A Hoarding Alliance local resource guide

Hoarding support in Middleburg, Pennsylvania.

You do not have to solve everything before asking for help. A conversation, a safer path through a room or one practical concern can be a place to begin.

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

Start here - Fight the Blight

Support can begin where you are.

Fight the Blight is the nonprofit first-conversation and virtual-group front door. Ask about current support for your location. County, clinical, peer and housing programs each have their own scope, eligibility and availability.

Talk about hoarding-related support, family concerns and current virtual groups. You can begin without a finished room.

Role: nonprofit first-conversation and virtual-group front door; geography: remote; ask about Snyder County; cost/eligibility: confirm program fit and availability; emergency limit: nonclinical; not therapy, crisis response, shelter or cleanup

For immediate danger

Call 911 for immediate danger, fire, serious injury or urgent medical need. Call or text 988 for emotional distress or suicide-related support. CMSU's TAPline at 800-222-9016 is available 24/7 for behavioral-health crisis access. Routine county offices, peer spaces and referrals are not emergency dispatch or guarantees of treatment, housing or funds.

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: county behavioral-health intake and care navigation; geography: CMSU four-county system; Base Service Unit in Danville; Middleburg Annex at 858 Sale Barn Road; cost/eligibility: confirm assessment, program eligibility, coverage, costs and appointment location; emergency limit: ordinary intake is not emergency dispatch | Each listing is a possible pathway, not an endorsement or promise of service. Confirm current geography, hours, cost, eligibility and availability directly.

CMSU — Base Service Unit and Middleburg Annex

Call the Base Service Unit at 570-275-4962 to discuss care options. The Middleburg Annex is listed at 570-837-3102; confirm which office and appointment fit your needs before travel.

Role: information and referral; geography: statewide; give Middleburg ZIP 17842; cost/eligibility: free and confidential; receiving programs have their own criteria; emergency limit: not emergency dispatch | Each listing is a possible pathway, not an endorsement or promise of service. Confirm current geography, hours, cost, eligibility and availability directly.

Pennsylvania 211

Call 211 or text your ZIP to 898-211 for food, housing, utilities and other referrals. A referral does not guarantee assistance.

Role: nonprofit housing-stability and case-management intake; geography: Snyder and Union Counties; main office at 713 Bridge Street, Selinsgrove; cost/eligibility: housing circumstances, program criteria and funding apply; confirm documents and assessment; emergency limit: no immediate shelter, housing or rent-money guarantee | Each listing is a possible pathway, not an endorsement or promise of service. Confirm current geography, hours, cost, eligibility and availability directly.

Union-Snyder CAA — housing assistance

If homeless or facing eviction, ask which current rental or rehousing pathway fits. Intake is a starting conversation, not a promise of assistance.

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: emotional-distress and suicide-related support; geography: United States; cost/eligibility: free, confidential, 24/7; emergency limit: 911 for immediate physical danger or medical emergency | Each listing is a possible pathway, not an endorsement or promise of service. Confirm current geography, hours, cost, eligibility and availability directly.

988 Suicide & Crisis Lifeline

Call or text 988 to talk with a counselor during distress. This is not a routine cleanup or housing program.

Role: behavioral-health crisis support; geography: CMSU four-county system including Snyder County; cost/eligibility: 24/7 access; confirm response options and service-specific cost; emergency limit: 911 for immediate physical danger or urgent medical care | Each listing is a possible pathway, not an endorsement or promise of service. Confirm current geography, hours, cost, eligibility and availability directly.

CMSU — TAPline crisis access

Call to discuss a behavioral-health crisis. Crisis access is not a cleanup service, and calling is not a promise of immediate dispatch.

Role: survivor-centered abuse and crime-victim safety support; geography: Union, Snyder and Northumberland Counties; cost/eligibility: 24/7 toll-free hotline; confirm service-specific eligibility and cost; emergency limit: 911 for immediate danger; no safe-house placement guarantee | Each listing is a possible pathway, not an endorsement or promise of service. Confirm current geography, hours, cost, eligibility and availability directly.

