The Peer Tree
The Peer Tree offers nonclinical, private-pay support for people navigating clutter and for supporters. Ask about current availability, the scope of support, travel or remote options, and cost before making a decision.
A Hoarding Alliance local resource guide
A local starting point for people affected by hoarding and the people who care about them. You can begin with one concern—safety, a conversation, health care, housing, or a practical need—and decide on the next step at your own pace.
Start here - Fight the Blight
These pathways serve different needs and are not endorsements. You can ask what is available before sharing personal information or deciding whether a service fits.
Begin with a respectful conversation about what matters to the person and what kind of support would feel useful. Fight the Blight is the nonprofit entry point for hoarding-related support and virtual groups. Ask what is currently offered for a person, family member, supporter, or community partner; services and openings are not guaranteed.
Role: nonprofit hoarding-support and virtual-group front door; geography: ask about Florida and online options; cost/eligibility: confirm current group fit, schedule, and availability; emergency limit: not clinical treatment, cleanup, or emergency response.
For an immediate threat to life or safety, fire, or urgent medical emergency, call 911. For suicide or emotional distress support, call or text 988. Apalachee Center lists its Mobile Response Team at 800-342-0774 for mental-health crises in its service region. A directory or peer-support service cannot dispatch emergency responders or replace clinical care.
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.
The Peer Tree offers nonclinical, private-pay support for people navigating clutter and for supporters. Ask about current availability, the scope of support, travel or remote options, and cost before making a decision.
Unburied is a peer-led digital space for judgment-free support, shared experience, and practical tools. It is not therapy or emergency support; use 911 or 988 for urgent situations.
If you are unsure which service to contact, 211 can help identify local starting points for food, housing, health care, and other needs. Confirm details with the organization that provides the service.
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.
Call 911 for an immediate threat to life or safety, fire, or urgent medical emergency. A resource guide or non-emergency program cannot dispatch help.
Call or text 988 to reach the Suicide & Crisis Lifeline. The Florida Department of Health in Madison County also points people to 988 for emotional distress.
Apalachee Center lists a 24/7 Mobile Response Team at 800-342-0774. Call to discuss a behavioral-health crisis and confirm what response is available at the person's location.
Refuge House states that trained advocates answer its hotline 24 hours a day, every day, for its eight-county service region including Madison County. It can discuss safety and available services; call when it is safe to do so.
The Florida Department of Children and Families accepts reports through its Abuse Hotline. Reporting is not a substitute for emergency help; ask DCF about what information to provide and what happens next.
The County Emergency Management office publishes local preparedness and recovery information and provides Alert Madison enrollment. Use official notices for current shelter openings and instructions.
Register contact information and locations for Madison County notifications, then keep the profile current. Check current county guidance for sign-up and alert coverage.
The County describes screening and capacity limits for its special-needs shelter. Review criteria, caregiver requirements, supplies, and registration steps before a disaster; confirm current arrangements with Emergency Management.
The County identifies Madison County Central School as a risk shelter for residents in mobile homes or other unsafe structures when activated. Do not travel there unless current County instructions say it is open; bring needed medication and supplies.
The county health department lists 988 Florida Lifeline and 211 as starting points for emotional distress and other support. It is not an emergency-response provider.
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.
Apalachee Center lists adult and children's services, case management, and psychiatric evaluation and treatment at its Madison clinic. It states that inability to pay does not bar access and that a discounted sliding-fee schedule is available; ask about the current fee and fit. It does not identify a hoarding-specific program.
Apalachee Center lists therapy access for Madison County residents and says a diagnosis is not required to begin an evaluation. Ask about appointment access, clinical fit, insurance, fees, and whether services are available locally or remotely.
The Center says it has a discounted/sliding-fee schedule based on family size and income and does not deny access due to inability to pay. Confirm documentation, rates, and eligibility directly.
North Florida Medical Centers lists a Madison clinic and primary-care services for adults and children, with dental services described on its site. Contact the clinic to confirm current providers, appointment availability, accepted coverage, and any sliding-fee discount.
