A Hoarding Alliance local resource guide

Hoarding support in Pikeville, Kentucky.

A people-first place to begin when clutter or a home-safety concern is affecting you or someone you care about in Pikeville or Pike County. Choose one manageable next step; inclusion here does not promise treatment, cleanup, a ride, housing, or an opening in a program.

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

Start here - Fight the Blight

You can start with one conversation.

Fight the Blight is the nonprofit front door for a respectful first conversation and virtual peer groups. Ask about current group fit, service area, and any eligibility requirements. The Peer Tree is a separate private-pay option for practical, nonclinical support. Unburied offers digital peer support for people affected and supporters; it is not therapy or emergency support. Other listings are independent options. Confirm fit, cost, eligibility, consent, safety, and current availability directly.

For immediate danger

For immediate danger, fire, serious injury, or urgent medical help, call 911. For emotional distress or a behavioral-health crisis, call or text 988. WestCare's Perry Cline Emergency Shelter is a housing intake option, not emergency dispatch; confirm eligibility and an open space before traveling. If a home is unsafe, choose the safest available location and contact emergency services or a trusted support person.

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, nonclinical hoarding support; geography: ask whether remote or in-person support can serve Pike County; cost/eligibility: private-pay rates and scope must be confirmed before scheduling; emergency limit: not therapy or emergency response. | Each listing states its role, geography, cost or eligibility details (or what to confirm), and emergency limits. Availability can change; inclusion is not an endorsement.

The Peer Tree

The Peer Tree offers practical nonclinical support, groups, and family guidance as a separate private-pay pathway. Ask about scope, cost, travel, consent, safety, and whether support is available in Pikeville or Pike County.

Role: digital peer support for people affected and supporters; geography: online; cost/eligibility: confirm current access and any charges; emergency limit: not therapy, diagnosis, crisis response, or emergency support. | Each listing states its role, geography, cost or eligibility details (or what to confirm), and emergency limits. Availability can change; inclusion is not an endorsement.

Unburied

Unburied is a digital peer-support pathway for people directly affected by hoarding and clutter and for friends or family supporters. It is not therapy, a crisis service, or a substitute for emergency help.

Role: regional behavioral-health and substance-use care pathway; geography: Pikeville and stated service area—confirm address and county fit; cost/eligibility: ask about clinical fit, payer, fees, intake, and openings; emergency limit: routine outpatient care is not emergency dispatch. | Each listing states its role, geography, cost or eligibility details (or what to confirm), and emergency limits. Availability can change; inclusion is not an endorsement.

Mountain Comprehensive Care Center - Pikeville Complex

Mountain Comprehensive Care Center lists a Pikeville Complex. Contact the provider to confirm which services are currently offered at this location, whether they fit your needs, coverage or fees, and how to start. No hoarding-specific treatment is verified.

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: emergency dispatch for immediate danger, fire, or serious medical emergency; geography: United States; cost/eligibility: emergency response; emergency limit: use for immediate emergencies, not routine property concerns. | Each listing states its role, geography, cost or eligibility details (or what to confirm), and emergency limits. Availability can change; inclusion is not an endorsement.

911 - Immediate Emergency

Call 911 for an active threat, fire, serious injury, or urgent police, fire, or EMS response. Share the exact location and access or mobility concerns. It is not a planned cleanup or routine referral line.

Role: 24/7 emotional-distress and behavioral-health crisis support; geography: United States; cost/eligibility: free; emergency limit: not emergency dispatch—call 911 for immediate danger. | Each listing states its role, geography, cost or eligibility details (or what to confirm), and emergency limits. Availability can change; inclusion is not an endorsement.

988 Suicide & Crisis Lifeline

Call or text 988 for emotional distress, suicidal thoughts, or a behavioral-health or substance-use crisis. For immediate physical danger, fire, or serious medical emergency, call 911.

