The Peer Tree
Ask who decides what to keep, what an initial visit covers, and whether you can start with a single task.
A Hoarding Alliance local resource guide
If it’s harder to use your kitchen, answer the door, or move safely through a room, you can choose one thing you want to make easier. If you’re helping someone else, ask what they want help with and what you should leave untouched. A first conversation does not commit anyone to a cleanout.
Start here - Fight the Blight
If a notice or court date is coming up, save the paperwork and say when it is due. If you need food, heat, or a safe place to stay tonight, lead with that. If you want to talk about clutter without sharing photos of your home, you can start with a conversation or a virtual group.
Ask about a first conversation or a virtual group for yourself or someone you support. You can ask how it works before sharing personal details.
Role: nonprofit front door for hoarding-related support and virtual groups; geography: ask about remote access from Plattsburgh and Clinton County; cost/eligibility: confirm registration, group fit, and any cost; local funded 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. Tell responders about blocked exits or anyone who may need 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 who decides what to keep, what an initial visit covers, and whether you can start with a single task.
Use digital peer support to plan a next step or talk through how to offer help. Share only what you want to share.
Give your ZIP and say what you need first. Ask which program serves your address and whether to call before traveling.
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.
Call from a safe place. Explain if an exit is blocked or someone remains inside.
Use for medical emergencies, not for routine referrals or cleanup. If calling 911, describe anything that makes it hard for responders to enter.
When safe, prioritize clear ways out and clear space around things that can start a fire. Never go back into an unsafe building for belongings.
If you received a notice, check who issued it and ask which corrections and deadlines apply. Keep the paperwork. Contacting the city does not extend a deadline.
If you cannot safely stay tonight, say so right away. Ask about accessibility, household size, pets, and transportation before traveling.
Describe the specific safety concern and what support the adult already has. Clutter alone does not establish eligibility.
If someone is using access to your home or belongings to control you, ask an advocate about safety planning from a device you can use privately.
If you got court papers or a notice, save them and tell intake the date that appears on the paperwork. Call before traveling; the provider currently lists a temporary office arrangement.
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.
Ask whether the clinic can assess concerns about acquiring, discarding, or using rooms and whether it can refer to a clinician with hoarding experience.
Use the information to ask a clinician about direct hoarding treatment experience and whether the approach fits your goals.
If a disability affects access to your home or services, ask about independent living goals, peer counseling, and self-advocacy.
Check whether your address is in the city or town before heading to a pantry. Tell intake if you don’t have a working stove or a place to store food.
If you’re out of fuel or facing shutoff, explain when it happened or is scheduled and ask which benefit is open.
Ask what access workers need for an assessment. If heat is out now, ask county benefits intake about immediate options.
Ask which programs are taking applications and what documents to gather. Keep a separate plan for urgent shelter needs.
If everyday tasks have become harder, ask for options around meals, help at home, or caregiver support. Mention any accessibility needs.
Ask whether your address is on a route and how screening works. If food is needed today, check pantry access separately.
Check the stop, service day, transfers, and last return trip before scheduling an appointment.
Ask which items can go out on your route and how to handle bulky items before putting anything at the curb.
Ask where paint, electronics, large furniture, or other unusual loads can go. If something is leaking or unidentified, ask for handling instructions before moving it.
A note from the Alliance
This guide is anchored in Plattsburgh, 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