A Hoarding Alliance local resource guide

Hoarding support in Marfa, Texas.

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.

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

Start here - Fight the Blight

Start with one conversation, not a whole-house plan.

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.

For immediate danger

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

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 and clutter support; geography: ask whether current services can reach you in Presidio County; cost/eligibility: private-pay, so confirm rates and fit before scheduling; emergency limit: not crisis response or emergency care. | Confirm fit, current availability, and any service-area limits directly.

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.

Role: digital peer-support community and tools; geography: online; cost/eligibility: confirm current access and any account or pricing terms; emergency limit: not therapy, clinical treatment, or emergency support. | Confirm fit, current availability, and any service-area limits directly.

Unburied

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.

Role: statewide resource-navigation service for food, housing, transportation, health care, and other needs; geography: Texas, including Presidio County; cost/eligibility: ask 2-1-1 to search and confirm each program's rules; emergency limit: not emergency dispatch or crisis care. | Confirm fit, current availability, and any service-area limits directly.

2-1-1 Texas

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

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: emergency response for immediate danger, fire, or urgent medical emergencies; geography: Marfa and Presidio County; cost/eligibility: emergency dispatch; emergency limit: call 911 for an active emergency, not routine navigation. | Confirm fit, current availability, and any service-area limits directly.

Emergency services — 911

If someone is in immediate danger or needs urgent medical help, call 911. Do not wait for a directory referral.

Role: 24/7 behavioral-health crisis counseling and connection to support; geography: nationwide, including Texas; cost/eligibility: free call, text, or chat; emergency limit: call 911 for immediate physical danger or urgent medical emergencies. | Confirm fit, current availability, and any service-area limits directly.

988 Suicide & Crisis Lifeline

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.

Role: county sheriff, fire, and EMS dispatch contact for non-emergency matters; geography: Presidio County; cost/eligibility: call for local guidance; emergency limit: the county says 911 is for emergencies; use 911 instead of a non-emergency line when danger is immediate. | Confirm fit, current availability, and any service-area limits directly.

Presidio County Sheriff — non-emergency

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.

Role: survivor advocacy and confidential crisis support; geography: Big Bend, with a Presidio office; cost/eligibility: the Center states services are free and confidential to the extent allowed by law; emergency limit: call 911 for immediate danger. | Confirm fit, current availability, and any service-area limits directly.

Family Crisis Center of the Big Bend

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.

Role: report and assessment of suspected abuse, neglect, or exploitation of a vulnerable adult; geography: statewide; cost/eligibility: anyone may report, while APS eligibility is limited to adults 65+ or adults 18–64 with a qualifying disability; emergency limit: call 911 for an emergency in progress. | Confirm fit, current availability, and any service-area limits directly.

Texas Adult Protective Services

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.

Role: opt-in reverse-911 alerts about county emergencies; geography: Presidio County residents; cost/eligibility: county describes sign-up as free; emergency limit: alerts do not replace calling 911 or following current official instructions. | Confirm fit, current availability, and any service-area limits directly.

Presidio County emergency notifications

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

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: local primary and urgent medical care; geography: 105 East Oak Street, Marfa; cost/eligibility: Bravo lists insurance, Medicare, Medicaid, cash, and a sliding fee for uninsured patients; confirm the exact fee and coverage; emergency limit: not a substitute for 911 or emergency-department care. | Confirm fit, current availability, and any service-area limits directly.

Bravo Health — Marfa clinic

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.

Role: federally qualified community health center and primary-care clinic; geography: 406 S. Summer Street, Marfa; cost/eligibility: PCHS lists a sliding-fee discount based on household income and size, with documentation required; confirm current discounts, insurance, and services; emergency limit: routine clinic care is not emergency response. | Confirm fit, current availability, and any service-area limits directly.

Preventative Care Health Services — Marfa Community Health Clinic

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.

Role: medical-care assistance through the regional hospital district; geography: residents of Presidio and Brewster Counties; cost/eligibility: eligibility and covered services are determined by the program; ask whether you qualify and what care is covered; emergency limit: not emergency dispatch or a crisis line. | Confirm fit, current availability, and any service-area limits directly.

Big Bend Health — county medical program

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.

Role: 24/7 emergency-department evaluation and stabilization; geography: Alpine, serving the Big Bend region; cost/eligibility: emergency evaluation is available, but charges and insurance depend on care; ask the hospital about billing; emergency limit: call 911 for an emergency rather than driving when unsafe. | Confirm fit, current availability, and any service-area limits directly.

Big Bend Regional Medical Center — emergency department

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.

Role: state public-health regional office and clinic contact; geography: 205 E. El Paso Street, Marfa; cost/eligibility: ask which public-health services are available and any fees or appointment rules; emergency limit: not an emergency department or crisis service. | Confirm fit, current availability, and any service-area limits directly.

Texas DSHS Region 10 — Marfa field office

Texas DSHS lists a Marfa office in its Region 10 directory. Contact the office to confirm current services and whether an appointment is needed.

