A Hoarding Alliance local resource guide

Hoarding support in Lewistown, Pennsylvania.

You do not have to solve everything at once. One conversation, one question, or one small practical step can be enough for today.

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

Start here - Fight the Blight

Choose a starting point that feels manageable

If clutter or hoarding is affecting you or someone you care about, Fight the Blight is the nonprofit front door for a first conversation and virtual peer groups; ask whether its current programs reach Mifflin County. The Peer Tree offers private-pay practical support; confirm travel, scope, consent, availability, and rates before planning. Unburied is digital peer support and education, not therapy or emergency support. Local programs below have their own eligibility, geography, costs, and schedules—call to confirm.

For immediate danger

If anyone is in immediate danger, call or text 911. For emotional distress or suicide concerns, call or text 988. Mifflin County lists the Juniata Valley Crisis Line (800-929-9583) for 24/7 telephone and mobile crisis intervention; call to confirm what response is available for your location. These pathways do not guarantee a specific provider, shelter bed, or outcome.

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 and clutter support; geography: confirm whether current services reach Mifflin County; cost/eligibility: private pay—confirm scope, travel, and rates; emergency limit: not crisis response, therapy, or emergency service | Some options serve the wider Mifflin-Juniata region rather than Lewistown Borough; confirm your address, eligibility, cost, and current availability.

The Peer Tree

Ask about practical sorting, organizing, decluttering, deep-cleaning, group, and family-support options. Confirm consent, scope, safety, travel, availability, and price before making plans.

Role: digital peer support and education; geography: online—confirm access; cost/eligibility: check current platform details; emergency limit: not therapy, crisis response, or emergency support | Some options serve the wider Mifflin-Juniata region rather than Lewistown Borough; confirm your address, eligibility, cost, and current availability.

Unburied

A judgment-free digital peer-support pathway for people affected by hoarding and clutter, including friends and family. It can offer connection, tools, and ongoing momentum from home; it is not clinical care.

Role: county behavioral-health intake and referral navigation; geography: Mifflin County; cost/eligibility: Base Service Unit intake is described for uninsured or underinsured people who need county funding—ask about screening and program rules; emergency limit: routine intake is not the 24/7 crisis line | Some options serve the wider Mifflin-Juniata region rather than Lewistown Borough; confirm your address, eligibility, cost, and current availability.

Mifflin County Mental Health Program

The county program lists outpatient care, certified peer specialists, housing supports, and other services. Call to ask which office handles your need, what documents are needed, and whether a program is accepting referrals.

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 immediate danger, serious injury, fire, or urgent medical need; geography: United States; cost/eligibility: use for an emergency; emergency limit: call or text 911 now when immediate response is needed | Some options serve the wider Mifflin-Juniata region rather than Lewistown Borough; confirm your address, eligibility, cost, and current availability.

Call or text 911

For immediate physical danger or urgent medical emergencies, contact emergency services. Do not wait for a routine appointment or resource referral.

Role: emotional-distress and suicide-crisis support; geography: nationwide, including Pennsylvania; cost/eligibility: free call, text, or chat; emergency limit: not public-safety dispatch—use 911 for immediate physical danger | Some options serve the wider Mifflin-Juniata region rather than Lewistown Borough; confirm your address, eligibility, cost, and current availability.

988 Suicide & Crisis Lifeline

Call or text 988, or use the online chat, for emotional distress, suicidal thoughts, or concern about someone else. If there is immediate physical danger, call 911.

Role: county-listed 24/7 telephone and mobile behavioral-health crisis intervention; geography: Mifflin County and the regional service area—confirm location coverage; cost/eligibility: ask about access; emergency limit: not 911 dispatch or emergency medical transport | Some options serve the wider Mifflin-Juniata region rather than Lewistown Borough; confirm your address, eligibility, cost, and current availability.

Juniata Valley Crisis Line

Mifflin County's Mental Health Program lists this number for round-the-clock crisis intervention. Call to discuss current access and what response is available; use 911 for immediate danger.

