The Peer Tree
Ask about starting with planning, sorting support, or guidance for family without committing to a home visit.
A Hoarding Alliance local resource guide
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.
Start here - Fight the Blight
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 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
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 about starting with planning, sorting support, or guidance for family without committing to a home visit.
If it feels easier to start online, explore peer support at a pace that works for you.
Say whether you need somewhere safe tonight or have a deadline later. Ask what is accepting referrals now.
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.
If you can get outside safely, call from there. Tell responders if someone is still inside or a door is blocked.
Use the hospital emergency department for urgent medical problems, not to arrange routine hoarding support or a cleanout.
Describe what is happening now and ask which response is appropriate rather than assuming a particular team will be sent.
If you can do it safely, agree on an exit that everyone can reach before taking on a larger sorting project.
If you received a housing or utility notice, keep it nearby and give the deadline when you ask what help is available.
Ask which program fits your household before traveling. If you cannot reach intake, check with 211 for current options.
Keep your notice, lease or court papers and give the earliest date when asking for help.
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.
If it is safe to reach out, ask about a confidential safety plan or residential support.
If you already have a notice, ask which condition needs attention first and when follow-up is due.
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.
Describe what is harder to do at home and ask whether a clinician has experience with hoarding or can refer you.
Discuss health concerns at home and ask whether a behavioral health referral would help.
Ask a clinician directly about experience with hoarding and what a first appointment would involve.
If isolation is making it harder to ask for help, ask what kind of peer or community support is available.
If you are helping someone else, ask about support for yourself without expecting them to attend.
Tell intake which tasks are becoming hard, such as preparing food or getting to appointments.
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.
Ask whether your destination is covered and how far ahead to reserve before scheduling an appointment.
Check distribution details before traveling, particularly if you need to arrange a ride or cannot carry groceries far.
Ask the library about using a computer or printing an application. Sign out of personal accounts and take your papers with you.
Ask about a specific large or unusual item before placing it outside. Do not assume it goes with ordinary trash.
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.
If you received a shutoff notice, give the date to both your utility and the intake agency and ask about time-sensitive help.
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
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