A Hoarding Alliance local resource guide

Hoarding support in Hillsville, Virginia.

Start with a respectful next step in Hillsville or elsewhere in Carroll County. This guide connects people, families, supporters, and local systems with practical pathways while keeping emergencies and qualified care in the right lane.

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

Start here - Fight the Blight

A calm place to begin

You do not have to solve everything at once. Start with the pathway that fits the situation, then confirm current availability, eligibility, cost, jurisdiction, and safety requirements directly with the organization.

For immediate danger

If there is immediate danger, fire, a medical emergency, violence, or an active threat, call 911. For emotional or behavioral-health crisis support, call or text 988 or use Virginia's local crisis and community-services pathways.

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.

Private-pay hoarding support, organizing help, groups, and family guidance - broader service area, including possible support for Carroll County; private-pay scope, cost, scheduling, travel, consent, safety, and capacity must be confirmed directly; not emergency or clinical care

The Peer Tree

The Peer Tree is the private-pay pathway for organizing help, decluttering support, groups, family guidance, and practical next steps when a grant or public program is not the right fit. Ask about scope, cost, travel, consent, safety, and whether support is available in Carroll County.

Digital peer-support pathway - online for people affected by hoarding and clutter concerns and their supporters; current access and eligibility should be confirmed; no fee or clinical-coverage claim is made here; not therapy, crisis response, or emergency support

Unburied

Unburied, from The Peer Tree, offers a judgment-free digital pathway with peer support, groups, and tools for people directly affected and for friends, family, property managers, municipal workers, and other supporters.

Free, confidential resource navigation for housing, food, health care, utilities, transportation, legal help, and basic needs - Virginia, including Carroll County; 24/7 service; each referred provider has its own eligibility, cost, and availability rules; not emergency dispatch

211 Virginia

211 Virginia connects people with current local resources for housing, food, health care, utilities, transportation, mental health, and other needs. Ask for options serving Hillsville and Carroll County.

Qualified community-services-board pathway for mental health, substance use, developmental services, crisis support, recovery, and supportive housing - Carroll County, Galax, and Southwest Virginia; intake, insurance, financial-assistance, and capacity rules vary; not emergency dispatch

Mount Rogers Community Services

Mount Rogers Community Services is the public behavioral-health, substance-use, developmental-services, crisis, recovery, and supportive-housing pathway serving Carroll County. Confirm the current intake, crisis route, coverage, and Hillsville-area access point.

Regional qualified hospital, emergency, behavioral-health, and outpatient-care pathway - 200 Hospital Drive, Galax; emergency services open 24/7; insurance, transfer, billing, and capacity rules must be confirmed directly; not cleanup or hoarding support

Twin County Regional Healthcare

Twin County Regional Healthcare is the nearby qualified hospital pathway for Carroll County, with emergency, behavioral-health, outpatient, imaging, and other services. Call 911 for a life-threatening emergency and confirm current care information directly.

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.

Immediate danger and emergency dispatch - Hillsville and Carroll County; use for fire, medical emergency, violence, rescue, or an active threat; not a hoarding-support program, counseling service, or cleanup provider

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.

Emotional-distress and suicide-crisis support - Virginia and nationwide; phone, text, and chat access; free and confidential; crisis-support eligibility and local follow-up vary; not fire, EMS, or police dispatch; call 911 for immediate physical danger

988 Suicide & Crisis Lifeline

Call or text 988 for emotional distress, suicidal thoughts, or a behavioral-health crisis. If there is immediate physical danger, fire, a medical emergency, or an active threat, call 911 instead.

County emergency-management, disaster-planning, shelter, preparedness, and incident-coordination pathway - Carroll County; call 911 for an active emergency; local incident instructions and access rules apply; not counseling or cleanup

Carroll County Office of Emergency Services

Carroll County's emergency-services system coordinates emergency management, disaster planning, and public-safety partners. Follow current incident instructions and call 911 for an active emergency.

County fire, rescue, EMS, fire-prevention, and emergency-preparedness pathway - Carroll County and Hillsville; call 911 for emergencies; response, billing, and coverage rules apply; not cleanup or clinical care

Carroll County Fire and Rescue

Carroll County Fire and Rescue is the local fire, rescue, and EMS pathway for Hillsville and surrounding communities. Call 911 for an emergency and contact county services for prevention or preparedness questions that can wait.

