A Hoarding Alliance local resource guide
You deserve support without shame or pressure. Start with what matters today—a safer path at home, a ride, food, a housing question, or someone to talk with. You choose the pace and what you want to share.
Start here - Fight the Blight
You do not have to solve everything at once. Ask about one concern and confirm privacy, eligibility, fees, availability, and the next step before sharing details or traveling.
If you are not sure where to begin, Fight the Blight can help you ask about current nonprofit support and virtual groups. Start with one question and share only what you choose.
Role: nonprofit hoarding-support entry point and virtual-group front door; geography: ask about options serving Smithfield and Johnston County; cost/eligibility: confirm current support and group eligibility, availability, and any cost; emergency limit: not emergency response, clinical care, housing placement, or guaranteed cleanup
If someone is in immediate danger, there is a fire, or urgent medical help is needed, call 911. For emotional distress or a behavioral-health crisis, call or text 988 or use Johnston County's published crisis pathways. Peer support and routine agency contacts are not emergency response.
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 which service fits your question, whether an appointment is needed, and what documents may help. An application or referral does not guarantee approval or home services.
The county directs people without a behavioral-health provider to call or walk in during weekday business hours to explore services. Confirm current hours, openings, and the right pathway before traveling.
Search or call 211 to ask about food, housing, health, and support options near you. Verify every referral with the provider before traveling or sharing personal information.
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 immediate danger, fire, or urgent medical help. If safe, give the exact location and describe the immediate hazard.
Call or text 988 for emotional distress or a behavioral-health crisis. It is not a substitute for 911 when danger is immediate.
Johnston County lists its Behavioral Health Division during weekday hours and Alliance's 24-hour member-services line. These are access pathways, not a guarantee of a specific appointment.
The county crisis page lists Therapeutic Alternatives at 1-877-626-1772 and describes a face-to-face response pathway. Call to confirm current coverage and whether a mobile response is appropriate; response timing is not guaranteed here.
The county identifies Harbor House as a local crisis and shelter resource. If it is safe, call to ask about confidential intake and a safe way to follow up. Use a phone and contact method the person causing harm cannot monitor.
Call county DSS to report a concern or ask how to make a report. After-hours reporting instructions can change; use 911 for immediate danger and confirm the current county process.
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.
Ask about the trip type, fare, accessibility, reservation lead time, and whether the address is in a current service area. The provider describes QuickRIDE in the Smithfield/Selma area; verify present-day coverage before relying on it.
The organization lists caregiver, nutrition, housing, active-aging, and transportation pathways. Ask which programs are open, who qualifies, and whether registration or a referral is required.
Ask about the right application route, required documents, current processing, and any deadlines. Eligibility is determined by the program and an application does not guarantee benefits.
The county states HAPP is not immediate assistance. Ask whether applications are currently accepted, what the process requires, and where to seek help with an urgent housing need.
The authority's FAQ describes its program and applicant screening. Its latest located notice said the waiting list closed May 1, 2025; contact the authority for current status before applying or making plans.
The county's resource directory lists community-action services in Smithfield. Call the organization to confirm its current programs, service area, application steps, and whether the specific need fits.
Johnston County's community-resource directory lists the mission's shelter and support programs. Call before traveling to ask about current intake, eligibility, safety, and available space.
The county directory lists the Smithfield corps for food and other basic-needs help. Pantry schedules and supplies can change; call to confirm what is available and what to bring.
Use the department's current site to identify the right clinic or program. Confirm office location, appointment, records, language access, and any charge before going.
The county directory can help identify options to ask about. It does not verify clinical fit, current licensure, appointment availability, insurance acceptance, or cost; confirm each directly.
If safety at home is a concern, contact Harbor using a safe device and ask about a private conversation and current options. The county resource directory, rather than this guide, is the source for its current contact details.
Johnston County's community directory lists assistance through the church. Ask what is currently offered, whether an appointment is needed, and what is available before traveling.
The county says convenience centers are for county residential use and has limits for bulk items. Confirm the exact item, decal/fee, site, and hours before loading; private haulers may have separate rules.
The county lists several drop-off sites in Smithfield. Confirm which site accepts the material, resident/decal requirements, current hours, and holiday closures before traveling.
Use county emergency-management information for preparedness and local notices. A website or alert is not a substitute for calling 911 when immediate help is needed.
Search for possible rentals, then contact the property to confirm the listing is current, the total cost, accessibility, and screening requirements.
Ask whether your issue fits the organization's current service and eligibility rules. Mention a court date or deadline during intake; inclusion here does not guarantee representation.
For concerns involving abuse, neglect, or exploitation of an adult who may need protection, contact Johnston County DSS or review the state information. A report leads to screening, not a guaranteed placement or service.
The county page lists the Behavioral Health Division at 521 N. Brightleaf Blvd. and directs people to call or walk in during posted weekday hours. Verify today's schedule and whether the division is accepting new patients.
Johnston County identifies UNC Health Johnston as an emergency-room option for urgent behavioral-health needs. For urgent medical danger, call 911 rather than using a routine clinic or resource directory.
Call the department to confirm whether a clinic or program addresses your need, what records to bring, and any cost. Do not assume every service is available at every location.
Use the county directory to identify possible food, housing, transport, and other contacts. It may contain outdated entries; verify the organization, current number, hours, and eligibility directly.
Unburied offers a digital peer-support pathway and practical tools. It is not therapy or emergency response.
The Peer Tree is a private-pay pathway when grant-funded services do not fit. Ask what support is available, whether it serves your area, and what it costs before deciding.
A note from the Alliance
This guide is anchored in Smithfield, North Carolina, 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