A Hoarding Alliance local resource guide

Hoarding support in Miles City, Montana.

You deserve to be met with dignity, not pressure. These local and regional options can help you find a next step that fits your priorities, whether you are personally affected by clutter or supporting someone you care about.

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

Start here - Fight the Blight

Start with one conversation—not a big cleanout

You do not have to solve everything today. Fight the Blight is the nonprofit and virtual peer-group front door for a respectful conversation about hoarding and clutter. Ask what is currently available to people in Custer County and whether any cost or eligibility applies.

For immediate danger

This guide is information, not emergency response or clinical care. If anyone faces immediate danger or needs urgent medical, fire, or police help, call 911. For emotional distress or a behavioral-health crisis, call or text 988. Eastern Montana Community Mental Health Center also publishes a Miles City crisis line at 406-234-1688; ask what response options are available. A behavioral-health line is not a substitute for 911 when urgent emergency response is needed.

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: separate private-pay hoarding-related support and practical assistance; geography: ask about Miles City availability; cost/eligibility: private pay—confirm current scope, travel, and pricing before scheduling; emergency limit: not therapy, emergency response, or a guaranteed cleanout | Independently listed resources are not endorsements; confirm current details directly, including access, cost, eligibility, hours, and safe contact options.

The Peer Tree

The Peer Tree is a separate private-pay option for people and families seeking hoarding-related support. Ask what is currently available in Custer County, what it costs, and whether the requested help fits before making a plan.

Role: digital peer-support community and tools; geography: online; cost/eligibility: review current access terms and any cost before joining; emergency limit: peer support—not therapy, crisis response, or emergency support | Independently listed resources are not endorsements; confirm current details directly, including access, cost, eligibility, hours, and safe contact options.

Unburied

Unburied offers digital peer support for people affected by hoarding and clutter, including friends and family. It is not therapy or emergency support; use local crisis services or 911 when urgent help is needed.

Role: resource navigation and referrals; geography: Montana statewide; cost/eligibility: free, confidential, and available 24/7 per Montana 211; emergency limit: not 911 or a substitute for immediate crisis response | Independently listed resources are not endorsements; confirm current details directly, including access, cost, eligibility, hours, and safe contact options.

Montana 211

Call 211 to reach a resource specialist for help finding services in Montana. The service is listed as free, confidential, and available around the clock. Search the site or call to ask about current Custer County options; do not use it in place of 911 for immediate danger.

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-crisis counseling by call or text; geography: nationwide, including Montana; cost/eligibility: free and confidential per Montana DPHHS; emergency limit: not a substitute for 911 for urgent medical, fire, or police response | Independently listed resources are not endorsements; confirm current details directly, including access, cost, eligibility, hours, and safe contact options.

988 Suicide & Crisis Lifeline

Call or text 988 for yourself or someone you care about when you need emotional support or help with a suicide crisis. Montana DPHHS describes the line as free and confidential and available 24/7. If anyone is in immediate danger or needs urgent emergency response, call 911.

Role: behavioral-health crisis line and regional mobile-crisis response; geography: Miles City and Custer County; cost/eligibility: call to confirm scope and any charge; emergency limit: published line is not 911 dispatch; mobile response is coordinated with regional responders | Independently listed resources are not endorsements; confirm current details directly, including access, cost, eligibility, hours, and safe contact options.

Eastern Montana Community Mental Health Center crisis services

The Miles City office publishes 406-234-1688 as its crisis line. EMCMHC says it coordinates 24/7 mobile crisis response with Avel eCare and regional responders in Custer County and neighboring counties. Call to ask what help is currently available and what a response could involve; use 911 for immediate medical, fire, or police emergencies.

Role: in-person behavioral-health crisis assessment; geography: staffed EMCMHC offices including Miles City; cost/eligibility: call first to confirm availability and cost or coverage; emergency limit: published walk-in hours are weekdays 8 a.m.–5 p.m., not 24/7 emergency dispatch | Independently listed resources are not endorsements; confirm current details directly, including access, cost, eligibility, hours, and safe contact options.

Eastern Montana Community Mental Health Center walk-in crisis services

EMCMHC lists walk-in crisis services at staffed offices on weekdays from 8 a.m. to 5 p.m. The Miles City office is at 2508 Wilson Street. Call 406-234-1688 or the office at 406-234-1687 before traveling to confirm current staffing, intake, and payment options. For an emergency needing urgent dispatch, call 911.

