The Peer Tree
Before paying for a visit, ask who decides what moves, how you can pause, and whether one room or task can be the whole job.
A Hoarding Alliance local resource guide
Maybe you want a clear way to the door, a kitchen you can use, or help understanding a letter. It’s okay to start with just that. If you’re helping someone else, ask what they want to make easier and what they want you to leave alone.
Start here - Fight the Blight
Start with a deadline if you have one. Keep the letter or notice and ask what has to happen first. If there’s no immediate danger, asking about a conversation, a group, or an appointment doesn’t commit you to a cleanout.
You can ask what a virtual group is like, or how to support a family member, without sending photos or agreeing to a cleanout.
Role: nonprofit front door for hoarding-related support and virtual groups; geography: ask about joining online from Monticello or elsewhere in Sullivan County; cost/eligibility: confirm group fit, registration, and any fees; funded local in-home help is not assumed; emergency limit: not therapy or emergency response.
For an active fire, immediate danger, or a medical emergency, move to safety if you can and call 911. Give your address and say if an entrance is blocked or anyone needs help getting out.
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.
Before paying for a visit, ask who decides what moves, how you can pause, and whether one room or task can be the whole job.
Use peer support to talk through a difficult decision or pick a step you can try at home. Share only what you’re comfortable sharing.
Tell the referral specialist what you need first: a ride, a pantry, or help with a notice. Ask which options can be reached without a car.
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.
Give the street address, where responders can get in, and whether anyone needs help getting out.
Use emergency care for an urgent injury or illness. For ongoing concerns, make a primary-care appointment when the immediate need is addressed.
Start by making sure you can reach an exit and keep items away from cooking and heating equipment. Get help with any item you cannot move safely.
If you receive a notice, keep a copy. Ask which condition needs attention first and how to confirm you’ve met the deadline.
Say if you have nowhere safe to stay or a deadline you cannot meet. Ask what to bring and what options are available if the office is closed.
If an adult cannot keep themselves safe and lacks reliable support, describe what is happening and ask what an assessment would involve.
If someone is using money, belongings, or access to your home to control you, reach out from a safe device and ask about a safety plan.
If you received an eviction or other housing notice, have the papers and hearing date ready. Ask what you can do while intake is pending.
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.
Tell intake how difficulty discarding, acquiring, or using parts of your home affects daily life. Ask if a clinician has hoarding experience or can refer you.
If clutter makes it harder to manage medicines, cook, or move safely, ask primary care about your health concerns and what referrals might be useful.
If you’re supporting an adult with serious mental illness, ask whether this group fits your situation. For hoarding-specific peer support, start with Fight the Blight or an independent directory.
When comparing clinicians, ask how often they work with people who have difficulty discarding and whether remote visits are available for your location.
If you can’t use a refrigerator or stove, ask whether food that needs little preparation is available. Check the hours before arranging a ride.
If getting around at home, cooking, or other daily tasks are becoming difficult, ask about supports and which ones need an assessment.
If a disability makes it harder to arrange services, ask a peer advocate about support with one goal, such as gathering documents or requesting an accommodation.
Keep your heating bill or shutoff notice handy. Ask which benefit applies if you’re running out of fuel or cannot get heat.
Ask what the assessor needs to reach and what you can prepare in stages. Explain any access or safety barriers before someone comes out.
If you need a repair or accessibility modification to use your home more safely, ask which programs might fit and what paperwork to keep.
If you have time to plan a move, ask how to apply and what documents you’ll need. If you need somewhere tonight, start with DSS or 211.
Check the return trip before scheduling a visit. If carrying items or reaching a stop is difficult, ask what options the transit office offers.
Check where large items, electronics, paint, and chemicals belong before loading a vehicle. For curbside service, ask the village or town responsible for your address.
A note from the Alliance
This guide is anchored in Monticello, New York, 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