A Hoarding Alliance local resource guide

Hoarding support in Lexington, Virginia.

A respectful place to begin, whether you are looking for support for yourself, worried about someone you love, or trying to respond to a safety, housing, care, or practical concern in Lexington and the surrounding Rockbridge region.

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

Start here - Fight the Blight

You do not have to know the perfect next step.

Our virtual groups give people affected by hoarding and clutter concerns a place to connect from Lexington, Rockbridge County, and other communities. We can help you think through what is happening and what kind of next step may fit.

Connect with Fight the Blight Call or text (724) 739-3785
For immediate danger

Call 911 for immediate danger, fire, rescue, or a medical emergency. For behavioral-health crisis support, call or text 988 or contact Rockbridge Area Community Services' crisis pathway. For general resource navigation, call 211.

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.

Private-pay hoarding support, organizing help, groups, and family guidance - broader service area, including possible support for Lexington; private-pay scope, cost, scheduling, travel, consent, safety, and capacity must be confirmed directly; not emergency or clinical care

The Peer Tree

The Peer Tree is the private-pay pathway for organizing help, decluttering support, groups, family guidance, and practical next steps when a grant or public program is not the right fit. Ask about scope, cost, travel, consent, safety, and whether support is available in Lexington or Rockbridge County.

Visit The Peer Tree
Digital peer-support pathway for people affected by hoarding and clutter concerns - online; not therapy or emergency support

Unburied

Unburied, from The Peer Tree, offers a judgment-free digital pathway with peer support, groups, and tools for people directly affected and for friends or family supporters. It is not therapy, a crisis service, or a substitute for emergency help.

Visit Unburied
Free 24/7 call, text, and chat crisis pathway - Virginia and nationwide; crisis response, privacy, and handoff rules apply; not cleanup or emergency dispatch

Virginia 988 Suicide and Crisis Lifeline

Call or text 988 for confidential behavioral-health crisis support and connection to Virginia's crisis system. Use 911 for immediate danger, fire, rescue, or a medical emergency.

Review 988 crisis support 988
Public behavioral-health, substance-use, developmental-disability, prevention, and same-day-access pathway - Lexington, Buena Vista, Rockbridge County, and Bath County; assessment, eligibility, scheduling, and clinical rules apply

Rockbridge Area Community Services

Rockbridge Area Community Services provides mental-health, substance-use, developmental-disability, prevention, and crisis pathways. Its Same Day Access process begins with a needs assessment so the team can identify an appropriate service or referral.

Review Rockbridge Area Community Services 540-463-3141
Community medical, dental, behavioral-health, and medication-assistance pathway - Lexington and Buena Vista; patients may be insured, uninsured, underinsured, Medicaid, or Medicare; intake and sliding-fee rules apply

Rockbridge Area Health Center

Rockbridge Area Health Center offers integrated primary, dental, and behavioral health care. The center describes care for insured, uninsured, underinsured, Medicaid, and Medicare patients and an income-based sliding-fee discount; ask about establishing care and current availability.

Review Rockbridge Area Health Center 540-464-8700
Public-health, WIC, immunization, environmental-health, and vital-records pathway - Lexington and Rockbridge area; appointment, eligibility, fee, and document rules apply

Lexington-Rockbridge Health Department

The Lexington-Rockbridge Health Department is part of the Central Shenandoah Health District. Call ahead about public-health services, WIC, immunizations, environmental health, vital records, and current appointment or walk-in rules.

Review Lexington-Rockbridge Health Department 540-463-3185

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.

Immediate danger and emergency dispatch - Lexington and the surrounding response area; use for fire, rescue, medical emergency, violence, or an active threat; not a hoarding-support program

911 Emergency Services

Call 911 when there is immediate danger, fire, a medical emergency, violence, a rescue need, or a threat that cannot wait for a scheduled service.

Call 911 911
24/7 free and confidential behavioral-health crisis support - Virginia; call or text 988; use 911 for immediate danger; not a cleanup service

Virginia 988 Suicide and Crisis Lifeline

Call or text 988 for confidential behavioral-health crisis support and connection to Virginia's crisis network. It is not emergency dispatch, licensed therapy by itself, or a cleanup provider.

