A Hoarding Alliance local resource guide

Hoarding support in Troy, North Carolina.

A respectful place to begin—whether you are looking for support for yourself, concerned about someone you care about, or trying to understand a safety, housing, or practical concern.

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

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You can begin with one question, at your own pace.

A first conversation can focus on what matters most to the person and what kind of next step, if any, feels useful. Ask about privacy, eligibility, cost, and availability before deciding what to share or do.

If you are unsure where to begin, Fight the Blight can help you ask about current nonprofit support and virtual-group options. You can start with one question and decide what, if anything, you want to share next.

Role: nonprofit hoarding-support entry point and virtual-group front door; geography: ask about options serving Troy and Montgomery County; cost/eligibility: confirm current group and support eligibility, availability, and any costs before enrollment; emergency limit: not emergency response or guaranteed housing, cleanup, or clinical care

For immediate danger

For immediate danger, fire, or urgent medical need, call 911. For emotional distress or a behavioral-health crisis, call or text 988. For local information and referrals, call 211. These services have different roles; 988 and 211 do not replace 911 for immediate physical danger.

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: outpatient behavioral-health assessment, therapy, psychiatry, and substance-use care; geography: 227 North Main Street, Troy; cost/eligibility: Daymark lists Medicaid without copay obligation, insurance-plan cost sharing, and income-based sliding/discounted scale for uninsured people; confirm coverage and fees; emergency limit: appointment and walk-in wait times vary; call 911 for immediate danger | Troy and Montgomery County, NC

Daymark Recovery Services — Montgomery Center

Daymark lists adult and youth services, including outpatient therapy, psychiatry and medication management at its Troy center. It is a general behavioral-health provider; no hoarding-specific service was verified. Ask about the right intake route, availability, coverage, and payment before traveling.

Role: private-pay hoarding support and family guidance; geography: confirm service area for Troy and Montgomery County; cost/eligibility: private-pay; confirm current scope, fees, and availability directly; emergency limit: not emergency response, shelter placement, or guaranteed cleanup | Troy and Montgomery County, NC

The Peer Tree

The Peer Tree offers a private-pay pathway for support that may not fit grant-funded services. Ask what is currently available in your area and what it costs before deciding whether it is a fit.

Role: digital peer support for people affected by hoarding and clutter, including family and friends; geography: online; cost/eligibility: confirm current access and any fees in the app; emergency limit: peer support only—not therapy, crisis response, or emergency support | Troy and Montgomery County, NC

Unburied

Unburied offers a digital peer-support pathway and practical tools for people affected by hoarding and clutter. It is not therapy and cannot provide emergency help.

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: immediate police, fire, and EMS response; geography: Troy and Montgomery County; cost/eligibility: emergency number for urgent danger or medical/fire emergencies; emergency limit: call 911 now when immediate response is needed | Troy and Montgomery County, NC

911 — Immediate Emergency Response

Call 911 for immediate danger, a fire, a life-threatening medical emergency, or urgent police/EMS help. If it is safe, describe the immediate hazard and location clearly.

Role: 24/7 emotional-distress and behavioral-health crisis support; geography: United States, including North Carolina; cost/eligibility: call or text 988; emergency limit: not a substitute for 911 when there is immediate physical danger or urgent medical/fire need | Troy and Montgomery County, NC

988 Suicide & Crisis Lifeline

Call or text 988 for emotional distress, suicidal thoughts, or behavioral-health crisis support. If there is immediate physical danger, fire, or urgent medical need, call 911.

Role: local emergency communications, emergency management, and response coordination; geography: Montgomery County, office at 199 South Liberty Street, Troy; cost/eligibility: emergency response is dispatched through 911; emergency limit: call 911 for emergencies, not the administrative number | Troy and Montgomery County, NC

Montgomery County E911 and Emergency Services

The county lists E911 communications, emergency management, volunteer fire departments, rescue squad, and EMS. Use 911 for urgent response; contact the office for non-urgent emergency-management information only.

Role: non-emergency law-enforcement dispatch and public-safety assistance; geography: Montgomery County; cost/eligibility: non-emergency number listed by the county; emergency limit: call 911 for immediate danger, fire, or urgent medical need | Troy and Montgomery County, NC

Montgomery County Sheriff's Office — Non-emergency Dispatch

The Sheriff's Office lists a non-emergency dispatch number for situations that do not require immediate 911 response. The office also links a Family Crisis Center resource; contact that service directly to confirm confidential options and safe ways to connect.

