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.
A Hoarding Alliance local resource guide
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.
Start here - Fight the Blight
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, 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
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.
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.
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.
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
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 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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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
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