requirements directly with the organization.

Connect with Fight the Blight Call or text (724) 739-3785
For immediate danger

If there is immediate danger, fire, a medical emergency, violence, or an active threat, call 911. For emotional or behavioral-health crisis support, call or text 988 or use Virginia's local crisis and community-services pathways.

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.

Private-pay hoarding support, organizing help, groups, and family guidance - broader service area, including possible support for Botetourt County; private-pay scope, cost, scheduling, travel, consent, safety, and capacity must be confirmed directly; not emergency or clinical care

The Peer Tree

The Peer Tree is the private-pay pathway for organizing help, decluttering support, groups, family guidance, and practical next steps when a grant or public program is not the right fit. Ask about scope, cost, travel, consent, safety, and whether support is available in Botetourt County.

Visit The Peer Tree
Digital peer-support pathway - online for people affected by hoarding and clutter concerns and their supporters; current access and eligibility should be confirmed; no fee or clinical-coverage claim is made here; not therapy, crisis response, or emergency support

Unburied

Unburied, from The Peer Tree, offers a judgment-free digital pathway with peer support, groups, and tools for people directly affected and for friends, family, property managers, municipal workers, and other supporters.

Visit Unburied
Free, confidential resource navigation for housing, food, health care, utilities, transportation, legal help, and basic needs - Virginia, including Botetourt County; 24/7 service; each referred provider has its own eligibility, cost, and availability rules; not emergency dispatch

211 Virginia

211 Virginia connects people with current local resources for housing, food, health care, utilities, transportation, mental health, and other needs. Ask for options serving Fincastle and Botetourt County.

Call or search 211 Virginia 211
Qualified community-services-board pathway for mental health, substance use, developmental services, crisis support, and recovery - Botetourt County and the Roanoke Valley; intake, insurance, financial-assistance, and capacity rules vary; not emergency dispatch

Blue Ridge Behavioral Healthcare

Blue Ridge Behavioral Healthcare is the public behavioral-health, substance-use, developmental-services, and crisis pathway serving Botetourt County. Confirm the current intake, crisis route, coverage, and local access point.

Review Blue Ridge Behavioral Healthcare 540-343-3007
Regional acute-care and qualified-hospital pathway - Roanoke Valley; emergency, inpatient, outpatient, insurance, transfer, billing, and capacity rules must be confirmed directly; not cleanup or hoarding support

Carilion Roanoke Memorial Hospital

Carilion Roanoke Memorial Hospital is a regional qualified-care option for Botetourt County. Call 911 for a life-threatening emergency and confirm hospital, behavioral-health, financial-assistance, and transfer information directly.

Review regional hospital care 540-981-7000

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.

Immediate danger and emergency dispatch - Fincastle and Botetourt County; use for fire, medical emergency, violence, rescue, or an active threat; not a hoarding-support program, counseling service, or cleanup provider

911 Emergency Services

Call 911 when there is immediate danger, fire, a medical emergency, violence, or a threat that cannot wait for a scheduled service.

Call 911 911
Emotional-distress and suicide-crisis support - Virginia and nationwide; phone, text, and chat access; free and confidential; crisis-support eligibility and local follow-up vary; not fire, EMS, or police dispatch; call 911 for immediate physical danger

988 Suicide & Crisis Lifeline

Call or text 988 for emotional distress, suicidal thoughts, or a behavioral-health crisis. If there is immediate physical danger, fire, a medical emergency, or an active threat, call 911 instead.

Call or text 988 988
County fire, rescue, EMS, prevention, and emergency-preparedness pathway - 10 West Back Street, Fincastle; 540-928-2201; call 911 for emergencies; response, billing, and coverage rules apply; not cleanup or clinical care

Botetourt County Fire and EMS

Botetourt County Fire and EMS coordinates career and volunteer fire, rescue, EMS, and emergency-preparedness resources. Call 911 for an emergency and use the office contact for planning questions that can wait.

Review Botetourt fire and EMS 540-928-2201
County E911 dispatch and emergency-communications pathway - Fincastle; non-emergency dispatch 540-473-8631; call 911 for immediate danger; not counseling, housing placement, or cleanup

Botetourt County Emergency Communications Center

Botetourt County's Emergency Communications Center routes emergency calls and maintains local dispatch information. Call 911 for an emergency; use 540-473-8631 for non-emergency dispatch questions.

Review E911 information 540-473-8631
County law-enforcement, public-safety, animal-control, and non-emergency dispatch pathway - 205 North Roanoke Street, Fincastle; 540-928-2200; call 911 for immediate danger; not counseling or cleanup

Botetourt County Sheriff's Office

Use the Botetourt County Sheriff's Office for county law-enforcement and public-safety questions that are not an active emergency. Confirm the correct current route for the situation.