Role: local public-health information and listed harm-reduction services; geography: Pike County; cost/eligibility: ask about the specific service and current requirements; emergency limit: office hours are not 24/7 emergency response. | Each listing states its role, geography, cost or eligibility details (or what to confirm), and emergency limits. Availability can change; inclusion is not an endorsement.

Pike County Health Department - public-health and overdose-prevention contact

The county's community-resource page lists the Health Department for public-health services, naloxone training/distribution, syringe disposal, HIV testing, and care linkage. Call to confirm current hours and service details; call 911 for a life-threatening emergency.

Role: temporary housing and supportive services for people or families experiencing or at risk of homelessness; geography: Pike County and surrounding areas; cost/eligibility: intake, fit, and capacity must be confirmed; emergency limit: shelter intake is not emergency dispatch and no bed is guaranteed. | Each listing states its role, geography, cost or eligibility details (or what to confirm), and emergency limits. Availability can change; inclusion is not an endorsement.

Perry Cline Emergency Shelter - WestCare Kentucky

WestCare describes its Pikeville shelter as serving adult men and women and families from Pike County and surrounding areas. Call before traveling to ask about eligibility, safe intake, current capacity, and what to bring. For immediate danger, call 911.

Role: report and response pathway for suspected abuse, neglect, or exploitation of an at-risk adult; geography: Kentucky; cost/eligibility: report screening and state criteria apply; emergency limit: call 911 for immediate danger. | Each listing states its role, geography, cost or eligibility details (or what to confirm), and emergency limits. Availability can change; inclusion is not an endorsement.

Kentucky Adult Protective Services

Use the Kentucky Cabinet for Health and Family Services page to find current Adult Protective Services reporting instructions. A report is not a guaranteed placement or home-cleaning service. Call 911 for immediate danger.

Role: report suspected child abuse or neglect; geography: Kentucky; cost/eligibility: reports are screened under state law; emergency limit: call 911 for immediate danger. | Each listing states its role, geography, cost or eligibility details (or what to confirm), and emergency limits. Availability can change; inclusion is not an endorsement.

Kentucky Child Protection Reporting

Use the Kentucky Cabinet for Health and Family Services child-protection page for current reporting options when a child may be unsafe. This is not a routine cleanup or housing service; call 911 for immediate danger.

Role: expert guidance after a possible poisoning or exposure; geography: United States; cost/eligibility: free hotline; emergency limit: call 911 for collapse, seizure, trouble breathing, or immediate life threat. | Each listing states its role, geography, cost or eligibility details (or what to confirm), and emergency limits. Availability can change; inclusion is not an endorsement.

Poison Control

Call Poison Control at 1-800-222-1222 for a possible ingestion or exposure and follow the specialist's instructions. For a person who is unconscious, having a seizure, or struggling to breathe, call 911.

Role: information and referral for local basic-needs resources; geography: Kentucky; cost/eligibility: ask about each provider's current rules; emergency limit: not dispatch, a guaranteed service, or an emergency shelter bed. | Each listing states its role, geography, cost or eligibility details (or what to confirm), and emergency limits. Availability can change; inclusion is not an endorsement.

Kentucky 211 - community resource navigation

Call 211 or use Kentucky 211 to look for food, housing, utilities, transportation, and other community resources. Confirm directly with the provider because schedules, eligibility, and capacity can change.

Role: confidential survivor support and safety planning; geography: United States; cost/eligibility: no-cost hotline; emergency limit: survivor-specific, not general shelter or emergency dispatch. | Each listing states its role, geography, cost or eligibility details (or what to confirm), and emergency limits. Availability can change; inclusion is not an endorsement.

National Domestic Violence Hotline

Call or text the National Domestic Violence Hotline for confidential support related to domestic violence and help finding an appropriate local program. Ask about safe contact and current options. For immediate danger, call 911.

Role: behavioral-health service navigation; geography: Pike County/regional—confirm county access; cost/eligibility: call for current screening and care pathway; emergency limit: for immediate danger use 911; call or text 988 for crisis support. | Each listing states its role, geography, cost or eligibility details (or what to confirm), and emergency limits. Availability can change; inclusion is not an endorsement.