County law-enforcement, dispatch, jail, court-security, and civil-process pathway - 605 Pine Street, Hillsville; 276-730-3020 or 276-728-9992; call 911 for immediate danger; not counseling or cleanup

Carroll County Sheriff's Office

Use the Carroll County Sheriff's Office for county law-enforcement and public-safety questions that are not an active emergency. Confirm the correct current route for the situation.

Municipal police and town-public-safety pathway - Town of Hillsville; town jurisdiction and report rules apply; call 911 for immediate danger; not counseling or cleanup

Hillsville Police Department

Hillsville's town government identifies municipal public-safety responsibilities within town limits. Confirm town jurisdiction and the current non-emergency reporting process.

Regional emergency-department and acute-care pathway - 200 Hospital Drive, Galax; open 24/7; triage, transfer, insurance, billing, and capacity rules apply; call 911 for life-threatening symptoms; not cleanup or hoarding support

Twin County Regional Healthcare Emergency Room

Twin County Regional Healthcare's emergency room provides 24/7 emergency care for the region. Call 911 for life-threatening symptoms rather than driving if conditions may be urgent.

Behavioral-health, substance-use, developmental-services, same-day access, and crisis pathway - Carroll County and Southwest Virginia; same-day access and mobile crisis routes vary; call 911 for immediate physical danger; intake, insurance, and capacity rules apply

Mount Rogers Community Services Crisis Pathway

Mount Rogers Community Services provides public behavioral-health and substance-use services and lists Carroll County access points and crisis resources. Confirm the current crisis and intake route; call 911 for immediate physical danger.

Official public-health, WIC, immunization, screening, family-planning, communicable-disease, and environmental-health pathway - 605-15 Pine Street, Hillsville; 276-730-3180; appointments, fees, and eligibility vary; not emergency care

Carroll County Health Department

The Carroll County Health Department is part of the Mount Rogers Health District and is the local Virginia Department of Health pathway for public-health questions. Confirm appointments, fees, language access, and current services directly.

Local adult, child, family-support, APS, CPS, and benefits-screening pathway - 605 Pine Street, Hillsville; after-hours hotlines and screening rules apply; call 911 for immediate danger; jurisdiction and response rules apply

Carroll County Department of Social Services Protective Services

Use Carroll County Social Services when a child or adult may be experiencing abuse, neglect, exploitation, or unsafe conditions and the situation is not an immediate 911 emergency. Confirm the current local or statewide route.

Confidential survivor-support and safety-planning pathway - Virginia, including Carroll County; advocates, local referrals, and shelter options vary; call 911 for immediate danger; not housing or cleanup guarantee

Virginia Sexual and Domestic Violence Hotline

Call or text Virginia's statewide hotline for confidential support related to sexual or domestic violence. Advocates can help identify local options; call 911 for immediate danger.

Poison-exposure information and medical guidance - Virginia; call 911 for collapse, seizure, breathing trouble, or another immediate emergency; not hoarding support or cleanup

Virginia Poison Center

Call the Virginia Poison Center for poison-exposure guidance. If someone has collapsed, cannot breathe normally, is having a seizure, or is in immediate danger, call 911 first.

Utility-locate and excavation-safety pathway - Virginia, including Carroll County; submit before digging; marking and utility-owner rules apply; call 911 for an active gas, electrical, fire, or other utility emergency

Virginia 811

Contact Virginia 811 before digging or disturbing ground so utility lines can be marked. Use 911 for an active gas, electrical, fire, or other immediate utility danger.

State emergency-preparedness, alerts, shelter, and disaster-information pathway - Virginia, including Carroll County; local incident instructions and eligibility rules apply; call 911 for an active emergency

Virginia Emergency Management

Virginia Emergency Management provides preparedness and disaster-information resources that complement Carroll County emergency services. Follow current local incident instructions and call 911 for an active emergency.

County building, inspection, planning, zoning, property, and code-information pathway - 605 Pine Street, Hillsville; 276-730-3016; jurisdiction, permit, inspection, fee, and appeal rules apply; not emergency dispatch or private cleanup

Carroll County Building and Permit Navigation

Use Carroll County's government route for building, planning, zoning, property, and code questions. Confirm jurisdiction and current requirements directly before starting work or making a safety request.

