A Hoarding Alliance local resource guide

Hoarding support in Monticello, New York.

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.

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

Start here - Fight the Blight

Choose a first step that fits your situation

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 immediate danger

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

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 support and family guidance; geography: ask about online options and whether in-person services reach your address; cost/eligibility: private-pay; ask for a written price, scope, and any travel charges; emergency limit: not therapy, hazardous-material cleanup, or emergency response. | Each listing identifies its role, service area, cost or eligibility to confirm, and emergency limits.

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.

Role: digital peer support for people affected by clutter and people supporting them; geography: online; cost/eligibility: confirm group availability, access, and any fees; emergency limit: not therapy or emergency support. | Each listing identifies its role, service area, cost or eligibility to confirm, and emergency limits.

Unburied

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.

Role: information and referral to community services; geography: give your Monticello or Sullivan County ZIP code; cost/eligibility: 211 is a free referral service; other programs have their own rules; emergency limit: not emergency dispatch, a guaranteed placement, or financial assistance itself. | Each listing identifies its role, service area, cost or eligibility to confirm, and emergency limits.

United Way of Sullivan County: 211

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

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: fire, medical, and public safety dispatch; geography: Monticello, Sullivan County, and the United States; cost/eligibility: no enrollment; ambulance or medical bills can apply separately; emergency limit: use a phone for immediate danger; the website does not dispatch help. | Each listing identifies its role, service area, cost or eligibility to confirm, and emergency limits.

911 Emergency Services

Give the street address, where responders can get in, and whether anyone needs help getting out.

Role: hospital emergency care; geography: Harris, near Monticello; check the Catskills/Harris location, not the Middletown campus; cost/eligibility: the hospital lists emergency care around the clock; billing depends on care and coverage; emergency limit: call 911 if there is immediate danger or you cannot travel safely. | Each listing identifies its role, service area, cost or eligibility to confirm, and emergency limits.

Garnet Health Medical Center – Catskills Emergency Department

Use emergency care for an urgent injury or illness. For ongoing concerns, make a primary-care appointment when the immediate need is addressed.

Role: fire prevention information; geography: national guidance for residents and supporters; cost/eligibility: free public information; emergency limit: not an inspection, cleanup, or dispatch; call 911 for active danger. | Each listing identifies its role, service area, cost or eligibility to confirm, and emergency limits.

U.S. Fire Administration: Hoarding and Fire Safety

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.

Role: local building and code office; geography: Village of Monticello properties; confirm jurisdiction for an address outside the village; cost/eligibility: ask which office handles the notice and what inspections, permits, or fees apply; emergency limit: not an emergency service, legal advice, or cleanup help. | Each listing identifies its role, service area, cost or eligibility to confirm, and emergency limits.

Village of Monticello Building Department and Code Enforcement

If you receive a notice, keep a copy. Ask which condition needs attention first and how to confirm you’ve met the deadline.

Role: screening for urgent public assistance needs including homelessness, threatened eviction, fuel loss, or utility shutoff; geography: Sullivan County; DSS lists weekday intake in Liberty; cost/eligibility: eligibility depends on circumstances and proof of the emergency; ongoing assistance is not required to be considered; emergency limit: not a guaranteed bed, payment, or emergency dispatch. | Each listing identifies its role, service area, cost or eligibility to confirm, and emergency limits.

Sullivan County DSS Emergency Financial Assistance

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.

Role: protective assessment and support coordination for adults who cannot meet essential needs or protect themselves; geography: Sullivan County; cost/eligibility: ask how the county screens eligibility, risk, and available support; emergency limit: not routine cleanup, automatic in-home help, or emergency dispatch. | Each listing identifies its role, service area, cost or eligibility to confirm, and emergency limits.

Sullivan County Adult Protective Services

If an adult cannot keep themselves safe and lacks reliable support, describe what is happening and ask what an assessment would involve.

Role: confidential advocacy and safety planning for survivors of domestic violence and other crimes; geography: Sullivan County; advocates can discuss short-term safety options; cost/eligibility: the provider lists free, confidential services; ask which services fit and what is available; emergency limit: advocacy is not dispatch; call 911 for immediate danger. | Each listing identifies its role, service area, cost or eligibility to confirm, and emergency limits.

Sullivan County Victim Services

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.

Role: nonprofit civil legal services, including housing matters; geography: Monticello office serves Sullivan County; cost/eligibility: free for eligible low-income clients; confirm case type, income eligibility, and capacity; emergency limit: not dispatch; asking for help does not extend a legal deadline. | Each listing identifies its role, service area, cost or eligibility to confirm, and emergency limits.

Legal Services of the Hudson Valley

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

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: county clinical intake for mental health and related care; geography: serves Sullivan County; the county lists a clinic in Liberty; cost/eligibility: the county lists income-based fees and acceptance of Medicaid, Medicare, and insurance; confirm your plan, appointment, and fit; emergency limit: routine intake is not emergency dispatch or verified hoarding-specialty treatment. | Each listing identifies its role, service area, cost or eligibility to confirm, and emergency limits.

Sullivan County Department of Community Services

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.