Review county public safety 540-928-2200
State emergency preparedness, alerts, shelter, and disaster-information pathway - Virginia, including Botetourt County; local incident instructions and eligibility rules apply; call 911 for an active emergency

Virginia Emergency Management

Virginia Emergency Management provides preparedness and disaster-information resources that complement Botetourt County emergency services. Follow current local incident instructions and call 911 for an active emergency.

Review Virginia emergency management
County disaster-planning and continuity pathway - Botetourt County; incident instructions, shelter, access, and agency-coordination rules apply; call 911 for emergencies; not counseling or cleanup

Botetourt County Emergency Operations Plan

Botetourt County's Emergency Operations Plan provides planning context for local hazards and coordinated response. Use current incident instructions and call 911 for an active emergency.

Review the county emergency plan
Regional emergency-department and trauma-care pathway - Roanoke; emergency triage, transfer, insurance, billing, and capacity rules apply; call 911 for life-threatening symptoms; not cleanup or hoarding support

Carilion Roanoke Memorial Hospital Emergency Room

Carilion Roanoke Memorial Hospital is a regional emergency-care option for Botetourt County. Call 911 for life-threatening symptoms rather than driving if conditions may be urgent.

Review emergency hospital care 540-981-7000
Behavioral-health, substance-use, and crisis-services pathway - Botetourt County and the Roanoke Valley; intake, response, insurance, financial-assistance, and capacity rules apply; call 911 for immediate physical danger

Blue Ridge Behavioral Healthcare Crisis Pathway

Blue Ridge Behavioral Healthcare provides community-based behavioral-health, substance-use, developmental, crisis, prevention, and recovery services. Confirm the current crisis and intake route; call 911 for immediate physical danger.

Review behavioral-health crisis care 540-343-3007
Official public-health, WIC, immunization, screening, and environmental-health pathway - 21 Academy Street, Fincastle; 540-666-4275; programs, appointments, fees, and eligibility vary; not emergency care

Botetourt County Health Department

The Botetourt County Health Department is the local Virginia Department of Health pathway for public-health and environmental-health questions. Confirm appointments, fees, language access, and current services directly.

Review Botetourt health services 540-666-4275
Protective-services reporting and screening pathway for suspected abuse, neglect, or exploitation of an adult - Virginia, including Botetourt County; screening, jurisdiction, confidentiality, and response rules apply; call 911 for immediate danger

Virginia Adult Protective Services

Use Virginia Adult Protective Services when an adult may be experiencing abuse, neglect, or exploitation and the situation is not an immediate 911 emergency. Confirm current reporting options and local response directly.

Review adult protective services 1-888-832-3858
Local child-protection, family-support, and maltreatment-reporting pathway - Botetourt County; 540-591-5960 during business hours and 1-800-552-7096 statewide 24/7; call 911 for immediate danger; screening rules apply

Botetourt County Family Services and CPS

Botetourt County Family Services can receive requests for family support and reports of suspected child abuse or neglect. Confirm the local or statewide route; call 911 for immediate danger.

Review family services 540-591-5960
Confidential survivor-support and safety-planning pathway - Virginia, including Botetourt County; 24/7 advocates, local referrals, and shelter options vary; call 911 for immediate danger

Virginia Sexual and Domestic Violence Hotline

Call or text Virginia's statewide hotline for confidential support related to sexual or domestic violence. Advocates can help identify local options; call 911 for immediate danger.

Call or text the Virginia hotline 1-800-838-8238
Poison-exposure information and medical guidance - Virginia; call 911 for collapse, seizure, breathing trouble, or another immediate emergency; not hoarding support or cleanup

Virginia Poison Center

Call the Virginia Poison Center for poison-exposure guidance. If someone has collapsed, cannot breathe normally, is having a seizure, or is in immediate danger, call 911 first.

Call the Virginia Poison Center 1-800-222-1222
Utility-locate and excavation-safety pathway - Virginia, including Botetourt County; submit before digging; marking and utility-owner rules apply; call 911 for an active utility emergency

Virginia 811

Contact Virginia 811 before digging or disturbing ground so utility lines can be marked. Use 911 for an active gas, electrical, fire, or other immediate utility danger.

