A Hoarding Alliance local resource guide

Hoarding support in Madison, Virginia.

A calm, practical place to begin when a home, relationship, or safety concern feels hard to hold alone.

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

Start here - Fight the Blight

Start with a respectful next step

You do not need to solve everything at once. Begin with Fight the Blight, then use the local pathways below for safety, health, housing, benefits, transportation, legal questions, and practical support.

For immediate danger

If there is immediate danger, fire, a medical emergency, violence, or an active threat, call 911. For emotional distress or a suicide or substance-use crisis, call or text 988. These guides are independent resource listings, not endorsements, emergency response, clinical care, or a promise of availability.

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 Madison County; 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 Madison County.

Digital peer-support pathway - online for people affected by hoarding and clutter concerns and their supporters; current access and eligibility should be confirmed; no fee or clinical-coverage claim is made here; not therapy, crisis response, 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, family, property managers, municipal workers, and other supporters.

Free, confidential resource navigation for housing, food, health care, utilities, transportation, legal help, and basic needs - Virginia, including Madison County; 24/7 service; each referred provider has its own eligibility, cost, and availability rules; not emergency dispatch

211 Virginia

211 Virginia connects people with current local resources for housing, food, health care, utilities, transportation, mental health, and other needs. Ask for options serving Madison and Madison County.

Qualified public behavioral-health, developmental-disability, substance-use, housing, aging, case-management, transportation, and crisis pathway - Madison County and the regional service area; intake, hours, eligibility, payment, sliding-scale, and capacity rules apply; not emergency dispatch

Encompass Community Supports

Encompass Community Supports, formerly Rappahannock-Rapidan Community Services, serves Madison County with mental-health, substance-use, developmental-disability, housing, aging, case-management, transportation, and crisis services. Confirm the right intake pathway directly.

Public-health, family-health, immunization, environmental-health, well and septic, preparedness, and prevention pathway - Madison County; appointment, program, fee, and eligibility rules apply; not emergency medical dispatch

Madison County Health Department

Madison County Health Department provides public-health, family-health, environmental-health, well and septic, and emergency-preparedness pathways. Call before visiting to confirm services, hours, and appointments.

Regional acute-care, behavioral-health emergency, and trauma pathway - Charlottesville region serving Madison County; hospital triage, insurance, billing, transfer, accessibility, and capacity rules apply; call 911 for immediate danger

UVA Health Emergency Department

UVA Health's Emergency Department in Charlottesville is a regional emergency pathway for serious medical or behavioral-health emergencies. Call 911 for immediate danger and confirm current location, transport, and financial-assistance information directly.

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 - Madison and Madison County; use for fire, medical emergency, violence, rescue, or an active threat; not a hoarding-support program, counseling service, or cleanup provider

911 Emergency Services

Call 911 when life, property, or immediate safety is at risk. Tell the dispatcher the location, what is happening, and any known hazards or access concerns.

Emotional distress, suicide, and substance-use crisis support - United States, including Madison County; call or text 988; not 911, not a cleanup service, and not a substitute for immediate emergency response

988 Suicide & Crisis Lifeline

Call or text 988 for emotional distress, suicidal thoughts, or a substance-use crisis. Call 911 for immediate physical danger or a medical emergency.

County disaster planning, mitigation, preparedness, response, recovery, and hazardous-materials coordination - Madison County; call 911 for active emergencies; local plans and incident conditions control; not clinical care or cleanup support

Madison County Emergency Management

Madison County Emergency Management coordinates local disaster preparedness, response, recovery, and hazardous-materials planning. Use 911 for an active emergency and the county office for preparedness information.

County advanced-life-support ambulance and emergency medical pathway - Madison County; 911 dispatches emergencies; billing, service area, and clinical-triage rules apply; not a cleanup or organizing provider

Madison County Emergency Medical Services

Madison County EMS staffs advanced-life-support ambulances and provides emergency medical response. Call 911 for an emergency rather than driving or calling the station for dispatch.

County volunteer firefighting and fire-safety pathway - Madison County; 911 dispatches fires and rescue emergencies; station coverage and volunteer-service limits apply; not cleanup or hoarding support

Madison County Volunteer Fire Company

Madison County's firefighting services are provided by the Madison County Volunteer Fire Company. Call 911 for fire, rescue, or immediate life-safety concerns.

County law enforcement and public-safety pathway - Madison County; call 911 for emergencies; non-emergency, jurisdiction, report, and records rules apply; not a hoarding-support or cleanup provider

Madison County Sheriff's Office

The Sheriff's Office is the county law-enforcement contact for Madison County. Use the current county contact for non-emergency questions or reports and call 911 for immediate danger.

