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, care, or practical concern in Spokane County.
Start here - Fight the Blight
Our virtual groups give people affected by hoarding and clutter concerns a place to connect from Spokane, Spokane 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. For Washington resource navigation, call 211 or review Washington 211.
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.
Washington 211 is a free information and referral service that can help identify local health and human-service programs. Ask for Spokane County options and confirm the current provider, address, hours, eligibility, transportation, and wait time before relying on a referral.
Spokane County says regional crisis services are available 24 hours a day, 7 days a week, 365 days a year for people in the Spokane Regional Service Area. The crisis hotline can assess, stabilize by phone, make referrals, and dispatch mobile crisis or a designated crisis responder when appropriate. The county says crisis services are available regardless of insurance or ability to pay.
The Spokane County Regional Behavioral Health Administrative Services Organization provides customer care for behavioral-health benefits, eligibility information, referrals, grievances, and appeals. Interpreters are available at no cost. This is a navigation and access line, not a cleanup provider or emergency dispatch service.
Aging and Long Term Care of Eastern Washington offers Community Living Connections for information, referrals, and support for older adults, people with disabilities, and caregivers. Ask about housing, in-home support, benefits, transportation, caregiver help, and local agencies. Confirm eligibility and wait times before relying on a referral.
The Spokane Housing Authority provides affordable housing options and assistance, including public housing and Housing Choice Voucher pathways. An application or inquiry does not guarantee a unit or voucher. Confirm current waitlists, income limits, reasonable accommodations, required documents, and whether the household fits a specific program.
NAMI Spokane offers support, education, and advocacy for people affected by mental-health conditions and for families. Ask about current support-group schedules, family education, peer programs, and local referrals. NAMI is not therapy, emergency response, or a cleanup service.
The International OCD Foundation directory can be searched by Spokane, ZIP code, or full address for clinicians and programs that indicate an interest in OCD or hoarding-related care. IOCDF says it does not endorse listed providers. Ask about current hoarding-disorder experience, licensure, insurance, fees, wait time, privacy, and whether home-based or telehealth work fits.
Safety and stability
These pathways serve different situations. Read the labels carefully before calling, especially when a response may involve protective services, housing screening, crisis response, shelter, code enforcement, or emergency assistance.
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, behavioral-health counseling service, or cleanup provider. When the situation is not immediately dangerous, begin with support, care, or navigation.
Call or text 988 for emotional distress, a mental-health or substance-use crisis, or concern about someone else. 988 is not a cleanup provider and does not guarantee an in-home response; call 911 for immediate danger.
The Spokane Regional Service Area crisis hotline is staffed for crisis assessment, phone stabilization, referral, and possible dispatch of mobile crisis or a designated crisis responder. The county says crisis services are available regardless of insurance or ability to pay. It is for behavioral-health or substance-use crises, not routine decluttering or property cleanup.
Washington DSHS investigates reports involving abuse, abandonment, neglect, exploitation, or self-neglect of vulnerable adults. You do not need proof to report suspected harm. APS is not an emergency service and does not guarantee a particular intervention; call 911 for immediate danger and describe the safety concern clearly.
The Spokane Fire Department says it provides and installs smoke alarms for free in qualifying homes when grant or donation resources are available. This pathway is limited to homes within Spokane Fire Department service area and is not a general cleanup or home-repair program. Confirm current availability and eligibility before relying on it.
The Spokane Fire Department provides home fire-safety education and recommends keeping combustible materials away from heaters, maintaining clear exits, and periodically checking for common hazards. Ask the department about community education and current safety resources. Call 911 for a fire or immediate danger.
The City of Spokane directs residents to 311 for code and property concerns, including solid waste, fire hazards, substandard buildings, and other property-maintenance issues. A complaint may lead to inspection, notice, deadlines, or enforcement; it is not a voluntary cleanup service or a guarantee of funding. Ask what notice, accommodation, and voluntary options apply.
The City of Spokane explains that substandard-building complaints may involve unsanitary conditions, waste accumulation, fire hazards, structural defects, or other listed factors. A code officer investigates and the city process can involve a public hearing. This pathway is for building safety and code response, not hoarding support or guaranteed repair funding.
Spokane County's Housing and Recovery through Peer Services program helps eligible individuals find and maintain safe, affordable housing, and may provide peer counseling, education, advocacy, and deposit or rental assistance subsidies. It is not a universal rent or cleanup grant. Ask about eligibility, referral requirements, waitlists, and current funding.
Spokane County provides protection-order information for vulnerable adults and other safety concerns. A vulnerable-adult protection order is a court process for qualifying harm or threatened harm; it is not a general hoarding intervention or a substitute for emergency services. Ask the clerk or an advocate about current forms, filing times, and whether the facts fit.