Role: confidential domestic- and sexual-violence advocacy and safety planning; geography: regional, including Mifflin County—confirm coverage; cost/eligibility: call to discuss available services; emergency limit: not general crisis dispatch or guaranteed shelter | Some options serve the wider Mifflin-Juniata region rather than Lewistown Borough; confirm your address, eligibility, cost, and current availability.

The Abuse Network — 24-hour hotline

The provider lists a 24-hour hotline. If it is not safe to call from your device, use a safer phone or ask about a safe contact method. Confirm current shelter availability before traveling.

Role: homelessness-prevention and housing-crisis screening/referral; geography: Mifflin County; cost/eligibility: income, housing status, and component-specific rules apply; emergency limit: contact is not a guaranteed bed, payment, or immediate placement | Some options serve the wider Mifflin-Juniata region rather than Lewistown Borough; confirm your address, eligibility, cost, and current availability.

Mifflin County Homeless Assistance Program (HAP)

The county directs people seeking homelessness assistance to Shelter Services, Inc. Call to ask about screening, current openings, service-area rules, documents, and safer ways to connect.

Role: behavioral-health intake/referral and county-funding screening; geography: Mifflin County; cost/eligibility: county page describes support for uninsured or underinsured people who require county funding; emergency limit: routine intake is not crisis response | Some options serve the wider Mifflin-Juniata region rather than Lewistown Borough; confirm your address, eligibility, cost, and current availability.

Mifflin County Base Service Unit

Service Access and Management, Inc. is listed by the county for Base Service Unit intake and referral. Ask about current intake, eligibility, paperwork, and next steps; the county lists a separate 24/7 crisis line.

Role: substance-use assessment, referral, and treatment-service navigation; geography: Mifflin, Juniata, and Huntingdon region; cost/eligibility: insurer, funding, assessment, and service rules vary; emergency limit: routine scheduling is not crisis response | Some options serve the wider Mifflin-Juniata region rather than Lewistown Borough; confirm your address, eligibility, cost, and current availability.

Juniata Valley Tri-County Drug and Alcohol Abuse Commission

The Commission's current website lists a Lewistown office and a toll-free help number. Its page displays different weekday hours in separate sections, so call to confirm current hours and ask about assessment, cost, and options.

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: regional navigation for housing, food, health, and other services; geography: Mifflin and Juniata Counties; cost/eligibility: each listed program sets its own rules; emergency limit: directory is not a crisis line or placement guarantee | Some options serve the wider Mifflin-Juniata region rather than Lewistown Borough; confirm your address, eligibility, cost, and current availability.

Mifflin-Juniata Resource Database

The county links this searchable resource directory for local needs. Use it to identify options, then contact each provider directly to verify current hours, eligibility, and openings.

Role: county human-services information and referrals; geography: Mifflin County; cost/eligibility: program rules vary; emergency limit: county office is not emergency dispatch | Some options serve the wider Mifflin-Juniata region rather than Lewistown Borough; confirm your address, eligibility, cost, and current availability.

Mifflin County Human Services

The county lists its Human Services office at the courthouse. Ask which program handles housing, food, Medical Assistance transportation, or another need, and what current intake and documents apply.

Role: public housing and housing-choice-voucher information; geography: check each program's service area and current application status; cost/eligibility: income, household, waitlist, and program rules apply; emergency limit: waitlists are not emergency shelter | Some options serve the wider Mifflin-Juniata region rather than Lewistown Borough; confirm your address, eligibility, cost, and current availability.

Mifflin County Housing Authority

The Authority's official site publishes application information; waitlist status can differ by program and change. Check the current notice or call before relying on an application window or expected placement.

Role: Pennsylvania public-benefit applications and information; geography: Mifflin County; cost/eligibility: the state determines program-specific household and income eligibility; emergency limit: an application is not same-day housing, food, or medical care | Some options serve the wider Mifflin-Juniata region rather than Lewistown Borough; confirm your address, eligibility, cost, and current availability.

Mifflin County Assistance Office (PA DHS)

The state directory lists the Mifflin County office in Lewistown and contact numbers for benefits, including LIHEAP. Ask about the correct program, application channel, documents, and current processing.