Mountain Comprehensive Care Center - crisis and service navigation

Mountain Comprehensive lists Pikeville services. Ask the provider for its current crisis pathway and whether it serves your location; this directory listing does not confirm 24-hour local crisis response or an appointment opening.

Role: information and referral for aging, disability, and long-term-service needs; geography: Kentucky, including Pike County through Big Sandy Area Agency on Aging; cost/eligibility: program-specific criteria and assessment apply; emergency limit: not crisis response or guaranteed in-home care. | Each listing states its role, geography, cost or eligibility details (or what to confirm), and emergency limits. Availability can change; inclusion is not an endorsement.

Kentucky Aging and Disability Resource Center

Kentucky CHFS lists Big Sandy Area Agency on Aging and Independent Living for Pike County. Call the state ADRC line or regional agency to ask about current services, eligibility, and intake; a referral does not guarantee a funded slot.

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: authoritative municipal geography and county-seat reference; geography: Pikeville and Pike County, Kentucky; cost/eligibility: public information; emergency limit: historical/civic information, not a service or emergency dispatch. | Each listing states its role, geography, cost or eligibility details (or what to confirm), and emergency limits. Availability can change; inclusion is not an endorsement.

City of Pikeville - county-seat information

Pikeville's official About page identifies the city as Pike County's county seat. This supports the geography used in this guide; it does not mean every City service covers all Pike County addresses.

Role: municipal service, department, and resident-request navigation; geography: City of Pikeville; cost/eligibility: jurisdiction, service, and fees vary by address and request; emergency limit: not emergency dispatch or direct social-service placement. | Each listing states its role, geography, cost or eligibility details (or what to confirm), and emergency limits. Availability can change; inclusion is not an endorsement.

City of Pikeville - city services and resident navigation

The City's official site links departments, utility requests, recycling, large-trash scheduling, code enforcement, records, parks, and public safety. Confirm your address is inside city limits and ask the responsible department about current rules and fees.

Role: state directory for city and county government contacts; geography: Pike County; cost/eligibility: public information; emergency limit: not direct emergency or social-service response. | Each listing states its role, geography, cost or eligibility details (or what to confirm), and emergency limits. Availability can change; inclusion is not an endorsement.

Kentucky DLG - Pike County local-government contacts

Kentucky's Department for Local Government county directory can help distinguish county and municipal offices. Contact the office that covers the address and confirm its remit before relying on a service.

Role: municipal records, meeting information, and ordinance navigation; geography: City of Pikeville; cost/eligibility: records or copying fees may apply; emergency limit: not legal advice or emergency response. | Each listing states its role, geography, cost or eligibility details (or what to confirm), and emergency limits. Availability can change; inclusion is not an endorsement.

Pikeville City Clerk - public records and ordinances

The City Clerk's office provides public-record and city-government navigation. Ask about the correct office, current hours, record request steps, and fees; the clerk does not provide legal advice or cleanup services.

Role: municipal code and building-process information; geography: City of Pikeville; cost/eligibility: jurisdiction, permits, inspections, and any fees must be confirmed; emergency limit: not emergency dispatch or cleanup. | Each listing states its role, geography, cost or eligibility details (or what to confirm), and emergency limits. Availability can change; inclusion is not an endorsement.

Pikeville Code Enforcement and building information

The City provides code and building information online. Before acting, ask which code applies, whether an inspection or permit is required, and how to request an accommodation or discuss a concern. This listing is not a determination that a property violates code.

Role: City large-item pickup and solid-waste information; geography: City service area only; cost/eligibility: collection rules, item limits, and any fees must be confirmed; emergency limit: not a hoarding cleanup or hazardous-material service. | Each listing states its role, geography, cost or eligibility details (or what to confirm), and emergency limits. Availability can change; inclusion is not an endorsement.

