A Hoarding Alliance local resource guide

Hoarding support in Troy, New York.

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.

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Find the right help for the next step

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 immediate danger

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

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: private-pay hoarding support, sorting and organizing conversations, and practical planning; geography: ask whether a Troy or Rensselaer County address is in scope; cost/eligibility: private-pay rates, travel, pace, consent, and service fit must be confirmed; emergency limit: not emergency response or a substitute for licensed care. | Each listing identifies its role, service area, cost or eligibility to confirm, and emergency limits.

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.

Role: digital peer-support pathway for people affected by hoarding and for friends or family; geography: online access from Troy or anywhere; cost/eligibility: confirm current access and features; emergency limit: not therapy, crisis response, diagnosis, or emergency support. | Each listing identifies its role, service area, cost or eligibility to confirm, and emergency limits.

Unburied

Use Unburied for peer perspective, structured tools, groups, and ongoing momentum between conversations. It does not assess a home or dispatch help.

Role: free information and referral navigation for health and human services; geography: Rensselaer County and the Capital Region; cost/eligibility: free and confidential; each provider determines program eligibility; emergency limit: call 911 for a life-threatening emergency. | Each listing identifies its role, service area, cost or eligibility to confirm, and emergency limits.

211 Northeast New York

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

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 active fire, serious injury, or immediate danger; geography: give the exact Troy address, floor, unit, and access barriers; cost/eligibility: do not wait for program intake; medical or transport charges may vary; emergency limit: for emergencies, not routine referrals or cleanup. | Each listing identifies its role, service area, cost or eligibility to confirm, and emergency limits.

911: Immediate Danger

Call from a safe place if possible. Say whether anyone is still inside or needs help leaving.

Role: 24/7 crisis counseling and safety support; geography: call or text from Troy, Rensselaer County, or anywhere in the United States; cost/eligibility: free and confidential; emergency limit: call 911 for immediate physical danger and do not use 988 as a cleanup line. | Each listing identifies its role, service area, cost or eligibility to confirm, and emergency limits.

988 Suicide & Crisis Lifeline

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.

Role: county mental-health information, Unified Services, and urgent behavioral-health navigation; geography: Rensselaer County; main Troy office at 1600 7th Avenue; cost/eligibility: call to confirm intake, coverage, fees, and service fit; emergency limit: the department directs medical emergencies to 911 and emotional support to 988. | Each listing identifies its role, service area, cost or eligibility to confirm, and emergency limits.

Rensselaer County Mental Health Department

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.

Role: mobile behavioral-health crisis response; geography: Rensselaer County and the Capital Region; confirm current response area; cost/eligibility: ask about screening and current availability; emergency limit: not 911 dispatch, fire response, or a guaranteed response time. | Each listing identifies its role, service area, cost or eligibility to confirm, and emergency limits.

Northern Rivers Mobile Crisis Services

Call 518-292-5499 and describe the immediate concern, location, access barriers, and whether anyone is at risk.

Role: peer listening, encouragement, and community-resource information; geography: phone support from Rensselaer County and beyond; cost/eligibility: call to confirm current access; emergency limit: not emergency dispatch, therapy, or a substitute for 911 or 988. | Each listing identifies its role, service area, cost or eligibility to confirm, and emergency limits.

Mental Health Empowerment Project Warm Line

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.

Role: county recovery-support navigation and peer connection; geography: Rensselaer County; call to confirm current scope; cost/eligibility: ask about eligibility and current hours; emergency limit: not a fire, medical, or psychiatric emergency line. | Each listing identifies its role, service area, cost or eligibility to confirm, and emergency limits.

Rensselaer County Recovery Help Line

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.

Role: after-hours substance-use and recovery crisis navigation listed by the county; geography: Rensselaer County and surrounding region; confirm current coverage; cost/eligibility: call to confirm access and screening; emergency limit: not 911 dispatch or a replacement for emergency medical care. | Each listing identifies its role, service area, cost or eligibility to confirm, and emergency limits.

