A Hoarding Alliance local resource guide

Hoarding support in Grafton, North Dakota.

If clutter, housing pressure, or a difficult change is weighing on you or someone you care about, you do not have to solve everything at once. Start with a conversation, respect the person's choices, and ask local programs what is available before making a plan.

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

Start here - Fight the Blight

A small first conversation can be enough for today.

You can ask about options without agreeing to a cleanout or a big plan. If you are supporting someone else, begin with listening and consent. A next step should fit the person, the home, and what feels manageable.

Fight the Blight offers a respectful first conversation and virtual support groups for people affected by hoarding and clutter concerns. Ask what is currently available and what may fit your situation.

Role: nonprofit hoarding-support and virtual-group entry point; geography: ask about Walsh County and online options; cost/eligibility: confirm current group fit, schedule, and availability; emergency limit: not therapy or emergency response.

For immediate danger

If anyone faces immediate danger, fire, a serious injury, or a life-threatening medical emergency, call 911. For emotional crisis support, call or text 988. Do not wait for a routine appointment or resource referral in an emergency.

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 hoarding support; geography: remote options and service area must be confirmed; cost/eligibility: private-pay; request current rates and scope before scheduling; emergency limit: not emergency or clinical care. | Confirm current hours, availability, eligibility, and cost directly

The Peer Tree

The Peer Tree offers private-pay support that may include groups, sorting and organizing help, decluttering, deep cleaning, and guidance for family or friends. Ask what is available, what it costs, and whether the work can proceed at the person's pace.

Role: digital peer-support pathway; geography: online; cost/eligibility: review current access and any fees; emergency limit: peer support, not therapy or emergency support. | Confirm current hours, availability, eligibility, and cost directly

Unburied

Unburied offers digital, judgment-free peer support for people affected by clutter and for friends or family. It is not therapy, clinical treatment, or emergency response.

Role: regional behavioral-health assessment and care; geography: serves Walsh County, with a Grafton outreach office; cost/eligibility: HHS says inability to pay does not bar access and offers an income-based sliding fee; confirm your cost and the service available in Grafton; emergency limit: call or text 988 for crisis support, 911 for immediate danger. | Confirm current hours, availability, eligibility, and cost directly

North Dakota Health and Human Services — Northeast Behavioral Health Clinic

The Northeast clinic serves Walsh County. HHS lists a Grafton outreach office at the Life Skills and Transition Center campus. Call the regional clinic to confirm whether the outreach office provides the service you need and how to arrange an appointment; the published weekday walk-in assessment is at the Grand Forks clinic, not the Grafton outreach address.

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; geography: Grafton and Walsh County; cost/eligibility: call 911 for emergencies; emergency limit: immediate danger, fire, serious injury, or urgent medical need only—not routine service navigation. | Confirm current hours, availability, eligibility, and cost directly

Emergency services — 911

Call 911 when someone is in immediate danger or needs urgent medical, fire, or law-enforcement response. For non-emergency questions, contact the appropriate local office instead of emergency dispatch.

Role: behavioral-health crisis support; geography: nationwide, including North Dakota; cost/eligibility: call or text 988; emergency limit: crisis support, not a substitute for 911 for immediate danger or urgent medical response. | Confirm current hours, availability, eligibility, and cost directly

988 Suicide & Crisis Lifeline

Call or text 988 for emotional distress, suicidal thoughts, or a behavioral-health crisis. If someone is in immediate physical danger or needs urgent medical or fire response, call 911.

Role: confidential survivor advocacy and safety planning; geography: Walsh County office by mail and regional advocacy; cost/eligibility: call to discuss options and any eligibility; emergency limit: advocacy and shelter navigation, not 911 dispatch. | Confirm current hours, availability, eligibility, and cost directly

Domestic Violence & Abuse Center — 24-hour crisis line

DVAC lists a Walsh County office in Grafton and a 24-hour crisis line answered by a centralized service that connects callers with an advocate. A conversation does not require taking action. Call to discuss a safe way to communicate, protection-order information, or possible shelter options; confirm current availability.

Role: community-resource navigation; geography: North Dakota and regional referrals; cost/eligibility: call 211 or use the online directory; emergency limit: referral service, not emergency response. | Confirm current hours, availability, eligibility, and cost directly

FirstLink — 211 resource navigation

FirstLink can help identify current community resources when you are unsure which office to call. Ask specifically about Walsh County, current eligibility, and whether a referral or appointment is needed. Call 911 for immediate danger and 988 for emotional crisis support.

Role: protective-services reporting and assessment; geography: North Dakota; cost/eligibility: reports and consultation through the statewide program; emergency limit: call 911 if an adult is in immediate danger. | Confirm current hours, availability, eligibility, and cost directly

North Dakota Adult Protective Services

For concerns that a vulnerable adult may be experiencing abuse, neglect, or exploitation, contact North Dakota Adult Protective Services to ask about reporting and next steps. A cluttered home alone does not establish abuse or neglect; use respectful, person-centered judgment and describe concrete safety concerns.

