A Hoarding Alliance local resource guide

Hoarding support in St. Johnsbury, Vermont.

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.

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

Start here - Fight the Blight

Choose a first conversation

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

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

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.

Role: separate private-pay hoarding-related support, organizing help, groups, and family guidance; geography: ask about remote or regional availability in Caledonia County; cost/eligibility: private pay—confirm current rates and travel before scheduling; emergency limit: not emergency care or a guaranteed cleanout | Caledonia County county-seat resource guide. City, county, regional, and statewide service areas and requirements differ; confirm current access directly.

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.

Role: digital peer support for people affected by hoarding and clutter, including friends and family; geography: online; cost/eligibility: confirm current access and any fees; emergency limit: not therapy, clinical care, or crisis support | Caledonia County county-seat resource guide. City, county, regional, and statewide service areas and requirements differ; confirm current access directly.

Unburied

A judgment-free digital pathway for peer support, family guidance, groups, and practical tools. Unburied is peer support, not therapy or emergency support.

Role: statewide information and referral; geography: Vermont, including Caledonia County; cost/eligibility: free to contact, while referred programs set their own rules and costs; emergency limit: not emergency dispatch or a guarantee of shelter, benefits, or an open bed | Caledonia County county-seat resource guide. City, county, regional, and statewide service areas and requirements differ; confirm current access directly.

Vermont 211 — community resource navigation

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

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 crisis care, protective services, shelter, housing rules, legal advocacy, or emergency dispatch.

Role: emergency dispatch for urgent medical, fire, or immediate danger; geography: St. Johnsbury and throughout the United States; cost/eligibility: call for an emergency; emergency limit: immediate response—not routine planning or nonurgent questions | Caledonia County county-seat resource guide. City, county, regional, and statewide service areas and requirements differ; confirm current access directly.

911 — immediate danger or urgent medical emergency

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.

Role: emotional-distress and behavioral-health crisis support; geography: Vermont and nationwide, 24/7; cost/eligibility: free call or text; emergency limit: not emergency dispatch—call 911 for immediate danger, fire, or urgent medical response | Caledonia County county-seat resource guide. City, county, regional, and statewide service areas and requirements differ; confirm current access directly.

988 Suicide & Crisis Lifeline

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.

Role: regional behavioral-health, substance-use, and human-services access; geography: Northeast Kingdom, with a St. Johnsbury office; cost/eligibility: call to ask about intake, service area, payer, and availability; emergency limit: office contact is not emergency dispatch—use 988 for crisis support or 911 for immediate danger | Caledonia County county-seat resource guide. City, county, regional, and statewide service areas and requirements differ; confirm current access directly.

Northeast Kingdom Human Services — St. Johnsbury office

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.

Role: confidential advocacy and crisis support for survivors of domestic or sexual violence; geography: Caledonia and Southern Essex Counties; cost/eligibility: call to discuss safety and fit; emergency limit: survivor-specific support—not general shelter placement or emergency dispatch | Caledonia County county-seat resource guide. City, county, regional, and statewide service areas and requirements differ; confirm current access directly.

Umbrella — 24-hour survivor hotline

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.

Role: low-barrier emergency shelter and housing-stability support; geography: St. Johnsbury, serving adults experiencing homelessness in the Northeast Kingdom; cost/eligibility: adults 18 and older; confirm intake and an open bed with a housing coordinator; emergency limit: availability is not guaranteed and this is not a family shelter listing | Caledonia County county-seat resource guide. City, county, regional, and statewide service areas and requirements differ; confirm current access directly.

NEKCA Shelter at Moose River — adult shelter intake

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.

Role: state screening and application for emergency housing and public benefits; geography: Vermont, with an Economic Services office in St. Johnsbury; cost/eligibility: program criteria, application, and current availability apply; emergency limit: approval or a referral does not guarantee a room or placement | Caledonia County county-seat resource guide. City, county, regional, and statewide service areas and requirements differ; confirm current access directly.

