A Hoarding Alliance local resource guide

Hoarding support in Hot Springs, South Dakota.

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.

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

Start here - Fight the Blight

Start where you are

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.

For immediate danger

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

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: ask about availability for Hot Springs and Fall River County; cost/eligibility: private-pay; request current rates and scope before scheduling; emergency limit: not emergency response or a substitute for immediate safety help. | Fight the Blight is the nonprofit and virtual-group front door; The Peer Tree is private-pay; Unburied is digital peer support, not therapy or emergency support.

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.

Role: digital peer-support pathway; geography: available online; cost/eligibility: confirm current app options and terms; emergency limit: not therapy, clinical care, or emergency support. | Fight the Blight is the nonprofit and virtual-group front door; The Peer Tree is private-pay; Unburied is digital peer support, not therapy or emergency support.

Unburied

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.

Role: community-resource navigation; geography: statewide, including Fall River County; cost/eligibility: call or search to confirm current local options; emergency limit: not emergency dispatch or a guaranteed shelter placement. | Fight the Blight is the nonprofit and virtual-group front door; The Peer Tree is private-pay; Unburied is digital peer support, not therapy or emergency support.

South Dakota 211

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.

Role: public-health information, referrals, and program navigation; geography: office in Hot Springs serving the public; cost/eligibility: ask which services have eligibility or fees; emergency limit: not urgent medical care or crisis response. | Fight the Blight is the nonprofit and virtual-group front door; The Peer Tree is private-pay; Unburied is digital peer support, not therapy or emergency support.

Fall River County Public Health Nurse

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.

Role: mental-health and related behavioral-health care; geography: local office serving the Black Hills and western South Dakota; cost/eligibility: ask about intake, insurance, fees, and available appointments; emergency limit: call 988 or 911 for immediate crisis needs. | Fight the Blight is the nonprofit and virtual-group front door; The Peer Tree is private-pay; Unburied is digital peer support, not therapy or emergency support.

West River Mental Health — Hot Springs office

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

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: Hot Springs and Fall River County; cost/eligibility: call for an immediate emergency; emergency limit: use for urgent danger, fire, serious injury, or medical emergency. | Fight the Blight is the nonprofit and virtual-group front door; The Peer Tree is private-pay; Unburied is digital peer support, not therapy or emergency support.

Immediate danger, fire, or urgent medical emergency — 911

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.

Role: behavioral-health crisis support; geography: call or text from Hot Springs and nationwide; cost/eligibility: free, confidential support; emergency limit: call 911 for immediate physical danger or urgent medical emergency. | Fight the Blight is the nonprofit and virtual-group front door; The Peer Tree is private-pay; Unburied is digital peer support, not therapy or emergency support.

988 Suicide & Crisis Lifeline

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.

Role: hospital emergency and medical care; geography: 1201 Highway 71 South, Hot Springs; cost/eligibility: emergency evaluation and treatment may result in charges; ask the facility about billing and financial assistance; emergency limit: for urgent medical emergencies, use 911 if transport or immediate dispatch is needed. | Fight the Blight is the nonprofit and virtual-group front door; The Peer Tree is private-pay; Unburied is digital peer support, not therapy or emergency support.

Fall River Health Services — 24-hour emergency care

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.

Role: outpatient mental-health and behavioral-health services; geography: 647 5th Street, Hot Springs; cost/eligibility: call to confirm intake, payment, and current service fit; emergency limit: for crisis support call or text 988; for immediate danger call 911. | Fight the Blight is the nonprofit and virtual-group front door; The Peer Tree is private-pay; Unburied is digital peer support, not therapy or emergency support.

West River Mental Health — Hot Springs office

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.

Role: local law enforcement and non-emergency dispatch; geography: Fall River County; cost/eligibility: call the listed office for non-emergency assistance; emergency limit: use 911 for immediate danger, fire, or urgent medical emergency. | Fight the Blight is the nonprofit and virtual-group front door; The Peer Tree is private-pay; Unburied is digital peer support, not therapy or emergency support.

Fall River County Sheriff and non-emergency dispatch

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.

Role: community-resource navigation; geography: statewide service, including Fall River County; cost/eligibility: ask about current referrals and eligibility; emergency limit: no verified bed or placement is promised; call 911 for immediate danger. | Fight the Blight is the nonprofit and virtual-group front door; The Peer Tree is private-pay; Unburied is digital peer support, not therapy or emergency support.

