A Hoarding Alliance local resource guide

Hoarding support in Keene, New Hampshire.

You do not have to solve everything at once. Start with what matters most today—feeling supported, making a home safer, finding food or a place to stay, getting to an appointment, or simply asking what can wait.

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

Start here - Fight the Blight

Choose one next step

Fight the Blight is the nonprofit front door for a first conversation and virtual peer-group options. The Peer Tree is a separate private-pay path for practical support. Unburied is digital peer support for people affected by hoarding and clutter and the people who care about them. None is therapy, emergency response, or a guaranteed cleanout. Local services have different roles and rules; you can ask questions before deciding what fits.

For immediate danger

If someone is in immediate danger, there is a fire, or urgent medical help is needed, call 911. For mental-health or substance-use crisis support in New Hampshire, call or text 988, or call 833-710-6477. A listing here is not an assessment of a particular home and does not authorize anyone to enter, move, or discard belongings. Ask first, preserve choice, and confirm consent and safety before making a plan.

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: separate private-pay hoarding-related support and practical assistance; geography: ask about Keene and Cheshire County service availability; cost/eligibility: private pay; confirm current scope, travel, and full pricing before scheduling; emergency limit: not emergency response, therapy, or a guaranteed cleanout | County-seat resource guide. Confirm service area, current availability, and requirements directly.

The Peer Tree

The Peer Tree offers a separate private-pay pathway for people seeking relationship-centered support and practical help. Ask what is currently offered in Cheshire County, what a service includes, and what it would cost before deciding.

Role: digital peer-support community and tools; geography: online; cost/eligibility: review current access terms and any cost before joining; emergency limit: peer support—not therapy, clinical care, crisis response, or emergency support | County-seat resource guide. Confirm service area, current availability, and requirements directly.

Unburied

Unburied offers digital peer support for people affected by hoarding and clutter and for friends or family. It is not therapy or emergency support. Use a crisis resource when urgent help is needed.

Role: statewide community-resource information and referral; geography: New Hampshire, including Cheshire County; cost/eligibility: free to contact; each referred program sets its own rules; emergency limit: not emergency dispatch, shelter placement, or confirmation of an open bed | County-seat resource guide. Confirm service area, current availability, and requirements directly.

New Hampshire 2-1-1

Call 211 or search the statewide directory for food, housing, utilities, health care, and other services. The service is available 24 hours a day, year-round. Ask each referred program about current openings, eligibility, and hours.

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: urgent medical, fire, or police response; geography: Keene and the United States; cost/eligibility: call for immediate danger or an urgent emergency; emergency limit: for emergency dispatch—not routine questions or nonurgent planning | County-seat resource guide. Confirm service area, current availability, and requirements directly.

911 — immediate emergency response

Call 911 for immediate danger, an active fire, serious injury, or urgent medical symptoms. If you can, give the dispatcher the location and what is happening. Do not delay an emergency call to use an online directory.

Role: 24/7 mental-health and substance-use crisis support; geography: statewide New Hampshire; cost/eligibility: free to contact; ask about any follow-up service costs; emergency limit: not a substitute for 911 when immediate physical danger or urgent medical response is present | County-seat resource guide. Confirm service area, current availability, and requirements directly.

New Hampshire Rapid Response Access Point

Call or text 988, call 833-710-6477, or use online chat. Trained crisis operators can provide support, arrange mobile-team help, connect with a crisis center, or help find a same-day or next-day community mental-health appointment.

Role: emergency overnight shelter and resource-center inquiry; geography: people and families at risk of or experiencing homelessness in southwestern New Hampshire; cost/eligibility: call intake to ask about current availability and screening; emergency limit: a listing does not confirm a bed or guarantee placement | County-seat resource guide. Confirm service area, current availability, and requirements directly.

Hundred Nights — shelter and daytime resource center

Hundred Nights describes a year-round shelter and daytime resource center at 122 Water Street in Keene. New shelter intake starts by appointment; call 603-352-5197 and ask for the Intake Office before traveling. Openings, intake, and access can change.

Role: confidential crisis advocacy for survivors of domestic or sexual violence, stalking, and related safety concerns; geography: Monadnock region; cost/eligibility: MCVP describes services as free and confidential; ask about the service that fits; emergency limit: not 911 dispatch or a general shelter-placement line | County-seat resource guide. Confirm service area, current availability, and requirements directly.

Monadnock Center for Violence Prevention

MCVP answers its crisis line 24 hours a day and describes advocacy, safety planning, and shelter or housing support for survivors. Call to ask about safe ways to connect. If contact may be monitored, consider a safer device or ask about safe follow-up.