Vermont Economic Services — emergency housing and benefits

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.

Role: statewide resource navigation and current emergency-housing contact instructions; geography: Vermont; cost/eligibility: free to call, but state screening and program rules apply; emergency limit: after-hours 211 does not provide General Assistance emergency-housing intake or vouchers under the policy effective September 1, 2026 | Caledonia County county-seat resource guide. City, county, regional, and statewide service areas and requirements differ; confirm current access directly.

Vermont 211 — current after-hours housing instructions

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.

Role: state reporting and protection pathway for suspected abuse, neglect, or exploitation of a vulnerable adult; geography: Vermont, including Caledonia County; cost/eligibility: ask the state about reporting and screening; emergency limit: call 911 for immediate danger | Caledonia County county-seat resource guide. City, county, regional, and statewide service areas and requirements differ; confirm current access directly.

Vermont Adult Protective Services

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.

Role: after-hours referral for a heating-fuel emergency; geography: Northeast Kingdom, including Caledonia County; cost/eligibility: income, program, and funding rules apply; confirm availability; emergency limit: fuel assistance—not 911, medical response, or guaranteed delivery | Caledonia County county-seat resource guide. City, county, regional, and statewide service areas and requirements differ; confirm current access directly.

NEKCA — after-hours crisis fuel assistance

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.

Role: municipal police information and non-emergency contact; geography: St. Johnsbury town limits; cost/eligibility: call for town-specific non-emergency information; emergency limit: call 911 for an active emergency | Caledonia County county-seat resource guide. City, county, regional, and statewide service areas and requirements differ; confirm current access directly.

St. Johnsbury Police Department — non-emergency contact

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

Housing, food, care, transportation, and ongoing support

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.

Role: hospital and emergency medical evaluation; geography: St. Johnsbury and surrounding region; cost/eligibility: emergency evaluation and follow-up costs depend on coverage and care; emergency limit: for urgent medical needs—not routine peer support or a guaranteed outpatient appointment | Caledonia County county-seat resource guide. City, county, regional, and statewide service areas and requirements differ; confirm current access directly.

Northeastern Vermont Regional Hospital — Emergency Department

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.

Role: adult primary care with care coordination and short-term counseling access; geography: St. Johnsbury; cost/eligibility: adults 19 and older; confirm new-patient openings, payer, and charges; emergency limit: routine clinic—not emergency or crisis response | Caledonia County county-seat resource guide. City, county, regional, and statewide service areas and requirements differ; confirm current access directly.

Kingdom Internal Medicine — adult primary care

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.

Role: community-health navigation, referrals, and help connecting to services; geography: St. Johnsbury and Northeast Kingdom; cost/eligibility: ask about eligibility and any costs; emergency limit: not an emergency or crisis-response service | Caledonia County county-seat resource guide. City, county, regional, and statewide service areas and requirements differ; confirm current access directly.

NVRH Community Connections — service navigation

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.

Role: regional adult mental-health, substance-use, and human-services provider; geography: Northeast Kingdom, with a St. Johnsbury office; cost/eligibility: confirm service area, intake, payer, and availability; emergency limit: routine intake is not crisis response—call or text 988 for crisis support | Caledonia County county-seat resource guide. City, county, regional, and statewide service areas and requirements differ; confirm current access directly.

Northeast Kingdom Human Services — behavioral-health services

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.

Role: local public-health, WIC, immunization, and emergency-preparedness programs; geography: Caledonia, southern Essex, and Orange Counties; cost/eligibility: program-specific eligibility and vaccine access rules apply; emergency limit: not urgent medical care or emergency dispatch | Caledonia County county-seat resource guide. City, county, regional, and statewide service areas and requirements differ; confirm current access directly.

St. Johnsbury Local Health Office — WIC and public health

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.

Role: state screening and applications for food, health, fuel, and family benefits; geography: Vermont, with a St. Johnsbury office; cost/eligibility: income, household, and program rules apply; emergency limit: not crisis counseling or emergency dispatch | Caledonia County county-seat resource guide. City, county, regional, and statewide service areas and requirements differ; confirm current access directly.