South Dakota 211 — current shelter and safety navigation

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.

Role: homelessness assessment and housing referral; geography: statewide system with regional access points; cost/eligibility: contact the listed access point to confirm local intake and eligibility; emergency limit: assessment is not emergency shelter or a guaranteed placement. | Fight the Blight is the nonprofit and virtual-group front door; The Peer Tree is private-pay; Unburied is digital peer support, not therapy or emergency support.

South Dakota housing coordinated entry

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.

Role: victim-services and survivor-specific support directory; geography: statewide; cost/eligibility: ask each listed provider about service area and eligibility; emergency limit: do not treat a directory listing as a confirmed open shelter bed; call 911 for immediate danger. | Fight the Blight is the nonprofit and virtual-group front door; The Peer Tree is private-pay; Unburied is digital peer support, not therapy or emergency support.

South Dakota victim-services and survivor support directory

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

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: substance-use and co-occurring behavioral-health services; geography: local office at 112 N. Chicago Street, Hot Springs; cost/eligibility: ask about assessment, funding eligibility, sliding-scale cost, and scheduling; emergency limit: not a crisis dispatch service. | Fight the Blight is the nonprofit and virtual-group front door; The Peer Tree is private-pay; Unburied is digital peer support, not therapy or emergency support.

Addiction Recovery Centers of the Black Hills — Hot Springs

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.

Role: primary and rural health care; geography: 1201 Highway 71 South, Hot Springs; cost/eligibility: ask about appointment access, insurance, fees, and financial assistance; emergency limit: urgent emergency care is separately listed as 24-hour service. | Fight the Blight is the nonprofit and virtual-group front door; The Peer Tree is private-pay; Unburied is digital peer support, not therapy or emergency support.

Fall River Health Services — rural health clinic and primary care

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.

Role: outpatient behavioral-health program for older adults; geography: ask the Hot Springs provider about local access; cost/eligibility: confirm age, clinical eligibility, payer, and program availability; emergency limit: not emergency response or a 24-hour crisis service. | Fight the Blight is the nonprofit and virtual-group front door; The Peer Tree is private-pay; Unburied is digital peer support, not therapy or emergency support.

Fall River Health Services — Senior Life Solutions

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.

Role: prevention, health screening, referrals, and resource navigation; geography: 709 Jensen Highway, Hot Springs; cost/eligibility: ask about each service's eligibility and fees; emergency limit: not urgent medical care or crisis response. | Fight the Blight is the nonprofit and virtual-group front door; The Peer Tree is private-pay; Unburied is digital peer support, not therapy or emergency support.

Fall River County Public Health Nurse and referrals

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.

Role: nutrition support for eligible pregnant and postpartum people, infants, and children; geography: county office in Hot Springs; cost/eligibility: income and categorical eligibility rules apply; confirm with WIC; emergency limit: not emergency food delivery or medical care. | Fight the Blight is the nonprofit and virtual-group front door; The Peer Tree is private-pay; Unburied is digital peer support, not therapy or emergency support.

Fall River County WIC

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.

Role: state benefits and service navigation; geography: South Dakota residents, with county-specific provider listings; cost/eligibility: program-specific rules and applications apply; confirm directly with DSS; emergency limit: not emergency cash assistance or immediate shelter placement. | Fight the Blight is the nonprofit and virtual-group front door; The Peer Tree is private-pay; Unburied is digital peer support, not therapy or emergency support.

South Dakota Department of Social Services — benefits and county services

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.

Role: affordable and rent-subsidized housing; geography: offices and properties in Hot Springs and Edgemont; cost/eligibility: income, age or disability, screening, and vacancy rules apply; call to confirm; emergency limit: not emergency shelter or immediate placement. | Fight the Blight is the nonprofit and virtual-group front door; The Peer Tree is private-pay; Unburied is digital peer support, not therapy or emergency support.

Hot Springs Housing

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.

Role: housing assessment and referral for people experiencing homelessness; geography: state system; cost/eligibility: confirm local access-point rules and current eligibility; emergency limit: not a shelter bed or guaranteed placement. | Fight the Blight is the nonprofit and virtual-group front door; The Peer Tree is private-pay; Unburied is digital peer support, not therapy or emergency support.

South Dakota Housing coordinated entry

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.