People and practical help
These listings offer connections for care, education, housing, benefits, food, organizing, transportation, or disposal. They are independent organizations; ask about current availability, cost, scope, consent, and safety before relying on them.
Aging and Long Term Care of Eastern Washington lists housing specialists who can help with housing assessments, barriers, care-system navigation, landlord or tenant issues, temporary housing, and legal or financial referrals. The service notes a waiting list for some Medicaid-linked help. Call early and confirm fit, availability, and required documents.
The Housing Choice Voucher program helps eligible households rent in the private market, with the housing authority paying a portion of rent directly to a participating landlord. The household remains responsible for its share. Confirm current waitlist status, income limits, reasonable accommodations, unit standards, and documentation.
The City of Spokane Community, Housing, and Human Services department describes housing and homelessness programs and a Housing and Essential Needs pathway that may help eligible people with rent, utilities, hygiene items, cleaning supplies, or bus passes when funding is available. Assistance is not automatic and is not a hoarding-cleanup grant. Confirm current program status and application route.
SNAP lists homeless services, resource rides, energy assistance, housing improvements, minor home repair, and weatherization. Some walk-in services have limited daily capacity and seasonal schedules. Ask what is currently open, whether the address is inside the service area, and what documents or income rules apply.
The Carl Maxey Center describes rental and utility assistance funded in partnership with the City of Spokane and wraparound referrals. It says high demand means not every eligible household can be funded. Availability and intake windows can change quickly, so confirm whether applications are open and what documentation is required.
Inland Empire Legal Aid accepts applications for eligible civil-legal matters and may offer appointments or free legal clinics. Ask whether a housing, benefits, safety, or consumer issue fits current service areas. Applying does not guarantee acceptance and legal aid is not a cleanup or emergency service.
Spokane County directs low-income renters facing eviction to the Eviction Defense Screening Line and Northwest Justice Project's online application. Contact the screening line promptly after receiving eviction paperwork. Legal screening does not guarantee representation and is not a decluttering or emergency service.
Spokane County's eviction information identifies court processes, rental-assistance contacts, free legal screening, interpreters, and a pre-eviction clinic. If housing is at risk, use the official page and contact legal or housing help promptly rather than waiting for a hearing. The court cannot promise housing or financial assistance.
NAMI Spokane offers support, education, and advocacy for people affected by mental-health conditions and families. Ask about current groups, family education, and local referrals that may help with isolation, caregiver stress, or finding care. NAMI is not therapy, an emergency service, or a cleanup provider.
Our Place describes a free, dignity-centered model that redirects usable food, hygiene products, cleaning supplies, clothing, and household items to low-income neighbors. Ask what is currently available and whether the household qualifies for a specific item. It does not provide hoarding treatment or guaranteed moving or cleanup help.
House of Charity provides shelter and daily services for people experiencing homelessness, including meals, case management, peer support, showers, laundry, lockers, and selected personal-care items. Its sleeping program describes eligibility for adults identifying as male; confirm current bed availability, check-in rules, and whether the household fits another local shelter pathway.
Second Harvest Inland Northwest connects people to food through community partners and local distributions. Use the current food-finder or contact pathway to identify a nearby pantry, then confirm hours, transportation, household rules, and supply before traveling. Food assistance is not a cleanup or emergency service.
Spokane County lists self-haul locations for trash, recycling, household hazardous waste, and yard or food waste. Household hazardous waste is accepted free for residential drop-off, while most garbage and some special items require disposal fees. Confirm the current location, accepted material, load-securing rules, and hours before transporting anything.
The City of Spokane provides required residential garbage collection in city limits, recycling, food and yard waste, cart changes, missed-pickup reporting, and collection calendars. Call 311 for service questions or assistance. This is a disposal and collection pathway, not an organizing or cleanup program.
The City of Spokane describes temporary dumpsters and advance-arranged pickup for large or bulky items. Rates, container size, scheduling, and accepted materials apply, and the city notes special rules for dumpsters within city limits. Confirm the current cost and safe-loading process before arranging disposal.
The city explains curbside recycling, free clean-recycling drop-off options, and household-hazardous-waste pathways. Do not mix chemicals or place hazardous materials in regular carts. Confirm accepted materials, current hours, and whether an item requires a disposal fee or special handling.
The Peer Tree offers nonclinical hoarding and clutter support, including organizing help, groups, family guidance, and practical next steps. Ask about current availability, service area, scope, pacing, privacy, and fees before beginning. The Peer Tree is a separate private-pay pathway from Fight the Blight's nonprofit programming.
Unburied, from The Peer Tree, is a judgment-free digital peer-support pathway for people affected by hoarding and clutter concerns and for friends and family. It can offer ongoing connection, tools, and momentum from Spokane or anywhere else. It is not therapy, clinical care, or emergency support.
A note from the Alliance
This guide is anchored in Spokane, the county seat of Spokane County, and includes city, countywide, 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