Pikeville large-trash scheduling and solid-waste rules

City pages describe large-trash scheduling and current municipal waste rules. Call before placing items curbside; verify address, schedule, acceptable materials, volume limits, and fees. Do not put out blocked exits, sharp, chemical, or biohazard materials as ordinary trash.

Role: municipal utility service information; geography: City customers and some other service areas—confirm address; cost/eligibility: rates, deposits, service area, and payment assistance must be confirmed; emergency limit: not emergency medical, fire, or cleanup response. | Each listing states its role, geography, cost or eligibility details (or what to confirm), and emergency limits. Availability can change; inclusion is not an endorsement.

Pikeville Utility Department - service and billing questions

The City publishes utility rates and service details. The available rate page may not reflect current charges; contact the department for current tariffs, service boundaries, account options, and any assistance before making a decision.

Role: fire prevention and public education; geography: City of Pikeville; cost/eligibility: ask whether a particular education service is available; emergency limit: call 911 for an active fire or immediate danger. | Each listing states its role, geography, cost or eligibility details (or what to confirm), and emergency limits. Availability can change; inclusion is not an endorsement.

Pikeville Fire Department - prevention and fire-safety education

The City's fire pages describe public education and fire-station information. Contact the department about current safety-education options; this is not an inspection, alarm installation, or cleanup commitment.

Role: municipal parks and recreation information; geography: City of Pikeville; cost/eligibility: facility, accessibility, reservation, and program rules vary; emergency limit: not crisis or housing support. | Each listing states its role, geography, cost or eligibility details (or what to confirm), and emergency limits. Availability can change; inclusion is not an endorsement.

Pikeville Parks and Recreation

The City describes public parks, trails, and reservable facilities. Confirm accessibility, current opening, rental rules, and any fees before traveling or planning an event.

Role: county public-health information, prevention, and community-resource navigation; geography: Pike County; cost/eligibility: ask about service-specific access, fees, and eligibility; emergency limit: not emergency medical dispatch. | Each listing states its role, geography, cost or eligibility details (or what to confirm), and emergency limits. Availability can change; inclusion is not an endorsement.

Pike County Health Department

The Health Department's current community-resource page lists local food, clothing, housing, behavioral-health, and prevention contacts. Call to confirm a listing's current schedule and requirements; for urgent medical danger call 911.

Role: behavioral-health, substance-use, and primary-care pathway listed by the county health department; geography: Pikeville—confirm county access; cost/eligibility: ask about payer, fees, screening, intake, and openings; emergency limit: routine care is not crisis dispatch. | Each listing states its role, geography, cost or eligibility details (or what to confirm), and emergency limits. Availability can change; inclusion is not an endorsement.

Appalachian Community Care - Pikeville

Pike County Health Department lists Appalachian Community Care at 255 Church Street, Suite 100, for counseling and related services. Confirm current location, service fit, coverage, cost, and appointment availability. No hoarding-specific treatment is claimed.

Role: regional hospital and emergency medical care; geography: Pikeville and region; cost/eligibility: service, clinician, insurance, and billing rules apply; emergency limit: use 911 for emergency dispatch; routine care is not cleanup or placement. | Each listing states its role, geography, cost or eligibility details (or what to confirm), and emergency limits. Availability can change; inclusion is not an endorsement.

Pikeville Medical Center - hospital and emergency department

Pikeville Medical Center lists its main campus and hospital services. For urgent symptoms, call 911 or go to emergency care; for appointments, confirm department, availability, insurance, and billing directly.

Role: community health-center care and pharmacy access; geography: Pikeville; cost/eligibility: appointment, insurance, and sliding-fee criteria vary; emergency limit: not emergency dispatch. | Each listing states its role, geography, cost or eligibility details (or what to confirm), and emergency limits. Availability can change; inclusion is not an endorsement.

Big Sandy Health Care - Pikeville Community Health Center

Big Sandy Health Care lists its Pikeville Community Health Center and pharmacy. The organization describes a sliding-fee discount based on household size and income; contact it to confirm eligibility, documents, current services, and appointments.