Call or text 988 988
Central dispatch and non-emergency public-safety pathway - Lexington, Buena Vista, and Rockbridge County; emergency limits apply

Rockbridge Regional Public Safety Communications Center

Lexington identifies the Rockbridge Regional Public Safety Communications Center as the central dispatch center for Lexington, Buena Vista, and Rockbridge County. Use 911 for emergencies and the non-emergency line for delayed reports or coordination questions.

Review central dispatch information 540-463-9177
Local police and non-emergency public-safety pathway - City of Lexington; emergency dispatch, report, and jurisdiction rules apply

Lexington Police Department

Use Lexington Police for city law-enforcement questions, delayed reports, and safety concerns that are not immediate emergencies. Call 911 when someone is in immediate danger.

Review Lexington Police 540-462-3705
Fire, rescue, emergency-management, and fire-prevention pathway - City of Lexington; response and inspection limits apply

Lexington Fire Department and Emergency Management

The city lists Fire & Rescue and Emergency Management among its departments. Call 911 for an active fire, medical emergency, rescue need, or immediate threat; use the department page for preparedness and non-emergency information.

Review Lexington fire and emergency management 540-463-3210
24/7 urgent behavioral-health crisis pathway - Rockbridge region; clinical triage, response, and transport rules apply; not emergency dispatch

Rockbridge Area Community Services Crisis Hotline

Rockbridge Area Community Services directs people needing immediate mental-health crisis support to its crisis hotline. Call 911 for immediate danger, fire, rescue, or a medical emergency.

Review crisis support 855-222-2046
After-hours clinical advice pathway - Rockbridge Area Health Center patients and callers; not emergency care; call 911 for an emergency

Rockbridge Area Health Center After-Hours Clinical Advice

Rockbridge Area Health Center lists an after-hours clinical advice line. Use it for appropriate health questions when the center directs you to do so, and use 911 or an emergency department for urgent medical danger.

Review health-center behavioral health 540-319-5181
24/7 emergency and critical-access hospital pathway - Lexington; emergency evaluation, transfer, payment, and clinical rules apply

Carilion Rockbridge Community Hospital Emergency Department

Carilion Rockbridge Community Hospital is a 25-bed critical-access hospital with onsite 24/7 emergency services. Go to an emergency department or call 911 for immediate medical danger; hospital staff determine evaluation and transfer needs.

Review Carilion Rockbridge emergency care 540-458-3300
Public-health and environmental-health safety pathway - Lexington and Rockbridge area; appointment, investigation, and jurisdiction rules apply

Lexington-Rockbridge Health Department

The health department can help with public-health, environmental-health, immunization, WIC, and vital-record questions. It is not emergency dispatch or a cleanup company; call 911 for immediate danger.

Review local public health 540-463-3185
After-hours social-services emergency pathway - Lexington, Buena Vista, and Rockbridge County; protective-services and eligibility rules apply

Regional Social Services Emergency Contact

Lexington's Social Services Board states that social services are available 24 hours a day and directs after-hours emergencies to Central Dispatch. Ask for the appropriate social-services response; use 911 for immediate danger.

Review regional social services 540-463-9177
Benefits, adult and child protective-services, and social-service intake pathway - Lexington; assessment, eligibility, documentation, and jurisdiction rules apply

Lexington Social Services

The regional Social Services Department provides social services for Lexington residents. Contact it about benefits, protective-services concerns, adult or child safety questions, and local intake; the department does not provide cleanup services.

Review Lexington social services 540-463-7143
State benefits and protective-services information - Virginia; local intake, eligibility, and emergency rules apply

Virginia Department of Social Services

Virginia DSS provides information about benefits and protective services. Use local Lexington Social Services for a local case or urgent concern, and call 911 for immediate danger.