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: qualified behavioral-health counseling; geography: telehealth for North Dakota residents; cost/eligibility: CHSI accepts many insurance plans and may offer an income-based sliding fee; confirm clinician availability, coverage, and fees; emergency limit: scheduled care, not crisis response. | Confirm current hours, availability, eligibility, and cost directly

CHSI Behavioral Health — telehealth counseling

Community Health Service Inc. says its behavioral-health team offers therapy and counseling by telehealth in North Dakota. Contact CHSI to ask about current appointments and whether a clinician has experience with hoarding-related concerns; no such specialty is implied by this listing.

Role: primary medical care; geography: Grafton clinic; cost/eligibility: CHSI says community members may access services and may qualify for a sliding fee; confirm insurance, income documentation, and charges; emergency limit: clinic care is not a substitute for 911 or an emergency department. | Confirm current hours, availability, eligibility, and cost directly

CHSI Grafton Clinic — primary care

CHSI lists its Grafton clinic at 1113 West 11th Street and describes weekday primary-care services. Call for appointments and current hours. If a health, housing, or safety concern is affecting daily life, you can ask the clinic about appropriate care coordination without assuming a particular outcome.

Role: insurance and sliding-fee information; geography: CHSI patients; cost/eligibility: discounts depend on household size, income, documentation, and service; confirm before care; emergency limit: billing navigation is not emergency care. | Confirm current hours, availability, eligibility, and cost directly

CHSI financial resources

CHSI explains that patients may qualify for its sliding-fee program and asks applicants to provide income documentation. Contact the clinic or billing team to confirm your eligibility, accepted insurance, and expected charge before scheduling.

Role: county public health, prevention, and WIC navigation; geography: Walsh County; cost/eligibility: ask about the specific service and WIC eligibility; emergency limit: routine public-health support, not emergency response. | Confirm current hours, availability, eligibility, and cost directly

Walsh County Public Health District and WIC

The county lists its Public Health District at 638 Cooper Avenue, Suite 3, Grafton. North Dakota HHS lists WIC services for Walsh County in Grafton and Park River. Call to confirm current services, appointment needs, and eligibility before visiting.

Role: nutrition support for eligible pregnant and postpartum people, infants, and young children; geography: Walsh County locations include Grafton and Park River; cost/eligibility: income and categorical rules apply; confirm eligibility and appointments; emergency limit: not emergency care. | Confirm current hours, availability, eligibility, and cost directly

North Dakota WIC — eligibility and application

North Dakota HHS explains how to apply for WIC and lists Walsh County contact service in Grafton and Park River. Call the county program to ask about current eligibility, documentation, appointment options, and services.

Role: benefits and public-assistance navigation; geography: Walsh County and North Dakota; cost/eligibility: SNAP, Medicaid, heating assistance, child care, TANF, and other programs have program-specific rules; confirm with HHS; emergency limit: routine benefits support, not emergency response. | Confirm current hours, availability, eligibility, and cost directly

North Dakota Human Service Zone — economic assistance

North Dakota HHS says local Human Service Zone offices help residents access benefits and referrals. The statewide Customer Support Center can answer application questions; ask about current Walsh County procedures and which documents to prepare.

Role: rental and housing assistance; geography: Walsh County; cost/eligibility: income and program rules apply; ask about open application periods, documentation, and waitlists; emergency limit: not emergency shelter or guaranteed placement. | Confirm current hours, availability, eligibility, and cost directly

Walsh County Housing Authority

North Dakota's Care Choice directory lists the Walsh County Housing Authority at 600 East 9th Street in Grafton and describes rental or housing assistance for qualified people. Call to confirm current programs, application status, eligibility, and whether a waitlist is open.

Role: local food assistance; geography: Grafton; cost/eligibility: confirm service area, identification or application requirements, and available food directly; emergency limit: food referral, not emergency medical or housing response. | Confirm current hours, availability, eligibility, and cost directly

Walsh County Food Pantry

Great Plains Food Bank's partner-pantry directory lists the Walsh County Food Pantry at 344 West 15th Street in Grafton, phone 701-352-1648, with weekday hours shown Monday through Thursday, 1–4 p.m. Listings and hours can change; call before traveling and ask about current intake, documents, and stock.

Role: public transportation and nutrition services; geography: county routes include Grafton; cost/eligibility: transportation is open to all ages, but confirm fare, reservation, service area, and ride availability; emergency limit: scheduled transportation, not emergency transport. | Confirm current hours, availability, eligibility, and cost directly

Walsh County Nutrition and Public Transportation

The program says its vehicles have wheelchair ramps and its public transportation is open to all ages. Its website lists Grafton service on Wednesdays and Fridays, 9 a.m.–4 p.m. Call to confirm the pickup area, booking notice, fare, accessibility needs, and current schedule before relying on a ride.

Role: disability-related direct assistance and referrals; geography: Walsh County is served through the Grand Forks region; cost/eligibility: application, disability/health-related criteria, and funding rules apply; confirm current options; emergency limit: not emergency response. | Confirm current hours, availability, eligibility, and cost directly

North Dakota Association for the Disabled — request assistance

NDAD lists Walsh County in its northeast service region and describes an application-based Direct Financial Assistance Program. Call to ask about current eligibility, available funding, equipment, transportation, or other support; an application does not guarantee assistance.