Role: receive and assess reports of abuse, neglect, or exploitation involving eligible vulnerable adults and older adults; geography: Montgomery County through DSS; cost/eligibility: screening and statutory criteria apply; emergency limit: not immediate police, fire, or medical response—call 911 for immediate danger | Troy and Montgomery County, NC

Montgomery County Adult Protective Services

County Adult Services describes protective services for older adults or adults with incapacity who may be abused, neglected, or exploited. Ask DSS how to make a report and what information is useful; emergency response remains separate.

Role: outpatient behavioral-health assessment and treatment; geography: Troy clinic; cost/eligibility: insurance and sliding-scale terms listed by Daymark; confirm intake, coverage, fees, and wait time; emergency limit: walk-in wait times vary and this is not guaranteed crisis stabilization—call 988 or 911 according to the urgency | Troy and Montgomery County, NC

Daymark Recovery Services — Montgomery Center

Daymark lists behavioral-health walk-in assessments and outpatient services at its Montgomery Center. Contact the clinic to confirm current walk-in hours and whether the service fits the need. Use 988 or 911 for urgent crisis needs as appropriate.

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: community information and referral; geography: North Carolina, including Montgomery County; cost/eligibility: call 211 or search online; confirm each provider's eligibility and availability; emergency limit: not 911 or a promise of shelter or funding | Troy and Montgomery County, NC

North Carolina 211

Montgomery County DSS directs residents to NC 211 for food and essential-service referrals. Ask specifically about current local housing, food, utilities, transportation, and accessibility options; referrals do not guarantee an open service or placement.

Role: SNAP/FNS application and eligibility processing; geography: Montgomery County; cost/eligibility: state income and household rules apply; emergency limit: benefits require approval and are not immediate food delivery | Troy and Montgomery County, NC

Montgomery County Food and Nutrition Services

The county describes online applications through NC FAST and asks applicants to select Montgomery County as their county of residence. Contact DSS if you need help applying or understanding which records to provide.

Role: screening for heating/cooling and limited emergency assistance; geography: Montgomery County DSS; cost/eligibility: program-specific income, household, crisis, application-window, and funding rules apply; emergency limit: awards are limited and not guaranteed | Troy and Montgomery County, NC

Montgomery County Crisis Intervention and Energy Assistance

County DSS describes LIEAP and Crisis Intervention assistance, including eligibility and seasonal funding limits. One emergency-assistance program applies only to households with a qualifying related child and other rules. Call before relying on funds for a bill, rent, shelter, or transportation.

Role: older-adult referrals, support groups, caregiver classes, transportation, housing assistance, and benefits navigation; geography: Montgomery County; cost/eligibility: programs are for older adults and have service-specific criteria; confirm current intake, capacity, and costs; emergency limit: not emergency shelter or crisis response | Troy and Montgomery County, NC

Troy/Montgomery Senior Center

The county lists senior-center services including general and medical transportation, support groups, caregiver classes, housing assistance, and benefits counseling. Ask the center which services currently cover your address and what eligibility or scheduling rules apply.

Role: home-delivered meals and regular check-ins; geography: countywide, including Troy; cost/eligibility: age 60+, homebound and unable to shop or prepare meals without help; approval, waiting list, and route capacity apply; emergency limit: not same-day food or emergency response | Troy and Montgomery County, NC

Montgomery County Meals on Wheels

County DSS says the program serves eligible residents age 60 or older who are homebound, cannot shop or prepare meals, and cannot attend a congregate meal site because of impairment. Applications can take two to three weeks and depend on location, waiting list, and volunteer routes.

Role: help with daily-living and household tasks; geography: countywide, including Troy; cost/eligibility: county page lists age 60+, living at home, and assessed unmet needs; service level and provider capacity vary; emergency limit: not emergency cleanup or round-the-clock care | Troy and Montgomery County, NC

Montgomery County Senior In-Home Aide

The county describes help such as food preparation, medication management, and household tasks for eligible seniors. Contact Adult Services for an assessment; the level and hours of help depend on need and capacity.

