The Peer Tree
A private-pay pathway when grant-funded or public options are not the right fit. Ask about scope, cost, travel, consent, safety, and availability before deciding whether to proceed.
A Hoarding Alliance local resource guide
You do not have to decide what to keep, move, or change before asking for support. Begin with the concern that feels most urgent—safety, housing, food, health care, or a next conversation—and choose one step that respects the person's choices.
Start here - Fight the Blight
Fight the Blight is the nonprofit and virtual-group front door; The Peer Tree is a separate private-pay option; Unburied is digital peer support. These are different pathways, not clinical or emergency services. Ask about fit, cost, geography, consent, and availability before making a plan.
A people-first place to start when clutter or hoarding is affecting you or someone you care about. Ask about respectful next steps, virtual groups, and what support may fit. You do not have to agree to discard belongings to begin a conversation.
Role: nonprofit hoarding-support front door and virtual peer groups; geography: ask about St. Johnsbury, Caledonia County, or online options; cost/eligibility: confirm current group access, eligibility, and any costs; emergency limit: nonclinical peer support—not therapy, crisis response, or cleanup
For immediate danger, fire, or urgent medical help, call 911. For emotional distress or a behavioral-health crisis, call or text 988. For domestic or sexual violence, Umbrella's confidential hotline serves survivors in this region. Shelter, housing, routine clinical care, peer support, transportation, and cleanup are not emergency dispatch; confirm intake and availability before traveling. This guide cannot assess a particular home or authorize entry, moving, or discarding belongings. Ask first and preserve the person's choice.
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.
A private-pay pathway when grant-funded or public options are not the right fit. Ask about scope, cost, travel, consent, safety, and availability before deciding whether to proceed.
A judgment-free digital pathway for peer support, family guidance, groups, and practical tools. Unburied is peer support, not therapy or emergency support.
Search or call for food, housing, health, utilities, transportation, and other community resources. Emergency-housing rules changed in 2026; use the current Vermont 211 and Economic Services instructions rather than relying on an older referral or after-hours process.
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 physical danger, an active fire, or urgent medical help. Do not wait for a routine appointment or referral when someone needs emergency response.
Call or text 988 for emotional distress or a behavioral-health crisis. If there is immediate physical danger, an active fire, or urgent medical need, call 911.
NKHS lists adult mental-health and substance-use services and a St. Johnsbury office at 2225 Portland Street. Call to ask how to reach current services and what crisis options are available; the office lists weekday hours, so do not assume it is open after hours.
Umbrella lists a 24-hour hotline for St. Johnsbury and this region. Use a safe device or contact method if needed; ask about confidentiality, advocacy, shelter screening, and current options. Call 911 for immediate danger.
NEKCA describes a 20-bed, 24-hour, single-occupancy shelter for adults 18 and older. Call the housing hotline or email before traveling to ask about current availability, intake, eligibility, safety, and transportation. A listing does not reserve a bed.
Vermont 211 says General Assistance emergency-housing intake and vouchers moved to Economic Services on September 1, 2026. Call the state benefits line or St. Johnsbury office during published weekday hours to confirm the current application steps and eligibility. For immediate danger, call 911.
Vermont 211 currently lists housing call hours of 4:30–10 p.m. weekdays and 8 a.m.–10 p.m. weekends and holidays, but says it no longer handles General Assistance emergency-housing intake or vouchers after September 1, 2026. For that program, contact Economic Services at 800-775-0506 on weekdays; verify current instructions before relying on any placement.
Use the state information to understand how to report concerns involving a vulnerable adult. This is not a general cleanup, code-enforcement, or housing-placement service. Call 911 if someone is in immediate danger.
NEKCA lists a separate crisis-fuel hotline for weekends and holidays. Call to ask whether the seasonal program is open, whether your household qualifies, and what steps are required; do not assume funds or fuel are available. Call 911 for immediate danger or urgent medical help.
The town lists a Police Department for municipal questions. Ask which department or responder is appropriate before requesting a welfare check or other action. This is not a clinical or hoarding-specific service; call 911 for immediate danger.
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.
NVRH lists a 24-hour Emergency Department at 1315 Hospital Drive. Use emergency care for urgent medical needs; call 911 if immediate transport or emergency response is needed. For planned primary care, contact a clinic and confirm access, insurance, and cost.
NVRH lists Kingdom Internal Medicine for adults 19 and older at 714 Breezy Hill Road, with care coordination and access to a licensed social worker for short-term counseling. Call to ask about appointment availability, insurance, costs, and whether the service fits your need.
Community health workers can help connect people with transportation, appointments, housing, legal services, forms, and other community support. The service lists 55 Sherman Drive and weekday hours; call before visiting to confirm the current process and fit.