Role: income-based discount information for eligible community health-center patients; geography: Big Sandy Health Care clinics, including Pikeville; cost/eligibility: household size, income, documents, and covered services determine eligibility; emergency limit: not emergency care or guaranteed free treatment. | Each listing states its role, geography, cost or eligibility details (or what to confirm), and emergency limits. Availability can change; inclusion is not an endorsement.

Big Sandy Health Care - sliding-fee discount

Big Sandy Health Care explains how its sliding-fee discount may reduce certain health-care charges for qualifying patients. Call first to confirm what services are included and which proof-of-income documents to bring.

Role: nutrition benefits and support for eligible women, infants, and children; geography: Pike County; cost/eligibility: WIC income, category, and appointment rules apply; emergency limit: not emergency food delivery. | Each listing states its role, geography, cost or eligibility details (or what to confirm), and emergency limits. Availability can change; inclusion is not an endorsement.

Pike County Health Department - WIC

The county health department lists WIC services. Call to confirm eligibility, appointment availability, documentation, and current location; a listing does not guarantee enrollment or food supply.

Role: community meals, food-box, delivery, and clothing-resource lead; geography: Pikeville location; cost/eligibility: confirm current schedule, supply, delivery area, and any requirements; emergency limit: not emergency shelter or dispatch. | Each listing states its role, geography, cost or eligibility details (or what to confirm), and emergency limits. Availability can change; inclusion is not an endorsement.

East Kentucky Dream Center - Pikeville food and clothing resources

Pike County's health department currently lists the Dream Center at 463 Hambley Boulevard, with meals Wednesday and Friday 11 a.m.–1 p.m. and food-box/delivery options. Schedules and supply can change; call before traveling.

Role: community meal/food resource; geography: Pikeville; cost/eligibility: the county directory lists free lunches every other Tuesday—verify current schedule, supply, and requirements; emergency limit: not emergency shelter or dispatch. | Each listing states its role, geography, cost or eligibility details (or what to confirm), and emergency limits. Availability can change; inclusion is not an endorsement.

Faith Life Market - community food resource

Pike County's health department lists Faith Life Market at 130 Division Street and free lunches every other Tuesday. Call to confirm that the schedule and location remain current before traveling.

Role: community kitchen and meal resource; geography: Pikeville; cost/eligibility: county directory lists meals Monday and Thursday 11 a.m.–1 p.m.—confirm current schedule and supply; emergency limit: not emergency shelter or dispatch. | Each listing states its role, geography, cost or eligibility details (or what to confirm), and emergency limits. Availability can change; inclusion is not an endorsement.

Grace Fellowship Community Kitchen

Pike County's health department lists Grace Fellowship Community Kitchen at 115 Wolford Street. Call before going to confirm current meal hours, access, and any changes.

Role: community meal and food-resource lead; geography: Pikeville; cost/eligibility: confirm current meals, schedule, and any requirements; emergency limit: not emergency shelter or dispatch. | Each listing states its role, geography, cost or eligibility details (or what to confirm), and emergency limits. Availability can change; inclusion is not an endorsement.

Pikeville Community Kitchen

The county health department lists Pikeville Community Kitchen at 107 Main Street for breakfast and community lunch. Confirm current hours and service before traveling.

Role: community-action navigation for housing, energy, food, and emergency programs; geography: Pike County within the agency service area; cost/eligibility: each program has its own funding, season, household, and intake rules; emergency limit: no grant, utility payment, or shelter placement is guaranteed. | Each listing states its role, geography, cost or eligibility details (or what to confirm), and emergency limits. Availability can change; inclusion is not an endorsement.

Big Sandy Area Community Action Program - Pikeville office

BSACAP lists programs including weatherization, housing assistance, LIHEAP, and emergency services. The county health department lists its Pikeville office at 478 Town Mountain Road. Call to confirm current program availability, residency, documents, and whether funds remain.