Role: seasonal heating-bill and utility-assistance information; geography: Mifflin County; cost/eligibility: season, income, household, crisis circumstances, and available funding apply; emergency limit: does not repair equipment or replace emergency services | Some options serve the wider Mifflin-Juniata region rather than Lewistown Borough; confirm your address, eligibility, cost, and current availability.

Heating assistance and LIHEAP

The county directs residents to the Mifflin County Assistance Office for heating assistance. Confirm the current LIHEAP application period, crisis eligibility, documents, and funding before relying on support.

Role: home-energy efficiency and heating-system assistance; geography: Mifflin County is listed in the service area; cost/eligibility: the program describes no-cost service for income-qualified households—confirm current thresholds, wait, and funding; emergency limit: contact the County Assistance Office for a heating emergency | Some options serve the wider Mifflin-Juniata region rather than Lewistown Borough; confirm your address, eligibility, cost, and current availability.

SEDA-COG Weatherization

SEDA-COG describes weatherization for eligible homeowners and renters, with crisis-related heating-system services during a seasonal period. Call to confirm current household rules, property eligibility, wait time, and the next application step.

Role: seasonal heating assistance information; geography: Mifflin and Juniata Counties; cost/eligibility: the published page describes restrictions including age and LIHEAP status—confirm current season, rules, and funding; emergency limit: not utility repair or emergency dispatch | Some options serve the wider Mifflin-Juniata region rather than Lewistown Borough; confirm your address, eligibility, cost, and current availability.

United Way of Mifflin-Juniata Energy Bank

The United Way's page describes an Energy Bank for residents who cannot use LIHEAP. The page gives seasonal information; call before applying to confirm whether the program is currently open and what documents are needed.

Role: county food-assistance coordination and eligibility information; geography: Mifflin County; cost/eligibility: household and program rules vary, and supplies are not guaranteed; emergency limit: not a crisis response or guaranteed same-day food | Some options serve the wider Mifflin-Juniata region rather than Lewistown Borough; confirm your address, eligibility, cost, and current availability.

Mifflin County TEFAP / food assistance information

The county describes The Emergency Food Assistance Program and local coordination. Call to ask where food is currently available, what documentation or eligibility applies, and whether a site has supplies before traveling.

Role: community food pantry; geography: provider page describes service to Mifflin County residents; cost/eligibility: call to confirm current hours, household rules, and supply; emergency limit: not emergency response or guaranteed same-day food | Some options serve the wider Mifflin-Juniata region rather than Lewistown Borough; confirm your address, eligibility, cost, and current availability.

Mother Hubbard's Cupboard at St. Mark's

The church says pantry service is not limited by religious affiliation. Its posted schedule may change; call ahead to confirm today's hours, availability, and what to bring.

Role: scheduled door-to-door shared-ride transportation; geography: Mifflin and Juniata County residents; cost/eligibility: registration and fare depend on rider category and trip; emergency limit: advance-booked service, not emergency transportation | Some options serve the wider Mifflin-Juniata region rather than Lewistown Borough; confirm your address, eligibility, cost, and current availability.

Mifflin-Juniata CARS shared-ride service

The regional service describes local and out-of-county medical trips. It asks most riders to request trips by noon the preceding day; confirm registration, eligibility, fare, pickup area, and availability before depending on a ride.

Role: non-emergency rides to covered medical services; geography: Pennsylvania Medical Assistance members in the county; cost/eligibility: enrollment, covered trip, and booking rules apply; emergency limit: not an emergency medical ride | Some options serve the wider Mifflin-Juniata region rather than Lewistown Borough; confirm your address, eligibility, cost, and current availability.

Medical Assistance Transportation Program (MATP)

Mifflin County Human Services lists transportation assistance for Medical Assistance recipients. Contact the county to confirm how to enroll, schedule a trip, and learn current ride rules.

Role: information, referral, and aging services for older adults and caregivers; geography: Mifflin-Juniata area; cost/eligibility: age and service-specific rules apply; emergency limit: not emergency response or immediate placement | Some options serve the wider Mifflin-Juniata region rather than Lewistown Borough; confirm your address, eligibility, cost, and current availability.

MJRSC Area Agency on Aging

The regional agency offers information and referral. Call to ask about available services, caregiver support, transportation, meals, and whether a service is free or has program-specific requirements.

