A Hoarding Alliance local resource guide

Hoarding support in Ithaca, New York.

If a room has become hard to use, you do not have to make a plan for the whole home. Start with what would make daily life easier, such as reaching the stove or keeping one doorway clear. If you are helping someone else, ask what they want help with before moving their belongings.

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

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Choose a first step that fits your situation

If you have a housing notice, write down the deadline and keep a copy for legal or housing intake. If there is no deadline, you can start with a peer conversation or ask a clinician about treatment without committing to a home visit.

Ask how a virtual group works or what a first conversation would cover. You can ask without sharing photos of your home.

Role: nonprofit entry point for hoarding support and virtual groups; geography: ask about joining online from Ithaca or elsewhere in Tompkins County; cost/eligibility: confirm registration, format, fit and any fees; local funded in-home help is not assumed; emergency limit: not therapy or emergency response.

For immediate danger

For an active fire, serious injury, or immediate danger, get to safety if you can and call 911. Give the street address and unit or floor. Tell the dispatcher if anyone needs help leaving or an entrance is blocked.

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 and practical help with sorting or organizing where offered; geography: ask about remote options and what is available in Tompkins County; cost/eligibility: private-pay; confirm coverage, written rates and scope before booking; emergency limit: not clinical treatment or emergency response. | Each listing identifies its role, service area, cost or eligibility to confirm, and emergency limits.

The Peer Tree

Ask who decides what stays, whether you need to be present, and what would be billed separately.

Role: digital peer support for people affected by hoarding or clutter and people supporting them; geography: online; no local home visit is required; cost/eligibility: check registration, features and any cost; emergency limit: not therapy, crisis monitoring or emergency response. | Each listing identifies its role, service area, cost or eligibility to confirm, and emergency limits.

Unburied

Use the community and tools to find a manageable next step or think through how to help a loved one.

Role: nonprofit information and referral through the Human Services Coalition; geography: Tompkins and Cortland counties; cost/eligibility: referral help is free; individual programs have their own rules and fees; emergency limit: not emergency dispatch or a guarantee of service. | Each listing identifies its role, service area, cost or eligibility to confirm, and emergency limits.

211 Tompkins/Cortland

Give your ZIP code and name the help you need, such as a food delivery option, a ride, or help understanding a housing notice.

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 for an active fire, serious injury or immediate danger; geography: give the exact street address and any access barriers; cost/eligibility: do not wait for intake; medical or transport charges may vary; emergency limit: for emergencies, not routine referrals or cleanup. | Each listing identifies its role, service area, cost or eligibility to confirm, and emergency limits.

911: Immediate Danger

If you can get outside safely, call from there. Say if anyone is still inside or needs help getting out.

Role: hospital emergency assessment and treatment; geography: 101 Dates Drive in the Ithaca area; cost/eligibility: billing and financial assistance vary; do not delay emergency care to confirm coverage; emergency limit: call 911 if you need emergency transport or cannot travel safely. | Each listing identifies its role, service area, cost or eligibility to confirm, and emergency limits.

Cayuga Medical Center: Emergency Care

Use the emergency department for an urgent medical problem that cannot wait, not for routine clutter support or ongoing outpatient care.

Role: county navigation for urgent behavioral health support, including mobile or co-response teams when appropriate; geography: Tompkins County; response depends on location and the situation; cost/eligibility: check access instructions and what response is available; do not assume a particular team will be sent; emergency limit: call 911 for immediate physical danger; not ongoing hoarding treatment. | Each listing identifies its role, service area, cost or eligibility to confirm, and emergency limits.

Tompkins County Whole Health: Crisis Resources

Tell the responder where you are and what is happening now. The county explains how different services cover different hours and situations.

Role: fire prevention education for households and supporters; geography: national guidance; use local emergency dispatch for an active fire; cost/eligibility: free online information; no enrollment; emergency limit: not a home inspection or emergency response. | Each listing identifies its role, service area, cost or eligibility to confirm, and emergency limits.

U.S. Fire Administration: Hoarding and Fire Safety

When it is safe, identify two ways out and what blocks them. If there is a fire, leave if you can and call from safety; do not stop to move possessions.

Role: county intake for urgent basic needs, including housing and shelter referrals; geography: Tompkins County; department based in Ithaca; cost/eligibility: screening and documents may be needed; call to confirm current after-hours access and availability; emergency limit: not 911 dispatch or a guarantee of a bed. | Each listing identifies its role, service area, cost or eligibility to confirm, and emergency limits.

Tompkins County Social Services: Emergency Assistance

Say if you have nowhere safe to stay tonight. Use the current county intake instructions rather than going to an address from an old shelter listing.

