A Hoarding Alliance local resource guide

Hoarding support in Prestonsburg, Kentucky.

A people-first place to begin when clutter or a home-safety concern is affecting you or someone you care about in Prestonsburg or Floyd 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; Mountain Comprehensive Care Center also lists a 24-hour helpline at 1-800-422-1060. Shelter and housing offices are not emergency dispatch and cannot promise a bed. 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 Floyd 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 Prestonsburg or Floyd 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: outpatient behavioral-health and substance-use care; geography: Prestonsburg and listed regional counties, confirm Floyd County fit; cost/eligibility: ask about clinical fit, payer, fees, intake, and openings; emergency limit: walk-in hours are weekdays 8 a.m.-5 p.m., not 24-hour 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 - Floyd County Complex

Mountain Comprehensive Care Center lists outpatient behavioral-health and substance-use services for children, adolescents, and adults at 104 South Front Avenue in Prestonsburg. It reports emergency walk-in appointments at outpatient facilities during weekday business hours. Call first to confirm current service, intake, cost or coverage, and availability.

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: behavioral-health crisis support and service navigation; geography: Mountain Comprehensive service region, confirm Floyd County access; cost/eligibility: call to confirm current screening and services; 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.

Mountain Comprehensive Care Center - 24-hour helpline

Mountain Comprehensive lists a 24-hour helpline at 1-800-422-1060 and directs people in crisis to call 988 or the helpline. Confirm the current pathway and local access; for immediate danger call 911.

Role: outpatient behavioral-health and substance-use care with emergency walk-in appointments; geography: Prestonsburg; cost/eligibility: ask about clinical fit, payer, fees, and intake; emergency limit: only listed weekdays 8 a.m.-5 p.m., not overnight 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.

Mountain Comprehensive Care Center - Floyd outpatient walk-in

The Floyd County Complex at 104 South Front Avenue lists weekday business-hour emergency walk-in appointments. Call 606-886-4350 to confirm today's hours and whether the service fits; call or text 988 or use 911 as appropriate outside that pathway.

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: survivor-specific domestic-violence support and shelter navigation; geography: Floyd County and service area—confirm location coverage; cost/eligibility: confidential intake, eligibility, and capacity must be confirmed; emergency limit: 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.

Turning Point Domestic Violence Services

The Floyd County Health Department lists Turning Point Domestic Violence Services. Call its current crisis line for confidential safety planning and local options; use a safe device if needed. A listing does not guarantee a placement. For immediate danger call 911.

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: statewide emotional-distress and behavioral-health crisis support; geography: Kentucky; cost/eligibility: call or text 988; emergency limit: 988 is 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.

Kentucky 988 - crisis information

Kentucky's 988 information page explains the statewide crisis-support pathway. Call or text 988 for emotional distress; for immediate danger, fire, or serious medical emergency, call 911.

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 city-service reference; geography: Prestonsburg and Floyd County, Kentucky; cost/eligibility: public information; emergency limit: 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 Prestonsburg - county-seat information

The City's official community page identifies Prestonsburg as the county seat of Floyd County. City services may have different jurisdiction from countywide services; verify your address and the correct office before relying on a service.

Role: local public-health information and community-resource navigation; geography: Floyd County, with main clinic in Prestonsburg; cost/eligibility: ask about service-specific access, fees, and eligibility; emergency limit: clinic 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.

Floyd County Health Department

The Health Department publishes current clinic details and a community-resource list for Floyd County, including food, housing, transportation, and care contacts. Call to confirm schedules and requirements. Main clinic: 283 Goble Street, Prestonsburg; listed hours Monday-Thursday 8 a.m.-5 p.m. and Friday 8 a.m.-1:30 p.m.

Role: community health center and primary-care access; geography: Prestonsburg and service area—confirm Floyd County fit; cost/eligibility: ask about services, insurance, sliding-fee eligibility, and current openings; emergency limit: routine clinic is not emergency 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 Health Care - Prestonsburg clinic

Big Sandy Health Care lists a Prestonsburg clinic at 1709 KY Route 321. Contact the clinic to confirm current services, hours, payer or sliding-fee requirements, and appointment availability; call 911 for urgent medical danger.

Role: income-based public housing and voucher programs; geography: Floyd County; cost/eligibility: HUD and program eligibility apply—confirm waitlist and application details; emergency limit: the agency states it is not equipped for emergency 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.

Floyd County Housing Authority

The Authority administers public housing, Housing Choice Vouchers, Mainstream Vouchers, and Section 202 units. Its current site reports waitlists open, but an open list is not an immediate placement. Call to confirm eligibility, application steps, accessibility, and timing. Office: 402 John M. Stumbo Drive, Langley.

Role: regional community-action and basic-needs program navigation; geography: Floyd and other listed eastern Kentucky counties; cost/eligibility: program funding, eligibility, and openings vary—confirm directly; emergency limit: not emergency dispatch or guaranteed 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.