Role: senior-center meals and community activities; geography: Mifflin-Juniata area—confirm the closest center and service area; cost/eligibility: age, reservation, and any suggested contribution depend on the program; emergency limit: not in-home care or emergency response | Some options serve the wider Mifflin-Juniata region rather than Lewistown Borough; confirm your address, eligibility, cost, and current availability.

MJRSC senior centers and meals

The regional center directory lists locations and meal/activity information. Call the center before traveling to confirm age rules, current hours, meal reservations, and CARS options.

Role: community primary and behavioral-health care; geography: Lewistown; cost/eligibility: accepts several insurance plans and describes sliding-fee discounts for eligible uninsured/underinsured patients—confirm coverage and costs; emergency limit: routine clinic care is not emergency-department care | Some options serve the wider Mifflin-Juniata region rather than Lewistown Borough; confirm your address, eligibility, cost, and current availability.

Primary Health Network — Lewistown Community Health Center

The official location page lists family medicine and behavioral health at 106 Derry Heights Boulevard. Call to verify services, appointment availability, insurance, discount eligibility, and any referral requirements.

Role: dental-care appointments; geography: Lewistown; cost/eligibility: confirm accepted coverage, fees, discount options, and appointment availability; emergency limit: routine dental scheduling is not emergency medical care | Some options serve the wider Mifflin-Juniata region rather than Lewistown Borough; confirm your address, eligibility, cost, and current availability.

Primary Health Network — Lewistown Dental Center

The network's Lewistown locations page lists its dental center. Call to verify current services, accessibility, insurance, costs, and how to request an appointment.

Role: hospital care and emergency department; geography: Lewistown; cost/eligibility: insurance, financial assistance, and charges depend on service—ask the hospital; emergency limit: call 911 if urgent danger or emergency transport is needed | Some options serve the wider Mifflin-Juniata region rather than Lewistown Borough; confirm your address, eligibility, cost, and current availability.

Geisinger Lewistown Hospital

The hospital's location page lists 24-hour hospital access at 400 Highland Avenue. For routine questions, contact the hospital; for immediate danger or an emergency needing dispatch, call 911.

Role: primary-care appointments; geography: Lewistown; cost/eligibility: confirm clinicians, insurance, fees, and appointment availability; emergency limit: routine clinic care is not emergency-department care | Some options serve the wider Mifflin-Juniata region rather than Lewistown Borough; confirm your address, eligibility, cost, and current availability.

Geisinger Lewistown primary care

Use the official location page to check current clinic details and call about a primary-care appointment or accepted coverage.

Role: trained peer support and recovery-oriented services; geography: Mifflin County; cost/eligibility: program screening, current provider availability, and coverage rules apply; emergency limit: routine peer support is not crisis response | Some options serve the wider Mifflin-Juniata region rather than Lewistown Borough; confirm your address, eligibility, cost, and current availability.

Mifflin County certified peer specialist services

The county's Mental Health Program page lists certified peer specialist services through Community Services Group, Keystone Service System, and Peer Star. Use the listed numbers on the county page to ask which service fits and whether it is accepting referrals.

Role: public library, technology access, learning, and community programs; geography: Mifflin County; cost/eligibility: borrowing and program rules may vary; emergency limit: not crisis response or case management | Some options serve the wider Mifflin-Juniata region rather than Lewistown Borough; confirm your address, eligibility, cost, and current availability.

Mifflin County Library

Check the library's official site for branch contact information, current hours, adult programs, and available technology before visiting.

Role: borough service, codes, refuse, and municipal-authority navigation; geography: Lewistown Borough only; cost/eligibility: property address, jurisdiction, fees, and service rules matter; emergency limit: borough offices do not replace 911 | Some options serve the wider Mifflin-Juniata region rather than Lewistown Borough; confirm your address, eligibility, cost, and current availability.

Lewistown Borough contacts and local services

The borough lists weekday office contacts and separate options for codes and refuse. Confirm your address is inside borough limits and verify current collection rules, accepted materials, costs, and schedules before taking action.

A note from the Alliance

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

This guide is anchored in Lewistown, Pennsylvania, 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