A Hoarding Alliance local resource guide

Hoarding support in Sioux Falls, South Dakota.

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, care, or practical concern in Minnehaha County.

People first.Then the stuff.A Fight the Blight initiative

Start here - Fight the Blight

You do not have to know the perfect next step.

Our virtual groups give people affected by hoarding and clutter concerns a place to connect from Sioux Falls, Minnehaha County, and other communities. We can help you think through what is happening and what kind of next step may fit.

For immediate danger

Call 911 for a medical emergency, fire, or immediate threat. For behavioral-health crisis support, call or text 988. For Sioux Falls-area housing or community navigation, call 211.

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.

Free, confidential, 24/7 behavioral-health and substance-use crisis support - statewide; call, text, or chat

988 Suicide and Crisis Lifeline - South Dakota

South Dakota routes 988 contacts to local trained counselors who can help with emotional distress, suicidal thoughts, substance-use concerns, or worry about a loved one. This is not a cleanup provider or emergency dispatch; call 911 for immediate danger.

County emergency-assistance, shelter, rent or deposit, utility, medication, transportation, and benefits pathway - Minnehaha County; eligibility and documentation rules apply

Minnehaha County Human Services

Minnehaha County Human Services describes possible emergency assistance for shelter, rent or deposits, past-due utilities, medications, transportation, hospital bills, and other needs. Ask about current eligibility, documents, repayment terms, and whether 211 can assist after hours.

Public housing, Housing Choice Voucher, supportive housing, and affordable-rental pathway - Sioux Falls and Minnehaha County; waitlists, income, documentation, and program rules apply

Sioux Falls Housing and Redevelopment Commission

Sioux Falls Housing provides long-term rental assistance through public housing, Section 8 Housing Choice Vouchers, VASH, project-based programs, and other housing options. Confirm open waitlists, reasonable accommodations, eligibility, and availability directly; placement is not guaranteed.

Qualified-care and support search - national and telehealth options; providers self-report and payment rules vary

IOCDF Hoarding Resource Directory

The International OCD Foundation directory can be searched for clinicians, support groups, organizers, and programs that indicate an interest in hoarding-related care. Ask about experience, licensure, fees, insurance, wait time, privacy, and whether home-based or telehealth work fits.

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 protective services, crisis response, municipal code, shelter or housing navigation, domestic-violence advocacy, behavioral-health support, or emergency dispatch.

Immediate danger and emergency dispatch - Sioux Falls and Minnehaha County; use for fire, medical emergency, violence, or immediate threat

911 Emergency Services

Call 911 when there is immediate danger, fire, a medical emergency, violence, or a threat that cannot wait for a scheduled service. Emergency dispatch is not a hoarding-support program, counseling service, or cleanup provider.

Nonviolent behavioral-health crisis, substance-use, crisis-stabilization, and referral pathway - Sioux Falls; assessment, safety, and capacity rules apply

The Link Community Triage Center

The Link is a local community triage center created through a partnership of the City of Sioux Falls, Minnehaha County, Avera, and Sanford. It is intended for nonviolent behavioral-health crises and substance-use care needs and can connect people with treatment and support resources. It is not a cleanup provider or a substitute for 911 when there is immediate danger.

24-hour qualified behavioral-health hospital, urgent psychiatric care, inpatient, outpatient, and stabilization pathway - Sioux Falls; clinical assessment and payment rules apply

Avera Behavioral Health Hospital

Avera Behavioral Health Hospital describes 24-hour access, psychiatric urgent care, inpatient and outpatient services, and professional assessment for people in a mental-health emergency. Contact the facility to understand the right level of care; this is qualified care, not hoarding-specific cleanup or peer support.

State behavioral-health crisis-care map identifying Avera Behavioral Health and The Link for the Minnehaha region - South Dakota; eligibility and current capacity rules apply

South Dakota Short-Term Crisis Stabilization Map

The South Dakota Department of Social Services map identifies Avera Behavioral Health in Sioux Falls as the regional inpatient unit and The Link as the 24-hour-or-less crisis stabilization center for Minnehaha and nearby counties. Confirm current access and intake instructions before traveling.

Property-maintenance, rental-housing, environmental-health, and fair-housing pathway - Sioux Falls city limits; complaint, notice, correction, and jurisdiction rules apply

Sioux Falls Tenant and Code Enforcement Information

The City explains how tenants can report potential property-maintenance or rental-housing concerns and lists contacts for code enforcement, environmental health, fire, police non-emergency, and fair-housing questions. A complaint may lead to inspection or notice; it is not a guaranteed cleanup, relocation, or legal outcome.

Confidential crisis hotline, emergency shelter, safety planning, advocacy, and protection-order support - Sioux Falls area; abuse-related intake and capacity rules apply

Children's Home Shelter for Family Safety

Children's Home Shelter for Family Safety serves people affected by domestic violence, stalking, elder abuse, sexual assault, child abuse, and child neglect. Services include confidential crisis support, safety planning, protection-order information, and referrals. Call 911 if someone is in immediate danger.