Big Sandy Area Community Action Program

BSACAP lists programs that may include emergency services, energy assistance, weatherization, and other supports. The Floyd County office is listed at 60 Court Street, Allen. Ask which programs are currently funded, who qualifies, and how to apply.

Role: temporary shelter intake for people experiencing homelessness; geography: eastern Kentucky—listed by Floyd County Health Department, shelter is in Martin; cost/eligibility: confirm intake rules, service area, and capacity before travel; emergency limit: not 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.

East Kentucky House of Hope

Floyd County Health Department lists East Kentucky House of Hope as a homeless-shelter contact at 606-949-2018. Confirm the current address, eligibility, safe intake process, and capacity directly; do not travel assuming a bed is available. For immediate danger call 911.

Role: local food-pantry contact; geography: Floyd County, location and service area must be confirmed; cost/eligibility: call about hours, documentation, household rules, and current supplies; emergency limit: not a meal-delivery guarantee 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.

Fishes and Loaves Food Pantry

Floyd County Health Department lists Fishes and Loaves Food Pantry at 606-886-8046. Call before traveling to confirm location, distribution hours, eligibility, and current availability.

Role: food-bank and partner-agency navigation; geography: Prestonsburg/Floyd County—confirm the correct distribution site; cost/eligibility: call for partner location, hours, eligibility, and current supply; emergency limit: not a guaranteed same-day food source. | 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.

God's Pantry Food Bank - Floyd County listing

The Floyd County Health Department lists God's Pantry Food Bank as a local resource. Call to confirm the appropriate partner agency and current distribution details before traveling.

Role: regional human-services and public transportation contact; geography: Kentucky Region 14, including Floyd County; cost/eligibility: confirm service type, fare, eligibility, reservation lead time, accessibility, and pickup area; emergency limit: not emergency transport. | 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.

Sandy Valley Transportation Services

Kentucky Transportation Cabinet lists Sandy Valley Transportation Services for Region 14, which includes Floyd County. Call to confirm routes, demand-response options, reservations, fares, and accessibility before making plans.

Role: state benefits and Family Support application pathway; geography: Kentucky, with a Prestonsburg office listed by the local health department; cost/eligibility: income, household, and program rules apply; emergency limit: not an immediate food, housing, or emergency 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.

Kentucky DCBS - Family Support and benefits

The Floyd County Health Department lists the Prestonsburg Family Support office for food-assistance navigation. Use the state Cabinet's current application channels or call the local office to confirm SNAP, Medicaid, documentation, and appointments.

Role: primary-care clinic; geography: Prestonsburg; cost/eligibility: call about services, payer, fees, intake, and openings; emergency limit: routine clinic is not emergency 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.

Mountain Comprehensive Care Center - HomePlace Clinic

Mountain Comprehensive lists its Prestonsburg HomePlace Clinic at 456 South Lake Drive. Call to verify current hours, primary-care services, coverage or fees, and appointment availability.

Role: hospital and 24/7 emergency department; geography: Prestonsburg and regional service area; cost/eligibility: emergency evaluation may be billed—confirm financial-assistance options; emergency limit: for emergencies, call 911 when immediate dispatch is needed. | 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.

Highlands ARH Regional Medical Center - emergency department

Appalachian Regional Healthcare lists Highlands ARH Regional Medical Center at 5000 KY Route 321 in Prestonsburg with a 24-hour emergency department. For serious symptoms or immediate danger call 911; ask the hospital about current services and financial assistance.

Role: information and referral for aging, disability, and long-term-service needs; geography: Kentucky, including Big Sandy region; 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 aging and disability resource navigation through the Area Agencies on Aging and Independent Living. Call the statewide ADRC line to ask for current Big Sandy-area contacts, services, eligibility, and intake; a referral does not guarantee a funded slot.

Role: statewide directory for food, housing, health, transportation, employment, and other community supports; geography: Kentucky; cost/eligibility: each provider sets its own eligibility and availability; emergency limit: information and referral only, not 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.

Kentucky kynect resources

Kentucky CHFS describes kynect resources as a searchable directory of community programs. Search by Floyd County and contact each provider to confirm current hours, eligibility, cost, and capacity.

Role: state directory for county and municipal government contacts; geography: Floyd 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 - Floyd County government contacts

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

Role: public library information and community access; geography: Floyd County—confirm branch location and access; cost/eligibility: ask about library-card requirements, accessibility, and available services; emergency limit: not crisis, housing, or clinical 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.

Floyd County Public Library

The Floyd County Public Library can be a low-pressure place to ask about public information and local programs. Confirm current branch hours, card rules, accessibility, and available services directly.

A note from the Alliance

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

This guide is anchored in Prestonsburg, 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