Review Virginia social services
After-hours urgent or rapidly reportable public-health pathway - Central Shenandoah Health District; public-health triage rules apply

Virginia Department of Health Urgent Public-Health Line

The Central Shenandoah Health District directs urgent or rapidly reportable public-health situations after normal hours to its after-hours line. It is not emergency medical dispatch.

Review Central Shenandoah Health District 866-531-3068
Confidential domestic-violence advocacy and safety-planning pathway - Rockbridge area; survivor intake, confidentiality, shelter, and capacity rules apply

Project Horizon

Project Horizon is listed by the City of Lexington among local helpful links. If domestic violence or coercive control is part of the concern, use its current confidential intake pathway and avoid communication methods an abuser may monitor.

Review Project Horizon
Building-safety, zoning, property, and development pathway - City of Lexington; permit, inspection, notice, and correction rules apply

Lexington Planning and Development

The Department of Planning and Development handles planning, building permits, inspections, zoning, historic-district guidelines, and city GIS. Ask about the least disruptive appropriate path when a property-safety issue overlaps with hoarding or clutter concerns.

Review Planning and Development 540-462-3704
Residential permit and inspection pathway - City of Lexington; permit, fee, scope, and contractor rules apply

Lexington Building Permits and Inspections

Use the city's building-permits and inspections information for repair, alteration, demolition, or safety work. A permit or inspection process is not consent-based support or a guaranteed cleanup; confirm scope and documentation first.

Review permits and inspections 540-462-3704
Water, sewer, garbage, brush, street, and infrastructure emergency pathway - City of Lexington; service area and response limits apply

Lexington Public Works After-Hours Emergencies

Lexington Public Works lists an after-hours number for city water, sewer, refuse, street, and infrastructure emergencies. Use 911 for immediate danger or a medical emergency.

Review Public Works 540-463-9177
State emergency preparedness and disaster-information pathway - Virginia; incident-specific guidance and local-response rules apply

Virginia Department of Emergency Management

Virginia Department of Emergency Management provides preparedness and disaster information. During an active local emergency follow 911, city, county, and public-safety instructions first.

Review Virginia emergency management
State law-enforcement and public-safety information - Virginia; local jurisdiction and emergency dispatch rules apply

Virginia State Police

Virginia State Police provides statewide public-safety information and assistance pathways. For an active emergency in Lexington, call 911 so local dispatch can route the response.

Review Virginia State Police

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.

Benefits, protective-services, and local social-support intake - Lexington, Buena Vista, and Rockbridge County; eligibility, assessment, and documentation rules apply

Rockbridge Area Social Services

The regional Social Services Department provides social services for Lexington residents and is a starting point for benefits, protective-services questions, and local family or adult-support navigation.

Review regional social services 540-463-7143
Online application and benefits-navigation pathway - Virginia; program, income, household, identity, and documentation rules apply

Virginia CommonHelp

CommonHelp is Virginia's official application and screening pathway for programs such as food, health, and cash assistance. Availability and eligibility depend on the program and household circumstances.

Review CommonHelp
Housing Choice Voucher and rental-assistance pathway - Lexington, Buena Vista, and Rockbridge County; income, waitlist, rent, inspection, and documentation rules apply

Rockbridge Area Rental Assistance Office

The Rockbridge Area Rental Assistance Office administers the Housing Choice Voucher program for the Rockbridge area. Its current page says the waiting list is closed; verify status directly before relying on it.

Review rental assistance 804-584-4724
State housing, rental, homebuyer, and housing-resource information - Virginia; program, income, property, waitlist, and lender rules apply

Virginia Housing

Virginia Housing provides statewide housing information and programs. It is a navigation pathway, not a guarantee of a unit, funding, repair, or approval.

Review Virginia Housing
Local resource navigation and community assistance - Lexington, Buena Vista, and Rockbridge area; partner availability and intake rules apply

United Way of Rockbridge

United Way of Rockbridge publishes community assistance information that can help residents locate health, benefits, transportation, crisis, food, and other local pathways. Confirm the current program and provider details directly.