State emergency preparedness, disaster planning, hazard, evacuation, and recovery information - Virginia, including Madison County; incident, eligibility, and response rules apply; call 911 for immediate danger

Virginia Emergency Management

Virginia Emergency Management provides preparedness and disaster information that can help households plan for severe weather, evacuation, utility interruption, and other hazards.

State-road, snow, debris, closure, and transportation-safety information - Virginia, including Madison County; road jurisdiction and service rules apply; call 911 for immediate hazards; not a private cleanup service

Virginia Department of Transportation

Use VDOT's current road and travel information for closures, debris, snow, and other transportation issues affecting Madison and Madison County. Call 911 if a roadway condition creates an immediate threat.

County emergency communications and dispatch pathway - Madison County; call 911 for emergencies; after-hours and non-emergency routing rules apply; not counseling or cleanup support

Madison County E-911 and Dispatch

Madison County's emergency-management information directs residents to the Madison dispatch center for after-hours emergency-management questions and to 911 for emergencies.

County protective-services and family-support reporting pathway - Madison County; use 911 for immediate danger; state after-hours hotline and local intake rules apply; not counseling or cleanup support

Madison County Adult and Child Protective Services

Madison Social Services receives or routes concerns about child abuse, neglect, and suspected exploitation or abuse of older or disabled adults. Use 911 for immediate danger.

Statewide reporting pathway for suspected abuse, neglect, or exploitation of adults - Virginia, including Madison County; call 911 for immediate danger; screening and jurisdiction rules apply; not emergency dispatch

Virginia Adult Protective Services Hotline

Use the Virginia Adult Protective Services hotline when an adult may be experiencing abuse, neglect, or exploitation and immediate 911 response is not required.

Statewide reporting pathway for suspected child abuse or neglect - Virginia, including Madison County; call 911 for immediate danger; screening and jurisdiction rules apply; not emergency dispatch

Virginia Child Protective Services Hotline

Use the Virginia Child Abuse and Neglect Hotline when a child may be unsafe and an immediate 911 response is not required.

Confidential domestic- and sexual-violence support and safety-planning pathway - Madison County and surrounding region; hotline, shelter, eligibility, and confidentiality limits apply; call 911 for immediate danger

SAFE Domestic and Sexual Violence Hotline

Madison County's current local-resources page lists SAFE's 24/7 hotline for domestic and sexual violence support. Call 911 for immediate danger and confirm current local options directly.

Poisoning, overdose, medication, chemical, bite, and exposure guidance - Virginia, including Madison County; call 911 for collapse or immediate danger; poison-triage limits apply; not cleanup support

Virginia Poison Center

Call the poison center for urgent guidance after a possible ingestion, overdose, chemical exposure, or bite. Call 911 for collapse, breathing trouble, or immediate danger.

Crime-victim and witness advocacy, protective-order, court-navigation, compensation, restitution, and referral pathway - Madison County; confidentiality, court, and eligibility rules apply; call 911 for immediate danger

Madison County Victim/Witness Program

Madison County's Victim/Witness Program helps crime victims and witnesses understand court procedures, protective orders, compensation, restitution, and referrals for counseling or housing.

Building inspection, zoning, permit, property-safety, and code-information pathway - Madison County; property ownership, permit, inspection, and enforcement rules apply; not emergency response or cleanup support

Madison County Building and Zoning Contacts

Use Madison County's current staff directory to reach building and zoning contacts for questions about permits, inspections, property conditions, and local code pathways. Immediate hazards belong on 911.

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.

County benefits, protective services, energy assistance, Medicaid, SNAP, TANF, child-care, and family-support pathway - Madison County; income, residency, documentation, and program eligibility rules apply; not emergency dispatch

Madison County Social Services

Madison DSS helps residents access benefits and services including SNAP, Medicaid, TANF, child-care assistance, energy assistance, and protective-services reporting.

State benefits application and eligibility pathway for SNAP, Medicaid or FAMIS, TANF, child-care assistance, and energy assistance - Virginia, including Madison County; income, household, identity, and documentation rules apply; not emergency dispatch

Virginia CommonHelp

CommonHelp is Virginia's online benefits application pathway. Madison residents can apply online or ask Madison DSS for application help.

Local food pantry and emergency financial-assistance pathway - Madison County area; intake, service hours, household, and current-resource rules apply; not emergency dispatch or a cleanup service

MESA Madison Emergency Services Association

MESA provides food pantry services and emergency financial assistance for neighbors in the Madison area. Confirm current hours and eligibility before visiting.

Nonprofit safety-net medical, dental, pharmacy, vision, and behavioral-health pathway - Madison County; uninsured or underinsured eligibility and intake rules apply; not emergency medical dispatch

Madison Free Clinic

Madison Free Clinic is a local nonprofit safety-net provider for uninsured and underinsured residents and offers medical, dental, pharmacy, vision, and behavioral-health services. Confirm current intake requirements.

