The Peer Tree
The Peer Tree offers private-pay support options for people and families navigating hoarding and clutter. Ask about current service formats, location, and rates.
A Hoarding Alliance local resource guide
When clutter, a home-safety concern, or a difficult decision is weighing on you or someone you care about, you do not have to begin with a cleanout. Start with a respectful conversation about what matters most, what feels urgent, and what choices should stay with the person affected.
Start here - Fight the Blight
Fight the Blight is the nonprofit entry point for hoarding-related support and virtual groups. No local hoarding-specialty clinician, hoarding-specific peer group, or independent hoarding cleanout provider was verified for this guide. The health, peer, housing, and community resources below are not presented as hoarding specialists. Ask about Presidio County coverage, service fit, cost, eligibility, intake, and timing before making plans.
Fight the Blight offers a respectful first conversation and virtual support groups for people affected by hoarding and clutter concerns. Ask what is currently available and what may fit your situation.
Role: nonprofit hoarding-support and virtual-group entry point; geography: ask about Presidio County and online options; cost/eligibility: confirm group fit, schedule, and availability; emergency limit: not therapy or emergency response.
If anyone is in immediate danger or needs urgent medical help, call 911. For emotional distress or a behavioral-health crisis, call or text 988. These pathways do not replace local emergency response; this guide is informational, not clinical, legal, emergency, or government advice.
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 private-pay support options for people and families navigating hoarding and clutter. Ask about current service formats, location, and rates.
Unburied is a digital peer-support pathway for people affected by hoarding and clutter and for friends or family. It is not therapy or emergency support.
Call 2-1-1 or search the Texas directory to ask about local and regional options. A listing or referral does not guarantee current openings, eligibility, or funding.
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.
If someone is in immediate danger or needs urgent medical help, call 911. Do not wait for a directory referral.
Call or text 988 for emotional distress, thoughts of suicide, substance-use crisis, or concern about someone else. 988 is not a substitute for 911 when immediate physical danger or urgent medical care is involved.
The Sheriff's Office publishes 24-hour non-emergency lines and says emergency services are reached through 911. Ask the office which number fits a non-urgent safety or dispatch question.
For domestic violence, sexual assault, stalking, or related safety concerns, the Center lists a 24/7 hotline. Ask about current local options and safe ways to connect.
Texas APS explains who it can investigate and how it may help with safety and basic needs. A report does not guarantee a particular service, and APS cannot force services in most circumstances.
The county says residents must sign up to receive its Hyper-Reach notices. Confirm the current registration link and notification settings with the county.
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.
Bravo Health lists a Marfa clinic, walk-in-friendly care, and same-day appointments when available. Call to confirm today's clinic hours, wait, services, and price before traveling.
PCHS lists a Marfa clinic and explains its income-based sliding-fee program for eligible patients. Call the Marfa location to verify the service you need, intake, hours, and documents before visiting.
Big Bend Health says it helps eligible residents who do not qualify for other state or federal healthcare programs access care through a provider network. Contact its Presidio office about current enrollment and transportation questions.
The hospital lists a 24-hour emergency department in Alpine and describes itself as a Level IV trauma facility. Call 911 for an emergency; travel from Marfa may take time.
Texas DSHS lists a Marfa office in its Region 10 directory. Contact the office to confirm current services and whether an appointment is needed.
NAMI Texas lists online Connection and Family Support groups. These are general mental-health supports, not hoarding-specific groups; confirm the schedule and registration requirements.
FCCBB lists Marfa pickup, weekday public service, and a current fare schedule effective October 1, 2026. Call 24–48 hours ahead as recommended, and ask whether Medicaid, Area Agency on Aging, or Big Bend Health benefits may apply.
Texas HHS lists the Rio Grande AAA and ADRC as serving Presidio County. Ask about local eligibility, caregiver support, transportation, and current service availability.
The authority describes low-income and private rentals. Contact the office before relying on availability, rent, utility terms, or an application timeline.
The pantry currently posts a third-Thursday distribution and asks people to call if food is needed between distributions. Its page also retains older pandemic-era process text, so confirm the current time, location, and application before going.
Use the state portal to review benefits and locate service offices. A submitted application is not a guarantee of approval or immediate assistance.
The Texas Judicial Branch explains how to find legal-aid providers and warns that some people with serious needs may not qualify. Ask the provider whether it handles your type of housing, benefits, or property question.
Use TexasLawHelp to learn about common civil-law topics and forms. For advice about a specific situation, contact a qualified legal provider and verify current rules.
The library lists public computers, a Chromebook checkout, printing, a community room, and Wi-Fi. Confirm current hours, access, and fees before making a trip.
The city staff directory lists utility, public-works, recycling, and code contacts. Call before arranging trash, recycling, a utility connection, or a property visit; do not assume a service or pickup schedule.
The city summarizes rules concerning weeds and debris. The summary is not the full code and does not determine an individual case; ask about the full ordinance, process, and any applicable accommodations before acting.
The City of Marfa lists a Nutrition Center director. Call to ask whether meals, activities, or referrals are currently available and what requirements apply.
The County Judge's office is one starting point for questions about county offices, rural property processes, or the county emergency-notification program. Ask which department handles your issue.
County forms describe certificates and permits that may affect new service outside Marfa or Presidio city limits. This does not apply to every address; contact the County Judge or relevant inspector before starting work.
A note from the Alliance
This guide is anchored in Marfa, Texas, 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