Project Safe Point

The county lists 1-866-930-4999 for after-hours and weekend recovery support. Ask what immediate service is available before sharing sensitive details.

Role: housing-code and building-safety response for City of Troy properties; geography: City of Troy only; county and neighboring municipalities have different code offices; cost/eligibility: call to confirm jurisdiction and inspection process; emergency limit: life-threatening danger is 911; outside-hours code emergencies use Troy Police at 518-270-4411. | Each listing identifies its role, service area, cost or eligibility to confirm, and emergency limits.

Troy Code Enforcement Emergency Path

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.

Role: county public-health information and after-hours emergency routing; geography: Rensselaer County; Troy health department at 1600 7th Avenue; cost/eligibility: program-specific intake and eligibility apply; emergency limit: after-hours line is not a substitute for 911 or emergency medical care. | Each listing identifies its role, service area, cost or eligibility to confirm, and emergency limits.

Rensselaer County Public Health Emergency Line

Call 518-857-4660 after hours for county public-health emergency routing, or 518-270-2655 during listed office hours for general questions.

Role: national fire-safety education about blocked exits, heat, electrical hazards, and access; geography: general guidance to discuss with a local fire department; cost/eligibility: free public information; emergency limit: not an inspection, evacuation plan, or emergency response. | Each listing identifies its role, service area, cost or eligibility to confirm, and emergency limits.

USFA Hoarding Fire-Safety Guidance

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

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: county behavioral-health intake, outpatient care, care coordination, and supportive-services navigation; geography: Rensselaer County; main clinic at 1600 7th Avenue, Troy; cost/eligibility: ask about intake, insurance, fees, age, and treatment fit; emergency limit: not an emergency response or guaranteed hoarding-specialty clinic. | Each listing identifies its role, service area, cost or eligibility to confirm, and emergency limits.

Rensselaer County Unified Services

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.

Role: housing, case management, crisis and care coordination for eligible adults; geography: Troy and Rensselaer County; programs also serve selected Capital Region counties; cost/eligibility: eligibility, availability, referral, Medicaid, and program rules must be confirmed; emergency limit: not an emergency shelter or guaranteed placement. | Each listing identifies its role, service area, cost or eligibility to confirm, and emergency limits.

Unity House Housing and Support Services

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.

Role: state directory for licensed public mental-health programs; geography: search Rensselaer County and nearby counties; cost/eligibility: each program determines intake, insurance, age, and service eligibility; emergency limit: not emergency response or a same-day appointment promise. | Each listing identifies its role, service area, cost or eligibility to confirm, and emergency limits.

New York OMH Mental Health Program Directory

Use the directory to compare current public programs, then ask whether a provider treats hoarding disorder or related anxiety, trauma, or executive-function concerns.

Role: public-benefit intake and document submission; geography: Rensselaer County residents; Troy office at 1600 7th Avenue; cost/eligibility: income, household, resources, and program rules determine eligibility; application does not guarantee benefits; emergency limit: not emergency shelter or medical care. | Each listing identifies its role, service area, cost or eligibility to confirm, and emergency limits.

Rensselaer County DSS SNAP, Medicaid, and HEAP

Call 518-833-6000 or review NYDocSubmit and MyBenefits instructions. Ask what documentation is needed and whether an emergency or expedited pathway applies.

Role: medical-assistance intake and Medicaid transportation information; geography: Rensselaer County; Medicaid unit at 1600 7th Avenue, Troy; cost/eligibility: income, resources, disability, and other criteria determine eligibility; medical transportation requires provider documentation; emergency limit: not emergency medical care or immediate transportation. | Each listing identifies its role, service area, cost or eligibility to confirm, and emergency limits.

Rensselaer County Medicaid

Call 518-266-7970 to ask about Medicaid and call 518-459-8747 about Medicaid-related transportation. Confirm current instructions before an appointment.