Role: housing-stability and rental-assistance program information; geography: BSACAP service area, including Pike County—confirm; cost/eligibility: application, funding, household, and program criteria apply; emergency limit: not a guaranteed unit or immediate shelter. | Each listing states its role, geography, cost or eligibility details (or what to confirm), and emergency limits. Availability can change; inclusion is not an endorsement.

Big Sandy Area Community Action Program - housing assistance

BSACAP describes housing assistance options. Call the local office to confirm which program currently serves Pike County, whether funds are open, and required proof; a website description is not approval or placement.

Role: affordable-housing application and waitlist information; geography: Pikeville; cost/eligibility: program, income, household, and waitlist criteria apply; emergency limit: not emergency shelter or guaranteed housing. | Each listing states its role, geography, cost or eligibility details (or what to confirm), and emergency limits. Availability can change; inclusion is not an endorsement.

Housing Authority of Pikeville

Pike County's community-resource directory lists the Housing Authority at 748 Hambley Boulevard. Call to ask about current application status, eligibility, accommodations, and waitlists; do not assume a unit is available.

Role: affordable-housing information and applications; geography: Pike County—confirm service boundary; cost/eligibility: housing-program, household, and waitlist rules apply; emergency limit: not emergency shelter or a guaranteed unit. | Each listing states its role, geography, cost or eligibility details (or what to confirm), and emergency limits. Availability can change; inclusion is not an endorsement.

Pike County Housing Authority

The county health department lists the Pike County Housing Authority at 142 Trivette Drive. Contact the authority to confirm current office contact, service territory, application process, and waitlist status.

Role: statewide housing-program and rental-assistance navigation; geography: Kentucky; cost/eligibility: each program has separate criteria, funding, and waitlists; emergency limit: not emergency shelter or guaranteed housing. | Each listing states its role, geography, cost or eligibility details (or what to confirm), and emergency limits. Availability can change; inclusion is not an endorsement.

Kentucky Housing Corporation

Kentucky Housing Corporation links to housing programs and partner resources. Ask about current openings and local administrators; statewide information does not establish a Pike County placement.

Role: federal housing information and housing-counselor navigation; geography: Kentucky; cost/eligibility: counselor fees and program eligibility vary; emergency limit: not emergency shelter or guaranteed housing. | Each listing states its role, geography, cost or eligibility details (or what to confirm), and emergency limits. Availability can change; inclusion is not an endorsement.

HUD - Kentucky housing and approved counseling

HUD's Kentucky page helps locate housing information and approved counseling. Confirm provider, fees, and fit; no local waitlist or available unit has been verified by this guide.

Role: state directory and customer-service navigation for public and human-service transportation; geography: Kentucky; cost/eligibility: fare, booking, accessibility, and trip-purpose rules must be confirmed with the provider; emergency limit: not ambulance or guaranteed transportation. | Each listing states its role, geography, cost or eligibility details (or what to confirm), and emergency limits. Availability can change; inclusion is not an endorsement.

Kentucky Public Transit Provider Directory and HSTD Help Line

Kentucky Transportation Cabinet maintains a provider directory and lists its Human Service Transportation Delivery customer-service line. Identify the Pike County operator, then confirm route, reservation lead time, fare, accessibility, and current service directly before relying on a ride.

Role: covered-trip transportation information for eligible Medicaid members; geography: Kentucky; cost/eligibility: Medicaid membership, trip purpose, advance scheduling, and broker rules apply; emergency limit: not emergency medical dispatch. | Each listing states its role, geography, cost or eligibility details (or what to confirm), and emergency limits. Availability can change; inclusion is not an endorsement.

Kentucky Medicaid - non-emergency medical transportation

Kentucky provides a pathway for eligible Medicaid members to ask about non-emergency medical transportation. Confirm the current broker, authorization, scheduling window, and trip rules; call 911 for an emergency.

