A Hoarding Alliance local resource guide

Hoarding support in Fresno.

A respectful place to begin - whether you are looking for support for yourself, worried about someone you love, or trying to respond to a safety, housing, care, or practical concern in Fresno County.

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

Start here - Fight the Blight

You do not have to be in California to begin with us.

Our virtual groups give people affected by hoarding and clutter concerns a place to connect from Fresno, Fresno County, and other communities. We can help you think through what is happening and what kind of next step may fit.

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

Call 911 for a medical emergency, fire, or immediate threat. For behavioral-health crisis support, call or text 988. For local coordinated navigation, call MAP at (559) 512-6777.

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.

County behavioral-health care, access, and crisis navigation - Fresno County; intake, eligibility, and level-of-care rules apply

Fresno County Behavioral Health

Fresno County Behavioral Health provides access to behavioral-health services and lists a 24/7 access and crisis line. Ask about current adult services, assessment, culturally responsive care, and whether the concern is best handled through routine care, mobile crisis, or a crisis-stabilization pathway. This is not cleanup or organizing support.

Review Fresno County Behavioral Health 1-800-654-3937
Free coordinated navigation for housing, behavioral health, benefits, and immediate needs - Fresno County; screening and service capacity vary

Multi-Agency Access Program (MAP)

MAP is a County-funded, multi-agency access program that screens people and links them to social services, public benefits, housing, health care, and other immediate necessities. MAP says it is free to Fresno County residents and offers phone, office, and mobile access. It is a navigator, not a guarantee of housing, treatment, or cleanup.

Review Fresno MAP 559-512-6777
Public housing, affordable housing, and Housing Choice Voucher navigation - Fresno County; income, interest-list, preference, and program rules apply

Fresno Housing

Fresno Housing administers Housing Choice Vouchers and public or affordable housing programs across Fresno County. The agency says interest lists and openings change and that housing shortages can limit availability. Ask about current lists, reasonable accommodations, property applications, maintenance, and any housing deadline.

Review Fresno Housing 559-443-8400
Information, referrals, meals, independence, caregiver, and disability-support navigation - Fresno and Madera Counties; age, need, and program rules vary

Fresno-Madera Area Agency on Aging

The Fresno-Madera Area Agency on Aging connects older adults, adults with functional impairments, and caregivers to community-based support and information. Ask about current information-and-assistance, meals, independence, transportation, caregiver, and protective-service pathways. It is navigation rather than hoarding-specific therapy or automatic cleanup funding.

Review the Area Agency on Aging 559-214-0299
Qualified-care directory - Fresno search and teletherapy options; providers self-report, payment and licensure rules apply

IOCDF Hoarding Resource Directory

The International OCD Foundation directory can be searched by Fresno, ZIP code, or full address for clinicians and programs that indicate an interest in OCD or hoarding-related care. IOCDF says it does not endorse listed providers. Ask about current hoarding-disorder experience, licensure, insurance, fees, wait time, privacy, and whether home-based or telehealth work fits.

Search the IOCDF directory

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 protective services, housing screening, crisis response, coordinated entry, code enforcement, or emergency assistance.

Immediate danger and emergency dispatch - Fresno and Fresno County; use for fire, medical emergency, violence, or immediate threat

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. Emergency dispatch is not a hoarding-support program, behavioral-health counseling service, or cleanup provider. When the situation is not immediately dangerous, begin with a support, care, or navigation pathway.

Call 911 911
Mental-health and substance-use crisis support - Nationwide; free, confidential, 24/7 support

988 Suicide and Crisis Lifeline

Call or text 988 for emotional distress, a mental-health or substance-use crisis, or concern about someone else. 988 is not a cleanup provider and does not guarantee an in-home response. Call 911 for immediate danger, fire, violence, or a medical emergency.

Call or text 988 988
Mobile behavioral-health crisis response - Fresno County; situation, safety, dispatch, and response rules apply

Fresno County Mobile Crisis Response

Fresno County Behavioral Health lists Mobile Crisis Response for behavioral-health emergencies and crisis support. Call to ask what response is available and whether the situation is appropriate for mobile crisis. It is not a cleanup, organizing, or housing-placement service; call 911 for immediate danger.

Call Fresno County crisis access 559-600-6000
24/7 adult mental-health crisis stabilization - Fresno; voluntary assessment, current capacity, and level-of-care rules apply

Exodus Crisis Stabilization Center

Fresno County identifies the Exodus Crisis Stabilization Center as a 24/7 adult crisis resource at 4411 E. Kings Canyon Road. Call before traveling to confirm current access and fit. It is for mental-health crisis stabilization, not cleanup or ongoing organizing, and does not replace 911 for immediate danger.

