The Peer Tree
Use this route when grant-funded nonprofit support does not fit or when you want private-pay planning. Ask what support can begin without a whole-home visit.
A Hoarding Alliance local resource guide
You can ask for support without agreeing to a cleanup. Start with what would make the home safer or easier to use today, such as keeping an exit open, reaching the bathroom, or letting someone in. If you are helping someone else, agree on one task and ask what they want left alone.
Start here - Fight the Blight
If a notice, inspection, shutoff, or shelter need has a deadline, keep the paperwork and lead with the date when you ask for housing, legal, or county help. If there is no deadline, you can start with peer support or a conversation about treatment.
Ask what a first conversation would cover or how a virtual group works. You can ask without sending photos or arranging a home visit.
Role: nonprofit front door for hoarding support and virtual groups; geography: ask about joining online from Troy or elsewhere in Rensselaer County; cost/eligibility: confirm registration, group fit, and any fees; funded local home services are not assumed; emergency limit: not therapy or emergency response.
For an active fire, serious injury, or immediate danger, get to safety if you can and call 911. Give the address, unit or floor, and tell the dispatcher if an entrance is blocked or someone needs help leaving.
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.
Use this route when grant-funded nonprofit support does not fit or when you want private-pay planning. Ask what support can begin without a whole-home visit.
Use Unburied for peer perspective, structured tools, groups, and ongoing momentum between conversations. It does not assess a home or dispatch help.
Dial 211 and say whether you need housing, food, utilities, transportation, behavioral health, or another local pathway. Ask the specialist to confirm current hours and eligibility.
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 from a safe place if possible. Say whether anyone is still inside or needs help leaving.
Call or text 988 if you or someone with you is thinking about suicide, feels unsafe, or needs crisis support. Tell the counselor about blocked exits or other safety concerns.
Call 518-270-2800. The county page says professional staff provide 24-hour on-call capacity for urgent situations; ask what intake path fits the person and concern.
Call 518-292-5499 and describe the immediate concern, location, access barriers, and whether anyone is at risk.
Call 1-800-643-7462 when you want to talk with someone who can listen and help identify a next step without assessing the home.
Call 1-833-467-3123 for recovery-related support and ask which current local program fits. This is a separate pathway from hoarding-specific care.
The county lists 1-866-930-4999 for after-hours and weekend recovery support. Ask what immediate service is available before sharing sensitive details.
For a City of Troy code emergency outside normal hours, call 518-270-4411. For routine complaints, the city lists 518-279-7180 and an after-hours complaint hotline at 518-270-4404.
Call 518-857-4660 after hours for county public-health emergency routing, or 518-270-2655 during listed office hours for general questions.
Use the guidance to identify blocked exits, unsafe heating, overloaded electrical systems, and access barriers. For an active hazard, leave if possible and call 911.
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.
The county mental-health department lists Unified Services and routes. Ask directly whether the clinician has hoarding-disorder experience rather than assuming from a general behavioral-health listing.
Unity House describes supportive housing, community residences, transitional apartments, care coordination, and a voluntary residential crisis space. Call 518-274-2607 to ask which program fits.
Use the directory to compare current public programs, then ask whether a provider treats hoarding disorder or related anxiety, trauma, or executive-function concerns.
Call 518-833-6000 or review NYDocSubmit and MyBenefits instructions. Ask what documentation is needed and whether an emergency or expedited pathway applies.
Call 518-266-7970 to ask about Medicaid and call 518-459-8747 about Medicaid-related transportation. Confirm current instructions before an appointment.
Review current opening dates and call 518-266-7960. Ask which documents and emergency facts are required before a shutoff or heating crisis.
The county describes weekday meals and home delivery for eligible or homebound older adults. Ask about a nearby site, delivery, and whether an in-home conversation is available.
The county says reservations are required and drivers do not lift passengers. Call 518-270-2734 during the listed reservation window and ask about accessibility and escort needs.
Use the Troy route page to compare current service, then confirm the stop and accessibility before traveling to an appointment or county office.
The city lists anonymous code complaints, heat and utility protections, and referrals beyond city authority. Call 518-270-4404 for an anonymous code complaint or 518-279-7180 for questions.
The city says furniture, appliances, carpets, TVs, mattresses, and some tires may qualify when scheduled. Call 518-270-4579 and do not place items out before the allowed time.
Review accepted materials and current collection rules. The city lists recycling questions at 518-953-5967 and the DPW dispatcher at 518-270-4579.
Use the organization site to request civil legal help and ask about housing, benefits, eviction, or consumer issues. Bring notices and deadlines; do not assume representation is available.
A library can be a neutral place to use the web, print documents, or ask for current local directories. Confirm the branch, accessibility, hours, and card requirements.
A note from the Alliance
This guide is anchored in Troy, New York, 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