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.
A Hoarding Alliance local resource guide
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.
Start here - Fight the Blight
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.
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
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 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.
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.
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
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.
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.
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.
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.
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.
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.
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
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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
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