Review Fresno adult crisis care 559-453-1008
Protective services - Fresno County; elder or dependent-adult abuse, neglect, self-neglect, and exploitation standards apply

Fresno County Adult Protective Services

Fresno County Adult Services and Fresno city information identify APS as a pathway for suspected abuse, neglect, exploitation, or self-neglect involving older or functionally impaired adults. Use it for a genuine protective concern, not as a general cleanup referral. APS does not replace emergency dispatch or guarantee a particular service response.

Review Fresno Adult Services 559-600-3383
Adult behavioral-health care, CARE Act, AOT, older-adult services, and crisis pathways - Fresno County; legal and clinical eligibility rules apply

Fresno County Adult System of Care

The County's Adult System of Care describes adult behavioral-health services, crisis stabilization, crisis residential treatment, CARE Act services, assisted outpatient treatment, and older-adult services. These are distinct clinical or legal pathways, not cleanup services. Ask the County which current route fits and what consent, screening, or court process applies.

Review Adult System of Care 559-600-5755
Housing-crisis assessment and coordinated access - Fresno and Madera Counties; vulnerability, access-site, and housing-capacity rules apply

Fresno-Madera Continuum of Care Coordinated Entry

The Fresno-Madera Continuum of Care describes Coordinated Entry as a HUD-mandated process that assesses people experiencing a housing crisis and connects them with housing and assistance based on needs and preferences. It is not a cleanup service or a guarantee of housing. Ask for the current access point and screening process.

Review Coordinated Entry
Housing safety, nuisance, and accumulated-trash reporting - Fresno city limits; jurisdiction, notice, inspection, and compliance rules apply

City of Fresno Code Enforcement

Fresno Code Enforcement handles minimum-housing, public-nuisance, and safety complaints, including accumulation of trash or junk. The City says its goal is voluntary compliance, but inspection, notices, deadlines, and enforcement can follow a report. This is a regulatory pathway, not voluntary peer support, therapy, or emergency dispatch.

Review Fresno Code Enforcement 559-621-8400
City service and neighborhood concern reporting - Fresno city limits; department, jurisdiction, and response rules vary

FresGO 311

Fresno's 311 pathway helps residents report city service issues, illegal dumping, and other concerns. Confirm what department handles the address and what a report can produce. It is not a hoarding-support program, counseling service, or emergency dispatch; call 911 for immediate danger.

Review Fresno 311 311
Benefits, adult services, food, health, and self-sufficiency navigation - Fresno County; income, household, documentation, and program rules apply

Fresno County Social Services

Fresno County Social Services lists assistance programs, adult services, food benefits, health coverage, and other pathways intended to help residents remain safe and self-sufficient. Ask about the appropriate current program and documents. This is a public-benefits pathway, not a guarantee of cash, housing, treatment, or cleanup funding.

Review Fresno County Social Services

People and practical help

County coordination, peer support, and practical options

These listings offer connections for care, education, housing, benefits, utilities, aging, food, organizing, repairs, or disposal. They are independent organizations; ask about current availability, cost, scope, consent, and safety before relying on them.

Annual bulky-item curbside collection - Fresno city residents who pay solid-waste service; schedule, material, and set-out rules apply

Fresno Operation Clean Up

The City of Fresno's Operation Clean Up lets eligible residential customers place oversized household items at the curb once each year. The City says items should not be placed out more than seven days before pickup and that apartments with four or more units are currently excluded. Confirm the address, schedule, accepted materials, and safety rules before setting anything out.

Review Operation Clean Up 559-621-1111
LIHEAP, energy-crisis assistance, weatherization, and minor home-safety improvements - Fresno County; income, documents, utility, and funding rules apply

Fresno EOC Energy Services

Fresno EOC Energy Services describes one-time annual LIHEAP help, emergency energy-crisis assistance, weatherization, energy education, and possible minor repairs or replacements for eligible households. It can help stabilize a home but is not hoarding-cleanup funding. Confirm current online intake, income limits, documents, and shutoff or crisis rules.

Review Fresno EOC Energy Services 559-263-1320
Food, health, and cash-assistance navigation - Fresno County; household, income, immigration, and documentation rules apply

Fresno County CalFresh and Assistance Programs

Fresno County Social Services describes CalFresh, health-care, and other assistance pathways. Benefits can help stabilize food and household needs while safety, housing, and care steps are planned. Confirm current eligibility, application methods, work-rule changes, and required documents directly.

