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, or practical concern.
Start here - Fight the Blight
Our virtual groups give people affected by hoarding and clutter concerns a place to connect from St. Louis 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 Missouri resource navigation, call 211. For housing or shelter navigation, confirm whether you are in the City or County before relying on a local program.
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.
Fight the Blight offers virtual support groups for people affected by hoarding and clutter concerns. Reach out from St. Louis to ask about current group options and the best place to begin. This is a nonprofit, peer-centered starting point - not emergency or clinical care.
This local group welcomes people with OCD, their families, and friends. Its current website says meetings are held at Missouri Baptist Medical Center in Creve Coeur on the third Saturday of each month, are open to the public, and have no charge. It is broader than hoarding support, so confirm the current topic and format before attending.
The International OCD Foundation's current provider profile describes COARD at Saint Louis Behavioral Medicine Institute as a multidisciplinary program that treats hoarding disorder and offers individual, group, intensive outpatient, and partial-hospitalization levels of care, in person and by telehealth. Ask about age range, clinician fit, insurance, fees, wait time, and whether a lower-intensity referral is more appropriate.
The International OCD Foundation directory currently shows St. Louis-area professional organizers, including profiles with clutter-disorder or hoarding-specialist training. A directory listing is a lead, not an endorsement or guarantee of current availability, service area, pricing, insurance, or fit. Ask how the organizer handles consent, pacing, privacy, and safety.
Safety and stability
These pathways serve different situations. Read the labels carefully before calling, especially when a response may involve protective services, housing screening, animal welfare, or emergency dispatch.
Missouri DHSS accepts reports involving adults age 60 and older and adults age 18 to 59 with disabilities who may be experiencing abuse, neglect, self-neglect, exploitation, or bullying. Call or report online. This is a protective-services pathway, not a general cleanup referral, and an emergency should go to 911.
Missouri 988 says people can call or text 988, or use chat, for themselves or when they are worried about someone else. A trained crisis specialist can help navigate a crisis. Call 911 for an immediate threat, medical emergency, fire, or other situation requiring emergency dispatch. 988 is not a cleanup or housing service.
St. Louis County's ordinance guide identifies the Public Works Problem Properties Unit for nuisance and vacant-property concerns and lists 314-615-4100. The unit is a county property and code pathway, not a voluntary hoarding-support program. If you are in St. Louis City, use city services or 311-style city navigation instead; confirm jurisdiction before reporting.
The City of St. Louis describes its Homeless Services Division as the lead for the City Continuum of Care and lists a Housing Help Line for shelter, temporary or transitional housing, and housing or utility assistance. The city's housing page directs people needing immediate shelter to 211 or 800-427-4626. It does not guarantee placement, and county residents may need a different entry point.
The Humane Society of Missouri says its Animal Cruelty Task Force is on call 24 hours a day, 365 days a year in St. Louis City and County for animals in distress and responds statewide to animal cruelty and neglect. Use this for immediate animal-safety concerns, not as a substitute for a person-centered support plan.
People and practical help
These listings offer local connections for education, care, organizing, or cleanup. They are independent organizations; ask about current availability, cost, scope, consent, and safety before relying on them.
Missouri 211's searchable directory includes housing and shelter, rent and utility assistance, disability services, food, transportation, and other practical supports. Search by ZIP code and ask about current capacity, documentation, language access, and whether a local navigator can help coordinate a safer next step.
This private provider advertises hoarding cleanup, decontamination, discreet service, and follow-up maintenance in the St. Louis area. It is not affiliated with Fight the Blight or the Alliance. Before agreeing to work, request a written scope, pricing, insurance information, disposal plan, privacy practices, and a pace that keeps the person involved wherever possible.
St. Louis Contents describes sorting, packing, removal, cleaning, and restoration support for homes or commercial spaces affected by hoarding. It is an independent company, not an Alliance referral or endorsement. Ask in advance about consent, what is and is not included, disposal and storage costs, biohazard limits, and whether the scope can be paced over time.
HUD's Find Shelter tool searches by location for shelter, housing, health-care, and clothing resources. It is a search tool rather than a guarantee of placement. Use it with 211 and local housing providers, and confirm current hours, eligibility, transportation, accessibility, and capacity before relying on a result.
A note from the Alliance
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