Role: community health center and primary care; geography: Lakewood Avenue in Monticello; cost/eligibility: ask about new-patient appointments, insurance, and any income-based fee options; emergency limit: not the hospital emergency department. | Each listing identifies its role, service area, cost or eligibility to confirm, and emergency limits.

Sun River Health Monticello

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.

Role: family-led support for friends and relatives of adults living with serious mental illness; geography: the local affiliate lists hybrid meetings in Monticello and online; cost/eligibility: free and confidential; confirm who the group is for, the current meeting date, and online registration; emergency limit: not hoarding-specific care, therapy, or emergency response. | Each listing identifies its role, service area, cost or eligibility to confirm, and emergency limits.

NAMI Sullivan County: Sharing and Caring Family Support Groups

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.

Role: education and directory links for hoarding-related care and support; geography: online; look for options serving Sullivan County or New York by telehealth; cost/eligibility: public information is free; confirm a provider’s fees, licensure, specialty experience, and availability; emergency limit: not therapy, emergency support, or a provider endorsement. | Each listing identifies its role, service area, cost or eligibility to confirm, and emergency limits.

International OCD Foundation Hoarding Resource Center

When comparing clinicians, ask how often they work with people who have difficulty discarding and whether remote visits are available for your location.

Role: nonprofit food pantry; geography: 396 Broadway in Monticello; cost/eligibility: confirm the current schedule, any documents or residency rules, and what items are available; emergency limit: not emergency medical care or a shelter. | Each listing identifies its role, service area, cost or eligibility to confirm, and emergency limits.

Catholic Charities: Monticello Food Pantry

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.

Role: information and referrals for long-term services and supports; geography: Sullivan County; available to people of all ages; cost/eligibility: the county lists free information; referred services can have their own cost and eligibility rules; emergency limit: not emergency response, home care itself, or cleanup. | Each listing identifies its role, service area, cost or eligibility to confirm, and emergency limits.

Sullivan NY Connects

If getting around at home, cooking, or other daily tasks are becoming difficult, ask about supports and which ones need an assessment.

Role: disability peer counseling, advocacy, and benefits navigation; geography: Monticello office serves Sullivan County; confirm which program applies; cost/eligibility: ask about intake, disability-related eligibility, format, and any costs; emergency limit: not hoarding treatment, emergency dispatch, or a guarantee of benefits. | Each listing identifies its role, service area, cost or eligibility to confirm, and emergency limits.

Action Toward Independence

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.

Role: heating-cost benefits and application information; geography: Sullivan County households; cost/eligibility: eligibility and dates vary by benefit; check current rules, availability, and documentation; emergency limit: not a guaranteed same-day payment, repair, or emergency dispatch. | Each listing identifies its role, service area, cost or eligibility to confirm, and emergency limits.

Sullivan County Home Energy Assistance Program

Keep your heating bill or shutoff notice handy. Ask which benefit applies if you’re running out of fuel or cannot get heat.

Role: referral to energy-efficiency assistance for eligible homes; geography: Sullivan County; New York State identifies Delaware Opportunities as the county’s Weatherization Assistance Program provider; cost/eligibility: check income and building eligibility, owner permission if you rent, available services, and timing; emergency limit: not an emergency heating repair, cleanout, or hazardous-material service. | Each listing identifies its role, service area, cost or eligibility to confirm, and emergency limits.

Sullivan County Weatherization Resources

Ask what the assessor needs to reach and what you can prepare in stages. Explain any access or safety barriers before someone comes out.

Role: nonprofit housing information and repair-grant pathways; geography: Monticello-based; confirm service for your Sullivan County address; cost/eligibility: check which programs are open and any income, ownership, or property rules; emergency limit: not shelter, guaranteed funding, or a cleanup service. | Each listing identifies its role, service area, cost or eligibility to confirm, and emergency limits.

Rural Sullivan Housing

If you need a repair or accessibility modification to use your home more safely, ask which programs might fit and what paperwork to keep.

Role: housing authority contact listed by Sullivan County; geography: Village of Monticello; cost/eligibility: ask about current applications, waitlists, eligibility, and costs; emergency limit: not an emergency bed or a promise of housing. | Each listing identifies its role, service area, cost or eligibility to confirm, and emergency limits.

Monticello Housing Authority

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.

Role: county bus service including a Monticello loop; geography: Monticello and other published Sullivan County stops; cost/eligibility: the county lists all trips as free; confirm hours, stop access, and any service changes; emergency limit: not ambulance transport, a moving service, or guaranteed door-to-door service. | Each listing identifies its role, service area, cost or eligibility to confirm, and emergency limits.

Move Sullivan

Check the return trip before scheduling a visit. If carrying items or reaching a stop is difficult, ask what options the transit office offers.

Role: county waste and recycling drop-off; geography: 91 Landfill Drive in Monticello; other facilities have different rules and hours; cost/eligibility: confirm fees, hours, which items are accepted, and any residency or handling requirements; emergency limit: not in-home removal or an emergency hazardous-material response. | Each listing identifies its role, service area, cost or eligibility to confirm, and emergency limits.

Sullivan County Monticello Transfer Station and Recycling Center

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

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

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