The Hospital's current site identifies its Madison primary-care department. Contact the hospital to confirm clinicians, appointments, accepted coverage, and what care is appropriate for the need.
The Department lists a Madison office and public-health programs. Call to confirm current clinic services, eligibility, appointments, interpretation, and any costs before visiting.
Florida WIC provides approved-food benefits, nutrition education, breastfeeding support, and referrals for eligible families. The Madison County health department lists local WIC contact information; confirm current appointments and eligibility.
SREC lists a Madison County client service center and programs including Community Services Block Grant support. Ask about current funding, service-area rules, documentation, and openings.
SREC lists LIHEAP and utility assistance for Madison County. Contact the agency before a shutoff deadline to ask what help is funded, who qualifies, what documents are needed, and how long processing may take.
SREC lists Madison County SHIP services that may include emergency repairs, rehabilitation, and homeownership assistance. Ask about current application windows, income and property requirements, inspections, funding, and whether a specific repair is eligible.
SREC's contact page advertises a Union/Madison Area transportation line, while its programs page lists transportation service counties that do not include Madison. Because the official pages differ, call and confirm whether a Madison address is eligible before relying on this option; this guide does not promise service.
Hometown Outreach's resource hub links people to agencies that manage each service, including Florida benefits, county health programs, and SREC. Use it to find a starting point, then verify current availability and eligibility with the provider.
Search or call 211 for referral options. Ask the receiving organization whether it serves the address, has current openings, and requires an application or documents.
Use Florida's official MyACCESS portal to review and apply for available benefits. Confirm required documents, reporting duties, and current case status with the Department of Children and Families.
Refuge House lists Madison County as part of its service area and provides a local administrative contact plus a 24-hour hotline. Ask an advocate about current confidential services; avoid browsing or calling if doing so would increase risk.
Three Rivers lists Madison County among the counties served and provides online or phone intake. Ask about case type, income/eligibility, deadlines, and whether the organization can assist; it does not provide every kind of legal service.
HUD's Florida page includes Madison County housing contacts. Confirm whether a listed program is currently funded and whether it serves renters, homeowners, or a particular income group.
The County lists 13 staffed collection sites and a regional landfill. Its page says tires and oil are not accepted at the collection sites. Confirm residency rules, hours, vehicle limits, and material acceptance before transporting anything; do not discard another person's belongings without consent and appropriate authority.
Contact the County before making structural, electrical, plumbing, or other permit-related changes. City properties may fall under different rules; confirm jurisdiction and do not treat an inspection question as permission to remove belongings.
Use the County directory to identify which office handles a question, then ask whether it applies to a city or unincorporated address. Do not assume that a county service can provide private cleanup or clinical support.
Contact the Clerk for procedural, records, and filing information. For advice or representation, ask Three Rivers Legal Services about eligibility and case fit.
The County lists Veterans Services among its departments. Contact the office to ask about appointment availability, documentation, and connection to state or federal benefits.
The City says its water department serves Madison and surrounding unincorporated areas. Confirm that the address receives City service before asking about billing or service changes; ask about current account and payment procedures.
Review current preparedness, shelter, and recovery notices before severe weather. Shelter facilities open only when activated; follow current official instructions.
The Madison County WIC office can explain nutrition support, breastfeeding resources, referrals, and program screening. Ask about appointment requirements, language access, and current eligibility.
Second Harvest's food-locker guide lists a Madison County locker at the health department and says people can walk in or call 850-973-5000, option 6, to receive a code. Confirm current access before traveling and follow the kiosk instructions.
Florida Courts lists the domestic-violence center serving Madison County and explains that hotline/center staff are not themselves legal counsel. Contact an advocate and ask about safe referral options.
Use the directory to identify possible hoarding-informed care, then verify the provider's current license, specific training, cost, insurance, and availability directly. Inclusion is not an endorsement, and no Madison-specific specialist has been independently confirmed for this guide.
A note from the Alliance
This guide is anchored in Madison, Florida, 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