County water, sewer, solid-waste, recycling, and disposal-information pathway - Carroll County; accepted-material, hours, fee, service-area, and hazardous-material rules apply; not hazardous-emergency response

Carroll County Solid Waste and Public Service Authority

Use Carroll County and the Public Service Authority for water, sewer, waste, recycling, and disposal questions. Confirm hours, fees, accepted materials, and special handling before traveling.

County animal-control and public-safety pathway - Carroll County; service, jurisdiction, animal, and after-hours rules apply; call 911 for immediate danger; not counseling or cleanup

Carroll County Animal Control

Use Carroll County Animal Control for animal-safety questions and reports that are not an active emergency. Confirm service area and current response process through the county department directory.

State law-enforcement and public-safety pathway - Virginia, including Carroll County; call 911 for immediate danger; jurisdiction and report rules apply; not counseling or cleanup

Virginia State Police

Use Virginia State Police for state law-enforcement information when appropriate. Call 911 for an active emergency and confirm whether county, town, or state jurisdiction applies.

State-road, right-of-way, access, traffic, and roadway-safety information pathway - Virginia, including Carroll County; state, county, and town jurisdiction rules apply; call 911 for an immediate roadway danger; not private-property cleanup

Virginia Department of Transportation

VDOT provides the state route for roadway, right-of-way, access, and traffic-safety questions. Confirm whether an issue belongs to VDOT, Carroll County, or the Town of Hillsville before submitting a request.

Municipal administration, permits, zoning, planning, records, and town-service pathway - 410 North Main Street, Hillsville; 276-728-2128; town jurisdiction, service-area, fee, and code rules apply; call 911 for emergencies; not private cleanup

Town of Hillsville Government

Use the Town of Hillsville for current municipal services, permits, codes, records, planning, and town-government questions. Confirm town jurisdiction before making a property request.

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.

Local benefits, SNAP, Medicaid, TANF, energy, adult, child, family, protective-services, and self-sufficiency pathway - 605 Pine Street, Hillsville; 276-730-3135; program, income, household, documentation, seasonal, and appointment rules apply; not emergency dispatch

Carroll County Department of Social Services

Carroll County Social Services is a local starting point for public benefits, family services, adult services, child services, energy assistance, protective services, and self-sufficiency support. Ask about current eligibility and required documents.

Online benefits screening and application pathway for SNAP, Medicaid, TANF, energy assistance, and related programs - Virginia, including Carroll County; income, household, documentation, and program rules apply; not emergency dispatch

Virginia CommonHelp

CommonHelp is Virginia's online route to screen and apply for several public-benefit programs. Confirm current rules and contact Carroll County Social Services if online access is difficult.

State energy-bill and fuel-assistance pathway - Virginia, including Carroll County; seasonal, income, household, application, and funding rules apply; not emergency dispatch

Virginia Energy Assistance

Virginia's energy-assistance pathway can help eligible households ask about heating, cooling, crisis, and utility support. Confirm current application windows and local documentation requirements.

County-published navigation pathway for public safety, social services, health, housing, permits, utilities, waste, schools, courts, and community programs - Carroll County; department, jurisdiction, appointment, and fee rules apply; not emergency dispatch

Carroll County Government Services

Carroll County's current government portal and department directory are the local map for public services. Confirm every department, program, hours, and eligibility requirement directly before relying on it.

County housing, planning, building, repair, and stabilization pathway - Carroll County; property, income, funding, application, contractor, and program rules vary; not emergency shelter or guaranteed placement

Carroll County Housing and Repair Navigation

Use Carroll County government and local housing partners to identify current housing-repair, code, and stabilization routes. Confirm availability, eligibility, waitlists, and service area directly.

Regional nonprofit housing, emergency-assistance, energy-efficiency, home-improvement, senior, and family-support pathway - Carroll County, Galax, and Grayson; income, priority, geography, and funding rules apply; not emergency dispatch or guaranteed assistance

Rooftop of Virginia Community Action

Rooftop of Virginia serves Carroll County and the Twin County region with housing, emergency assistance, energy-efficiency, home-improvement, and family-support programs. Confirm current eligibility, funding, and application steps.