Review United Way community assistance
Local emergency-needs and community-assistance pathway - Rockbridge region; eligibility, funding, and capacity rules apply

Rockbridge Area Relief Association

The City of Lexington lists the Rockbridge Area Relief Association among local helpful links. Contact it to ask about current emergency-needs or practical assistance and what documentation or limits apply.

Review Rockbridge Area Relief Association
Community primary, dental, behavioral-health, and medication-assistance pathway - Lexington and Buena Vista; appointment, patient-registration, insurance, and sliding-fee rules apply

Rockbridge Area Health Center Primary Care

The health center describes care for insured, uninsured, underinsured, Medicaid, and Medicare patients, with an income-based sliding-fee discount. Ask about establishing care and current services.

Review community health care 540-464-8700
WIC, immunization, public-health, environmental-health, and vital-records services - Lexington and Rockbridge area; appointment, eligibility, fees, and document rules apply

Lexington-Rockbridge Health Department WIC and Public Health

Call the local health department to ask about WIC, immunizations, public-health services, environmental health, and vital records. Most services require an appointment or have specific walk-in windows.

Review local health services 540-463-3185
Public library, internet, information, learning, and community-program pathway - Lexington; library-card and program rules apply

Rockbridge Regional Library - Lexington

The Lexington branch of Rockbridge Regional Library provides public library services, Wi-Fi, information help, and learning and community programs. Current posted hours are Monday through Thursday 10 a.m. to 7 p.m., Friday 10 a.m. to 5 p.m., and Saturday 10 a.m. to 2 p.m.

Visit Rockbridge Regional Library 540-463-4324
Public-school enrollment, counseling, social-work, special-education, and school-health pathway - City of Lexington; enrollment, residency, age, and school rules apply

Lexington City Public Schools

Lexington City Schools serves the city and provides school administration, enrollment information, counseling, social work, special education, and school-health pathways. Ask about current enrollment and family-support resources.

Review Lexington City Schools 540-463-7146
Public-school and family-support pathway - Rockbridge County; enrollment, residency, age, transportation, and school rules apply

Rockbridge County Public Schools

For households outside Lexington city limits, Rockbridge County Public Schools is the local education and family-support pathway. Ask about enrollment, transportation, special education, counseling, and school social-work resources.

Review Rockbridge County Public Schools
Deviated fixed-route public transit and ADA pathway - Lexington, Buena Vista, and Rockbridge County; route, fare, hours, weather, and eligibility rules apply

Maury Express Public Transit

RADAR's Maury Express provides public transportation for Lexington, Buena Vista, and Rockbridge County. Current information lists service Monday through Friday 8 a.m. to 6 p.m. and Saturday 10 a.m. to 4 p.m.; check schedules, route deviations, and ADA application rules directly.

Review Maury Express 540-463-3346
City garbage, brush, street, water, sewer, and infrastructure services - City of Lexington; residency, placement, material, schedule, and service rules apply

Lexington Public Works Garbage and Brush Collection

Lexington Public Works collects residential trash and recycling and handles garbage, brush, streets, water, and sewer. The city says residents should confirm current collection rules and place materials as directed; this is not a private cleanup service.

Review Public Works services 540-463-3154
City recycling and disposal information - City of Lexington; accepted materials, hours, and contamination rules apply

Lexington Recycling

Use the city's current recycling information to confirm accepted materials, drop-off or collection options, and seasonal changes before transporting items. Ask about large-item or special-material disposal separately.

Review Lexington recycling 540-463-3154
Municipal water and sewer account and service pathway - City of Lexington; residency, billing, turn-on, shutoff, and service rules apply

Lexington Water and Sewer Service

Lexington Public Works maintains water and sewer lines and handles water turn-ons, turn-offs, and meter readings. Contact the city about service, billing, leaks, or an account-specific concern.

Review water and sewer services 540-463-3154
Property, zoning, building, historic-district, and land-use information - City of Lexington; parcel, permit, zoning, and inspection rules apply

Lexington Planning and Development GIS and Property Information

The city provides planning, development, GIS, building-permit, and property information. Use it to understand a property question before choosing a response, and ask about consent-based, least disruptive options.

