A Hoarding Alliance local resource guide

Hoarding support in Goshen, New York.

Start with one thing you want to make easier at home: getting to an exit, having a place to prepare food, or opening the door for a visitor. Asking for support does not mean agreeing to a cleanout. If you are helping someone else, ask what they want help with before moving anything.

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

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Start with what needs attention first

If there is an inspection, court date, or shutoff deadline, keep a copy of the notice and lead with the date. If there is no deadline, a conversation or peer group can be a first step without a home visit.

Ask what a first conversation or virtual group is like. You do not have to send photos of your home to ask for support.

Role: nonprofit front door for hoarding support and virtual groups; geography: ask about joining online from Goshen or elsewhere in Orange County; cost/eligibility: confirm registration, group fit and any fees; funded local in-home work is not assumed; emergency limit: not therapy or emergency response.

For immediate danger

For an active fire, serious injury, or immediate danger, get to safety if you can and call 911. Give the exact address and unit or floor and tell the dispatcher if access is blocked or anyone needs help leaving.

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, nonclinical hoarding support; geography: ask which options are available remotely or at your Orange County address; cost/eligibility: confirm rates, availability and scope before booking; no grant coverage is assumed; emergency limit: not therapy, medical care or emergency response. | Each listing identifies its role, service area, cost or eligibility to confirm, and emergency limits.

The Peer Tree

Ask about starting with planning, sorting support, or guidance for family without committing to a home visit.

Role: digital peer support for people affected by clutter or hoarding and their supporters; geography: online from Goshen and Orange County; cost/eligibility: check current access, pricing and group options; emergency limit: not therapy or emergency support. | Each listing identifies its role, service area, cost or eligibility to confirm, and emergency limits.

Unburied

If it feels easier to start online, explore peer support at a pace that works for you.

Role: regional referral service for housing, food and other basic needs; geography: Orange County and nearby Hudson Valley counties; give your ZIP code; cost/eligibility: free referral service; each referred program sets its own rules and availability; emergency limit: does not dispatch 911 or guarantee shelter. | Each listing identifies its role, service area, cost or eligibility to confirm, and emergency limits.

Hudson Valley 211

Say whether you need somewhere safe tonight or have a deadline later. Ask what is accepting referrals now.

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: emergency dispatch for active fire, serious injury or immediate danger; geography: give your exact address, municipality, unit or floor and any access barriers; cost/eligibility: do not wait for program intake; medical or response charges may vary; emergency limit: for emergencies, not routine referrals or cleanup. | Each listing identifies its role, service area, cost or eligibility to confirm, and emergency limits.

911: Immediate Danger

If you can get outside safely, call from there. Tell responders if someone is still inside or a door is blocked.

Role: hospital emergency care; geography: Middletown campus in Orange County, not the Goshen outpatient office; cost/eligibility: seek emergency care when needed; billing or insurance may apply; emergency limit: call 911 for immediate danger or when safe transport is not possible. | Each listing identifies its role, service area, cost or eligibility to confirm, and emergency limits.

Garnet Health Medical Center: Emergency Department

Use the hospital emergency department for urgent medical problems, not to arrange routine hoarding support or a cleanout.

Role: county crisis assessment, support and referral to an appropriate response; geography: Orange County, New York, including Goshen; cost/eligibility: county lists 24-hour access; ask about any follow-up service costs or eligibility; emergency limit: not routine counseling or cleanup; call 911 for immediate physical danger. | Each listing identifies its role, service area, cost or eligibility to confirm, and emergency limits.

Orange County Crisis Call Center

Describe what is happening now and ask which response is appropriate rather than assuming a particular team will be sent.

Role: public fire-safety guidance; geography: national guidance usable in Goshen and Orange County; cost/eligibility: free information; no intake; emergency limit: education only; use 911 for active fire or immediate danger. | Each listing identifies its role, service area, cost or eligibility to confirm, and emergency limits.

U.S. Fire Administration: Hoarding and Fire Safety

If you can do it safely, agree on an exit that everyone can reach before taking on a larger sorting project.

Role: county benefits intake and referral for temporary assistance; geography: Orange County, New York; confirm the correct intake site; cost/eligibility: program rules apply; ask about eligibility, documents and urgent housing options; emergency limit: not 911 or a guarantee of placement or payment. | Each listing identifies its role, service area, cost or eligibility to confirm, and emergency limits.

Orange County Department of Social Services

If you received a housing or utility notice, keep it nearby and give the deadline when you ask what help is available.

