A Hoarding Alliance local resource guide
A respectful place to begin - whether you are looking for support for yourself, worried about someone you love, or trying to respond to a safety, housing, or practical concern.
Start here - Fight the Blight
Our virtual groups give people affected by hoarding and clutter concerns a place to connect from San Antonio, Bexar County, and other communities. We can help you think through what is happening and what kind of next step may fit.
Call 911 for a medical emergency, fire, or immediate threat. For behavioral-health crisis support, call or text 988 or the CHCS 24-hour crisis line. For Texas resource navigation, call 211. For housing and protective-services concerns, confirm whether the person is in San Antonio, another Bexar County jurisdiction, or elsewhere in Texas.
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.
Fight the Blight offers virtual support groups for people affected by hoarding and clutter concerns. Reach out from San Antonio or Bexar County to ask about current group options and the best place to begin. This is a nonprofit, peer-centered starting point - not emergency or clinical care.
The current IOCDF provider profile identifies Angela Casanova as a San Antonio counselor who has treated anxiety-related disorders, OCD, and hoarding concerns. The profile lists individual, couples, and family counseling for adults. Confirm current openings, fees, insurance, treatment approach, and whether the person wants clinical care before contacting the practice.
The current IOCDF profile for Michelle Ruiz Deal describes an anxiety and OCD-focused San Antonio practice that includes support for people and their support systems. The profile does not establish a current hoarding-specific opening or fee. Ask about hoarding fit, insurance, fees, availability, support for family members, and whether telehealth is available for the person's location.
The International OCD Foundation directory can be searched by city, state, or ZIP code for clinicians, treatment groups, and professional organizers. Its current organizer directory includes a San Antonio listing for Nest Well. Directory entries are leads rather than endorsements or guarantees of competence, availability, cost, insurance, or fit.
Safety and stability
These pathways serve different situations. Read the labels carefully before calling, especially when a response may involve protective services, housing screening, or emergency dispatch.
Texas DFPS says Adult Protective Services investigates abuse, neglect, self-neglect, and financial exploitation involving adults age 65 or older and adults age 18 to 64 with a disability who live in the community. The state says APS may arrange short-term help such as shelter, minor home repairs, food, transportation, and referrals. Call 1-800-252-5400 to report; call 911 for immediate danger.
Bexar County directs people in crisis or seeking emotional support to call or text 988 and lists the Center for Health Care Services 24-hour crisis line at 210-223-7233. The county says to call 911 and request a Crisis Intervention Team officer when someone is actively attempting suicide or becoming dangerously violent. These are crisis pathways, not routine organizing or cleanup services.
Close to Home describes Homelink as the local coordinated-entry system for people who are literally homeless or at imminent risk of homelessness. Access points provide assessments for housing resources, but Close to Home says it does not directly provide shelter, food, or case management. Confirm the current access point, household pathway, eligibility, transportation, and waitlist status.
Bexar County publishes a behavioral-health resource directory covering mental-health and substance-use services, housing, financial assistance, food, and other local supports. A directory is a starting point rather than a guarantee of eligibility, availability, or current phone numbers. Confirm the program and ask whether it serves the person's city, ZIP code, and needs.
The City explains that San Antonio properties must be maintained in a clean, safe, and sanitary condition, with clear paths, safe equipment, and no debris or stored items obstructing alleys. This is a code and safety pathway, not a support group or cleanup service; review the process before assuming a complaint or enforcement response is the right next step.
People and practical help
These listings offer local connections for peer support, navigation, home safety, organizing, or cleanup. They are independent organizations; ask about current availability, cost, scope, consent, and safety before relying on them.
Texas 211 connects people to local housing, food, utility, health, mental-health, and other community services. Ask specifically for Bexar County options, explain whether the person is housed or at risk of losing housing, and confirm current funding, language access, transportation, and waitlists. It is not an emergency response or cleanup service.
San Antonio's Neighborhood and Housing Services Department lists home-repair and lead-remediation programs for health, safety, code, and accessibility issues. The city says programs include minor repair, major rehabilitation, Under 1 Roof, and Green and Healthy Homes. The current application portal says the address must be within the city. This is not hoarding treatment or cleanup.
San Antonio Solid Waste Management links residents to curbside brush and bulky collection, bulky-waste drop-off centers, household hazardous-waste events, and item-specific disposal guidance. Rules, accepted materials, schedules, and service areas vary; confirm the current instructions before setting items out or transporting them.
The City's Dial-A-Trailer and Disposal Assistance Team programs can support neighborhood cleanup events for accepted bulky materials such as furniture, appliances, mattresses, metals, and tires. Reservations require a sponsoring nonprofit neighborhood organization, have availability limits, and do not accept hazardous or construction waste.
Nest Well describes non-judgmental organizing and decluttering support across San Antonio and Bexar County and identifies hoarding and decluttering specialization. It is an independent private-pay lead, not an Alliance or Fight the Blight provider. Ask for a written scope, pricing, insurance, service area, disposal plan, privacy practices, and a consent-based pace before scheduling.
BioCaresTX advertises hoarding cleanup, biohazard remediation, and related services in San Antonio and surrounding areas, with an onsite assessment described as no charge. It is not affiliated with Fight the Blight or the Alliance. Before agreeing to work, request a written scope, pricing, insurance information, disposal plan, privacy practices, and a pace that keeps the person involved wherever possible.
The Peer Tree is the private-pay support pathway for organizing help, decluttering, family guidance, and related nonclinical services when a situation does not fit a grant or public-service pathway. Ask about current scope, availability, and cost before beginning.
Unburied is The Peer Tree's digital peer-support pathway for ongoing tools, structured reflection, and momentum between conversations. It is not therapy, emergency response, or a substitute for local crisis or housing services.
A note from the Alliance
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