A Hoarding Alliance local resource guide

Hoarding support in Madison, Florida.

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.

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

Start here - Fight the Blight

Choose one next step

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 immediate danger

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

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-related coaching and support; geography: confirm service availability for Madison County; cost/eligibility: private-pay rates and fit must be confirmed directly; emergency limit: not emergency response or a substitute for clinical care. | Confirm current service area, eligibility, fees, hours, intake, capacity, and accessibility directly; a listing is not an endorsement.

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.

Role: digital peer-support pathway for people affected by hoarding and supporters; geography: online; cost/eligibility: confirm current access and any fees in the app; emergency limit: not therapy, clinical care, or emergency support. | Confirm current service area, eligibility, fees, hours, intake, capacity, and accessibility directly; a listing is not an endorsement.

Unburied

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.

Role: information and referral for local health and human services; geography: Florida; cost/eligibility: call 211 for free referral and ask each provider about requirements; emergency limit: not a crisis response service or substitute for 911/988. | Confirm current service area, eligibility, fees, hours, intake, capacity, and accessibility directly; a listing is not an endorsement.

United Way 211 — local resource navigation

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

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: police, fire, or medical emergency dispatch; geography: United States; cost/eligibility: emergency number; limit: use for immediate danger, fire, or urgent medical emergency. | Confirm current service area, eligibility, fees, hours, intake, capacity, and accessibility directly; a listing is not an endorsement.

Emergency response — 911

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.

Role: emotional distress and suicide-crisis counseling; geography: United States; cost/eligibility: call or text 988; limit: not a replacement for 911 when there is immediate danger or urgent medical need. | Confirm current service area, eligibility, fees, hours, intake, capacity, and accessibility directly; a listing is not an endorsement.

988 Suicide & Crisis Lifeline

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.

Role: behavioral-health crisis response; geography: Apalachee Center's listed Big Bend service region, including Madison County; cost/eligibility: ask about current access; emergency limit: call 911 for immediate danger or urgent medical emergency. | Confirm current service area, eligibility, fees, hours, intake, capacity, and accessibility directly; a listing is not an endorsement.

Apalachee Center — Mobile Response Team

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.

Role: domestic-violence survivor hotline, safety planning, and referrals; geography: Madison and seven other Big Bend counties; cost/eligibility: call to discuss options; emergency limit: call 911 for immediate danger. | Confirm current service area, eligibility, fees, hours, intake, capacity, and accessibility directly; a listing is not an endorsement.

Refuge House — 24-hour survivor hotline

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.

Role: report suspected abuse, neglect, or exploitation of a vulnerable adult or child; geography: Florida; cost/eligibility: statewide reporting line; emergency limit: call 911 for immediate danger. | Confirm current service area, eligibility, fees, hours, intake, capacity, and accessibility directly; a listing is not an endorsement.

Florida Abuse Hotline

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.

Role: disaster preparedness, response information, and county alerts; geography: Madison County; cost/eligibility: alert enrollment is free; limit: not emergency dispatch—call 911 for immediate danger. | Confirm current service area, eligibility, fees, hours, intake, capacity, and accessibility directly; a listing is not an endorsement.

Madison County Emergency Management

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.

Role: severe-weather and community-safety alerts; geography: anyone with a Madison County connection may register; cost/eligibility: County says enrollment is free; limit: alerts do not replace 911 or official evacuation instructions. | Confirm current service area, eligibility, fees, hours, intake, capacity, and accessibility directly; a listing is not an endorsement.

Alert Madison — county emergency notifications

Register contact information and locations for Madison County notifications, then keep the profile current. Check current county guidance for sign-up and alert coverage.

Role: disaster shelter planning for people with qualifying medical or functional support needs; geography: Madison County; cost/eligibility: registration is screened and does not guarantee admission; limit: not a medical facility or bedside-care service. | Confirm current service area, eligibility, fees, hours, intake, capacity, and accessibility directly; a listing is not an endorsement.

Madison County special-needs shelter registration

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.

Role: temporary storm shelter information; geography: Madison County; cost/eligibility: only opened when activated and for the circumstances described by the County; limit: not permanent housing or a medical facility. | Confirm current service area, eligibility, fees, hours, intake, capacity, and accessibility directly; a listing is not an endorsement.

Madison County hurricane risk shelter information

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.

Role: county public-health information and crisis referrals; geography: Madison County; cost/eligibility: ask the Department about specific services; limit: use 911/988 or Apalachee's crisis line for urgent needs. | Confirm current service area, eligibility, fees, hours, intake, capacity, and accessibility directly; a listing is not an endorsement.

Florida Department of Health in Madison County — mental-health crisis information

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

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: community behavioral-health care and case management; geography: Madison County clinic; cost/eligibility: call about intake, insurance, sliding-fee eligibility, and current openings; emergency limit: use its Mobile Response Team or 911 for urgent safety needs. | Confirm current service area, eligibility, fees, hours, intake, capacity, and accessibility directly; a listing is not an endorsement.

Apalachee Center — Madison County behavioral-health services

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.