Role: 24/7 advocacy and crisis support for domestic or sexual violence, stalking, and dating violence; geography: regional line serving the Miles City area; cost/eligibility: call to discuss needs and privacy; emergency limit: advocacy is not emergency dispatch—call 911 for immediate danger | Independently listed resources are not endorsements; confirm current details directly, including access, cost, eligibility, hours, and safe contact options.

Community, Counseling, and Correctional Services crisis line

CNADA lists a 24/7 crisis line at 406-951-0475 and a Miles City office at 2200 Boxelder Street, Suite 135. The service supports people affected by domestic violence, sexual assault, stalking, or dating violence. Ask about safe contact methods and confidentiality before sharing details; call 911 for immediate danger.

Role: receives concerns about abuse, neglect, or exploitation of at-risk adults; geography: Montana statewide; cost/eligibility: contact APS to discuss statutory scope and reporting; emergency limit: not a 24/7 service or cleanup program—call 911 for immediate danger | Independently listed resources are not endorsements; confirm current details directly, including access, cost, eligibility, hours, and safe contact options.

Montana Adult Protective Services

If a concern involves possible abuse, neglect, exploitation, or serious self-neglect of an at-risk adult, call 844-277-9300 to ask whether it fits APS criteria. The state hotline listing does not describe this number as 24/7. APS is not a response to clutter alone and should not be treated as a cleanout service. Call 911 if there is immediate danger.

Role: hospital emergency and trauma services; geography: Miles City; cost/eligibility: emergency-care billing and coverage vary—ask the hospital or insurer; emergency limit: call 911 for a life-threatening emergency | Independently listed resources are not endorsements; confirm current details directly, including access, cost, eligibility, hours, and safe contact options.

Intermountain Health Holy Rosary Hospital Emergency Department

Holy Rosary Hospital lists emergency and trauma services in Miles City at 2600 Wilson Street. Its emergency guidance says to call 911 for a life-threatening emergency. This is medical emergency care, not a routine hoarding-support or behavioral-health referral; confirm billing and coverage directly.

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: outpatient mental-health assessment, counseling, case management, and medication services; geography: Miles City and regional counties; cost/eligibility: accepts several coverage types and may offer HELP or sliding fees—confirm eligibility and cost; emergency limit: routine intake is not emergency response | Independently listed resources are not endorsements; confirm current details directly, including access, cost, eligibility, hours, and safe contact options.

Eastern Montana Community Mental Health Center outpatient services

EMCMHC lists assessment, individual and group therapy, case management, and medication services. Its Miles City office is at 2508 Wilson Street; call 406-234-1687 to ask about new-client access, current group schedules, insurance, Medicare or Medicaid, VA services, HELP eligibility, and any sliding fee. For crisis care, use the separately listed crisis options.

Role: substance-use assessment and recovery services; geography: Miles City and regional counties; cost/eligibility: ask about intake, insurance, grants, and sliding-fee eligibility; emergency limit: scheduled services are not emergency detox or 911 response | Independently listed resources are not endorsements; confirm current details directly, including access, cost, eligibility, hours, and safe contact options.

Eastern Montana Community Mental Health Center substance-use services

EMCMHC lists substance-use services among its programs. Call the Miles City office to ask which services are available now, who qualifies, what they cost, and whether a referral is needed. For a medical emergency or immediate danger, call 911; for emotional crisis support, call or text 988.

Role: peer connection and recovery support; geography: Custer County is included in the published service area; cost/eligibility: EMCMHC currently describes the grant-supported service as no cost—confirm current funding, eligibility, and openings; emergency limit: peer support does not replace clinical or emergency care | Independently listed resources are not endorsements; confirm current details directly, including access, cost, eligibility, hours, and safe contact options.

Eastern Montana Community Mental Health Center peer support

EMCMHC says its peer-support service reaches Custer County and is currently offered at no cost through a Montana Healthcare Foundation grant. Call to ask what peer support includes, whether the grant still covers service, and what openings exist. Peer support is not a substitute for clinical care or emergency response.

Role: primary care, behavioral health, dental, public-health, and telehealth services; geography: Miles City; cost/eligibility: ask about new-patient access, insurance, and fees; emergency limit: clinic hours are weekdays, not emergency dispatch | Independently listed resources are not endorsements; confirm current details directly, including access, cost, eligibility, hours, and safe contact options.