Housing counseling, affordable rental, housing-choice-voucher, rental-assistance, and emergency-home-repair pathway - Madison County and service area; income, homeownership, funding, waiting-list, and availability rules apply; not emergency shelter dispatch

Skyline Community Action Partnership Housing

Skyline CAP serves Madison County with housing counseling, affordable housing, rental assistance, and emergency home-repair pathways. Funding and waiting-list availability can change, so confirm current status.

Community-action Head Start, Healthy Families, and youth education pathway - Madison County and regional service area; age, household, income, enrollment, and capacity rules apply; not clinical care or emergency response

Skyline CAP Education and Family Programs

Skyline CAP provides Head Start, Healthy Families home-based support, and education and career-readiness programs serving Madison County. Ask about current enrollment and eligibility.

Qualified public mental-health, substance-use, developmental-disability, housing, aging, case-management, transportation, and care-navigation pathway - Madison County and regional service area; sliding scale, insurance, Medicaid, intake, and capacity rules apply; not emergency dispatch

Encompass Community Supports Services

Encompass lists mental-health, substance-use, developmental-disability, housing, aging, transportation, and care-navigation services and says uninsured self-pay clients may receive a sliding-scale assessment. Confirm the current service pathway.

Regional public-health, environmental-health, family-health, preparedness, and prevention pathway - Madison County and surrounding counties; clinic, fee, and program rules apply; not emergency medical dispatch

Rappahannock-Rapidan Health District

Madison County's health department works through the Rappahannock-Rapidan Health District. Use the county health page and district contacts to confirm current services and after-hours guidance.

Free library, internet, information, research, and community-learning pathway - Madison County; card, program, hours, and technology availability rules apply; not emergency response

Madison County Public Library

Madison County's community information page links residents to the Madison County Public Library for books, internet, research, and community resources. Confirm current hours and services before visiting.

Public-school, student-support, special-education, transportation, food, and family-navigation pathway - Madison County; enrollment, residency, age, and program rules apply; not emergency response

Madison County Public Schools

Madison County Public Schools provides school, student-support, transportation, food, and family contacts for children and youth in the county.

State school information, performance, enrollment, and program data - Madison County Public Schools; data, school, and reporting limitations apply; not a student emergency service

Virginia School Quality Profiles - Madison

Virginia's School Quality Profiles provide public information about Madison County schools. Use the school division and individual-school pages for current enrollment and support contacts.

County recreation, parks, activities, and community-wellness pathway - Madison County; resident, program, schedule, and accessibility rules apply; not clinical care or emergency response

Madison County Parks and Recreation

Madison County Parks and Recreation maintains parks and offers recreational activities for county residents. Confirm current programs, hours, and accessibility before visiting.

Regional aging, caregiver, disability, and older-adult resource-navigation pathway - Madison County and the Rappahannock-Rapidan region; age, program, income, and service-area rules apply; not emergency response

Aging Together

Aging Together connects older adults, caregivers, and people with disabilities in the region to current services and supports. Confirm current Madison County options and eligibility.

County court, clerk, protective-order, civil, criminal, records, and legal-process pathway - Madison County; court deadlines, forms, filing, and legal-advice limits apply; not emergency dispatch

Madison County Courts and Clerk

Madison County court and clerk pages provide local court contacts, forms, records, and process information. Court staff cannot provide legal advice; contact an attorney for legal interpretation.

County prosecution, victim-referral, and criminal-justice information pathway - Madison County; office jurisdiction and legal-advice limits apply; call 911 for immediate danger; not civil legal aid or cleanup support

Madison County Commonwealth's Attorney

The Commonwealth's Attorney's office is a county criminal-justice contact and works with the Victim/Witness Program. Use Legal Aid Works for qualifying civil legal matters.

Civil legal-aid and referral pathway - Madison County and Virginia service area; income, issue, intake, conflict, and capacity rules apply; not emergency dispatch or a substitute for an attorney in every matter

Legal Aid Works

Madison County's current local-resources page lists Legal Aid Works for civil legal cases. Confirm whether the issue, household, and location qualify before relying on a referral.

State housing finance, rental, homeownership, and housing-choice-voucher information - Virginia, including Madison County; income, credit, lender, waiting-list, and property rules apply; not emergency shelter dispatch

Virginia Housing

Virginia Housing provides statewide housing-finance and rental resources. Pair this with Skyline CAP for local housing counseling and repair pathways.