Role: public library, information, technology, and learning resources; geography: Pike County; cost/eligibility: card, printing, program, and accessibility rules vary; emergency limit: not clinical care, shelter, or crisis response. | Each listing states its role, geography, cost or eligibility details (or what to confirm), and emergency limits. Availability can change; inclusion is not an endorsement.

Pike County Public Library District

The Kentucky Public Library Association's directory lists the Pike County Public Library District. Confirm the nearest branch, current hours, card requirements, accessibility, and available public computers before visiting.

Role: local education and community programs in agriculture, family/consumer sciences, and youth development; geography: Pike County; cost/eligibility: programs, enrollment, and materials may have separate terms or fees; emergency limit: not clinical care or emergency response. | Each listing states its role, geography, cost or eligibility details (or what to confirm), and emergency limits. Availability can change; inclusion is not an endorsement.

UK Cooperative Extension - Pike County

The Pike County Extension office lists local programs and community information. Ask about current classes, 4-H, family/consumer resources, accessibility, and any costs or registration requirements.

Role: state health-coverage and public-benefit applications; geography: Kentucky; cost/eligibility: household, income, and program rules determine eligibility; emergency limit: not emergency care or guaranteed enrollment. | Each listing states its role, geography, cost or eligibility details (or what to confirm), and emergency limits. Availability can change; inclusion is not an endorsement.

Kynect - Kentucky benefits and health coverage

Kynect is Kentucky's portal for health coverage and public-benefit applications. Review current documents and deadlines; eligibility and approval are determined by the program.

Role: state Medicaid information, enrollment, and member services; geography: Kentucky; cost/eligibility: state income, household, and program criteria apply; emergency limit: not emergency dispatch or guaranteed coverage. | Each listing states its role, geography, cost or eligibility details (or what to confirm), and emergency limits. Availability can change; inclusion is not an endorsement.

Kentucky Medicaid

Use Kentucky Medicaid's official pages to understand application and member pathways. Confirm current eligibility, provider participation, and whether a particular service is covered before scheduling.

Role: application information for nutrition benefits; geography: Kentucky; cost/eligibility: household and income criteria apply; emergency limit: not immediate food supply or crisis response. | Each listing states its role, geography, cost or eligibility details (or what to confirm), and emergency limits. Availability can change; inclusion is not an endorsement.

Kentucky SNAP

Kentucky CHFS explains SNAP applications and program rules. Check current eligibility and processing requirements; for food needed sooner, call 211 or contact a pantry and verify its schedule and supply.

Role: seasonal energy-bill and utility-assistance information; geography: Kentucky through local providers; cost/eligibility: season, income, crisis status, local intake, and funding apply; emergency limit: not a guarantee of restored service or emergency repair. | Each listing states its role, geography, cost or eligibility details (or what to confirm), and emergency limits. Availability can change; inclusion is not an endorsement.

Kentucky LIHEAP

Kentucky's energy-assistance page explains the LIHEAP pathway. Call BSACAP to confirm the Pike County application period, documents, and available funding before relying on assistance.

Role: regional aging, caregiver, and disability-service navigation; geography: Pike, Floyd, Johnson, Magoffin, and Martin counties; cost/eligibility: service-specific assessments and criteria apply; emergency limit: not 24/7 crisis response or guaranteed home care. | Each listing states its role, geography, cost or eligibility details (or what to confirm), and emergency limits. Availability can change; inclusion is not an endorsement.

Big Sandy Area Agency on Aging and Independent Living

Kentucky's aging department identifies Big Sandy Area Agency on Aging and Independent Living as serving Pike County. Call to ask about caregiver support, meals, transportation, and other programs; confirm eligibility and current capacity.

Role: civil legal-aid screening and legal information; geography: Eastern and South Central Kentucky, including Pike County; cost/eligibility: case type, income, conflicts, and capacity screening apply; emergency limit: not emergency shelter or legal representation guaranteed. | Each listing states its role, geography, cost or eligibility details (or what to confirm), and emergency limits. Availability can change; inclusion is not an endorsement.