Role: nonprofit shelter and housing pathways with distinct programs for different households; geography: Orange County programs include Middletown; the provider also serves other counties; cost/eligibility: confirm the appropriate site, referral requirements and current capacity; emergency limit: not emergency dispatch or a guaranteed same-night bed. | Each listing identifies its role, service area, cost or eligibility to confirm, and emergency limits.

HONOR: Housing and Shelter

Ask which program fits your household before traveling. If you cannot reach intake, check with 211 for current options.

Role: civil legal help for covered housing matters; geography: serves Orange County; ask which office handles your address; cost/eligibility: free legal help for eligible applicants; confirm income rules, case type and capacity; emergency limit: not emergency dispatch; applying does not pause a deadline. | Each listing identifies its role, service area, cost or eligibility to confirm, and emergency limits.

Legal Services of the Hudson Valley: Housing Rights

Keep your notice, lease or court papers and give the earliest date when asking for help.

Role: intake for suspected abuse, neglect or exploitation of vulnerable adults; geography: Orange County, New York, including Goshen; cost/eligibility: ask about vulnerable-adult criteria and how to report; clutter alone does not establish eligibility; emergency limit: not 911, housekeeping or routine cleanup. | Each listing identifies its role, service area, cost or eligibility to confirm, and emergency limits.

Orange County Adult Protective Services

If an adult cannot protect themselves from a serious risk, describe what you observed and what help they can accept. The county lists 845-291-2800 for its Adult Protective Services Unit.

Role: specialized confidential survivor advocacy and shelter pathway; geography: Orange and Sullivan counties; confirm where to get help without traveling to a shelter address; cost/eligibility: confirm confidential intake, service fit and availability; emergency limit: not general shelter or a substitute for 911 when there is immediate danger. | Each listing identifies its role, service area, cost or eligibility to confirm, and emergency limits.

Fearless! Hudson Valley: Residential Services

If it is safe to reach out, ask about a confidential safety plan or residential support.

Role: village contact for building and code questions; geography: Village of Goshen properties; check whether your address is in the village or the surrounding town; cost/eligibility: confirm inspection steps, deadlines and fees if any with the appropriate office; emergency limit: not emergency response, legal advice or a cleanup service. | Each listing identifies its role, service area, cost or eligibility to confirm, and emergency limits.

Village of Goshen Building and Zoning

If you already have a notice, ask which condition needs attention first and when follow-up is due.

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: clinical outpatient counseling and psychiatric services; geography: Orange County area; confirm the appropriate site or remote option; cost/eligibility: ask about clinician experience, age and program fit, insurance, fees and openings; emergency limit: routine intake is not 911 or verified hoarding-specialty treatment. | Each listing identifies its role, service area, cost or eligibility to confirm, and emergency limits.

Access: Supports for Living — Counseling and Psychiatry

Describe what is harder to do at home and ask whether a clinician has experience with hoarding or can refer you.

Role: outpatient medical care and a primary care entry point; geography: Goshen office; confirm which services and appointments are available there; cost/eligibility: ask about coverage, fees and whether new patients are accepted; emergency limit: not the Middletown emergency department or verified hoarding-specialty care. | Each listing identifies its role, service area, cost or eligibility to confirm, and emergency limits.

Garnet Health Doctors: Goshen

Discuss health concerns at home and ask whether a behavioral health referral would help.

Role: hoarding education and a starting point for finding qualified care; geography: national resource; search New York and confirm access for your location; cost/eligibility: free information; confirm each clinician’s license, relevant experience, fees and openings; emergency limit: not clinical intake, endorsement or emergency response. | Each listing identifies its role, service area, cost or eligibility to confirm, and emergency limits.

International OCD Foundation: Hoarding Resources

Ask a clinician directly about experience with hoarding and what a first appointment would involve.

Role: nonprofit social connection and recovery support programs; geography: Orange County, New York; confirm the location and population each program serves; cost/eligibility: ask about eligibility, enrollment and any fees; emergency limit: not hoarding-specific treatment, therapy or emergency response. | Each listing identifies its role, service area, cost or eligibility to confirm, and emergency limits.

Mental Health Association in Orange County: Social Connection

If isolation is making it harder to ask for help, ask what kind of peer or community support is available.

Role: peer support for adults supporting someone with mental health challenges; geography: Orange County, New York; confirm current format and meeting dates; cost/eligibility: NAMI describes its family groups as free; check registration and availability; emergency limit: not hoarding-specific treatment, therapy or emergency response. | Each listing identifies its role, service area, cost or eligibility to confirm, and emergency limits.