Transitions of PA

Ask about safety planning, advocacy, counseling or safe-house options. Contact the agency in a way that is safe for you; shelter and housing help depend on need and capacity.

Role: older-adult safety reporting and protection; geography: Snyder and Union Counties; cost/eligibility: agency reviews age and risk criteria; reporters may remain anonymous; emergency limit: 911 for immediate danger; confirm after-hours reporting instructions | Each listing is a possible pathway, not an endorsement or promise of service. Confirm current geography, hours, cost, eligibility and availability directly.

Union-Snyder Agency on Aging — Protective Services

Report concerns about abuse, neglect, abandonment or exploitation at 570-374-5558 or 570-524-2100. Safety reporting is different from requesting routine organizing support.

Role: government jurisdiction and property-rule navigation; geography: Middleburg Borough only; 13 N. Main Street; cost/eligibility: confirm applicable rules, required process and any permit fees; emergency limit: not peer support, cleanup contracting or emergency dispatch | Each listing is a possible pathway, not an endorsement or promise of service. Confirm current geography, hours, cost, eligibility and availability directly.

Middleburg Borough — property and ordinance guidance

If you have a notice or property-condition concern, ask the borough which office and rules apply to your address. Government enforcement is not confidential peer support; nearby townships have their own responsibilities.

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: clinical assessment and outpatient care navigation; geography: CMSU four-county system including Snyder County; confirm appointment location; cost/eligibility: confirm program fit, clinician qualifications, coverage, costs and scheduling; emergency limit: not a walk-in crisis promise | Each listing is a possible pathway, not an endorsement or promise of service. Confirm current geography, hours, cost, eligibility and availability directly.

CMSU — outpatient care navigation

The service system lists outpatient therapy and psychiatry. Ask the Base Service Unit about an appropriate referral and whether a clinician has relevant hoarding experience; current specialty openings are not verified.

Role: peer-staffed recovery and shared-decision support linked to outpatient care; geography: CMSU system; confirm access from Middleburg and appointment location; cost/eligibility: confirm enrollment, appointment process and any payment; emergency limit: not an independent hoarding group or crisis service | Each listing is a possible pathway, not an endorsement or promise of service. Confirm current geography, hours, cost, eligibility and availability directly.

CMSU — Decision Support Center

Ask about peer support that helps clients prepare for prescriber appointments and express their own goals. The center supports choice and recovery; do not assume unrestricted drop-in access.

Role: qualified-care search guidance; geography: online; search Middleburg ZIP 17842 and Pennsylvania or remote options; cost/eligibility: each provider sets eligibility, fees and availability; emergency limit: directory is not crisis support or an endorsement | Each listing is a possible pathway, not an endorsement or promise of service. Confirm current geography, hours, cost, eligibility and availability directly.

IOCDF hoarding resource directory

Use the directory to look for relevant care, then ask about license, hoarding experience, insurance and telehealth rules. A directory entry does not confirm that a local clinician has openings or that the Foundation endorses them.

Role: public subsidized-rental housing application pathway; geography: Snyder County; agency describes shared voucher jurisdiction with Union County; cost/eligibility: income and other screening, wait list, unit approval and tenant contribution apply; confirm current limits; emergency limit: not emergency shelter or guaranteed immediate placement | Each listing is a possible pathway, not an endorsement or promise of service. Confirm current geography, hours, cost, eligibility and availability directly.

Snyder County Housing Authority — Housing Choice Voucher

Ask about the current application and waiting-list process. The authority describes interviews and housing inspections; do not rely on undated posted income amounts or assume an available voucher.

Role: older-adult assessment, meals, personal care and caregiver-support navigation; geography: Snyder and Union Counties; cost/eligibility: confirm age, assessed need, service capacity and any cost sharing; emergency limit: not emergency dispatch or a hoarding cleanout crew | Each listing is a possible pathway, not an endorsement or promise of service. Confirm current geography, hours, cost, eligibility and availability directly.