One Health Miles City integrated clinic

One Health lists primary care, behavioral health, dental, public health, and telehealth services at 601 Main Street. The clinic lists weekday hours from 7 a.m. to 5 p.m. Call to confirm which services are accepting patients, appointment requirements, insurance, and cost. For urgent medical emergencies, call 911.

Role: community pharmacy; geography: One Health Miles City clinic; cost/eligibility: ask about prescription eligibility, insurance, and medication prices; emergency limit: pharmacy is not urgent medical care | Independently listed resources are not endorsements; confirm current details directly, including access, cost, eligibility, hours, and safe contact options.

One Health pharmacy

One Health lists an on-site pharmacy at 601 Main Street with weekday hours of 8 a.m.–1 p.m. and 2–5 p.m. The website describes low-cost medications, but each prescription's price and coverage can differ; call before relying on a price or schedule.

Role: WIC and public-health program information; geography: Miles City; cost/eligibility: ask about program eligibility, enrollment, and any fees; emergency limit: weekday public-health services are not emergency response | Independently listed resources are not endorsements; confirm current details directly, including access, cost, eligibility, hours, and safe contact options.

One Health WIC and public health

One Health lists WIC and public-health services in Miles City at 601 Main Street, with a separate number, 406-851-5050, and weekday hours of 8 a.m.–5 p.m. Call to check program eligibility, current enrollment, and what documents may be needed.

Role: congregate and home-delivered meals and commodity-food information; geography: Custer County residents age 60 and older; cost/eligibility: call to confirm enrollment, donations or fees, and delivery eligibility; emergency limit: scheduled nutrition support is not emergency food delivery | Independently listed resources are not endorsements; confirm current details directly, including access, cost, eligibility, hours, and safe contact options.

Custer County Council on Aging meals and commodities

The Council on Aging lists meals, commodities, and related services for people over age 60. Its page lists congregate meals at the Miles City Senior Center on Mondays and Thursdays from 10:30 a.m. to 12:30 p.m. Call to confirm current meal schedules, enrollment, delivery options, and eligibility.

Role: transportation assistance, health-promotion programs, and listed in-home support; geography: Custer County older adults and other eligible residents; cost/eligibility: ask about age, enrollment, service area, and fees; emergency limit: scheduled assistance is not emergency transportation | Independently listed resources are not endorsements; confirm current details directly, including access, cost, eligibility, hours, and safe contact options.

Custer County Council on Aging transportation and in-home support

The Council on Aging lists transportation assistance, health-promotion programs, skilled nursing, personal care, and homemaker services. Its page currently identifies a registered-nurse vacancy, so do not assume every service is staffed. Call to verify current services, eligibility, scheduling, and any cost.

Role: regional aging information, referrals, and supportive-service navigation; geography: Custer County is in the listed service area; cost/eligibility: confirm age, eligibility, availability, and any fees; emergency limit: scheduled aging services are not emergency response | Independently listed resources are not endorsements; confirm current details directly, including access, cost, eligibility, hours, and safe contact options.

Action for Eastern Montana Area I on Aging

Action for Eastern Montana lists Area I on Aging among its regional services, including information, meals, in-home support, and referrals. Its office is in Glendive at 2030 North Merrill Avenue. Call to ask which aging services reach Miles City, what eligibility applies, and whether local capacity is available.

Role: Section 8 rental-assistance program navigation; geography: Action for Eastern Montana lists Custer County in its service area; cost/eligibility: income, household, owner participation, and waitlist rules apply—confirm directly; emergency limit: rental-assistance intake is not emergency shelter | Independently listed resources are not endorsements; confirm current details directly, including access, cost, eligibility, hours, and safe contact options.

Action for Eastern Montana rental assistance

Action for Eastern Montana lists Section 8 Rental Assistance among its services and includes Custer County in its regional coverage. Contact the Glendive office to ask whether the program currently serves your household and address, whether a waitlist is open, and what documents are required. This listing does not indicate an available voucher or housing unit.

Role: heating-bill assistance and home weatherization intake; geography: Custer County; cost/eligibility: 2026–27 application season is listed October 1–April 30; income/resource screening and program rules apply; emergency limit: not an emergency utility shutoff or repair service | Independently listed resources are not endorsements; confirm current details directly, including access, cost, eligibility, hours, and safe contact options.