Role: outpatient behavioral-health therapy and evaluations; geography: includes Madison County; cost/eligibility: contact the Center about intake and sliding-fee discounts; emergency limit: outpatient visits are not emergency response. | Confirm current service area, eligibility, fees, hours, intake, capacity, and accessibility directly; a listing is not an endorsement.

Apalachee Center — outpatient therapy and access

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.

Role: behavioral-health billing and financial-access information; geography: Apalachee Center service area; cost/eligibility: discounted fees depend on the Center's current review; emergency limit: not crisis response. | Confirm current service area, eligibility, fees, hours, intake, capacity, and accessibility directly; a listing is not an endorsement.

Apalachee Center — sliding-fee information

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.

Role: primary, family, pediatric, women's, and dental-health access; geography: Madison clinic; cost/eligibility: call about insurance, Medicaid/Medicare, sliding-fee eligibility, and current fees; emergency limit: not urgent or emergency care. | Confirm current service area, eligibility, fees, hours, intake, capacity, and accessibility directly; a listing is not an endorsement.

North Florida Medical Centers — Madison clinic

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.

Role: local hospital and primary-care department; geography: Madison; cost/eligibility: confirm insurance, service availability, and charges with the hospital; emergency limit: call 911 for an emergency. | Confirm current service area, eligibility, fees, hours, intake, capacity, and accessibility directly; a listing is not an endorsement.

Madison County Memorial Hospital — primary care

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.

Role: county public-health programs and referrals; geography: Madison County; cost/eligibility: program-specific—ask about fees and qualification; emergency limit: not emergency response. | Confirm current service area, eligibility, fees, hours, intake, capacity, and accessibility directly; a listing is not an endorsement.

Florida Department of Health in Madison County

The Department lists a Madison office and public-health programs. Call to confirm current clinic services, eligibility, appointments, interpretation, and any costs before visiting.

Role: nutrition support for eligible pregnant/postpartum people, infants, and children; geography: Florida; cost/eligibility: income and nutritional-risk screening applies; emergency limit: not emergency food distribution. | Confirm current service area, eligibility, fees, hours, intake, capacity, and accessibility directly; a listing is not an endorsement.

Florida WIC — Madison County office

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.

Role: community-action information/referral, self-sufficiency, case management, and application assistance; geography: Madison County; cost/eligibility: program rules and funding apply—ask before applying; emergency limit: not emergency dispatch or guaranteed financial aid. | Confirm current service area, eligibility, fees, hours, intake, capacity, and accessibility directly; a listing is not an endorsement.

Suwannee River Economic Council — Madison County service center

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.

Role: LIHEAP utility-bill assistance and crisis resolution; geography: includes Madison County; cost/eligibility: income, funding, and crisis rules apply; emergency limit: does not guarantee immediate utility reconnection. | Confirm current service area, eligibility, fees, hours, intake, capacity, and accessibility directly; a listing is not an endorsement.

Suwannee River Economic Council — energy and utility assistance

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.

Role: housing rehabilitation and emergency-repair assistance; geography: Madison County; cost/eligibility: SHIP rules, funding, ownership, and income requirements apply; emergency limit: not emergency shelter or guaranteed repairs. | Confirm current service area, eligibility, fees, hours, intake, capacity, and accessibility directly; a listing is not an endorsement.

Suwannee River Economic Council — SHIP home repair assistance

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.

Role: rural transportation information and referral; geography: contact SREC to ask whether an address in Madison County is currently served; cost/eligibility: route, rider eligibility, booking, and fees must be confirmed; emergency limit: not emergency medical transport. | Confirm current service area, eligibility, fees, hours, intake, capacity, and accessibility directly; a listing is not an endorsement.

Suwannee River Economic Council — transportation eligibility check

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.

Role: nonprofit resource navigation to food, healthcare, housing, transportation, and benefits; geography: Madison County; cost/eligibility: each listed provider sets its own requirements; emergency limit: call 911/988 for urgent safety or health crises. | Confirm current service area, eligibility, fees, hours, intake, capacity, and accessibility directly; a listing is not an endorsement.

Hometown Outreach — Madison County Resource Hub

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.

Role: statewide health and human-services referral; geography: Florida; cost/eligibility: referral is free; provider eligibility varies; emergency limit: not 911, 988, or a shelter reservation. | Confirm current service area, eligibility, fees, hours, intake, capacity, and accessibility directly; a listing is not an endorsement.

Florida 211 — resource search

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.

Role: state applications for SNAP, Medicaid, and other public benefits; geography: Florida; cost/eligibility: state income, household, and program rules apply; emergency limit: application processing is not immediate food or medical care. | Confirm current service area, eligibility, fees, hours, intake, capacity, and accessibility directly; a listing is not an endorsement.

Florida MyACCESS — SNAP and public benefits

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.

Role: survivor advocacy, safety planning, shelter information, and referrals; geography: Madison County within Refuge House's Big Bend service region; cost/eligibility: call to discuss safe access and options; emergency limit: call 911 for immediate danger. | Confirm current service area, eligibility, fees, hours, intake, capacity, and accessibility directly; a listing is not an endorsement.

Refuge House — Madison County services

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.