Role: nonprofit civil legal aid, including housing intake; geography: Ithaca office serves Tompkins and Tioga counties; cost/eligibility: free legal help for eligible clients; confirm intake, issue eligibility and capacity; emergency limit: not emergency dispatch or a guarantee of representation or a deadline extension. | Each listing identifies its role, service area, cost or eligibility to confirm, and emergency limits.

LawNY: Ithaca Office

Keep the notice, lease and court papers together. Tell intake the exact court date or deadline and ask what to do while waiting.

Role: assessment and protective-services referrals for adults meeting vulnerability criteria; geography: Tompkins County; cost/eligibility: available without regard to income; eligibility depends on impairment, risk and available help; emergency limit: not emergency dispatch or a general cleanout program. | Each listing identifies its role, service area, cost or eligibility to confirm, and emergency limits.

Tompkins County: Adult Protective Services

Describe what you have seen and what help is already available. Ask how the person can participate in decisions about next steps.

Role: survivor advocacy, safety planning and support for domestic or sexual violence; geography: Tompkins County; cost/eligibility: ask which services fit, whether a safe callback is possible and what shelter access requires; emergency limit: not emergency dispatch or general homeless shelter intake. | Each listing identifies its role, service area, cost or eligibility to confirm, and emergency limits.

Advocacy Center of Tompkins County

If someone is threatening you or controlling your access to the home, an advocate can help you consider safer ways to communicate and get support.

Role: city rental-housing inspection and code information; geography: City of Ithaca only; check the jurisdiction for the exact address; cost/eligibility: confirm inspection process, any fees, and deadlines with the issuing office; emergency limit: not emergency dispatch, legal advice or a cleanup service. | Each listing identifies its role, service area, cost or eligibility to confirm, and emergency limits.

City of Ithaca: Housing Inspections

If you received an inspection notice, ask which conditions need attention and how corrections are documented. Contact legal aid separately if you are worried about losing housing.

Role: tenant navigation and links to local assistance; geography: Tompkins County; individual programs have separate coverage; cost/eligibility: online information is free; confirm income, address and funding criteria with each provider; emergency limit: not legal representation or a guarantee a case will be paused. | Each listing identifies its role, service area, cost or eligibility to confirm, and emergency limits.

Human Services Coalition: Eviction Resources for Tenants

Check the page for rental assistance and tenant support while you seek legal advice about any court date or eviction notice.

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: outpatient assessment and treatment for general mental health needs; geography: county clinic in Ithaca; ask about residency and appointment options; cost/eligibility: confirm intake, payment or insurance, and any fee assistance; emergency limit: not emergency dispatch or a verified hoarding-specialty clinic. | Each listing identifies its role, service area, cost or eligibility to confirm, and emergency limits.

Tompkins County Whole Health: Mental Health Clinic

Ask whether a clinician has experience treating hoarding disorder and whether the clinic can help with a referral if that care is not available.

Role: nonprofit general medical care, not a hoarding-specialty service; geography: Ithaca clinic; confirm current clinic hours and service area; cost/eligibility: free medical care for uninsured and underinsured people; some services or medications are limited; emergency limit: not emergency medical care. | Each listing identifies its role, service area, cost or eligibility to confirm, and emergency limits.

Ithaca Free Clinic: Medical Care

If falls, breathing problems or other health concerns at home are making daily life harder, ask what the clinic can assess and whether it can make a referral.

Role: nonprofit peer-led support and shared activities for broader mental health needs; geography: Ithaca-based nonprofit; meeting locations and virtual access vary; cost/eligibility: confirm group fit, sign-up, current schedule and any cost; emergency limit: not therapy, crisis response or a verified hoarding treatment group. | Each listing identifies its role, service area, cost or eligibility to confirm, and emergency limits.

Mental Health Association in Tompkins County: Peer Support Groups

The group page includes virtual body doubling, where people work on their own tasks alongside others. Ask about the current format before joining.

Role: nonprofit family and peer support for broader mental health needs; geography: regional affiliate serving Tompkins County; check the meeting format; cost/eligibility: confirm the current schedule, registration and group fit; emergency limit: not therapy, a confirmed hoarding-specific group or emergency care. | Each listing identifies its role, service area, cost or eligibility to confirm, and emergency limits.

NAMI Finger Lakes: Support Groups

If you are supporting a family member, ask which group is meant for supporters and what participation is like.

Role: nonprofit search tool for hoarding-informed treatment and support; geography: search Ithaca and New York telehealth options; check where a clinician can serve you; cost/eligibility: confirm credentials, hoarding experience, availability, insurance and fees directly; emergency limit: not crisis support or a guarantee of local availability. | Each listing identifies its role, service area, cost or eligibility to confirm, and emergency limits.

