The Peer Tree
Ask who decides what stays, whether you need to be present, and what would be billed separately.
A Hoarding Alliance local resource guide
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.
Start here - Fight the Blight
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 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
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.
Ask who decides what stays, whether you need to be present, and what would be billed separately.
Use the community and tools to find a manageable next step or think through how to help a loved one.
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
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 you can get outside safely, call from there. Say if anyone is still inside or needs help getting out.
Use the emergency department for an urgent medical problem that cannot wait, not for routine clutter support or ongoing outpatient care.
Tell the responder where you are and what is happening now. The county explains how different services cover different hours and situations.
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.
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.
Keep the notice, lease and court papers together. Tell intake the exact court date or deadline and ask what to do while waiting.
Describe what you have seen and what help is already available. Ask how the person can participate in decisions about next steps.
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.
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.
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
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.
Ask whether a clinician has experience treating hoarding disorder and whether the clinic can help with a referral if that care is not available.
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.
The group page includes virtual body doubling, where people work on their own tasks alongside others. Ask about the current format before joining.
If you are supporting a family member, ask which group is meant for supporters and what participation is like.
Ask a prospective provider whether they treat hoarding disorder specifically, how they approach it, and what you would decide together.
If shopping or preparing meals is difficult, ask about an eligibility assessment and tell the program how someone can safely reach your door.
Give the operator both addresses before planning around a ride. Ask which program fits and how far ahead to reserve.
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.
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.
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.
Check how the county handles the exact product before transporting it. Ask for instructions if a container is leaking or unlabeled.
Have the utility notice and account information handy. Give intake the date on the notice and ask which program can review it.
Ask which rooms or equipment the crew must reach and whether work can be staged if access is limited.
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
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