NKHS lists adult mental-health and substance-use services and its St. Johnsbury office at 2225 Portland Street, open weekdays. Ask about current intake, services, eligibility, and fees; for an urgent behavioral-health crisis use 988, and for immediate danger call 911.
The Vermont Department of Health lists the office at 107 Eastern Avenue, Suite 9. WIC appointments may be by phone, video, or in person; call to ask about eligibility, immunizations, and current services. The state describes some immunizations as no-cost for people who meet specified access criteria.
The St. Johnsbury Economic Services office lists 3SquaresVT, Reach Up, and other benefit pathways. Call the Benefits Service Center to ask about eligibility, documents, application methods, and current processing; a referral or application does not guarantee approval.
NEKCA lists its St. Johnsbury pantry at 1197 Main Street, second floor, Mondays and Wednesdays from noon to 3 p.m. Food and stock can change; call before traveling to confirm hours, access, and current availability. NEKCA says its direct food programs are first come, first served.
NEKCA says it can help people apply for 3SquaresVT and lists other food programs, including supplemental food for eligible low-income seniors. Ask the agency about current application support and eligibility; a food-benefit application is decided under state program rules.
NEKCA lists state supplemental fuel applications, seasonal crisis-fuel support, and limited Warmth funding. Its site says funds may be first come, first served and season-specific; call to confirm current dates, eligibility, documents, and availability before relying on help.
NEKCA's St. Johnsbury outreach is at 1197 Main Street. Its coordinated-entry listing says to call and ask for the Housing Department; call ahead about hours, screening, documents, and transportation. A referral does not guarantee housing or a shelter bed.
RuralEdge lists its office at 1222 Main Street in St. Johnsbury and says applications are available for properties in three Northeast Kingdom counties. The office is by appointment; call before visiting and ask about current units, rent, screening, accessibility, and wait times.
RCT currently lists weekday departures from the St. Johnsbury Welcome Center toward Montpelier and return trips. The route is limited and schedules can change; confirm the current timetable, fare, stop, and any requested-stop rules before planning a trip.
RCT says Medicaid clients with a scheduled non-emergency appointment with a Medicaid provider may qualify for fare-free transportation. Call to verify eligibility and schedule; do not use this service instead of 911 or emergency medical transport.
RCT describes its O&D program as fare-free for eligible adults age 60 and older and people with disabilities, with advance notice for most rides. Medical and critical-care trips receive priority; call the RCT or Northeast Kingdom Council on Aging to confirm the process, timing, and availability.
The Council lists a St. Johnsbury office at 481 Summer Street, Suite 101, weekday hours, and recommends appointments. Its helpline connects older adults, caregivers, and families to food, rides, Medicare, and support; call to confirm eligibility and current service details.
NEKCA lists free individual money-coaching sessions and financial-literacy workshops, with a St. Johnsbury outreach location at 1197 Main Street. Call to ask about current appointments, location, and program terms; coaching is not a promise of rent or utility assistance.
Vermont Legal Aid says it holds monthly free legal-advice clinics for Northeast Kingdom residents, including Caledonia County, with appointments required. Check the current clinic schedule and ask about housing, benefits, or other civil legal issues before traveling.
The Vermont Judiciary lists the Caledonia court at 1126 Main Street, Suite 1. Its page explains how people with limited English proficiency can request an interpreter at no cost. Confirm the correct division, hours, and filing requirements before visiting.
The town lists Planning and Zoning, a rental-housing registration form, and a process for complaints. Call the town to confirm whether a property is within town jurisdiction and which office handles a specific safety, rental, permit, or code question. This guide cannot determine a property's legal status.
The town links to recycling and waste information. Before transporting belongings or discarding items, ask about current accepted materials, transfer-station access, costs, and pickup jurisdiction. Do not move or discard another person's property without their consent and a safe plan.
The town posts a 2026 water-quality report and lists public-works contacts. If a home concern involves water service, a leak, or a public hazard, contact the town department for its current process; this resource does not assess indoor safety or authorize entry.
The Vermont Judiciary lists the Caledonia court at 1126 Main Street, Suite 1. Its page explains how people with limited English proficiency can request an interpreter at no cost. Confirm the correct division, hours, and filing requirements before visiting.
NEKCA lists youth and family programs, including a St. Johnsbury youth center. Caregivers can ask what age groups, services, schedules, and referral steps are currently available; confirm before traveling.
Use the statewide directory to look for food, health care, housing, utilities, transportation, and other local services. Confirm details with the provider, especially hours, eligibility, transportation, funding, and whether an intake is open.
The St. Johnsbury Local Health Office accepts some private-well water samples Monday through Thursday mornings and does not provide test kits. Review current sample instructions and contact the office before collecting or transporting a sample.
A note from the Alliance
This guide is anchored in St. Johnsbury, Vermont, 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