The Peer Tree
Ask if the first visit can focus on one task, who decides what moves, and whether you can pause the work.
A Hoarding Alliance local resource guide
You can ask for help with just one part of your home. That might be reaching an exit, making room for a repair, or finding a way to cook. If you’re helping someone else, ask what would make their day easier and which items they want left alone.
Start here - Fight the Blight
If a notice, utility bill, or court date has a deadline, keep the paperwork and tell the person helping you when it’s due. If there’s no immediate danger, a conversation or virtual group can be a first step without a home visit.
Ask how a first group works or how to support someone close to you. You can have a conversation without sharing photos or agreeing to a home visit.
Role: nonprofit front door for hoarding support and virtual groups; geography: ask about joining online from New City or elsewhere in Rockland 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, get to safety if you can and call 911. Give the address and tell the dispatcher if an exit is blocked or someone needs help leaving.
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.
Ask if the first visit can focus on one task, who decides what moves, and whether you can pause the work.
Use peer support to think through a conversation or pick one change you can try. You decide what to share.
Share your ZIP code and say what needs attention first. If you can’t travel or need help in another language, ask about options that fit.
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 address, the best way into the building, and whether anyone needs help leaving. Follow the dispatcher’s instructions.
Use emergency care for an urgent injury or sudden illness. An outpatient appointment in New City is not a substitute for emergency care.
Start with a path to an exit and space around heaters or cooking equipment. Ask for help if moving something would be unsafe.
If you received a notice, keep it and ask what needs to be addressed first, when it’s due, and what counts as completing the work.
If you have nowhere safe to stay, say so at the start of the call. Use the county’s posted after-hours contact if the office is closed.
If an adult cannot meet basic needs safely and lacks reliable help, ask what an assessment involves and describe the immediate concern.
If you’re behind on rent or have a notice, ask about prevention before the deadline. Keep your paperwork and ask what other help is available if funds are closed.
If someone is using money, belongings, or your living situation to control you, use a safe device to ask an advocate about safety options.
Have your notice or court papers ready. Give the dates and ask what you can do next if the organization can’t take your case.
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.
Describe how clutter or difficulty discarding is affecting daily life. Ask whether a clinician has hoarding experience or can refer you for specialty care.
If your home setup makes falls, preparing food, or managing medicines harder, tell your clinician. Ask whether follow-up care or a referral could help.
Ask a clinician about hoarding-specific experience and whether they can serve people at your location. Confirm that a directory entry is accepting clients.
If you’re caring for a child or teen, ask how to connect with a family peer advocate. Ask about the affiliate’s separate groups if this program doesn’t fit.
If getting back into community activities feels hard, ask what a first visit is like and whether you can meet someone before joining a group activity.
If you need food now or cannot use a stove, tell the pantry. Ask about foods that need little preparation and check pickup hours before arranging a ride.
Before an assessment, ask what areas need to be accessible. If an area isn’t safe to reach, say so and ask how to prepare in stages.
Keep a heating bill or shutoff notice handy. Ask which option may apply if fuel is low, the heat is off, or there’s a deadline.
If shopping, cooking, or getting around at home is getting harder, ask what might help you stay independent and whether an assessment is needed.
If you can’t shop or prepare meals safely, ask what meal and payment options fit. If you need food sooner, start with the pantry or 211.
Check the return trip before making an appointment. If reaching a stop is difficult, ask about other accessible transportation options.
Before setting anything out, look up your address and confirm pickup. Keep exits and sidewalks clear while sorting or staging items.
Check where paint, chemicals, batteries, or other special items belong before loading a vehicle. Don’t mix materials to make transport easier.
A note from the Alliance
This guide is anchored in New City, 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