Visit Virginia 811 811
Municipal administration, permits, code, public works, records, and town-service pathway - 25 Bank Square, Fincastle; 540-473-2200; town jurisdiction, service-area, fee, and code rules apply; not emergency dispatch or private cleanup

Town of Fincastle Government

Use the Town of Fincastle for current municipal services, permits, codes, records, and public-works questions. Call 911 for an active emergency and confirm town jurisdiction before a property request.

Review Town of Fincastle 540-473-2200
County planning, building, permits, code, property, and land-use information pathway - Botetourt County; jurisdiction, permit, inspection, fee, and appeal rules apply; not emergency dispatch or private cleanup

Botetourt County Building and Property Services

Use Botetourt County's government and department directory for building, planning, code, and property-service questions. Confirm the right department and current requirements directly.

Review county government 540-928-2000
County landfill, convenience-center, solid-waste, recycling, and disposal information pathway - Botetourt County; accepted-material, hours, fee, service-area, and jurisdiction rules apply; not hazardous-emergency response

Botetourt County Solid Waste and Recycling

Use Botetourt County's solid-waste route for landfill, convenience-center, recycling, and accepted-material questions. Confirm hours, fees, and disposal rules before traveling.

Review county waste services 540-928-2500
County animal-control and public-safety pathway - Botetourt County; service, jurisdiction, animal, and after-hours rules apply; call 911 for immediate danger; not counseling or cleanup

Botetourt County Animal Control

Use Botetourt County's animal-control route for animal-safety questions and reports that are not an active emergency. Confirm service area and current response process.

Review animal-control services 540-928-2200
State law-enforcement and public-safety pathway - Virginia, including Botetourt County; call 911 for immediate danger; jurisdiction and report rules apply; not counseling or cleanup

Virginia State Police

Use Virginia State Police for state law-enforcement information when appropriate. Call 911 for an active emergency and confirm whether county, town, or state jurisdiction applies.

Review Virginia State Police 804-674-2000
State-road, right-of-way, access, traffic, and roadway-safety information pathway - Virginia, including Botetourt County; state, county, and town jurisdiction rules apply; call 911 for an immediate roadway danger; not private-property cleanup

Virginia Department of Transportation

VDOT provides the state route for roadway, right-of-way, access, and traffic-safety questions. Confirm whether an issue belongs to VDOT, Botetourt County, or the Town of Fincastle before submitting a request.

Review Virginia transportation services

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.

Local benefits, SNAP, Medicaid, TANF, energy, adult, child, family, and self-sufficiency pathway - 220 Commons Parkway, Daleville; 540-591-5960; program, income, household, documentation, and appointment rules apply; not emergency dispatch

Botetourt County Department of Social Services

Botetourt County Social Services is a local starting point for public benefits, family services, adult services, child services, energy assistance, and self-sufficiency support. Ask about current eligibility and required documents.

Review Botetourt social services 540-591-5960
Local SNAP, Medicaid, TANF, child-care, energy-assistance, and free job-readiness pathway - Botetourt County; income, household, documentation, seasonal, and program rules apply; not emergency dispatch

Botetourt County Benefit Programs

Botetourt County publishes current benefit-program and self-sufficiency information, including CommonHelp access and energy-assistance windows. Confirm current application timing and documentation.

Review benefit programs 540-591-5960
Online benefits screening and application pathway for SNAP, Medicaid, TANF, energy assistance, and related programs - Virginia, including Botetourt County; income, household, documentation, and program rules apply; not emergency dispatch

Virginia CommonHelp

CommonHelp is Virginia's online route to screen and apply for several public-benefit programs. Confirm current rules and contact Botetourt Social Services if online access is difficult.

Visit CommonHelp
County-published navigation guide for food, clothing, housing, health, aging, disability, utilities, and other local resources - Botetourt County; individual provider eligibility, hours, cost, and capacity rules apply; not emergency dispatch

Botetourt County Citizen Resource Guide

Botetourt County's current citizen resource guide is a useful local map for food, clothing, housing, health, aging, disability, and practical supports. Confirm every listing directly before relying on it.

Review the county resource guide
Rural human-services and community-navigation pathway - Botetourt County; contact, program, eligibility, and capacity rules apply; not emergency shelter or guaranteed assistance

Botetourt Resource Center

The Botetourt Resource Center is listed by the county as a link to social and human services for rural Botetourt. Confirm current location, hours, programs, and eligibility before traveling.

Review the Botetourt Resource Center 540-254-1468
Community mental-health, substance-use, developmental-disability, crisis, recovery, and case-management pathway - Botetourt County and Roanoke Valley; intake, insurance, financial-assistance, and capacity rules vary; not emergency dispatch

Blue Ridge Behavioral Healthcare

Blue Ridge Behavioral Healthcare serves Botetourt County with community-based mental-health, substance-use, developmental, crisis, prevention, and recovery services. Confirm intake and current access options.