Role: home-energy assistance and emergency HEAP information; geography: Rensselaer County households; cost/eligibility: income, household size, heating source, age, disability, resources, and emergency type determine eligibility; emergency limit: not a same-day utility guarantee or fire response. | Each listing identifies its role, service area, cost or eligibility to confirm, and emergency limits.

Rensselaer County HEAP

Review current opening dates and call 518-266-7960. Ask which documents and emergency facts are required before a shutoff or heating crisis.

Role: congregate meals, home-delivered meals, information, outreach, and supportive aging services; geography: older adults in Rensselaer County; service sites and delivery areas vary; cost/eligibility: age, homebound status, contributions, reservations, and current schedule must be confirmed; inability to pay does not by itself deny a meal; emergency limit: not emergency food, medical care, or crisis response. | Each listing identifies its role, service area, cost or eligibility to confirm, and emergency limits.

Rensselaer County Aging Nutrition Program

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.

Role: medical-appointment transportation for qualifying older county residents; geography: Rensselaer County seniors 60+; reservations and service area apply; cost/eligibility: advance reservation, mobility, escort, appointment, and suggested donation rules must be confirmed; emergency limit: not same-day emergency transportation. | Each listing identifies its role, service area, cost or eligibility to confirm, and emergency limits.

Rensselaer County Medical Transportation

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.

Role: fixed-route, shuttle, and regional public transportation; geography: Troy and Capital Region routes; route, stop, and service day vary; cost/eligibility: fares, reduced-fare ID, paratransit eligibility, and current schedules must be confirmed; emergency limit: not emergency transportation. | Each listing identifies its role, service area, cost or eligibility to confirm, and emergency limits.

CDTA Troy Routes and Schedules

Use the Troy route page to compare current service, then confirm the stop and accessibility before traveling to an appointment or county office.

Role: City of Troy housing-code, tenant-rights, and legal-referral navigation; geography: City of Troy rental housing only; other municipalities have different enforcement; cost/eligibility: jurisdiction, complaint process, legal eligibility, and remedies must be confirmed; emergency limit: not emergency shelter or legal advice. | Each listing identifies its role, service area, cost or eligibility to confirm, and emergency limits.

Troy Tenants Rights and Resources

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.

Role: scheduled municipal pickup for certain oversized household items; geography: City of Troy residential properties; appointment required; cost/eligibility: accepted items, property type, fees, and pickup timing must be confirmed; hazardous waste and construction materials are excluded; emergency limit: not a cleanup contractor or emergency removal. | Each listing identifies its role, service area, cost or eligibility to confirm, and emergency limits.

Troy Bulk Trash Collection

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.

Role: single-stream recycling, household hazardous-waste events, and disposal guidance; geography: City of Troy residents; program and event rules vary; cost/eligibility: resident status, accepted materials, event schedule, and fees must be confirmed; emergency limit: not a whole-home cleanout or hazardous-materials emergency response. | Each listing identifies its role, service area, cost or eligibility to confirm, and emergency limits.

Troy Recycling and Sanitation

Review accepted materials and current collection rules. The city lists recycling questions at 518-953-5967 and the DPW dispatcher at 518-270-4579.

Role: free civil legal services and housing-rights navigation for qualifying low-income people; geography: Northeastern New York service area; confirm Rensselaer County intake route; cost/eligibility: income, case type, county, and capacity determine eligibility; emergency limit: not emergency response or a substitute for a court deadline. | Each listing identifies its role, service area, cost or eligibility to confirm, and emergency limits.

Legal Aid Society of Northeastern New York

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.

Role: public library access, information, computers, and welcoming community space; geography: Troy and Lansingburgh branches; hours and card rules vary; cost/eligibility: library card, computer, room, and program access must be confirmed; emergency limit: not shelter, crisis care, or legal or medical care. | Each listing identifies its role, service area, cost or eligibility to confirm, and emergency limits.

Troy Public Library

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

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

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