Community mental-health, substance-use, developmental-disability, crisis, recovery, residential, supportive-housing, and case-management pathway - Carroll County; Hillsville supportive-housing office and regional intake options; intake, insurance, financial-assistance, and capacity rules vary; not emergency dispatch

Mount Rogers Community Services

Mount Rogers Community Services serves Carroll County with behavioral-health, substance-use, developmental, crisis, residential, employment, and supportive-housing pathways. Confirm the appropriate Hillsville, Galax, or mobile access point.

Qualified community-health-center pathway for primary care, pharmacy, behavioral health, and case management - Carroll County and regional clinics; same-day access may be available; insurance, sliding-fee, appointment, and capacity rules apply; not emergency dispatch

Tri-Area Community Health

Tri-Area Community Health provides primary care and behavioral-health pathways in the Carroll County region, including a school-based clinic in Hillsville. Confirm current location, fees, insurance, and appointments directly.

Qualified regional hospital, emergency, behavioral-health, outpatient, rehabilitation, and diagnostic pathway - Galax and the Twin County region; insurance, billing, transfer, appointment, and capacity rules apply; call 911 for life-threatening symptoms; not cleanup or hoarding support

Twin County Regional Healthcare

Twin County Regional Healthcare provides regional hospital, emergency, behavioral-health, outpatient, imaging, and rehabilitation pathways for Carroll County residents. Confirm current services and financial-assistance options directly.

Senior social-support, congregate-meal, wellness-check, activity, and nutrition pathway - service area includes Carroll County, Galax, and Grayson; age, program, schedule, and capacity rules apply; not emergency dispatch

Rooftop Senior Involvement

Rooftop's senior-involvement program serves older adults in the Carroll County area with meals, activities, wellness checks, and social connection. Confirm the current site, age rules, transportation, and schedule.

Local public-library, computer, Wi-Fi, printing, research, literacy, and community-program pathway - Carroll County branch at 101 Beaver Dam Road, Hillsville; 276-728-3334; hours, card, accessibility, and program rules apply; not emergency dispatch

Galax-Carroll Regional Library

The Carroll County Public Library provides free access to books, computers, Wi-Fi, printing, research, literacy, and community programming. Confirm hours, card rules, accessibility, and current programming.

Local public-school, student-support, nutrition, enrollment, homeless-family, and family-information pathway - 605-9 Pine Street, Hillsville; 276-730-3200; enrollment, residency, education, and program rules apply; not emergency dispatch

Carroll County Public Schools

Carroll County Public Schools provides enrollment, family, nutrition, Project Hope, student-support, and school-contact information for local households. Confirm the correct school and current program requirements.

Civil-legal information and possible representation pathway - Virginia, including Carroll County; issue, income, household, conflict, and capacity rules apply; not emergency dispatch or legal advice by this listing

Virginia Legal Aid

Virginia Legal Aid provides civil-legal intake and information for eligible households. Confirm whether the issue, income, location, and current capacity fit its service rules.

Disability, vocational-rehabilitation, independent-living, and aging-services pathway - Virginia, including Carroll County; disability, age, employment, referral, and program rules apply; not emergency dispatch

Virginia Department for Aging and Rehabilitative Services

DARS can connect eligible Virginians to rehabilitation, disability, independent-living, and aging-related services. Confirm the current local office and eligibility route.

Veteran and family benefits, claims, health-care navigation, and referral pathway - Virginia, including Carroll County; veteran status, service records, benefit, and appointment rules apply; not emergency dispatch

Virginia Department of Veterans Services

Virginia Department of Veterans Services can help eligible veterans and families with claims, benefits, health-care navigation, and referrals. Confirm current local access and appointment options.

Workforce, employment, training, disability, and supportive-service pathway - Virginia, including Carroll County; eligibility, program, appointment, and funding rules vary; not emergency dispatch or guaranteed employment

Virginia Career Works

Virginia Career Works provides employment, training, and workforce-navigation resources that may support household stability. Confirm the nearest current access point, eligibility, and available programs.

Local education, family, food, agriculture, home, water, and practical-information pathway - Carroll County; program, schedule, enrollment, and cost rules vary; not emergency dispatch or clinical care

Virginia Cooperative Extension - Carroll County

Virginia Cooperative Extension's Carroll County office provides local educational and practical information, including family, food, home, agriculture, water, and community programs. Confirm current schedules and program details.