Appalachian Research and Defense Fund - Pikeville legal-aid intake

AppalReD provides civil legal-aid intake for eligible residents. Use its current intake line or online application to ask whether a housing, benefits, consumer, or other civil matter qualifies; a referral does not guarantee representation.

Role: court, circuit-clerk, and procedural contact information; geography: Pike County; cost/eligibility: filing and copy fees may apply; emergency limit: not legal advice, shelter, or emergency dispatch. | Each listing states its role, geography, cost or eligibility details (or what to confirm), and emergency limits. Availability can change; inclusion is not an endorsement.

Kentucky Court of Justice - Pike County

The state court directory lists Pike County court contacts. Confirm current hours, filing requirements, and fees with the clerk; seek legal advice from an attorney or legal-aid provider.

Role: job search, training, and workforce-service navigation; geography: Kentucky; cost/eligibility: appointments and program funding criteria vary; emergency limit: not income replacement or crisis response. | Each listing states its role, geography, cost or eligibility details (or what to confirm), and emergency limits. Availability can change; inclusion is not an endorsement.

Kentucky Career Center

Kentucky Career Center provides information about employment, training, and workforce programs. Ask for the current Pike County service location, appointments, accommodations, and eligibility before traveling.

Role: employment services for eligible people with disabilities; geography: Kentucky; cost/eligibility: application and program criteria apply; emergency limit: not emergency response or general home-cleaning assistance. | Each listing states its role, geography, cost or eligibility details (or what to confirm), and emergency limits. Availability can change; inclusion is not an endorsement.

Kentucky Vocational Rehabilitation

Kentucky's Office of Vocational Rehabilitation can help eligible people address disability-related barriers to employment. Contact the state program about referral, documentation, and the regional office.

Role: county-maintained navigation list for housing, food, health, clothing, and other services; geography: Pike County; cost/eligibility: each organization sets its own current terms; emergency limit: directory is not a service guarantee or dispatch. | Each listing states its role, geography, cost or eligibility details (or what to confirm), and emergency limits. Availability can change; inclusion is not an endorsement.

Pike County Housing and Community Resource Directory

Pike County Health Department publishes local listings for basic needs and providers. Use it as a lead list and call each organization to verify current address, eligibility, hours, and capacity before traveling.

Role: statewide housing and homelessness program information; geography: Kentucky; cost/eligibility: local provider, household, and funding criteria apply; emergency limit: information does not guarantee a shelter bed or placement. | Each listing states its role, geography, cost or eligibility details (or what to confirm), and emergency limits. Availability can change; inclusion is not an endorsement.

Kentucky Housing and Homelessness Resource Navigation

Use Kentucky Housing Corporation and Kentucky 211 to identify local housing pathways, then confirm intake and availability directly. No open Pike County housing waitlist or placement is verified by this guide.

Role: federal directory for substance-use and mental-health treatment providers; geography: United States; cost/eligibility: contact providers to verify licensure, payer, fees, and openings; emergency limit: not crisis response or a recommendation/endorsement. | Each listing states its role, geography, cost or eligibility details (or what to confirm), and emergency limits. Availability can change; inclusion is not an endorsement.

FindTreatment.gov

Search the federal treatment locator and verify each provider directly, including clinical scope, credentials, cost, insurance, and current intake. This guide has not verified a hoarding-specialty clinician in Pike County.

Role: education and provider-directory navigation for hoarding disorder; geography: online and national directory; cost/eligibility: providers set their own fees and acceptance; emergency limit: not therapy, crisis response, or cleanup service. | Each listing states its role, geography, cost or eligibility details (or what to confirm), and emergency limits. Availability can change; inclusion is not an endorsement.

International OCD Foundation - hoarding disorder resources

The IOCDF offers education and a directory search. Verify training, fit, location, fees, payer, and openings with any listed provider; inclusion in a directory is not an endorsement or proof of current availability.

A note from the Alliance

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

This guide is anchored in Pikeville, Kentucky, 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