Union-Snyder Agency on Aging — in-home support

Discuss daily routines, meals and caregiver needs. Ask which home-support services may fit and how to arrange an assessment; clutter alone does not establish eligibility.

Role: older-adult social connection and activities; geography: 3551 Richard Road, Penns Creek; nearby Snyder County, not Middleburg Borough; cost/eligibility: confirm age/enrollment criteria, meals, transport and any charges; emergency limit: not clinical care or crisis response | Each listing is a possible pathway, not an endorsement or promise of service. Confirm current geography, hours, cost, eligibility and availability directly.

Penns Creek Adult Resource Center

Ask about current activities and access arrangements. The aging agency lists several county centers; confirm which location is convenient and what is available before traveling.

Role: nonprofit food-pantry and food-resource navigation; geography: Snyder and Union Counties; confirm closest distribution serving your address; cost/eligibility: adult household registration and income criteria apply; confirm documents, schedule and access; emergency limit: not emergency dispatch or guaranteed same-day delivery | Each listing is a possible pathway, not an endorsement or promise of service. Confirm current geography, hours, cost, eligibility and availability directly.

Union-Snyder CAA — food assistance

Ask which pantry or distribution fits your household and location. The agency links 2026 Eastern and Western Snyder schedules; use the current calendar rather than assuming a Middleburg pickup site.

Role: nonprofit utility-assistance navigation; geography: Snyder and Union Counties; confirm actual utility provider; cost/eligibility: utility-specific income rules, account requirements and funds apply; emergency limit: not a utility emergency repair or dispatch service | Each listing is a possible pathway, not an endorsement or promise of service. Confirm current geography, hours, cost, eligibility and availability directly.

Union-Snyder CAA — energy assistance

Ask about current PPL or UGI assistance that fits your account. Programs differ; confirm documents and available funding before relying on help with an overdue bill.

Role: home energy-efficiency and safety improvements; geography: Snyder County and six other listed counties; cost/eligibility: free materials and labor for qualifying low-income homeowners and renters; confirm assessment, eligibility and wait; emergency limit: routine weatherization is not immediate repair or a cleanup grant | Each listing is a possible pathway, not an endorsement or promise of service. Confirm current geography, hours, cost, eligibility and availability directly.

SEDA-COG — Weatherization

Ask about an energy assessment and approved work. The seasonal heating-crisis pathway starts with the county assistance office; confirm current dates and eligibility rather than assuming immediate funding or furnace replacement.

Role: advance-booked shared transportation; geography: Snyder County within current service areas and trip limits; cost/eligibility: application, reservations and fare/funding criteria apply; emergency limit: not emergency medical transport or a taxi on demand | Each listing is a possible pathway, not an endorsement or promise of service. Confirm current geography, hours, cost, eligibility and availability directly.

rabbittransit — Shared Ride

Before scheduling an appointment, confirm pickup area, travel days, assistance needs and return-trip arrangements. Shared trips can have multiple riders and county-specific restrictions; use the application and reservation guidance.

Role: private-pay hoarding and clutter support; geography: remote options; confirm Snyder County in-person availability; cost/eligibility: private-pay; ask about rates, scope and availability; emergency limit: nonclinical; not therapy, crisis response or emergency support | Each listing is a possible pathway, not an endorsement or promise of service. Confirm current geography, hours, cost, eligibility and availability directly.

The Peer Tree

Ask about consent-based peer support, family guidance or practical help. Do not assume local crew availability or county grant coverage.

Role: digital peer-support pathway; geography: online; cost/eligibility: confirm current access, offerings and pricing; emergency limit: not therapy, crisis response, or emergency support | Each listing is a possible pathway, not an endorsement or promise of service. Confirm current geography, hours, cost, eligibility and availability directly.

Unburied

Explore peer-led support, tools and connection for people affected by clutter and friends or family. This is not a substitute for qualified care or urgent safety response.

A note from the Alliance

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

This guide is anchored in Middleburg, Pennsylvania, 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