Role: non-emergency rides for covered medical care; geography: eligible Montgomery County Medicaid members; cost/eligibility: plan type, annual assessment, trip type, advance approval, and provider availability apply; emergency limit: not emergency ambulance transport or general public transit | Troy and Montgomery County, NC

Montgomery County Medicaid Transportation

County DSS explains that transportation coordination is limited to NC Medicaid Direct members and that managed-plan members should use the number on their ID card. It lists provider scheduling and trip-reimbursement rules. Confirm the current plan pathway, notice period, and trip approval before booking.

Role: public-health and personal-health services; geography: Troy clinic and Montgomery County; cost/eligibility: county page lists Medicaid, private insurance, and income-based personal payment for certain services; confirm service-specific eligibility and appointment availability; emergency limit: not urgent or emergency care | Troy and Montgomery County, NC

Montgomery County Health Department

The department lists adult health, immunization, family-planning, maternal and child-health, and other public-health services. Some walk-ins are accepted as time permits; call first to confirm the right service, hours, payment, and accessibility.

Role: well and water testing, septic, sanitation, food/lodging inspection, and lead investigations; geography: Montgomery County Central Permitting office in Troy; cost/eligibility: permit and testing fees and property jurisdiction may apply; emergency limit: not hazardous-material cleanup or urgent medical response | Troy and Montgomery County, NC

Montgomery County Environmental Health

Environmental Health lists services that can help residents ask about wells, water samples, septic systems, and lead investigations. The county notes its permit records are being digitized and some requests may take several days; ask which office and fee applies to your address.

Role: library access, learning resources, and community space; geography: 215 West Main Street, Troy; cost/eligibility: ask about card requirements, copying fees, and accessibility; emergency limit: not case management, clinical care, or emergency support | Troy and Montgomery County, NC

Montgomery County Public Library — Troy Main Library

The county identifies Troy as the main library location and publishes weekday and Saturday hours. Call ahead to confirm current hours, card eligibility, available meeting or computer space, and accessibility.

Role: resident household waste disposal at county convenience sites; geography: countywide; cost/eligibility: county residents only; hours are seasonal and materials are restricted; emergency limit: not bulky-item pickup, hazardous-waste disposal, or cleanup service | Troy and Montgomery County, NC

Montgomery County Convenience Sites

The county lists seasonal hours and material rules. Most sites do not accept furniture or other large items; several specified sites accept larger household items. Hazardous, construction, yard, and other listed waste is prohibited. Call before loading or traveling and confirm the site for your address and material.

Role: customer service and billing for county utility accounts; geography: county utility service areas, office at 444 North Main Street, Troy; cost/eligibility: service and account rules depend on location; confirm rates and address coverage; emergency limit: not emergency home repair or guaranteed financial assistance | Troy and Montgomery County, NC

Montgomery County Public Utilities Customer Service

The county lists a Troy billing and customer-service office. If a property concern involves an active utility account, ask which services cover the address, what charges or deadlines apply, and whether any assistance or payment arrangements are currently available.

Role: benefits-claim preparation and navigation; geography: Troy office serving Montgomery County veterans and eligible family; cost/eligibility: veteran or dependent eligibility rules apply; appointments encouraged; emergency limit: not emergency financial assistance or clinical care | Troy and Montgomery County, NC

Montgomery County Veteran Services

The county office assists veterans and families with claims, education, health-care, and related benefit applications. Call to confirm appointment availability, documents to bring, and whether the office can help with the specific question.

Role: housing-stability navigation, Section 8, self-sufficiency case management, and home-repair programs; geography: 102 East Spring Street, Troy; cost/eligibility: program, income, application, documented-need, and funding rules apply; confirm waitlists and current assistance; emergency limit: no guaranteed voucher, repair, rent, or deposit funding | Troy and Montgomery County, NC

Sandhills Community Action Program — Montgomery County Office

SCAP lists a Montgomery County office in Troy and identifies Section 8, S.T.A.R.S. case management, home rehabilitation, and urgent repair as local program pathways. Program eligibility, waitlists, available funding, and service scope vary; contact the county office before relying on assistance.

A note from the Alliance

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

This guide is anchored in Troy, 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