Role: civil legal aid and legal information; geography: North Dakota; cost/eligibility: free help is limited to eligible applicants and case types; complete the screening application; emergency limit: not emergency dispatch or a guarantee of representation. | Confirm current hours, availability, eligibility, and cost directly

Legal Services of North Dakota

Legal Services of North Dakota describes application-based help for eligible low-income residents and older adults. If a housing, benefits, debt, or legal notice is part of the situation, contact the organization promptly to ask whether the issue and deadline fit its current service scope.

Role: court and courthouse information; geography: Walsh County courthouse in Grafton; cost/eligibility: court fees and procedures vary by matter; confirm with the court or legal aid; emergency limit: court information is not emergency response or legal representation. | Confirm current hours, availability, eligibility, and cost directly

North Dakota Courts — Walsh County Court

The North Dakota Court System lists Walsh County's courthouse at 600 Cooper Avenue in Grafton. Use the state court site for location information and self-help materials; for advice about a specific deadline or case, ask a licensed attorney or Legal Services of North Dakota about eligibility.

Role: public library and information access; geography: Grafton; cost/eligibility: ask about residency, borrowing, computer, printing, and accessibility policies; emergency limit: not crisis or emergency response. | Confirm current hours, availability, eligibility, and cost directly

Carnegie Regional Library

The Carnegie Regional Library's site provides local contact and service information. Call ahead to confirm current hours and whether computer, printing, meeting, or other access is available for your needs.

Role: municipal utility and household waste information; geography: City of Grafton service area; cost/eligibility: service boundaries, charges, pickup, and material rules depend on the address and item; confirm with City Hall; emergency limit: routine public works, not emergency cleanup or crisis response. | Confirm current hours, availability, eligibility, and cost directly

City of Grafton — utilities and sanitation

The City's resident page describes municipal electric and water service, weekly garbage pickup by ward, and curbside recycling on the second and fourth Wednesday. Ask the City about address-specific service, extra-item rules, fees, and safe disposal before arranging a home project. This is not a cleanout provider.

Role: statewide behavioral-health clinic directory and referral information; geography: North Dakota; cost/eligibility: each clinic sets its intake and payment details; confirm with the clinic; emergency limit: call or text 988 for crisis support, 911 for immediate danger. | Confirm current hours, availability, eligibility, and cost directly

North Dakota Health and Human Services — find behavioral-health help

If the regional clinic or Grafton outreach office is not the right fit, use the HHS clinic directory to ask about another provider serving Walsh County. Describe the support you are seeking and ask about hoarding-specific experience, appointment availability, insurance, and fees.

Role: national directory for hoarding-related treatment and support; geography: search for North Dakota or telehealth options; cost/eligibility: contact each listed provider about licensure, fit, coverage, and fee; emergency limit: directory only, not care or crisis response. | Confirm current hours, availability, eligibility, and cost directly

IOCDF Hoarding Center — provider directory

The International OCD Foundation offers a searchable provider directory. A listing does not establish local availability or a particular clinician's fit. Ask directly about hoarding-disorder experience and whether the provider is licensed to serve a North Dakota resident.

Role: survivor services and local advocacy navigation; geography: Walsh County through DVAC; cost/eligibility: call to ask about available services; emergency limit: not a substitute for 911 for immediate danger. | Confirm current hours, availability, eligibility, and cost directly

North Dakota Domestic and Sexual Violence Coalition — local services

DVAC lists services for Walsh County, including advocacy and safety-related support. If it is unsafe to leave a message or use a shared device, ask first about a safe way to communicate. Confirm the current service and shelter options directly.

Role: benefits navigation for eligible veterans and family members; geography: Walsh County office in Grafton; cost/eligibility: service is for eligible veterans and dependents; confirm appointment and benefit requirements; emergency limit: routine navigation, not emergency response. | Confirm current hours, availability, eligibility, and cost directly

Walsh County Veteran Service Office

Walsh County lists a Veteran Service Office in Grafton. Veterans or eligible family members can ask about benefits, records, health-care eligibility, and referrals; confirm required documents and appointment availability.

Role: municipal service contact; geography: City of Grafton; cost/eligibility: ask about address-specific city services and current charges; emergency limit: City Hall is not emergency dispatch. | Confirm current hours, availability, eligibility, and cost directly

Grafton city contact and service navigation

The City contact page lists City Hall at 5 East 4th Street and a general phone number. It can route questions about city services, utilities, and sanitation; call 911 for immediate danger.

Role: county department navigation; geography: Walsh County offices in Grafton; cost/eligibility: program rules vary by department; confirm service scope and appointment needs; emergency limit: use 911 for emergencies. | Confirm current hours, availability, eligibility, and cost directly

Walsh County — local government and departments

The county's website provides department contacts for public health, social services, courts, emergency management, and other county functions. Ask the relevant office what it can address; a directory listing does not mean a department provides cleanup or hoarding-specific treatment.

A note from the Alliance

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

This guide is anchored in Grafton, North Dakota, 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