Federal Social Security, SSI, disability, and benefits-information pathway - Carroll County residents; identity, work, medical, income, and application rules apply; not emergency dispatch

Social Security Administration

Use the Social Security Administration for current Social Security and SSI information, applications, and account access. Confirm local appointment and representative-service options.

Health-coverage screening, enrollment, renewal, and member-support pathway - Virginia, including Carroll County; income, household, identity, renewal, and plan rules apply; not emergency dispatch

Virginia Medicaid and Cover Virginia

Cover Virginia and Virginia Medicaid provide current coverage and enrollment information. Confirm eligibility, renewal deadlines, plan networks, and how to get help with an application.

Statewide affordable-rental and housing-search pathway - Virginia, including Carroll County; property availability, income limits, screening, deposits, accessibility, and landlord rules vary; not emergency shelter or guaranteed placement

Virginia Housing Search

Virginia Housing Search can help identify current rental and affordable-housing listings. Confirm availability, eligibility, deposits, screening, accessibility, and application requirements directly with each property.

State housing, community-development, homelessness, repair, and energy-efficiency pathway - Virginia, including Carroll County; income, property, funding, application, and program rules vary; not emergency dispatch or guaranteed assistance

Virginia Department of Housing and Community Development

Virginia DHCD is a statewide housing and community-development pathway that may connect eligible households and local partners to repair, affordability, and stabilization programs. Confirm current local availability.

Federal housing-search, homelessness, public-housing, voucher, tenant, and disaster-resource pathway - Virginia, including Carroll County; HUD is not a direct provider; local waitlists, eligibility, screening, and availability rules apply; not emergency dispatch

HUD Virginia Housing and Homelessness Resources

HUD's Virginia resource page explains routes for affordable housing, homelessness, public housing, vouchers, tenant help, and local referrals. Dial 211 for current local navigation and confirm each program directly.

County aging, recreation, transportation, activity, and community-program pathway - Carroll County; age, schedule, program, accessibility, and capacity rules vary; not emergency dispatch

Carroll County Office of Aging and Recreation

Use Carroll County's government and recreation routes to identify current aging, transportation, activities, facilities, and community-program information. Confirm schedules, eligibility, and accessibility before traveling.

Local water, sewer, utility-account, and public-service pathway - Carroll County; service-area, account, billing, outage, and infrastructure rules apply; not emergency dispatch

Carroll County Public Service Authority

The Carroll County Public Service Authority is identified as the local route for water and sewer services. Confirm service area, account requirements, billing, and outage contacts directly.

Circuit, general district, juvenile and domestic-relations court-information pathway - Hillsville; filing, service, fee, scheduling, and legal-representation rules apply; not emergency dispatch or legal advice

Carroll County Courts

Carroll County's government pages and courthouse contacts identify current court and clerk pathways in Hillsville. Confirm the correct court and consider legal-aid screening for advice about a specific matter.

Municipal administration, permits, planning, zoning, records, code, and community-service pathway - 410 North Main Street, Hillsville; 276-728-2128; town jurisdiction, appointment, fee, and code rules apply; not emergency dispatch

Hillsville Government and Town Services

The Town of Hillsville provides municipal administration, planning, zoning, code, records, and town-service information. Confirm town jurisdiction before making a property or service request.

Statewide support-navigation pathway for housing, food, child care, health, mental health, utilities, and local programs - Virginia, including Carroll County; each program has its own eligibility, cost, and capacity rules; not emergency dispatch

Virginia Support Resources

Virginia's support-resources page explains how to find current help with housing, food, child care, health, utilities, and related needs. Use 211 for local navigation and confirm every referral directly.

Regional community-action, housing, senior, food, energy, and family-support pathway - Carroll County and the Twin County region; income, age, geography, funding, and capacity rules vary; not emergency dispatch or guaranteed assistance

Carroll County Community and Family Navigation

Rooftop of Virginia and the regional library, health, school, and county systems can help connect households to practical supports. Confirm current program fit, eligibility, and availability directly before traveling.

A note from the Alliance

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

This guide is anchored in Hillsville, Virginia, 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