The Peer Tree
Ask if you can start with one task, who makes decisions about belongings, and how you can pause if you need to.
A Hoarding Alliance local resource guide
You can ask for help with one thing that would make today easier: reaching a door, making a meal, or getting ready for a repair. If you’re supporting someone else, ask what matters to them and what they don’t want moved.
Start here - Fight the Blight
If you have an inspection, court date, or shutoff notice, keep the paperwork and say when it’s due. If there’s no immediate danger, you can start with a conversation, group, or care appointment without committing to a cleanout.
You can ask what a first group is like without sending photos or committing to a home visit. If you’re supporting someone else, ask how to help without deciding for them.
Role: nonprofit front door for hoarding support and virtual groups; geography: ask about joining online from Queensbury or elsewhere in Warren County; cost/eligibility: confirm group fit, registration, and any fees; local funded in-home 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 the dispatcher if an entrance is blocked or anyone needs 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 if you can start with one task, who makes decisions about belongings, and how you can pause if you need to.
Use peer support to plan a conversation or pick one manageable step. You decide how much to share.
Share your ZIP code and the concern with the shortest deadline. Mention if you don’t have a ride or need help completing an application.
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.
Give the street address and tell the dispatcher if entrances are blocked or someone needs help leaving.
Use emergency care for a serious injury or sudden illness. Routine health concerns can be addressed through a primary-care office.
Keep a usable path to an exit and leave space around heaters and cooking equipment. Get help if something is unsafe to move.
Keep a copy of any notice. Ask which conditions need attention first and how to confirm the work is complete.
If you have nowhere safe to stay, tell intake that first. If you have a deadline or an eviction notice, give the date and ask what you can do today.
If an adult cannot safely meet essential needs and lacks reliable help, describe the concern and ask what an assessment would involve.
Ask whether there is space and how to get there. If you need a different option, ask county DSS or 211 rather than assuming a bed is available.
If you or a young person you’re helping has nowhere safe to stay, ask how to be screened and what to do if space isn’t available.
If someone uses your home, belongings, or money to control you, reach out from a safe device and ask an advocate about options.
Have the notice or court papers ready. Give any hearing date, and ask what you can do while you wait to hear from intake.
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.
Explain how difficulty discarding, acquiring, or using rooms affects daily life. Ask whether the clinician has relevant experience or can offer a referral.
Tell the clinician if falls, mobility, or managing meals or medicines are harder at home. Ask whether follow-up care or a referral would help.
Ask how often a clinician works with hoarding disorder and whether they can see someone at your location. Confirm current access before relying on a listing.
Ask what a first conversation with a peer specialist involves and whether support can focus on one goal you choose.
If you’re a veteran and want to connect with others while making changes at home, ask about a first meeting and referrals for other practical needs.
If your kitchen is difficult to use, ask about food that doesn’t need much preparation. Confirm current pickup hours before arranging a ride.
Ask what the assessor needs to reach before a visit. If you can’t safely make space, tell the program and ask what you can prepare in stages.
Keep a heating bill or shutoff notice nearby. Ask which option may fit if the heat is off or you are running out of fuel.
If getting around at home or managing daily tasks is harder, ask what might help you stay independent and which options need an assessment.
If you can’t shop or prepare meals safely and don’t have reliable help, ask about assessment and timing. Use a pantry or 211 if you need food sooner.
Check the return trip before setting an appointment. Ask about accessible options if reaching the stop is difficult.
Ask where bulky items, electronics, paint, or chemicals go before loading anything. Keep exits and sidewalks clear while sorting.
A note from the Alliance
This guide is anchored in Queensbury, 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