Role: peer-led mental-health recovery and family support groups; geography: online statewide; cost/eligibility: NAMI lists free groups, adult participation, and advance registration; check the current calendar for dates and openings; emergency limit: peer support is not therapy or crisis response. | Confirm fit, current availability, and any service-area limits directly.

NAMI Texas — online peer support groups

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.

Role: regional public transportation and medical-trip coordination; geography: Presidio County and Big Bend service area, including Marfa; cost/eligibility: public fares are published, with some program benefits; confirm route, exact fare, reservation, and eligibility; emergency limit: scheduled transportation is not emergency transport. | Confirm fit, current availability, and any service-area limits directly.

FCCBB TRAX — public transportation

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.

Role: aging, disability, and caregiver resource navigation; geography: serves Presidio County and the Far West Texas region; cost/eligibility: call to ask which information, referral, or funded services fit your situation; emergency limit: not emergency response. | Confirm fit, current availability, and any service-area limits directly.

Rio Grande Area Agency on Aging and ADRC

Texas HHS lists the Rio Grande AAA and ADRC as serving Presidio County. Ask about local eligibility, caregiver support, transportation, and current service availability.

Role: affordable and private rental housing information; geography: Marfa; cost/eligibility: income rules, rents, documents, vacancies, and waitlists vary; call to confirm current requirements; emergency limit: not emergency shelter or crisis response. | Confirm fit, current availability, and any service-area limits directly.

Marfa Housing Authority

The authority describes low-income and private rentals. Contact the office before relying on availability, rent, utility terms, or an application timeline.

Role: community food distribution; geography: Marfa; cost/eligibility: the pantry describes service for low-income families and an annual application; confirm current qualification and distribution procedures; emergency limit: not emergency medical or crisis care. | Confirm fit, current availability, and any service-area limits directly.

Marfa Food Pantry — Saluvida

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.

Role: state eligibility and application pathway for food and health benefits; geography: Texas, including Presidio County; cost/eligibility: SNAP, Medicaid, and other programs have separate income and household rules; confirm through HHSC; emergency limit: not crisis or emergency services. | Confirm fit, current availability, and any service-area limits directly.

Texas Health and Human Services — benefits

Use the state portal to review benefits and locate service offices. A submitted application is not a guarantee of approval or immediate assistance.

Role: statewide directory of civil legal-aid providers and self-help resources; geography: search by Texas county, including Presidio; cost/eligibility: legal-aid funding and eligibility are limited and provider-specific; confirm acceptance and scope; emergency limit: not emergency response or legal representation by the courts. | Confirm fit, current availability, and any service-area limits directly.

Texas courts — legal aid referrals

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.

Role: free legal information and self-help forms; geography: Texas; cost/eligibility: online information is available to the public, but it is not individualized legal advice; emergency limit: not emergency services or a lawyer-client relationship. | Confirm fit, current availability, and any service-area limits directly.

TexasLawHelp

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.

Role: public library, computers, printing, information, and free Wi-Fi; geography: Marfa and surrounding community; cost/eligibility: Wi-Fi is listed as free; card, equipment, printing, and room-use rules may apply; emergency limit: not shelter, clinical care, or emergency response. | Confirm fit, current availability, and any service-area limits directly.

Marfa Public Library

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.

Role: city utility, public-works, recycling, and code-enforcement contact; geography: City of Marfa; cost/eligibility: service area, billing, and collection rules vary; confirm rates and accepted materials with the city; emergency limit: not emergency dispatch. | Confirm fit, current availability, and any service-area limits directly.

City of Marfa — utilities, recycling, and service questions

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.

Role: city information about selected property-maintenance ordinances; geography: within the City of Marfa; cost/eligibility: rules and enforcement depend on the full ordinance and property circumstances; contact the city for current requirements; emergency limit: not legal advice or emergency response. | Confirm fit, current availability, and any service-area limits directly.

Marfa code-enforcement ordinance summaries

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.

Role: local senior-nutrition and community-services contact; geography: Marfa; cost/eligibility: meals, eligibility, schedules, and transportation must be confirmed with the center; emergency limit: not emergency food delivery or crisis response. | Confirm fit, current availability, and any service-area limits directly.

Marfa Nutrition Center

The City of Marfa lists a Nutrition Center director. Call to ask whether meals, activities, or referrals are currently available and what requirements apply.

Role: county-government office and information about county services; geography: courthouse, 300 N. Highland Avenue, Marfa; cost/eligibility: office-specific procedures and fees vary; call before visiting; emergency limit: not emergency dispatch. | Confirm fit, current availability, and any service-area limits directly.

Presidio County Judge and courthouse

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.

Role: county process information for certain utility connections and on-site sewage facilities; geography: unincorporated Presidio County; cost/eligibility: requirements depend on parcel, location, and project; ask the county which rules apply; emergency limit: not utility repair or emergency response. | Confirm fit, current availability, and any service-area limits directly.

Presidio County — rural utility and septic questions

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

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

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