Role: follow-up referral and care-coordination information after a police or fire interaction; geography: City of Keene; cost/eligibility: ask the department what applies; the City says referrals are initiated by officers or Keene Fire; emergency limit: not a co-response clinician or emergency-call responder | County-seat resource guide. Confirm service area, current availability, and requirements directly.

Keene Police Social Worker

The City says its civilian police social worker may provide follow-up referrals and short-term case management after police or fire interaction. Services are initiated by an officer or Keene Fire; this is not a direct emergency response. Call for routine information only.

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: local general-assistance application and referrals; geography: City of Keene—confirm residence and jurisdiction; cost/eligibility: written application, caseworker appointment, and a full financial review are required for each request; emergency limit: not emergency dispatch or a guarantee of assistance | County-seat resource guide. Confirm service area, current availability, and requirements directly.

City of Keene Human Services & Welfare

The City lists possible help with rent, electric-disconnect concerns, a prescription (bring the actual prescription), and winter heat. Apply in writing and schedule a caseworker appointment; the City says a full financial review is needed for each request. Ask about current rules before relying on assistance.

Role: state-benefit information for SNAP, TANF, Medicaid, and other programs; geography: New Hampshire; cost/eligibility: New Hampshire DHHS determines program eligibility and current intake; emergency limit: not immediate food, housing, or crisis placement | County-seat resource guide. Confirm service area, current availability, and requirements directly.

New Hampshire benefits listed by Keene

The City distinguishes state benefits from City assistance and lists New Hampshire DHHS for SNAP, TANF, APTD, OAA, and Medicaid. Use the current state application or call to confirm where to apply, what documents are needed, and whether a program fits.

Role: hot meals and supplemental food-box information; geography: Keene and the Monadnock region; cost/eligibility: the current page says all are welcome; confirm distribution rules and the latest schedule; emergency limit: food access—not shelter, medical care, or crisis response | County-seat resource guide. Confirm service area, current availability, and requirements directly.

The Community Kitchen

The Community Kitchen describes weekday evening meals and two weekly food-box distributions in Keene. Schedules and distribution details can change; call or check the current Get Food page before traveling.

Role: housing-assistance applications and wait-list information; geography: Keene Housing properties and programs; cost/eligibility: income, program, screening, application completeness, and wait-list rules vary; emergency limit: Keene Housing says it does not provide emergency housing | County-seat resource guide. Confirm service area, current availability, and requirements directly.

Keene Housing

Keene Housing accepts applications for some programs and explains how to apply. Wait times vary by property and unit size; contact staff to ask about current application status and eligibility. Application help is listed Tuesdays and Thursdays from 1:30–3:30 p.m. or by appointment—confirm before visiting.

Role: community-action programs for housing stabilization, energy assistance, food and nutrition, and shared-ride transportation; geography: program-specific New Hampshire service areas; cost/eligibility: funding, income rules, schedules, fares, and intake vary; confirm before applying; emergency limit: not a guarantee of housing, utilities, or a ride | County-seat resource guide. Confirm service area, current availability, and requirements directly.

Southwestern Community Services

SCS lists housing stabilization, energy assistance, WIC, food programs, and shared-ride transportation. Call the Keene office to ask which current program serves your address, whether funds or appointments are available, and what documents or costs apply.

Role: community mental-health and counseling access; geography: Keene and the Monadnock region; cost/eligibility: MFS bills insurance, Medicaid, or Medicare and says most people pay part of the service cost; confirm fit, access, coverage, and fees; emergency limit: use NH Rapid Response or 911 for urgent crises | County-seat resource guide. Confirm service area, current availability, and requirements directly.

Monadnock Family Services

MFS offers mental-health services and an initial conversation to explore fit. Ask about current intake, clinician availability, insurance, reduced-rate options, and whether a particular need is within scope. No hoarding-specialty service was verified.

Role: nonprofit outpatient psychotherapy and counseling; geography: Keene and the Monadnock region; cost/eligibility: MAPS lists major insurance plans, Medicaid, Medicare, and a donor-supported fund; confirm clinician fit, openings, coverage, and cost; emergency limit: not crisis response or emergency care | County-seat resource guide. Confirm service area, current availability, and requirements directly.

MAPS Counseling Services

MAPS offers outpatient therapy for children, adults, and families and lists its Keene office at 23 Central Square. Contact the provider directly about current services, clinician availability, insurance, and payment options. No hoarding-specific clinician was verified.

Role: member-driven peer groups and wellness support; geography: Keene and the Monadnock region; cost/eligibility: the organization describes many services and 30+ weekly groups as free; ask about participation and current schedule; emergency limit: peer support—not therapy or crisis response | County-seat resource guide. Confirm service area, current availability, and requirements directly.

Monadnock Peer Support

Monadnock Peer Support describes a member-driven center with peer groups, activities, and a warm line. Contact the center to learn how to participate and which current group or service feels right; use a crisis service for urgent safety concerns.