After-hours and weekend emergency-relief connection through 211 - Minnehaha County; service eligibility and emergency rules apply

Minnehaha County Human Services After-Hours Pathway

The county directs people to the 211 Helpline for after-hours and weekend emergency on-call services. Ask 211 about shelter, rent or deposit, utilities, medications, transportation, and other local assistance; 211 is a navigation line, not a guarantee of funding, shelter, or emergency response.

Child-abuse and neglect reporting and family-safety assessment - Minnehaha County and statewide; use only when child safety is involved and follow emergency directions

South Dakota Child Protection Services

South Dakota DSS receives reports of suspected child abuse or neglect and identifies Sioux Falls coverage for Minnehaha and Lincoln counties. This is a child-safety pathway, not an adult hoarding-support or cleanup service; contact local law enforcement for an after-hours child-safety emergency.

People and practical help

County services, housing, food, legal help, and ongoing support

These listings connect Sioux Falls and Minnehaha County residents with county-seat government, housing, homelessness navigation, food, legal support, health care, organizing, or peer support. Ask about current availability, cost, scope, consent, and safety before relying on them.

Free information, referral, crisis, food, housing, shelter, transportation, and basic-needs navigation - Sioux Falls and South Dakota; availability and provider rules vary

Helpline Center 211 and Sioux Falls Resource Guides

The Helpline Center maintains 211 navigation and local resource guides for basic needs, food, mental health, shelter, transportation, and other support. Call 211 or use the current guides to identify a next contact, then confirm hours, eligibility, capacity, and location directly.

Emergency nighttime shelter, daytime shelter, meals, showers, laundry, phones, computers, and case-management connection - Sioux Falls and Minnehaha County; capacity and check-in rules apply

Bishop Dudley Hospitality House

Bishop Dudley provides separate sleeping areas for men, women, and families, daytime services, meals, showers, laundry, phones, computers, and connections to other agencies. It operates night by night and publishes a capacity tracker, so confirm current check-in details before traveling.

Nonprofit shelter, free meals, food boxes, clothing, showers, and case-management pathway - Sioux Falls; faith-based program, bed availability, and intake rules apply

Union Gospel Mission Sioux Falls

Union Gospel Mission describes emergency shelter, three daily meals open to the public, food-box distribution, clothing, and case-management connections. Ask about current bed availability, program expectations, accessibility, and whether the available service fits the person’s needs.

Food bank, pantry, mobile distribution, and hunger-relief pathway - Sioux Falls and all South Dakota counties; schedules and household rules vary

Feeding South Dakota

Feeding South Dakota operates statewide hunger-relief programs and agency partnerships, with a Sioux Falls location and mobile food options. Check current pantry or mobile-distribution details and any required information before traveling; food assistance is not a cleanup or medical service.

Nonprofit civil legal aid for eligible low-income residents - eastern South Dakota, including Minnehaha County; issue, income, and intake rules apply

East River Legal Services

East River Legal Services handles civil matters including housing, eviction, repairs, lockouts, utility shutoffs, public benefits, disability benefits, consumer issues, family law, and protection orders. It is legal aid, not emergency dispatch or a cleanup provider; apply to learn whether the matter qualifies.

Housing-repair, rehabilitation, affordable-housing, and safe-living resource pathway - Sioux Falls; program funding, property, income, and application rules apply

City of Sioux Falls Housing Programs

The City’s housing division connects residents with programs intended to support decent, safe, and sanitary living conditions, including repair and rehabilitation resources. Review current program details and ask about eligibility, deadlines, property requirements, and whether the concern fits a housing program.

Community health-center primary care, dental, behavioral-health, and barrier-reduction pathway - Sioux Falls; clinical intake, sliding-fee, and eligibility rules apply

Falls Community Health

Falls Community Health is a city health-department clinic focused on reducing financial barriers to primary and dental care and may connect established patients with behavioral-health and substance-use counseling. Ask about current intake, payment, transportation, and appointment requirements.

Private-pay hoarding support, organizing help, groups, and family guidance - broader service area; scope, cost, scheduling, travel, consent, and safety rules apply

The Peer Tree

The Peer Tree is the private-pay pathway for organizing help, decluttering support, groups, family guidance, and practical next steps when a grant or public program is not the right fit. Ask about scope, cost, travel, consent, safety, and whether support is available in Sioux Falls or Minnehaha County.

Digital peer-support pathway for people affected by hoarding and clutter concerns - online; not therapy or emergency support

Unburied

Unburied, from The Peer Tree, offers a judgment-free digital pathway with peer support, groups, and tools for people directly affected and for friends or family supporters. It is not therapy, a crisis service, or a substitute for emergency help.

A note from the Alliance

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

This guide is anchored in Sioux Falls, the county seat of Minnehaha County, and includes city, countywide, regional, statewide, national, nonprofit, 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