NAMI Orange County, NY: Family Support Group

If you are helping someone else, ask about support for yourself without expecting them to attend.

Role: county navigation and referrals for older adults and caregivers; geography: Orange County, New York; the county lists an office in Goshen; cost/eligibility: confirm program-specific age, residency and costs; emergency limit: not emergency response or guaranteed in-home help. | Each listing identifies its role, service area, cost or eligibility to confirm, and emergency limits.

Orange County Office for the Aging

Tell intake which tasks are becoming hard, such as preparing food or getting to appointments.

Role: county senior nutrition and home-delivered meals; geography: Orange County, including Goshen; verify availability at your address; cost/eligibility: county lists eligibility screening for delivery and a voluntary contribution; confirm current criteria; emergency limit: not emergency food delivery or medical care. | Each listing identifies its role, service area, cost or eligibility to confirm, and emergency limits.

Orange County Senior Dining and Home Delivered Meals

If shopping or cooking is difficult, ask about a referral and what to use while waiting. The county lists Orange County NY Connects at 845-615-3710 for home-delivered meal referrals.

Role: town-operated nonemergency transportation; geography: Goshen and Chester service area; confirm pickup and allowed destinations; cost/eligibility: the town lists fares and reduced fares for eligible older adults and people with disabilities; confirm current rates and booking; emergency limit: not an ambulance or emergency transport. | Each listing identifies its role, service area, cost or eligibility to confirm, and emergency limits.

Goshen and Chester Dial-A-Bus

Ask whether your destination is covered and how far ahead to reserve before scheduling an appointment.

Role: local volunteer food distribution; geography: Goshen, New York; use the partner church’s current instructions; cost/eligibility: confirm residency, registration, hours and food availability; emergency limit: not emergency dispatch or guaranteed same-day delivery. | Each listing identifies its role, service area, cost or eligibility to confirm, and emergency limits.

Goshen Ecumenical Pantry

Check distribution details before traveling, particularly if you need to arrange a ride or cannot carry groceries far.

Role: public library services for finding information and preparing paperwork; geography: Goshen library; check current service hours; cost/eligibility: ask about computer access, card requirements and printing charges; emergency limit: not case management, private records storage or emergency support. | Each listing identifies its role, service area, cost or eligibility to confirm, and emergency limits.

Goshen Public Library and Historical Society

Ask the library about using a computer or printing an application. Sign out of personal accounts and take your papers with you.

Role: municipal information for garbage and recycling services; geography: Village of Goshen; verify whether your address uses village collection; cost/eligibility: confirm schedule, accepted items and any special arrangements or fees; emergency limit: not emergency response, hazardous-waste disposal or whole-home cleanup. | Each listing identifies its role, service area, cost or eligibility to confirm, and emergency limits.

Village of Goshen Department of Public Works

Ask about a specific large or unusual item before placing it outside. Do not assume it goes with ordinary trash.

Role: county disposal events for eligible household materials; geography: Orange County residents; verify the event location and current date; cost/eligibility: county describes resident events as free for residential amounts; confirm accepted items and proof of residency; emergency limit: not emergency spill response or routine pickup. | Each listing identifies its role, service area, cost or eligibility to confirm, and emergency limits.

Orange County Household Hazardous Waste Events

Keep chemicals out of ordinary trash. Before transporting anything, verify the next event and accepted materials with the county recycling coordinator at 845-291-3246.

Role: county intake information for New York HEAP heating assistance; geography: Orange County, including Goshen; cost/eligibility: income and program rules apply; confirm current application dates, documents and emergency-benefit criteria; emergency limit: not emergency dispatch and applying does not stop a shutoff. | Each listing identifies its role, service area, cost or eligibility to confirm, and emergency limits.

Orange County Home Energy Assistance Program

If you received a shutoff notice, give the date to both your utility and the intake agency and ask about time-sensitive help.

Role: nonprofit weatherization and energy-efficiency assistance screening; geography: Orange County; confirm the service for your address; cost/eligibility: income and housing rules apply; ask about landlord permission, an assessment and waiting lists; emergency limit: not emergency repairs, hoarding cleanup or a promise of work. | Each listing identifies its role, service area, cost or eligibility to confirm, and emergency limits.

RECAP Energy Conservation

If heating costs or drafts make it hard to stay safely at home, ask what an assessment involves and how to prepare.

A note from the Alliance

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

This guide is anchored in Goshen, 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