Role: substance-use support, navigation, and treatment referrals; geography: New Hampshire residents, with a Keene location; cost/eligibility: Cheshire Medical Center describes this Doorway service as free for NH residents; confirm available appointment or treatment options; emergency limit: call 911 for overdose or immediate medical danger | County-seat resource guide. Confirm service area, current availability, and requirements directly.

The Doorway at Cheshire Medical Center

The Doorway offers a nonjudgmental conversation and help navigating recovery, treatment, and related services for a person or someone they care about. Call 211 or ask about the Keene location at 24 Railroad Street and current hours. This is a support and navigation service, not emergency medical care.

Role: help applying for medical financial assistance and benefit programs; geography: Greater Monadnock region, including people who are not Cheshire patients; cost/eligibility: counseling is listed as free; assistance programs have their own screening and rules; emergency limit: application help—not medical care or a guarantee of aid | County-seat resource guide. Confirm service area, current availability, and requirements directly.

Cheshire Medical Center Financial Counseling

Financial Counseling can help people understand applications for free or reduced-cost care and related programs. Cheshire Medical says the service is open to people in the Greater Monadnock region, even if they are not patients. Call to book and ask what to bring.

Role: civil legal-aid intake and legal-information pathways; geography: New Hampshire; cost/eligibility: case type, household eligibility, and capacity screening apply; some information services are free; emergency limit: not emergency response or representation in every case | County-seat resource guide. Confirm service area, current availability, and requirements directly.

603 Legal Aid

603 Legal Aid screens applications for civil legal services and explains other options, including free legal information. Ask whether a housing, benefits, or other issue is within scope; applying does not guarantee representation.

Role: fixed-route local public transportation; geography: City of Keene; cost/eligibility: HCS lists a $1 ride and accessible buses; confirm route, fare, stops, and holiday schedule; emergency limit: not emergency or medical transport | County-seat resource guide. Confirm service area, current availability, and requirements directly.

HCS City Express

City Express serves stops around Keene, including downtown, shopping, Cheshire Medical Center, and residential areas. HCS lists weekday service and a $1 ride; check the current route and timetable before planning an appointment.

Role: shared, door-to-door community transportation; geography: City of Keene; cost/eligibility: HCS lists adults age 60+, advance reservation, and a suggested $1 donation; confirm current scheduling and access; emergency limit: not emergency transport | County-seat resource guide. Confirm service area, current availability, and requirements directly.

HCS Friendly Bus

The Friendly Bus can connect eligible older adults to shopping, medical facilities, and social-service agencies. HCS lists reservations a day ahead and says no one is denied service for inability to contribute. Call dispatch to confirm current availability, destination, and pickup needs.

Role: door-to-door paratransit for a transit disability; geography: Keene and the published City Express service corridor; cost/eligibility: application and transit-disability eligibility apply; ask about the current fare and 3/4-mile service-area rule; emergency limit: not emergency transport | County-seat resource guide. Confirm service area, current availability, and requirements directly.

HCS Para Express

HCS describes Para Express as complementary door-to-door transportation for people whose disability prevents use of the fixed route, within the route corridor. Call for an application and confirm eligibility, service area, advance notice, and cost before relying on a ride.

Role: public library and community-information resource; geography: Keene; cost/eligibility: ask about card, computer, printing, and accessibility rules or fees; emergency limit: not shelter, case management, or secure storage | County-seat resource guide. Confirm service area, current availability, and requirements directly.

Keene Public Library

The library can be a place to look up information, use library services, or ask about homebound service if illness, disability, or mobility limits make a visit difficult. Check current hours and access requirements before traveling.

Role: municipal waste and recycling information; geography: Keene facility at 55 Old Summit Road; cost/eligibility: residency, access, material rules, and fees vary; check current requirements before loading; emergency limit: drop-off information—not in-home sorting, hauling, or cleanup labor | County-seat resource guide. Confirm service area, current availability, and requirements directly.

Keene Recycling Center and Transfer Station

The City posts hours and current disposal and recycling information for the facility. Confirm that your address is eligible, what materials are accepted, and any current rates or item-specific rules before making a trip.

Role: scheduled household hazardous-waste disposal information; geography: collections at 55 Old Summit Road for listed participating communities; cost/eligibility: date, town participation, material limits, and fees vary; verify the current schedule first; emergency limit: not an emergency cleanup or hazardous-material response | County-seat resource guide. Confirm service area, current availability, and requirements directly.

Keene Household Hazardous Waste collections

The City posts periodic collection dates and accepted items. Participation and fees depend on the community and material; limits apply. Check the next event, municipality list, and item rules before transporting anything.

A note from the Alliance

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

This guide is anchored in Keene, New Hampshire, 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