Vermont Economic Services — benefits screening

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.

Role: community food pantry and essential-items access; geography: St. Johnsbury and Northeast Kingdom; cost/eligibility: NEKCA says all are welcome and eligible, first come first served; emergency limit: food access—not crisis or medical care | Caledonia County county-seat resource guide. City, county, regional, and statewide service areas and requirements differ; confirm current access directly.

NEKCA St. Johnsbury Food Pantry

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.

Role: food-access navigation and help applying for nutrition benefits; geography: Northeast Kingdom, including St. Johnsbury; cost/eligibility: state program eligibility applies; confirm documents and application status; emergency limit: not emergency food delivery or a guarantee of benefits | Caledonia County county-seat resource guide. City, county, regional, and statewide service areas and requirements differ; confirm current access directly.

NEKCA — 3SquaresVT and food-benefit application help

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.

Role: fuel, utility, and heating-assistance navigation; geography: Northeast Kingdom, with St. Johnsbury outreach; cost/eligibility: income and program eligibility apply; seasonal funds may run out; emergency limit: not emergency dispatch or guaranteed fuel | Caledonia County county-seat resource guide. City, county, regional, and statewide service areas and requirements differ; confirm current access directly.

NEKCA — fuel and utility assistance

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.

Role: housing navigation, homelessness prevention, and coordinated entry; geography: Caledonia, Essex, and Orleans Counties; cost/eligibility: people experiencing or at risk of homelessness may ask for screening; availability and program criteria vary; emergency limit: not a guaranteed housing placement | Caledonia County county-seat resource guide. City, county, regional, and statewide service areas and requirements differ; confirm current access directly.

NEKCA Housing Support and Coordinated Entry

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.

Role: rental housing provider with market-rate and income-based units; geography: Caledonia, Essex, and Orleans Counties; cost/eligibility: property-specific rents, screening, and waitlists apply; emergency limit: application is not a guarantee of a unit or immediate shelter | Caledonia County county-seat resource guide. City, county, regional, and statewide service areas and requirements differ; confirm current access directly.

RuralEdge — rental housing applications

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.

Role: weekday regional commuter bus; geography: St. Johnsbury and the US 2 corridor to Montpelier; cost/eligibility: verify current fare, stop, accessibility, and schedule with RCT; emergency limit: scheduled transportation—not emergency or door-to-door service | Caledonia County county-seat resource guide. City, county, regional, and statewide service areas and requirements differ; confirm current access directly.

Rural Community Transportation — US 2 Commuter

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.

Role: fare-free transportation screening for eligible Medicaid members with a covered non-emergency medical appointment; geography: RCT service area; cost/eligibility: Medicaid status, provider, trip, and advance scheduling requirements apply; emergency limit: non-emergency ride—not ambulance or urgent transport | Caledonia County county-seat resource guide. City, county, regional, and statewide service areas and requirements differ; confirm current access directly.

RCT — Medicaid medical-appointment transportation

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.

Role: fare-free regional transportation for eligible older adults and people with disabilities; geography: RCT service area, including Northeast Kingdom coordination; cost/eligibility: age 60+ or disability criteria and advance notice apply; confirm trip priority and capacity; emergency limit: scheduled ride—not emergency transport | Caledonia County county-seat resource guide. City, county, regional, and statewide service areas and requirements differ; confirm current access directly.

RCT — Older Adults and Persons with Disabilities transportation

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.

Role: aging, caregiver, food, Medicare, and transportation navigation; geography: Caledonia, Orleans, and Essex Counties; cost/eligibility: services differ by program; ask about age, caregiver, and ride criteria; emergency limit: not emergency dispatch or urgent medical care | Caledonia County county-seat resource guide. City, county, regional, and statewide service areas and requirements differ; confirm current access directly.

Northeast Kingdom Council on Aging

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.

