The Peer Tree
Before booking, ask if you can start with one small task and how the team handles decisions about keeping, moving, or discarding things.
A Hoarding Alliance local resource guide
If it is hard to open the front door, make a meal, or let someone in for a repair, that is enough reason to ask for help. You do not have to agree to a cleanout. If you are supporting someone else, ask what would help first and which things they do not want moved.
Start here - Fight the Blight
If you have a housing notice or a shutoff deadline, keep the paperwork and give the date when you ask for help. If nothing is urgent, a conversation, peer group, or care appointment can be a place to start.
Tell the nonprofit what kind of help would feel useful. You can ask about a group or family support before deciding whether to share photos or have anyone visit your home.
Role: nonprofit front door for hoarding-related support and virtual groups; geography: ask about joining online from Kingston or elsewhere in Ulster County; cost/eligibility: confirm group fit, registration, and any fees; funded local in-home help is not assumed; emergency limit: not therapy or emergency response.
For an active fire, immediate danger, or a medical emergency, get to safety if you can and call 911. Give the address and say if an exit is blocked or someone needs help leaving.
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.
Before booking, ask if you can start with one small task and how the team handles decisions about keeping, moving, or discarding things.
Use peer support to work through a hard conversation or choose a goal you can try at your own pace.
Explain the most immediate problem first. If you need to get there without a car or need an interpreter, mention that when asking for options.
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.
Tell the dispatcher the street address and if responders might have trouble getting through a door or reaching someone.
Use the emergency department for urgent injury or illness. Ask the primary-care office about routine follow-up after the immediate concern is addressed.
Keep a way out usable and avoid storing items where they could catch fire near cooking or heating equipment. If you cannot move items safely, ask for help with that specific task.
Save the notice. Ask which conditions need to be addressed first, what the deadline means, and how the office will confirm repairs.
If you cannot stay where you are tonight or have eviction papers or a utility shutoff, say so right away. Ask which intake option is available at the time you call.
If an adult cannot meet basic needs or protect themselves and has no reliable help, ask what an assessment would involve. Describe the safety concern and any help already in place.
If you need shelter, start with the county’s placement instructions. Ask about accessibility, what you can bring, and any ongoing requirements.
Have the notice or court papers handy. Give the date you received them and any hearing date; ask about next steps if the office cannot take the case.
This is an option for urgent emotional distress or a mental-health or substance-use crisis when you can get there safely. For ongoing support, ask about follow-up care.
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.
Describe how difficulty discarding or acquiring affects daily life. Ask whether a clinician has experience with hoarding and where they refer when specialty care is needed.
A primary-care visit can help you raise health concerns such as falls, breathing problems, or trouble using your kitchen or bathroom. Ask about follow-up and referrals.
Before starting care, ask about training and experience with hoarding disorder. For telehealth, confirm the clinician can serve people located in New York.
Check the current group descriptions and ask which one fits what you want support with. You can also ask about a group for a family member or caregiver.
If your refrigerator or stove is hard to use, ask about foods that do not require cooking or refrigeration. Confirm pickup hours before traveling.
Keep a heating bill or shutoff notice handy. Ask whether the regular or emergency benefit applies and what to do while you wait.
Ask what the assessor needs to reach before a visit. Let the program know if an area is blocked or unsafe rather than trying to move everything at once.
If daily tasks are becoming difficult, ask about supports that could help you stay at home and which require a separate assessment.
Ask about assessment and whether you need freezer space or a way to heat meals. If you need food today, start with the pantry or 211.
If you own your home and are worried about falling behind on a mortgage, ask about foreclosure counseling. Keep any lender letters and share the deadline when you call.
Check the last return bus before making an appointment. If you cannot reach the stop or need help boarding, ask UCAT what options fit your trip.
Before hauling anything, ask about large items, electronics, paint, or chemicals. Start with one category and confirm where it goes before making a pile by an exit.
A note from the Alliance
This guide is anchored in Kingston, 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