Review Blue Ridge services 540-343-3007
Disability, independent-living, peer-mentoring, advocacy, home-modification, and durable-medical-equipment pathway - Botetourt and the region; eligibility, availability, and equipment rules apply; not emergency dispatch

Blue Ridge Independent Living Center

Blue Ridge Independent Living Center provides disability-focused information, referral, peer mentoring, advocacy, home-modification access, and independent-living support. Confirm the current service area and eligibility.

Review independent-living services 540-342-1231
County library, technology, printing, research, genealogy, and community-program pathway - Botetourt County; hours, card, accessibility, and program rules apply; not emergency dispatch

Botetourt County Libraries

Botetourt County Libraries provide free public access to books, technology, research, programs, and local-history resources. Confirm the closest branch, hours, and current services.

Review Botetourt libraries 540-928-2900
Local library, technology, printing, research, genealogy, and community-program pathway - 11 Academy Street, Fincastle; 540-928-2700; hours and access rules apply; not emergency dispatch

Fincastle Library

Fincastle Library provides local access to technology, printing, research, genealogy, programs, and community connection. Confirm hours, card rules, accessibility, and current programming.

Review Fincastle Library 540-928-2700
Local public-school, student-support, nutrition, enrollment, and family-information pathway - 143 Poor Farm Road, Fincastle; 540-473-8263; enrollment, residency, education, and program rules apply; not emergency dispatch

Botetourt County Public Schools

Botetourt County Public Schools provides current enrollment, family, nutrition, student-support, and school-contact information for local households. Confirm the correct school and current program requirements.

Review Botetourt County schools 540-473-8263
Regional food-bank and food-access pathway serving Southwest Virginia, including Botetourt-area partners; distribution, eligibility, schedule, and capacity rules vary; not emergency dispatch

Feeding Southwest Virginia

The county's resource directory identifies Feeding Southwest Virginia as a food-access partner. Confirm the nearest current pantry or distribution site, hours, eligibility, and documentation.

Review food-access resources
Local food-pantry pathway - 111 South Roanoke Street, Fincastle; county resource list identifies Saturday distribution and appointment options; hours, eligibility, and supply rules must be confirmed; not emergency dispatch

St. Mark's Episcopal Church Food Pantry

Botetourt County lists St. Mark's Episcopal Church as a local food-pantry option in Fincastle. Confirm current distribution hours, eligibility, accessibility, and available supplies before traveling.

Review local food resources 540-473-2370
Local clothing and practical-support pathway - Fincastle United Methodist Church; availability, schedule, eligibility, and supply rules vary; not emergency dispatch or guaranteed assistance

Fincastle Clothes Closet

The county resource list identifies a Fincastle Clothes Closet as a local practical-support option. Confirm current location, hours, eligibility, accessibility, and available items before traveling.

Review clothing resources 540-473-3001
Aging, caregiver, nutrition, advocacy, and social-support pathway - Botetourt County and the Roanoke Valley; age, program, scheduling, and capacity rules apply; not emergency dispatch

Local Office on Aging

The county resource directory identifies Local Office on Aging services for nutrition, education, advocacy, and socialization. Confirm current Botetourt access, eligibility, transportation, and meal options.

Review aging services 540-580-5085
Civil-legal information and possible representation pathway - Virginia, including Botetourt County; issue, income, household, conflict, and capacity rules apply; not emergency dispatch or legal advice by this listing

Virginia Legal Aid

Virginia Legal Aid provides civil-legal intake and information for eligible households. Confirm whether the issue, income, location, and current capacity fit its service rules.

Review Virginia Legal Aid
Regional civil-legal help pathway - Southwest Virginia, including possible Botetourt County service; income, issue, conflict, intake, and capacity rules apply; not emergency dispatch or guaranteed representation

Southwest Virginia Legal Aid Society

Southwest Virginia Legal Aid Society can screen civil-legal issues affecting housing, safety, benefits, and family stability. Confirm service geography and current intake rules.

Review Southwest Virginia legal aid
Federal Social Security, SSI, disability, and benefits-information pathway - Botetourt County residents; identity, work, medical, income, and application rules apply; not emergency dispatch

Social Security Administration

Use the Social Security Administration for current Social Security and SSI information, applications, and account access. Confirm local appointment and representative-service options.

