The Peer Tree
Ask what a first visit covers, who decides what stays, and whether you can begin with a single task.
A Hoarding Alliance local resource guide
If it’s hard to open a door, prepare a meal, or let someone in to make a repair, you can ask for help with that one thing. If you’re helping someone else, start by asking what they want to change and what they want you to leave alone.
Start here - Fight the Blight
If you have a notice, court date, or shutoff deadline, keep the paperwork and say when it’s due. If you can’t stay safely tonight, tell intake that first. If the need isn’t urgent, you can ask about a first conversation or a virtual group without agreeing to a cleanout.
Ask what a first conversation or group involves before sharing photos or other personal information.
Role: nonprofit front door for hoarding-related support and virtual groups; geography: ask about remote access from Geneseo and Livingston County; cost/eligibility: confirm registration, group fit, and any cost; funded local in-home help is not assumed; emergency limit: not therapy or emergency response.
For fire, immediate danger, or a medical emergency, move to safety if you can and call 911. Tell responders if a doorway is blocked or someone may need 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 what a first visit covers, who decides what stays, and whether you can begin with a single task.
Use online peer support to plan a manageable step or think through a conversation. Share only what you want to share.
Give your ZIP and say what you need first. Ask which program serves your address and whether to call before visiting.
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. Explain if entrances are blocked or someone might still be inside.
Use the hospital emergency room for medical emergencies. Geneseo urgent care is not the same service.
When it’s safe, prioritize clear exits and space around heat sources. Do not re-enter an unsafe building for belongings.
Keep any notice. Ask which corrections and dates apply and which office handles follow-up. Calling the office does not extend a deadline.
Say if you have nowhere safe to stay, face an eviction deadline, or may lose heat. Ask about screening and what to do if the office is closed.
Describe a specific safety concern and what help the adult already has. Clutter alone does not establish eligibility.
If someone is using access to your home or belongings to control you, ask an advocate about safer options from a device you can use privately.
Keep eviction or housing papers and tell intake the next date on them. Ask whether the office can help or refer you.
Start with county DSS if you need a referral. Ask about household size, accessibility, transportation, and where to go if the office is closed.
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 the clinic can assess difficulty acquiring, discarding, or using rooms safely, and where it refers for specialized care.
Ask about falls, breathing, sleep, or other health concerns and whether a behavioral-health referral would help.
Use the resource center to prepare questions about hoarding-specific care and how your goals would shape treatment.
If substance-use recovery is also a priority, ask what peer support is available. For hoarding-related peer support, use the separate starting points above.
Check the pantry’s current instructions before going. Mention if you do not have a working stove or a safe place to store food.
If you have a shutoff or rent deadline, explain the date and what you’ve already tried. Keep a separate plan if you need a safe place tonight.
If fuel is running low or you face shutoff, tell intake when and ask which benefit is open.
Ask what areas workers need to reach before an assessment. If there’s no heat now, tell county benefits intake first.
Ask about caregiver support, equipment, or help at home and explain any mobility or communication needs.
If cooking or getting to a meal site is hard, ask how to get screened. If you need food today, ask the local pantry or 211 separately.
Check your nearest stop, service day, and last return trip before making an appointment.
Check before loading bulky items, electronics, or paint. If a container is leaking or unidentified, ask for handling instructions before moving it.
A note from the Alliance
This guide is anchored in Geneseo, 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