The Peer Tree
The Peer Tree offers private-pay support for hoarding and clutter concerns, including practical help and support for friends and family. Ask about fit, travel, scheduling, and cost before making a plan.
A Hoarding Alliance local resource guide
You deserve support that begins with your needs, not judgment about your home. These local and regional options can help you choose one manageable next step, at your pace.
Start here - Fight the Blight
You do not have to solve everything today. You can ask one question, check a practical need, or connect with support without agreeing to a plan first.
If you are not sure where to begin, contact Fight the Blight and ask about a first conversation or virtual peer group. You can start with one question and decide what feels useful next.
Role: nonprofit support and virtual-group front door; geography: ask about service for Hot Springs and Fall River County; cost/eligibility: contact the organization to confirm current options; emergency limit: not crisis dispatch, therapy, or emergency response.
If someone is in immediate danger, there is a fire, serious injury, or urgent medical emergency, call 911. For emotional distress or a behavioral-health crisis, call or text 988. This guide cannot dispatch help. No general emergency-shelter placement or available bed has been verified; call 211 for current navigation, and do not assume a referral guarantees shelter.
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.
The Peer Tree offers private-pay support for hoarding and clutter concerns, including practical help and support for friends and family. Ask about fit, travel, scheduling, and cost before making a plan.
Unburied, from The Peer Tree, is a judgment-free digital peer-support path for people affected by hoarding and clutter and for friends or family supporters. It is not therapy or emergency help.
The Helpline Center can help you look for local food, housing, transportation, and other community resources. Ask what is currently open and what documents or eligibility rules apply.
The county lists public-health nursing, screenings, referrals, and help locating community programs. Call to ask what is available for your situation; a referral does not guarantee another program's services.
West River Mental Health lists a Hot Springs location. If emotional distress, anxiety, depression, or another behavioral-health concern is part of what is happening, call to ask about services and current access. This is not a hoarding-specialty claim.
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 someone is in immediate danger, there is a fire, serious injury, or urgent medical emergency, call 911. This guide and the organizations below cannot dispatch emergency help.
Call or text 988 for emotional distress, suicidal thoughts, or a behavioral-health crisis. 988 is not a local housing placement service or a substitute for 911 in an immediate emergency.
Fall River Health Services lists 24-hour emergency care and a rural health clinic. Emergency care is medical care, not a behavioral-health crisis line or a general shelter service.
The provider lists a local office and phone number. Ask about appointment availability and crisis procedures before relying on outpatient services for a time-sensitive need.
The county contact list gives separate Sheriff and dispatch numbers. A call may result in a law-enforcement response; this is not a behavioral-health or housing service.
Call 211 or search the Helpline Center directory to ask about current shelter, housing, and safety resources. Availability changes; this directory is not an emergency dispatch service.
South Dakota Housing describes a coordinated-entry route for people experiencing homelessness. Call the listed access number and ask which access point serves Fall River County and what is available now.
If safety concerns involve abuse or violence, use the state directory to identify an appropriate provider and confirm current service and access. This is survivor-specific support, not a general shelter listing.
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.
The provider lists Fall River County among its service communities and describes outpatient and telehealth options for substance-use and co-occurring needs. Ask about current fit, referral steps, and any available financial assistance; eligibility is not automatic.
The local health system lists primary care and a rural health clinic. Ask about an appointment for health concerns that make it harder to use or safely navigate living spaces; no hoarding-specialty service is claimed.
Fall River Health Services lists Senior Life Solutions among its services. Call to confirm the program's current age and clinical criteria, intake, cost, and whether it fits your needs.
The county describes screenings, referrals, and help locating programs not provided by its office. Call before visiting to confirm which services are available and whether an appointment is needed.
The county Public Health Nurse page lists WIC services and separate office and phone/virtual availability. Ask the WIC nurse whether your household qualifies and what appointment or documents are needed.
Use the state directory to find behavioral-health and other county-level services. Ask DSS which office or online application serves your address and what documents are required.
Hot Springs Housing describes properties and subsidy-supported housing. Its FAQ generally describes age or disability criteria, income limits, and screening; ask about current eligibility, applications, vacancies, and waitlists. Older COVID-era site language is not current guidance.
Call the state housing contact to ask how Fall River County residents access coordinated entry and what local options exist now. Assessment and referral do not promise housing.
The Hot Springs Ministerial Association lists pantry hours Tuesday through Thursday and Saturday and also lists a monthly Feeding South Dakota distribution. Call before traveling to confirm the current schedule and access details.
The local pantry page lists a second-Wednesday distribution in Hot Springs. Dates and arrangements can change; confirm the next event and how to participate before traveling.
Prairie Hills Transit lists in-town service and trips between Hot Springs and Edgemont, with some Rapid City trips. Its page requests 24-hour advance notice; call dispatch to confirm the current schedule, fare, and pickup details.
The City lists utility and public-works services for city residents. Before making plans about pickup, waste, or utilities, confirm that the property is within the service area and ask about current rates, accepted materials, and arrangements.
The local library can be a practical place to ask about public information and community services. Check current opening hours and any library-card or facility rules before visiting.
Dakota Plains Legal Services describes civil help for qualifying matters and lists its service counties. Contact intake to ask about housing, benefits, or another civil issue; the organization decides eligibility and whether it can accept a case.
The regional referral list identifies a Hot Springs health-system contact for community-health-worker support. Call to confirm current intake, what navigation is available, and whether your concern fits the program.
Use Dakota at Home to look for aging, disability, caregiver, and community-support options. Ask which listed services serve your address and whether there are fees or eligibility rules.
The county lists a Veteran's Officer who can help veterans ask about benefits and services. Call to confirm current office access and whether the issue falls within the office's role.
The Association describes a county-focused mission that includes helping people in need and lists a local food pantry. Contact them to ask about current assistance and whether a faith-based setting is a fit for you.
The county contact directory can help identify the right office for court, property, tax, or county-service questions. Confirm the office, documents, hours, and any fees before traveling.
A note from the Alliance
This guide is anchored in Hot Springs, South 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