Review Social Security
Disability, vocational-rehabilitation, independent-living, and aging-services pathway - Virginia, including Botetourt County; disability, age, employment, referral, and program rules apply; not emergency dispatch

Virginia Department for Aging and Rehabilitative Services

DARS can connect eligible Virginians to rehabilitation, disability, independent-living, and aging-related services. Confirm the current local office and eligibility route.

Review DARS services
Veteran and family benefits, claims, health-care navigation, and referral pathway - Virginia, including Botetourt County; veteran status, service records, benefit, and appointment rules apply; not emergency dispatch

Virginia Department of Veterans Services

Virginia Department of Veterans Services can help eligible veterans and families with claims, benefits, health-care navigation, and referrals. Confirm current local access and appointment options.

Review veterans services
Workforce, employment, training, disability, and supportive-service pathway - Virginia, including Botetourt County; eligibility, program, appointment, and funding rules vary; not emergency dispatch or guaranteed employment

Virginia Career Works

Virginia Career Works provides employment, training, and workforce-navigation resources that may support household stability. Confirm the nearest current access point, eligibility, and available programs.

Review workforce services
Local education, family, food, agriculture, home, water, and practical-information pathway - Botetourt County; program, schedule, enrollment, and cost rules vary; not emergency dispatch or clinical care

Virginia Cooperative Extension - Botetourt County

Virginia Cooperative Extension's Botetourt County office provides local educational and practical information, including family, food, home, agriculture, water, and community programs. Confirm current schedules and program details.

Review Botetourt County Extension 540-473-8260
Local voter-registration and election-information pathway - Botetourt County; 2 East Main Street, Fincastle; 540-928-2120; registration, identity, residency, deadlines, and voting rules apply; not emergency dispatch

Botetourt County Elections and Voter Registration

Botetourt County's election office provides voter-registration, election, absentee, and ballot-information pathways. Confirm current deadlines, documentation, and accessible-voting options directly.

Review county elections 540-928-2120
Circuit, general district, juvenile and domestic-relations court-information pathway - Fincastle; filing, service, fee, scheduling, and legal-representation rules apply; not emergency dispatch or legal advice

Botetourt County Courts

Botetourt County's courthouse and sheriff pages identify current court contacts in Fincastle. Confirm the correct court and consider legal-aid screening for advice about a specific matter.

Review county court information 540-928-2350
Statewide affordable-rental and housing-search pathway - Virginia, including Botetourt County; property availability, income limits, screening, deposits, and landlord rules vary; not emergency shelter or guaranteed placement

Virginia Housing Search

Virginia Housing Search can help identify current rental and affordable-housing listings. Confirm availability, eligibility, deposits, screening, accessibility, and application requirements directly with each property.

Search Virginia housing
State housing, community-development, homelessness, and repair-program pathway - Virginia, including Botetourt County; income, property, funding, application, and program rules vary; not emergency dispatch or guaranteed assistance

Virginia Department of Housing and Community Development

Virginia DHCD is a statewide housing and community-development pathway that may connect eligible households and local partners to repair, affordability, and stabilization programs. Confirm current local availability.

Review Virginia housing programs
Health-coverage screening, enrollment, renewal, and member-support pathway - Virginia, including Botetourt County; income, household, identity, renewal, and plan rules apply; not emergency dispatch

Virginia Medicaid and Cover Virginia

Cover Virginia and Virginia Medicaid provide current coverage and enrollment information. Confirm eligibility, renewal deadlines, plan networks, and how to get help with an application.

Review Virginia health coverage
State energy-bill and fuel-assistance pathway - Virginia, including Botetourt County; seasonal, income, household, application, and funding rules apply; not emergency dispatch

Virginia Energy Assistance

Virginia's energy-assistance pathway can help eligible households ask about heating, cooling, crisis, and utility support. Confirm current application windows and local documentation requirements.

Review energy assistance
Local water, power, broadband, trash, recycling, and convenience-center information pathway - Botetourt County and Fincastle; service-area, account, outage, hours, fee, and provider rules apply; not emergency dispatch

Botetourt County Utilities and Waste Navigation

Botetourt County's current resource guide lists local utility, internet, trash, recycling, and landfill contacts. Confirm the correct provider, service area, account rules, and current fees.

Review local utilities and waste
County administration, departments, courts, elections, public safety, social services, planning, and public-service information pathway - Botetourt County; department, jurisdiction, appointment, and fee rules apply; not emergency dispatch

Botetourt County Administration

Botetourt County administration is the central route for county departments, public notices, facilities, public works, records, and service navigation. Confirm the right department before making a request.

Review Botetourt County government 540-928-2000

A note from the Alliance

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

This guide is anchored in Fincastle, 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