The Peer Tree
Ask about starting with planning, sorting support, or guidance for family before deciding whether you want a home visit.
A Hoarding Alliance local resource guide
Pick one thing you want to make easier at home: reaching the front door, taking a shower, or preparing a meal. You can ask for support without agreeing to a cleanout. If you are helping someone else, ask what they want help with and what they do not want moved.
Start here - Fight the Blight
If you have a court date, inspection notice, or shutoff deadline, keep the paperwork and lead with the date. If there is no deadline, you can begin with a conversation or a group without deciding what to discard.
Ask what a first conversation or virtual group is like. You can start without sharing photos of your home.
Role: nonprofit front door for hoarding support and virtual groups; geography: ask about joining online from Paterson or elsewhere in Passaic County; cost/eligibility: confirm registration, group fit and any fees; local funded in-home work is not assumed; emergency limit: not therapy or emergency response.
For an active fire, serious injury, or immediate danger, get to safety if you can and call 911. Give the exact address and unit or floor. Tell the dispatcher if access 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.
Ask about starting with planning, sorting support, or guidance for family before deciding whether you want a home visit.
If a home visit feels like too much right now, explore an online peer option at your own pace.
Say if you have nowhere safe tonight or a deadline later. Ask what is accepting referrals now.
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.
If you can get outside safely, call from there. Tell responders if someone is still inside or needs help leaving.
Use the emergency department for urgent medical problems, not for routine hoarding support or cleanup.
Use the listed screening contact for urgent mental health guidance. Ask where to go rather than assuming an outpatient office is the right place.
If it is safe, start with one exit everyone can reach and agree how to keep it clear.
Describe where you can stay tonight and whether there is an eviction or move-out date. Ask which step is appropriate now.
Ask which shelter pathway fits your household and what to try if it is full.
Keep any inspection notice, eviction filing or court papers and give the earliest date when asking for help.
If an adult cannot protect themselves from a serious risk, describe the specific safety concern and what support they can accept.
If it is safe to contact the center, ask about a confidential safety plan and which services fit your situation.
If you received a notice, read it with the inspection deadline in mind. Ask the issuing office which conditions need attention first.
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 what is getting harder to do at home and ask if a clinician has experience with hoarding or can refer you.
Ask a primary care provider about health concerns at home and whether a referral might help.
Ask a prospective clinician how they work with hoarding and what a first appointment would involve.
Ask about current Buried in Treasures workshops or the Enough Stuff family group before making plans.
If you are supporting someone else, you can ask for help for yourself without asking them to attend.
Explain which tasks are getting harder, such as preparing meals, getting to appointments or moving around at home.
If shopping or preparing meals has become difficult, ask how to apply and what to use while waiting.
Ask whether your planned appointment is a covered trip before scheduling it.
Ask about the current appointment process and a different food option if you cannot wait.
Check branch access before traveling. If you use a public computer, sign out of any personal account before leaving.
Find the Paterson entry in the state directory and ask about the specific item before taking it outside. Ask which city office handles it if the recycling program does not.
Keep chemical products out of regular trash. Ask how to handle a leaking or unknown container before moving it.
If you have a shutoff notice, give the deadline to both the utility and the intake agency and ask about time-sensitive options.
If heating costs or drafts make it hard to stay safely at home, ask about screening and what a home visit would involve.
A note from the Alliance
This guide is anchored in Paterson, New Jersey, 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