Role: community food pantry; geography: 107 N. Chicago Street, Hot Springs; cost/eligibility: call to confirm current access, documentation, and household rules; emergency limit: not emergency shelter or medical care. | Fight the Blight is the nonprofit and virtual-group front door; The Peer Tree is private-pay; Unburied is digital peer support, not therapy or emergency support.

Hot Springs Food Pantry

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.

Role: scheduled food distribution; geography: Hot Springs location listed at Butler Park; cost/eligibility: verify current date, participation rules, and any proxy process with the organizer; emergency limit: not a daily pantry guarantee or emergency shelter. | Fight the Blight is the nonprofit and virtual-group front door; The Peer Tree is private-pay; Unburied is digital peer support, not therapy or emergency support.

Feeding South Dakota distribution — Hot Springs

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.

Role: public and demand-response transportation; geography: Hot Springs and Edgemont, with scheduled regional trips; cost/eligibility: confirm fare and trip eligibility when booking; emergency limit: not emergency or same-day ambulance transport. | Fight the Blight is the nonprofit and virtual-group front door; The Peer Tree is private-pay; Unburied is digital peer support, not therapy or emergency support.

Prairie Hills Transit — Fall River County

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.

Role: city water, sewer, garbage, and public-works information; geography: Hot Springs city service area only; cost/eligibility: fees and account eligibility vary; call City Hall to confirm address-level service and current rates; emergency limit: not a countywide cleanup or emergency service. | Fight the Blight is the nonprofit and virtual-group front door; The Peer Tree is private-pay; Unburied is digital peer support, not therapy or emergency support.

City of Hot Springs Public Works and utilities

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.

Role: public library and information access; geography: Hot Springs; cost/eligibility: ask the library about residency, card, computer, and room-use rules; emergency limit: not a crisis or housing service. | Fight the Blight is the nonprofit and virtual-group front door; The Peer Tree is private-pay; Unburied is digital peer support, not therapy or emergency support.

Hot Springs Public Library

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.

Role: civil legal aid; geography: service area includes Fall River County, with regional intake; cost/eligibility: residence, income, case priorities, and conflicts are reviewed; acceptance is not guaranteed; emergency limit: not criminal defense except court appointment and not emergency dispatch. | Fight the Blight is the nonprofit and virtual-group front door; The Peer Tree is private-pay; Unburied is digital peer support, not therapy or emergency support.

Dakota Plains Legal Services — Fall River County

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.

Role: community-health navigation and referrals; geography: referral site includes Fall River Health Services in Hot Springs; cost/eligibility: ask the local program about eligibility and available help; emergency limit: not clinical treatment or crisis dispatch. | Fight the Blight is the nonprofit and virtual-group front door; The Peer Tree is private-pay; Unburied is digital peer support, not therapy or emergency support.

Community Health Worker referrals — southwest South Dakota

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.

Role: statewide aging and disability resource information and navigation; geography: South Dakota, including Fall River County; cost/eligibility: varies by program; verify directly with each provider; emergency limit: not emergency care or immediate housing placement. | Fight the Blight is the nonprofit and virtual-group front door; The Peer Tree is private-pay; Unburied is digital peer support, not therapy or emergency support.

Dakota at Home — aging and disability resource navigation

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.

Role: veterans-benefits and service navigation; geography: county office in Fall River County; cost/eligibility: veterans and eligible dependents should ask about current program rules; emergency limit: not emergency medical or behavioral-health response. | Fight the Blight is the nonprofit and virtual-group front door; The Peer Tree is private-pay; Unburied is digital peer support, not therapy or emergency support.

Fall River County Veteran's Officer

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.

Role: faith-community nonprofit offering local service navigation and assistance information; geography: Fall River County; cost/eligibility: ask about current vouchers, availability, and any participation expectations; emergency limit: not emergency shelter or crisis care. | Fight the Blight is the nonprofit and virtual-group front door; The Peer Tree is private-pay; Unburied is digital peer support, not therapy or emergency support.

Hot Springs Ministerial Association — community resource center

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.

Role: county government and court information; geography: Hot Springs is the Fall River County seat; cost/eligibility: office-specific rules and public-record fees may apply; call to confirm; emergency limit: not emergency dispatch or legal representation. | Fight the Blight is the nonprofit and virtual-group front door; The Peer Tree is private-pay; Unburied is digital peer support, not therapy or emergency support.

Fall River County courthouse and county offices

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

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

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