International OCD Foundation: Hoarding Resource Directory

Ask a prospective provider whether they treat hoarding disorder specifically, how they approach it, and what you would decide together.

Role: nonprofit meal delivery for people who qualify; geography: Tompkins County; confirm delivery to the exact address; cost/eligibility: screening considers age, homebound status and barriers to preparing meals; ask about exceptions and contributions; emergency limit: not emergency food delivery or medical monitoring. | Each listing identifies its role, service area, cost or eligibility to confirm, and emergency limits.

Foodnet Meals on Wheels: Home-Delivered Meals

If shopping or preparing meals is difficult, ask about an eligibility assessment and tell the program how someone can safely reach your door.

Role: certified ADA complementary paratransit and a separate Gadabout ride program; geography: Ithaca and qualifying Tompkins County trips; programs have different boundaries; cost/eligibility: check which program you qualify for, any application, fares and booking rules; emergency limit: not an ambulance, moving service or hauler. | Each listing identifies its role, service area, cost or eligibility to confirm, and emergency limits.

TCAT and Gadabout: Accessible Transportation

Give the operator both addresses before planning around a ride. Ask which program fits and how far ahead to reserve.

Role: nonprofit prepared meals and practical referral help; geography: meal site in the City of Ithaca; cost/eligibility: meals are free; check the current schedule and service format; emergency limit: not emergency dispatch or home delivery. | Each listing identifies its role, service area, cost or eligibility to confirm, and emergency limits.

Loaves & Fishes of Tompkins County: Free Meals

If the kitchen is hard to use, a prepared meal can make today easier while you decide which part of the kitchen you want to use again.

Role: public computers and document printing, copying and scanning; geography: main library in downtown Ithaca; cost/eligibility: check computer access rules and any per-page charges; emergency limit: not legal advice or benefits intake. | Each listing identifies its role, service area, cost or eligibility to confirm, and emergency limits.

Tompkins County Public Library: Computers & Copy Center

Use the copy center to keep a copy of a notice or application. Sign out of accounts and take all your printed pages with you.

Role: municipal collection rules and trash tag information; geography: City of Ithaca; verify service for your building and whether it uses a private hauler; cost/eligibility: check tag fees, size limits and which items the city accepts; emergency limit: not indoor removal, hazardous waste service or a whole-home cleanout. | Each listing identifies its role, service area, cost or eligibility to confirm, and emergency limits.

City of Ithaca: Trash Collection

Start by checking the rules for one item rather than putting out a mixed pile. Do not assume a tagged bag covers furniture or electronics.

Role: county collection information for accepted household hazardous materials; geography: Tompkins County; confirm event location and residency rules; cost/eligibility: check current registration, materials, quantity limits and any fees before traveling; emergency limit: not emergency spill response, a home pickup service or whole-home cleanup. | Each listing identifies its role, service area, cost or eligibility to confirm, and emergency limits.

Tompkins County: Household Hazardous Waste

Check how the county handles the exact product before transporting it. Ask for instructions if a container is leaking or unlabeled.

Role: county information about energy-benefit intake, including the older-adult pathway; geography: Tompkins County; follow the page to the office that handles your household; cost/eligibility: income and seasonal program rules apply; confirm which components are open; emergency limit: not emergency dispatch or a guarantee that a shutoff will be paused. | Each listing identifies its role, service area, cost or eligibility to confirm, and emergency limits.

Tompkins County Office for the Aging: HEAP

Have the utility notice and account information handy. Give intake the date on the notice and ask which program can review it.

Role: home energy assessment and efficiency improvements for eligible households; geography: provider serves Cortland and Tompkins counties; confirm address and landlord requirements; cost/eligibility: provider lists no-cost service for eligible clients; screening, home access and scheduling apply; emergency limit: not emergency repairs, hazard removal or a cleanout grant. | Each listing identifies its role, service area, cost or eligibility to confirm, and emergency limits.

Cortland County Community Action Program: Weatherization

Ask which rooms or equipment the crew must reach and whether work can be staged if access is limited.

Role: public grocery-benefit screening and application assistance; geography: Tompkins County, including Ithaca; cost/eligibility: household and income rules apply; ask about documents and expedited screening; emergency limit: not a guarantee of approval or immediate meal delivery. | Each listing identifies its role, service area, cost or eligibility to confirm, and emergency limits.

Tompkins County Social Services: SNAP

If food is needed today, use a local meal resource while asking the county about an application or expedited screening.

A note from the Alliance

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

This guide is anchored in Ithaca, 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