LIHEAP and weatherization through Action for Eastern Montana

Action for Eastern Montana lists Custer among its LIHEAP and weatherization counties. The 2026–27 page says applications are accepted October 1 through April 30; weatherization applicants must qualify for LIHEAP. Call 406-377-3564 to confirm current funding, eligibility, required documents, and whether your home can be served. Do not assume an award or bill will be paid.

Role: emergency energy-bill assistance; geography: regional provider serving Custer County; cost/eligibility: ask about current emergency criteria and available funds; emergency limit: financial assistance is not utility dispatch, repair, or a guaranteed award | Independently listed resources are not endorsements; confirm current details directly, including access, cost, eligibility, hours, and safe contact options.

Energy Share of Montana through Action for Eastern Montana

Action for Eastern Montana lists Energy Share as an energy-emergency option and says LIHEAP applicants during heating season must also submit a LIHEAP application. Call to ask what qualifies as an energy emergency and whether funding is currently available; assistance is not guaranteed.

Role: Montana public-benefit applications and case support; geography: Custer County; cost/eligibility: program rules differ—apply and confirm eligibility directly; emergency limit: benefits office is not 24/7 crisis response or emergency financial assistance | Independently listed resources are not endorsements; confirm current details directly, including access, cost, eligibility, hours, and safe contact options.

Custer County Office of Public Assistance

Montana DPHHS lists a Miles City Field Office at 219 North Merriam Avenue and provides applications through apply.mt.gov. Call the statewide Public Assistance helpline for SNAP, Medicaid, TANF, or other benefit questions, and confirm office hours and documents before visiting. Eligibility is determined by the program.

Role: project-based Section 8 family housing; geography: Miles City; cost/eligibility: household and property rules apply—call for applications, waitlist, rent, and availability; emergency limit: not emergency shelter or a guaranteed vacancy | Independently listed resources are not endorsements; confirm current details directly, including access, cost, eligibility, hours, and safe contact options.

Custer Villa project-based housing

Montana Commerce lists Custer Villa at 210 Arrowhead Drive in Miles City, with 32 units. The state property list does not publish current openings or waitlist status. Call the property directly to ask about household criteria, rent, applications, accessibility, and timing.

Role: project-based housing listed for older adults and people with disabilities; geography: Miles City; cost/eligibility: ask about qualification, rent, accessibility, and waitlist; emergency limit: not emergency shelter or a guaranteed vacancy | Independently listed resources are not endorsements; confirm current details directly, including access, cost, eligibility, hours, and safe contact options.

Miles City Eagles Manor

Montana Commerce lists Eagles Manor at 1000 Palmer Street in Miles City, with 33 units. Call the property to confirm the program's current household criteria, rental amount, application steps, and whether a waitlist is open; the state listing does not report vacancies.

Role: community food-bank distribution; geography: Miles City; cost/eligibility: ask about current eligibility, documents, and any limits; emergency limit: directory-listed hours are not a 24/7 food emergency line | Independently listed resources are not endorsements; confirm current details directly, including access, cost, eligibility, hours, and safe contact options.

Custer County Food Bank

The Montana Food Bank Network directory lists Custer County Food Bank at 15 North 8th Street and gives Tuesday–Thursday hours of 9 a.m.–1:30 p.m. The listing is not maintained by the pantry itself; call 406-234-3663 before traveling to confirm current hours, holidays, eligibility, and what to bring.

Role: community meal listing; geography: Miles City; cost/eligibility: call the listed host to confirm meal schedule, access, and any cost; emergency limit: directory-listed weekday hours are not an emergency food service | Independently listed resources are not endorsements; confirm current details directly, including access, cost, eligibility, hours, and safe contact options.

Custer County Community Table

The Miles City Chamber directory lists the Community Table at 24 North 11th Street, inside the Methodist church, and describes weekday lunch from 11 a.m. to 12:30 p.m. This is a directory listing, not a provider-maintained schedule. Call before going to confirm whether meals are active, current hours, access, and any cost.

Role: reservation-based public transportation; geography: Custer County, with a local Miles City service bubble and limited Billings trips; cost/eligibility: published fares include $1 per local stop, $10 out-of-town local trips, and $25 one-way or $50 multi-day Billings roundtrip—confirm fares and availability; emergency limit: non-emergency transportation only | Independently listed resources are not endorsements; confirm current details directly, including access, cost, eligibility, hours, and safe contact options.