Review planning and property information 540-462-3704
Municipal contact and service-routing directory - City of Lexington; department jurisdiction and hours apply

Lexington City Phone List

The city's phone list is a practical way to find current contacts for public works, utilities, police, fire, planning, trash, recycling, library, schools, and other municipal services.

Review the city phone list 540-462-3700
Statewide confidential resource-navigation pathway - Virginia; provider availability, eligibility, and capacity rules vary

Virginia 211

Virginia 211 can help identify current housing, food, utility, health, transportation, and other local or statewide resources. Ask for options in Lexington or Rockbridge County and confirm details directly.

Review Virginia 211 211
State behavioral-health, substance-use, developmental-disability, and crisis-system information - Virginia; local provider and eligibility rules apply

Virginia Department of Behavioral Health and Developmental Services

DBHDS provides statewide information about behavioral health, substance use, developmental-disability services, and local Community Services Boards. For Lexington, Rockbridge Area Community Services is the local CSB pathway.

Review DBHDS resources
Health coverage and transportation-benefit information - Virginia; enrollment, plan, medical-necessity, and provider rules apply

Virginia Medicaid and Cardinal Care

Virginia Medicaid and Cardinal Care provide official information about coverage, eligibility, and covered services. Ask the plan or enrollment line about transportation, behavioral health, home health, and other benefits relevant to the situation.

Review Virginia Medicaid
Employment, unemployment, and workforce-benefit pathway - Virginia; eligibility, identity, work-search, and claim rules apply

Virginia Employment Commission

The Virginia Employment Commission provides official employment and unemployment information. Ask about current eligibility, applications, work-search requirements, and local workforce partners.

Review Virginia employment services
Aging, caregiver, disability, nutrition, and independence-navigation pathway - Rockbridge and surrounding region; age, assessment, and program rules apply

Valley Program for Aging Services

Valley Program for Aging Services is listed by the City of Lexington as a regional aging resource. Ask about meals, caregiver support, transportation, in-home services, benefits, and the right local intake path.

Review aging and caregiver services
Civil legal-aid and housing-stability pathway - Virginia; income, case type, conflict, and service-area rules apply

Legal Aid of Virginia

Legal Aid of Virginia provides civil legal information and may assist with housing, benefits, safety, and other eligible matters. Ask whether the issue and household qualify before relying on representation.

Review Legal Aid of Virginia
Home-repair, housing, and homeownership pathway - Rockbridge region; income, ownership, volunteer, and program rules apply

Rockbridge Area Habitat for Humanity

Rockbridge Area Habitat for Humanity is a local housing resource for eligible households and community partners. Ask about current repair or homeownership programs, application criteria, and wait times.

Review Rockbridge Habitat
Community recreation, youth, family, and wellness pathway - Rockbridge region; membership, program, and scholarship rules apply

Rockbridge Area YMCA

The Rockbridge Area YMCA is listed by the city among local helpful links and may provide community, youth, family, and wellness programs. Ask about current programming, financial assistance, and access needs.

Review Rockbridge YMCA
Practical family, food, agriculture, youth, and community-education pathway - Rockbridge area; program and enrollment rules apply

Virginia Cooperative Extension - Rockbridge

Virginia Cooperative Extension's Rockbridge office offers educational and practical community programs. Ask which current program fits the household or property concern and whether there are local classes or referrals.

Review Rockbridge Extension
Veteran, family, benefits, and service-navigation pathway - Virginia; service, discharge, benefit, and eligibility rules apply

Virginia Department of Veterans Services

Virginia Department of Veterans Services provides official information and connections for veterans and eligible family members. Ask about benefits, housing, behavioral health, transportation, and local referral options.

Review veteran services
Rural housing, repair, utility, and community-development pathway - eligible Virginia rural areas; income, property, and program rules apply

USDA Rural Development Virginia

USDA Rural Development provides official rural housing and community-development programs. Ask whether a Lexington or Rockbridge property and household meet the current program rules; approval and funding are not guaranteed.

Review USDA Rural Development

A note from the Alliance

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

This guide is anchored in Lexington, Virginia, 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