Role: civil legal aid and advocacy; geography: Madison County is in its listed service area; cost/eligibility: free services for eligible clients after intake; emergency limit: not emergency shelter, law enforcement, or a guarantee of representation. | Confirm current service area, eligibility, fees, hours, intake, capacity, and accessibility directly; a listing is not an endorsement.

Three Rivers Legal Services — civil legal aid

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.

Role: federal directory of state and local housing-assistance contacts; geography: Florida; cost/eligibility: each program sets its own rules and funding; emergency limit: not a shelter placement or rental guarantee. | Confirm current service area, eligibility, fees, hours, intake, capacity, and accessibility directly; a listing is not an endorsement.

HUD — Florida housing assistance by county

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.

Role: household waste and recycling collection-site information; geography: Madison County; cost/eligibility: confirm site access, accepted materials, fees, and hours; emergency limit: disposal service is not cleanup labor or a hoarding-support plan. | Confirm current service area, eligibility, fees, hours, intake, capacity, and accessibility directly; a listing is not an endorsement.

Madison County Solid Waste & Recycling

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.

Role: county building, zoning, and floodplain information; geography: unincorporated Madison County and matters under County jurisdiction; cost/eligibility: confirm jurisdiction, permit requirements, and fees; emergency limit: not a clinical or legal service. | Confirm current service area, eligibility, fees, hours, intake, capacity, and accessibility directly; a listing is not an endorsement.

Madison County Building Department — permits and property questions

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.

Role: county-government directory for code enforcement, fire rescue, roads, veterans, extension, and other services; geography: Madison County; cost/eligibility: department-specific; emergency limit: call 911 for immediate emergencies. | Confirm current service area, eligibility, fees, hours, intake, capacity, and accessibility directly; a listing is not an endorsement.

Madison County departments and public services

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.

Role: official court and public-records information; geography: Madison County; cost/eligibility: filing, copies, and access rules may vary; emergency limit: not legal advice or emergency protection. | Confirm current service area, eligibility, fees, hours, intake, capacity, and accessibility directly; a listing is not an endorsement.

Madison County Clerk of Court — records and court access

Contact the Clerk for procedural, records, and filing information. For advice or representation, ask Three Rivers Legal Services about eligibility and case fit.

Role: county veterans-benefit navigation; geography: Madison County veterans and eligible dependents; cost/eligibility: benefit and service criteria apply; emergency limit: not emergency medical or housing response. | Confirm current service area, eligibility, fees, hours, intake, capacity, and accessibility directly; a listing is not an endorsement.

Madison County Veterans Services

The County lists Veterans Services among its departments. Contact the office to ask about appointment availability, documentation, and connection to state or federal benefits.

Role: municipal water service and utility-billing contact; geography: City of Madison customers and listed surrounding areas; cost/eligibility: service address, fees, and payment options must be confirmed; emergency limit: contact the utility for service issues, not 911 unless there is immediate danger. | Confirm current service area, eligibility, fees, hours, intake, capacity, and accessibility directly; a listing is not an endorsement.

City of Madison — water utility service

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.

Role: county disaster-preparedness, shelter, and recovery information; geography: Madison County; cost/eligibility: public information; limit: not emergency dispatch or guaranteed shelter availability. | Confirm current service area, eligibility, fees, hours, intake, capacity, and accessibility directly; a listing is not an endorsement.

Madison County Emergency Management — disaster planning

Review current preparedness, shelter, and recovery notices before severe weather. Shelter facilities open only when activated; follow current official instructions.

Role: nutrition and family-health referrals; geography: Florida; cost/eligibility: WIC qualification is screened by program staff; emergency limit: not emergency food or medical care. | Confirm current service area, eligibility, fees, hours, intake, capacity, and accessibility directly; a listing is not an endorsement.

Florida Department of Health — WIC and family referrals

The Madison County WIC office can explain nutrition support, breastfeeding resources, referrals, and program screening. Ask about appointment requirements, language access, and current eligibility.

Role: food access through a 24/7 grocery locker; geography: Florida Department of Health in Madison County, 218 SW Third Avenue; cost/eligibility: call the health department for a pickup code and current access instructions; emergency limit: food locker is not emergency medical or shelter response. | Confirm current service area, eligibility, fees, hours, intake, capacity, and accessibility directly; a listing is not an endorsement.

Second Harvest of the Big Bend — Madison food locker

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.

Role: statewide court information and domestic-violence service referrals; geography: Florida, with Madison County listed under Refuge House; cost/eligibility: contact the center for service details; emergency limit: call 911 for immediate danger. | Confirm current service area, eligibility, fees, hours, intake, capacity, and accessibility directly; a listing is not an endorsement.

Florida Courts — domestic-violence service directory

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.

Role: directory of clinicians and programs listing hoarding-disorder services; geography: search by location; cost/eligibility: provider fees, credentials, fit, and availability must be confirmed; emergency limit: not crisis or emergency support. | Confirm current service area, eligibility, fees, hours, intake, capacity, and accessibility directly; a listing is not an endorsement.

International OCD Foundation — hoarding help directory

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

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

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