Role: one-to-one financial coaching and financial-literacy workshops; geography: Northeast Kingdom, including St. Johnsbury outreach; cost/eligibility: NEKCA describes coaching as free; confirm appointment availability and any program criteria; emergency limit: not emergency financial assistance or guaranteed funds | Caledonia County county-seat resource guide. City, county, regional, and statewide service areas and requirements differ; confirm current access directly.

NEKCA — free money coaching

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.

Role: civil legal advice and possible legal-aid referral; geography: monthly clinic announced for Northeast Kingdom residents, including Caledonia County; cost/eligibility: free clinic, appointment required; issue and capacity screening apply; emergency limit: not emergency dispatch or guaranteed representation | Caledonia County county-seat resource guide. City, county, regional, and statewide service areas and requirements differ; confirm current access directly.

Vermont Legal Aid — free legal advice clinics

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.

Role: county court information and proceedings; geography: 1126 Main Street, St. Johnsbury; cost/eligibility: hours, fees, and procedures vary; court-appointed interpreters are available at no cost for eligible proceedings and services; emergency limit: not legal counsel or emergency response | Caledonia County county-seat resource guide. City, county, regional, and statewide service areas and requirements differ; confirm current access directly.

Caledonia court — location and language access

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.

Role: municipal information and referrals to town departments; geography: Town of St. Johnsbury; cost/eligibility: rules and fees depend on property and request; confirm jurisdiction and requirements with the town; emergency limit: town office is not emergency dispatch | Caledonia County county-seat resource guide. City, county, regional, and statewide service areas and requirements differ; confirm current access directly.

Town of St. Johnsbury — planning, zoning, and housing questions

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.

Role: municipal public-works and waste/recycling information; geography: Town of St. Johnsbury; cost/eligibility: accepted items, fees, hours, and service-area rules vary; confirm directly; emergency limit: not hazardous-material response or emergency cleanup | Caledonia County county-seat resource guide. City, county, regional, and statewide service areas and requirements differ; confirm current access directly.

St. Johnsbury Department of Public Works and recycling

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.

Role: municipal water, sewer, and public-works information; geography: Town of St. Johnsbury service area; cost/eligibility: account, service-area, and repair rules vary; confirm directly; emergency limit: call 911 for immediate danger or a medical emergency | Caledonia County county-seat resource guide. City, county, regional, and statewide service areas and requirements differ; confirm current access directly.

St. Johnsbury town offices — water and public works

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.

Role: county court information and proceedings; geography: 1126 Main Street, St. Johnsbury; cost/eligibility: hours, fees, and procedures vary; interpreters are available at no cost for people who need language access; emergency limit: not legal counsel or emergency response | Caledonia County county-seat resource guide. City, county, regional, and statewide service areas and requirements differ; confirm current access directly.

Caledonia County court — location and language access

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.

Role: youth advocacy, youth-center, and family-resource pathways; geography: Northeast Kingdom, including a St. Johnsbury youth center; cost/eligibility: age, program, and family criteria vary; confirm current hours and enrollment; emergency limit: not emergency dispatch or adult shelter intake | Caledonia County county-seat resource guide. City, county, regional, and statewide service areas and requirements differ; confirm current access directly.

NEKCA — youth and family support

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.

Role: statewide searchable directory and referral line; geography: Vermont; cost/eligibility: free to search or call, while each provider sets its own rules; emergency limit: directory is not an emergency service or placement guarantee | Caledonia County county-seat resource guide. City, county, regional, and statewide service areas and requirements differ; confirm current access directly.

Vermont 211 — food, housing, and community directory

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.

Role: public-health guidance for private drinking-water testing; geography: Vermont, with sample drop-off at the St. Johnsbury office; cost/eligibility: testing kits and laboratory fees may apply; confirm requirements before collecting a sample; emergency limit: not emergency water response | Caledonia County county-seat resource guide. City, county, regional, and statewide service areas and requirements differ; confirm current access directly.

Vermont Department of Health — private-well testing information

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

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

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