Review Fresno CalFresh
Countywide directory of food, aging, disability, health, and human-services leads - Fresno County; listings and availability should be confirmed

Fresno County Community Services Directory

Fresno County publishes a community-services directory with local leads for food, older-adult support, disability, health, and other needs. Use it as a starting map, not proof that a provider is current, available, free, or appropriate. Confirm details directly and ask for a consent-centered plan.

Open Fresno community-services directory
Food distributions and pantry navigation - Fresno and Central California; site, schedule, appointment, and eligibility rules vary

Central California Food Bank Food Locator

The Central California Food Bank provides a food-distribution locator and calendar for Fresno and surrounding counties. Food support can reduce immediate household pressure while housing, safety, care, and practical next steps are planned. Check the current location, hours, appointment requirements, and household rules before traveling.

Find food near Fresno 559-237-3663
Appointment-based grocery support - Fresno and nearby counties; appointment, site, household, and program rules apply

Central California Food Bank Groceries2Go

Groceries2Go is an appointment-based food program operated by the Central California Food Bank with satellite locations in the region. It is practical food stabilization, not therapy, emergency medical care, or cleanup. Confirm current appointment availability, service location, household requirements, and transportation needs.

Review Groceries2Go
In-home supportive services and caregiver navigation - Fresno County; functional need, Medi-Cal, assessment, and program rules apply

Fresno County IHSS and Public Authority

Fresno County Adult Services describes In-Home Supportive Services and the Public Authority's provider registry for people who need help remaining safely and independently at home. IHSS is not hoarding-specific therapy or cleanup funding. Ask about the current application, functional assessment, authorized tasks, and caregiver options.

Review Fresno IHSS and Public Authority
Affordable-housing interest lists and property applications - Fresno County; openings, lottery, preference, and waitlist rules apply

Fresno Housing Application Process

Fresno Housing explains how applicants create an account, join an interest list when open, and apply for public or affordable housing properties. The agency warns that shortages can limit selection. Ask about current openings, reasonable accommodations, application status, maintenance, and any deadline tied to the home.

Review Fresno Housing applications
Independent hoarding and biohazard cleanup provider - Fresno; paid service, scope, insurance, and safety planning vary

Bio-One Fresno

Bio-One Fresno advertises hoarding, biohazard, and specialty cleanup and describes local response, discretion, and 24/7 availability. It is an independent commercial lead, not an Alliance or Fight the Blight provider and not a substitute for peer or clinical support. Ask about consent, privacy, disposal, insurance, worker training, and a written estimate.

Review Bio-One Fresno 559-421-1816
Independent hoarding cleanout and junk-removal provider - Fresno; paid service, pricing, scope, disposal, and safety planning vary

Junky Junk Removal Fresno

Junky Junk Removal advertises hoarding cleanouts, hauling, and related property work in Fresno and says it is licensed and insured. It is an independent commercial lead, not an Alliance or Fight the Blight provider. Ask for a consent-centered written scope, itemized estimate, privacy plan, donation and disposal options, and worker-safety details.

Review Junky Junk Removal 559-803-9390
Independent property cleanout and hauling provider - Fresno and nearby Central Valley communities; paid service and scope vary

Clear Ops Hauling

Clear Ops Hauling describes local property cleanouts and hauling in Fresno, Clovis, and surrounding communities. It is an independent commercial lead, not an Alliance or Fight the Blight provider. Ask about consent, pacing, privacy, labor, disposal, insurance, hazardous materials, and a written estimate before scheduling.

Review Clear Ops Hauling 559-272-7188
Practical and peer support - Private-pay pathway; confirm fit, scope, availability, and fees

The Peer Tree

The Peer Tree offers nonclinical hoarding and clutter support, including organizing help, groups, family guidance, and practical next steps. Ask about current availability, service area, scope, pacing, privacy, and fees before beginning. The Peer Tree is a separate private-pay pathway from Fight the Blight's nonprofit programming.

Visit The Peer Tree
Digital peer support - Available online; not therapy or emergency support

Unburied

Unburied, from The Peer Tree, is a judgment-free digital peer-support pathway for people affected by hoarding and clutter concerns and for friends and family. It can offer ongoing connection, tools, and momentum from Fresno or anywhere else. It is not therapy, clinical care, or emergency support.

Explore Unburied

A note from the Alliance

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

This guide is anchored in Fresno, the county seat of Fresno County, and includes city, countywide, statewide, 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