Rural home-loan, repair, rental, and community-development pathway - Virginia rural areas including Madison County; income, property, occupancy, and program eligibility rules apply; not emergency response

USDA Rural Development Virginia

USDA Rural Development provides rural housing and community-program information that may apply to eligible Madison County households. Confirm property, income, and program requirements directly.

State workforce, job-search, training, employer, and workforce-center navigation pathway - Virginia, including Madison County; program, identity, unemployment, and center-availability rules apply; not emergency response

Virginia Works

Virginia Works helps job seekers and employers find workforce centers, training, job matching, and labor-market information. Check the current center locator before visiting.

Regional workforce, WIOA, career, training, veteran, and employer pathway - Piedmont Virginia region serving Madison County; income, age, documentation, and program rules apply; not emergency response

Virginia Career Works - Piedmont Region

Virginia Career Works Piedmont provides workforce development, career, training, and employer services and includes mobile one-stop resources for Orange and Madison counties. Confirm current schedule and eligibility.

Disability, vocational rehabilitation, independent-living, and employment-support pathway - Virginia, including Madison County; disability, documentation, program, and intake rules apply; not emergency response

Virginia Department for Aging and Rehabilitative Services

DARS provides disability and vocational-rehabilitation pathways that may support independent living, employment, and access needs. Confirm current district intake and eligibility.

Non-emergency transportation pathway for eligible Virginia Medicaid members - statewide, including Madison County; Medicaid enrollment, medical-necessity, advance-booking, and trip rules apply; not 911 transport

Virginia Medicaid Transportation

Virginia Medicaid members can review non-emergency transportation options and booking rules through the state transportation page. Call 911 for a medical emergency.

Public university extension, family and consumer science, agriculture, forestry, nutrition, and practical education pathway - Madison County; program, schedule, and service rules apply; not clinical care or emergency response

Virginia Cooperative Extension - Madison Unit

Virginia Cooperative Extension's Madison office offers practical education and local family, consumer, agriculture, and natural-resources programming. Confirm current classes and contacts.

County solid-waste, recycling, household-trash, refuse, and disposal pathway - Madison County residents and businesses; hang-tag, proof-of-residency, hours, fee, accepted-material, and hazardous-waste rules apply; not a cleanup provider

Madison County Transfer Station and Recycling Center

The county transfer station accepts specified household waste and recyclables and publishes current hours, hang-tag rules, fees, and prohibited hazardous materials. Confirm requirements before transporting materials.

County animal shelter, humane care, lost-and-found, surrender, and adoption pathway - Madison County; appointment, fee, intake, and animal-safety rules apply; not human emergency response or a hoarding-support provider

Madison County Animal Shelter

The Madison County Animal Shelter provides humane shelter, lost-and-found, and adoption pathways for animals in the county. Contact the shelter before bringing an animal or visiting.

County administration, emergency, health, social-services, building, parks, waste, voter, and local-government navigation pathway - Madison County; office, jurisdiction, and program rules apply; not emergency dispatch

Madison County Government and Department Directory

Madison County's department directory is the central starting point for local offices and contacts. Use 911 for immediate danger and call offices to confirm current hours and routing.

Local voter registration, election, polling-place, and civic-information pathway - Madison County; registration, residency, deadline, and identification rules apply; not emergency response

Madison County Voter Registrar

Use Madison County's official department and staff information to locate the current voter-registrar contact and confirm registration or election questions.

County-seat, courthouse, community, history, local-information, and visitor-navigation pathway - Madison County; hours, event, and access rules apply; not emergency response

Madison County Community and History Information

Madison County's community and history pages provide local context and help residents find community information, public facilities, events, and the county-seat government center in Madison.

Electric outage, restoration, and utility-safety information - Madison County service area; account, outage, restoration, and utility-jurisdiction rules apply; call 911 for downed lines or immediate danger

Rappahannock Electric Cooperative Outage Information

Use the cooperative's current outage and storm information for utility interruptions affecting Madison County. Treat downed lines as dangerous and call 911 when there is an immediate threat.

Veteran and family benefits, claims, behavioral-health, housing, employment, and service-navigation pathway - Virginia, including Madison County; veteran status, program, appointment, and eligibility rules apply; not emergency response

Virginia Department of Veterans Services

Virginia's Department of Veterans Services helps veterans and eligible family members navigate benefits, claims, employment, behavioral health, housing, and related services. Confirm the nearest current office or representative.

State heating, cooling, fuel, crisis, and weatherization-assistance pathway - Virginia, including Madison County; income, household, season, crisis, and documentation rules apply; not emergency utility repair or 911

Virginia DSS Energy Assistance

Virginia's energy-assistance programs may help eligible households with heating, cooling, fuel, crisis, or weatherization needs. Apply through CommonHelp or ask Madison DSS about the current program window.

A note from the Alliance

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

This guide is anchored in Madison, 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