The Peer Tree
Ask about sorting support, groups or guidance for family, and whether you can start without a visit.
A Hoarding Alliance local resource guide
Start with what would make home easier to use: reaching a doorway, making a meal, or having a place to sit. You can ask for support without agreeing to a cleanout. If you are helping someone else, ask what they want help with and what they want left alone.
Start here - Fight the Blight
If you have a housing notice, court date, or shutoff deadline, keep a copy and lead with the date. If there is no deadline, a peer group or a conversation can be a first step without a home visit.
Ask what a first conversation or virtual group is like. You can get information without showing anyone your home.
Role: nonprofit front door for hoarding support and virtual groups; geography: ask about joining online from Riverhead or elsewhere in Suffolk County; cost/eligibility: confirm registration, group fit and any fees; funded local in-home work is not assumed; emergency limit: not therapy or emergency response.
For an active fire, serious injury, or immediate danger, get to safety if you can and call 911. Give the exact address, floor or unit. Tell the dispatcher about any blocked access or anyone who 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 about sorting support, groups or guidance for family, and whether you can start without a visit.
If you prefer to start privately, explore digital peer support at your own pace.
Say if you need somewhere tonight or have a deadline later. Ask which services are accepting referrals now.
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.
If you can get outside safely, call from there. Tell the dispatcher if someone needs help leaving or an entrance is blocked.
Use the emergency department for urgent medical problems, not to arrange routine hoarding support or household cleanup.
Ask whether phone support, a mobile response, or the Hauppauge site is appropriate before traveling.
If it is safe to do so, agree on one exit everyone can reach before starting a larger sorting project.
If you have a housing notice or cannot stay where you are tonight, tell intake up front and ask which step fits your situation.
Check current instructions rather than assuming you can go directly to a host site. If unavailable, ask 211 about other options.
Keep any notice, lease or court papers and give the earliest date when asking for help.
If an adult cannot protect themselves from a serious risk, describe the specific safety concern and what help they can accept.
If it is safe to reach out, ask about a confidential plan and what help is available before traveling.
If you already received a notice, ask the issuing office which condition needs attention first and when follow-up is due.
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.
Describe what has become harder at home and ask if a clinician has relevant experience or can refer you.
Ask about health concerns at home and whether a referral for behavioral health would help.
Ask a prospective clinician directly about experience with hoarding and what the first appointment would involve.
If you are helping someone else, you can ask for support for yourself without expecting them to attend.
Ask which group fits if isolation or everyday stress is making it harder to seek support.
Tell intake which tasks are getting harder, such as getting to appointments or preparing meals.
If shopping or cooking is difficult, ask how to apply and what to use while waiting.
Ask whether your trip is covered before scheduling an appointment that depends on the ride.
Check before traveling, particularly if you need a ride or cannot carry groceries far.
Ask about printing or looking up an application. Sign out of any personal account and take your papers with you.
Ask about a specific large or unusual item before taking it outside. Building arrangements can differ.
Keep chemicals out of ordinary trash. Ask the town how to handle an unknown or leaking container before moving it.
If you received a shutoff notice, give the date to both the utility and the intake agency and ask about time-sensitive help.
Contact the utility with the account information and notice date and ask which payment options may be available.
A note from the Alliance
This guide is anchored in Riverhead, 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