Custer County Transit

The county asks riders to book at least 24 hours ahead; same-day rides depend on availability. Trips outside the local Miles City service area need advance coordination, and Billings trips are limited to medical or airport travel on selected weekdays. Call to confirm the boundary, current schedule, fare, payment arrangement, and accommodation needs before planning a trip.

Role: household waste disposal at the county landfill; geography: participating district precincts only; cost/eligibility: district/property-tax status, hang tag, accepted materials, and other fees must be confirmed; emergency limit: disposal site is not a hauling or cleanup service | Independently listed resources are not endorsements; confirm current details directly, including access, cost, eligibility, hours, and safe contact options.

Custer County Solid Waste District landfill

The county says the Solid Waste District covers precincts 1, 3, and 63. Eligible households need a hang tag and property-tax statement; the page says household garbage disposal is included for district residents while other areas are assessed. The landfill does not haul waste. Call to confirm your address, accepted items, hours, and any fees before loading a vehicle.

Role: private garbage pickup, container, dumpster, and roll-off services; geography: Miles City and the company's listed service area; cost/eligibility: commercial rates and service terms—request a quote and confirm coverage; emergency limit: hauling company, not a hoarding cleanout provider or emergency service | Independently listed resources are not endorsements; confirm current details directly, including access, cost, eligibility, hours, and safe contact options.

Miles City Sanitation

Miles City Sanitation lists garbage pickup and container or roll-off services. Contact the company about service area, container size, prohibited materials, pickup schedule, and price. Its public service information does not establish a hoarding-specialist cleanout service or guarantee that staff will sort belongings with a resident.

Role: public library collections and community information; geography: Miles City; cost/eligibility: ask about library-card, visitor, accessibility, and program rules; emergency limit: library is not crisis, shelter, or emergency response | Independently listed resources are not endorsements; confirm current details directly, including access, cost, eligibility, hours, and safe contact options.

Miles City Public Library

The library lists its location at 1 South 10th Street and weekday hours, with some evenings open later. Call to confirm current hours, library-card requirements, accessibility, and programs before visiting. This is a general community resource, not a behavioral-health or housing provider.

Role: city water and utility account information; geography: addresses served by Miles City utilities; cost/eligibility: account, bill, and service rules depend on address—ask the city; emergency limit: billing office is not utility repair dispatch or emergency financial assistance | Independently listed resources are not endorsements; confirm current details directly, including access, cost, eligibility, hours, and safe contact options.

Miles City Public Utilities

Miles City lists its Public Utilities office at 17 South 8th Street. Call about whether an address receives city utility service, billing, account changes, or service questions. No utility-bill assistance is promised here; for heating assistance, ask Action for Eastern Montana about LIHEAP or Energy Share.

Role: preschool and family-support program; geography: Miles City site and regional communities; cost/eligibility: free preschool for eligible children ages 3–4, with limited over-income slots described—confirm enrollment and capacity; emergency limit: scheduled early-learning program is not child-protection or emergency care | Independently listed resources are not endorsements; confirm current details directly, including access, cost, eligibility, hours, and safe contact options.

Action for Eastern Montana Head Start

Action for Eastern Montana lists a Miles City Head Start site at 1608 North Merriam Avenue. Its program page describes free preschool for children ages 3–4 and household eligibility rules, including limited over-income slots. Call to confirm the child's age date, current classroom capacity, transportation, enrollment documents, and eligibility.

Role: civil legal information and representation screening; geography: Montana statewide; cost/eligibility: free service for eligible low-income applicants after screening; emergency limit: not emergency legal counsel, criminal defense, or guaranteed representation | Independently listed resources are not endorsements; confirm current details directly, including access, cost, eligibility, hours, and safe contact options.

Montana Legal Services Association

Montana Legal Services Association offers free civil legal help to eligible low-income Montanans, subject to case and income screening. Apply or call 800-666-6899 to ask whether a housing, benefits, consumer, or other civil matter fits. Check the organization's website for current response times; submitting an application does not guarantee representation.

Role: county department and service contact lookup; geography: Custer County; cost/eligibility: directory is informational—ask each office about program rules and fees; emergency limit: not dispatch, crisis counseling, or emergency assistance | Independently listed resources are not endorsements; confirm current details directly, including access, cost, eligibility, hours, and safe contact options.

Custer County contact directory

The official county directory is a starting point for finding current county office contact information. Call the named department directly to confirm it handles your question, its business hours, and any eligibility or fee requirements.

A note from the Alliance

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

This guide is anchored in Miles City, Montana, 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