A Hoarding Alliance local resource guide
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 Hillsborough County.
Start here - Fight the Blight
Our virtual groups give people affected by hoarding and clutter concerns a place to connect from Manchester, Hillsborough County, and other communities. We can help you think through what is happening and what kind of next step may fit.
Call 911 for a medical emergency, fire, or immediate threat. For New Hampshire behavioral-health crisis support, call or text 833-710-6477 or 988. For resource navigation, call 211.
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.
211 NH helps people find current housing, shelter, food, utility, health, behavioral-health, transportation, and other community resources. It is a navigation pathway, not emergency dispatch and not a guarantee that a provider has an open bed, appointment, or funding.
Health Care for the Homeless says it welcomes people experiencing homelessness or at risk of homelessness and does not turn people away because they cannot pay. Ask about current medical, behavioral-health, addiction-counseling, nurse case-management, benefits, and mobile-care access.
REACH provides confidential support that may include crisis intervention, court and hospital advocacy, support groups, rapid rehousing, and confidential shelter. This is a violence-safety pathway rather than general hoarding support; call 911 for immediate danger.
The International OCD Foundation directory can be searched for clinicians, support groups, organizers, and programs that indicate an interest in hoarding-related care. Ask about experience, licensure, fees, insurance, wait time, privacy, and whether home-based or telehealth work fits.
Safety and stability
These pathways serve different situations. Read the labels carefully before calling, especially when a response may involve protective services, crisis response, city code, shelter, domestic-violence advocacy, behavioral-health support, or emergency dispatch.
Call 911 when there is immediate danger, fire, a medical emergency, violence, or a threat that cannot wait for a scheduled service. Emergency dispatch is not a hoarding-support program, counseling service, or cleanup provider.
New Hampshire’s Rapid Response Access Point provides 24/7 phone, text, and chat crisis support and can connect callers to local resources and mobile crisis teams. NH DHHS explains that 988 is also available; call 911 for immediate danger, fire, or a medical emergency.
New Hampshire’s Bureau of Elderly and Adult Services explains that self-neglect can include hoarding that interferes with health or safety. Reports may lead to screening, investigation, and protective-service coordination; call 911 if someone is in immediate danger.
The City describes the Engagement Center as a daily access point with showers, bathrooms, meals, clothing, and on-site substance-use, mental-health, medical, housing, and employment support. The city also lists the 200 Elm Street shelter for homeless seniors and adults with disabilities; confirm access and current capacity before traveling.
Manchester lists 200 Elm Street as a shelter for homeless seniors and adults with disabilities, with overnight hours from 5 p.m. to 9 a.m. Ask about current bed availability, intake, accessibility, identification, belongings, and whether another city resource is the right entry point.
Manchester’s Welfare Department provides a city pathway for residents seeking help with food, housing, medications, utilities, and other basic needs. Ask about current emergency-assistance rules, documents, accessible intake, and whether a state benefit or 211 referral is also needed.
Manchester requires residential rental properties to have a Certificate of Compliance and describes a process for tenant complaints involving issues such as no heat, plumbing problems, leaks, and pests. Tenants should generally raise the issue with the landlord first, then contact the city if it is not resolved; this is not a cleanup or relocation guarantee.
NH Legal Aid is listed by Manchester among housing and legal resources. Ask about current eligibility, eviction or unsafe-housing issues, benefits, disability, reasonable accommodations, language access, and intake timing; legal aid is not emergency response or cleanup.
The city lists emergency assistance through Welfare and a separate contact for 200 Elm Street services and bed availability. Call before traveling so the person can be directed to the correct city pathway and current operating hours.
People and practical help
These listings connect Manchester and Hillsborough County residents with city, county-seat, statewide, nonprofit, housing, homelessness, food, legal, health, peer-support, benefits, disposal, organizing, and community resources. Ask about current availability, cost, scope, consent, and safety before relying on them.
Families in Transition describes housing, emergency shelter, food programs, and substance-use treatment for people experiencing homelessness or housing instability. Ask about household eligibility, accessibility, documents, current openings, and whether the best route is shelter, prevention, treatment, or housing navigation.
Hope Recovery Connections provides peer-led street and community outreach that may include food, hygiene supplies, harm reduction, clothing, sleeping bags, and navigation to treatment and housing. Ask about current outreach, hours, consent, privacy, and what the team can do for a hoarding-related concern.
Helping Hands describes shelter and recovery-oriented support for men, including food, case management, behavioral-health services, job training, and peer support. Confirm current eligibility, length of stay, sobriety requirements, accessibility, belongings rules, and capacity before relying on the program.
Liberty House provides a substance-free transitional program for resident Veterans and community support that may include food, clothing, toiletries, bus passes, gas cards, and referrals. Ask about eligibility, current openings, length of stay, and whether a Veteran-specific housing or benefits referral is needed.
The New Hampshire Mental Health Peer Alliance lists On The Road To Wellness as a Manchester peer-support agency. Ask about current peer groups, wellness support, accessibility, privacy, and whether the program fits the person directly affected or a friend or family supporter; this is not emergency care or therapy.
The NH Mental Health Peer Alliance lists a peer warmline available every day from 5 p.m. to 10 p.m. Ask for current hours and scope. A warmline is peer support, not a crisis-dispatch service; use NH Rapid Response or 988 for a behavioral-health crisis and 911 for immediate danger.
Manchester maintains an annual resource guide and a food guide with local contacts across health, food, employment, transportation, behavioral health and substance use, veteran and senior services, housing, and legal support. Use the guides to identify options, then confirm current scope, cost, eligibility, hours, and availability directly.
Manchester’s Public Works information includes curbside trash and recycling, bulky-item pickup, a drop-off facility, household hazardous-waste events, textiles, yard waste, and recycling guidance. Confirm city residency, pickup rules, fees, accepted materials, and whether special handling is needed before moving items.
The city’s item-disposal list explains where common bulky and household items may go and identifies curbside limits, drop-off options, and hazardous-waste events. Confirm current acceptance, cost, transportation, and whether a licensed or specialized service is required; disposal information is not a cleanup or organizing service.
Health Care for the Homeless lists mobile care in addition to its Manchester location. Ask where the mobile team is currently serving, what documents are useful, whether behavioral health or benefits navigation is available, and whether the person needs emergency or scheduled care.
The Mental Health Center of Greater Manchester is part of the area’s behavioral-health and crisis-response network. Ask about current outpatient, emergency, peer, recovery, and referral pathways, payment or coverage, wait time, and which service fits; use NH Rapid Response for immediate behavioral-health crisis support.
Manchester’s homelessness resource page collects local pathways for housing, shelter, health care, legal help, veterans, benefits, and other needs. Use it as a starting map, then confirm the correct jurisdiction, application process, documentation, current funding, and availability directly with each provider.
Manchester directs residents to state housing resources for housing stability and rental assistance. Ask about current programs, waitlists, income and household rules, reasonable accommodations, documentation, and whether an application should begin through a local housing authority, 211, or a coordinated-entry pathway.
New Hampshire’s state benefits system can help eligible residents apply for public assistance and health coverage. Ask about current food, Medicaid, disability, and utility pathways, required documents, accessible application help, and whether Manchester Welfare or 211 can help with an urgent need.
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 Manchester or Hillsborough County.
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.
A note from the Alliance
This guide is anchored in Manchester, one of the county seats of Hillsborough County, and includes city, countywide, regional, statewide, national, nonprofit, 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