A Hoarding Alliance local resource guide

Hoarding support in Union, West Virginia.

You do not have to solve everything at once. Start with the kind of support that feels useful, and call ahead to confirm each service’s reach, cost, and availability.

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

Start here - Fight the Blight

Start with a respectful conversation

Fight the Blight is the nonprofit front door and offers virtual peer-support groups; ask about current fit and capacity from Union or elsewhere. The Peer Tree is a separate private-pay pathway; confirm scope, service area, availability, travel, and fees. Unburied is digital peer support, not therapy or emergency support. These listings are independent options, not endorsements. Confirm access, eligibility, cost, and fit directly.

For immediate danger

For immediate danger, fire, rescue, or urgent medical response, call 911. For emotional distress or a behavioral-health crisis, call or text 988; FMRS also lists a 24-hour crisis response line serving Monroe County. West Virginia 211 can offer current referrals, but a referral does not guarantee assistance, a bed, or placement. A cluttered home alone does not establish abuse or neglect.

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-related support; geography: confirm service area and travel; cost/eligibility: private pay; ask for current fees and fit; emergency limit: not emergency care.

The Peer Tree

A separate private-pay pathway. Ask directly about scope, location, availability, travel, and current fees before making plans.

Role: digital peer support for people and supporters; geography: online; cost/eligibility: confirm current access and terms; emergency limit: not therapy, emergency support, or local case management.

Unburied

A digital peer-support pathway for people affected by hoarding and clutter concerns and for friends and family. It supports connection, not therapy or emergency response.

Role: statewide basic-needs information and referrals; geography: Monroe County and West Virginia; cost/eligibility: call, text, or search; carrier charges may apply; provider rules vary; emergency limit: not emergency dispatch or guaranteed aid.

West Virginia 211

Call 211 or 1-833-848-9905, or text a ZIP code to 898-211, for current food, housing, utility, health, and transportation referrals. Referrals do not guarantee assistance or placement.

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: police, fire, rescue, or urgent medical dispatch; geography: Union, Monroe County, and the United States; cost/eligibility: ambulance and follow-up charges vary; emergency limit: immediate danger or urgent response only.

Immediate emergency response

Call 911 for immediate danger, fire, rescue, or urgent medical response. If safe, explain access, mobility, or communication needs.

Role: emotional-distress and behavioral-health crisis counseling; geography: United States, including West Virginia; cost/eligibility: free by call, text, or online chat; emergency limit: call 911 for immediate physical danger or urgent medical response.

988 Suicide & Crisis Lifeline — West Virginia

Call or text 988, or use online chat, to connect with a crisis counselor. West Virginia 988 routes callers to a local center when available and uses a national backup if needed.

Role: behavioral-health crisis assessment and response; geography: FMRS service area, including Monroe County; cost/eligibility: call for assessment and current access; emergency limit: call 911 for immediate physical danger or urgent medical response.

FMRS 24-hour crisis response

FMRS lists crisis-response specialists available 24 hours a day at 304-256-7100 or 1-888-523-6437. Its crisis services assess the situation and determine appropriate next steps; this is not a promise of dispatch or admission.

Role: statewide behavioral-health and substance-use information and support; geography: West Virginia; cost/eligibility: helpline access; carrier charges and treatment costs may vary; emergency limit: not 911 dispatch.

Help4WV

Call or text 844-435-7498, or use online chat, for behavioral-health or substance-use support and referrals. Text-message rates may apply; email is not monitored around the clock.

Role: confidential advocacy and safety support for survivors of domestic violence, sexual assault, or stalking; geography: includes Monroe County; cost/eligibility: listed survivor services and emergency shelter are free; emergency limit: shelter is for people and families fleeing abuse, not general housing; call 911 for immediate danger.

Family Refuge Center

The center lists free confidential advocacy and a 24-hour emergency shelter for people and families fleeing abuse. Call its 24/7 hotline to discuss options; do not travel to an unpublished shelter location.

Role: local fire protection, first response, and emergency medical transport; geography: Union and the listed fire-protection district; cost/eligibility: emergency response call has no fee, while ambulance or follow-up charges may vary; emergency limit: call 911 for emergencies; direct numbers are not a substitute for dispatch.

Union Fire Department and Union Rescue

The Town lists Union Fire Department at 304-772-3182 and Union Rescue/Monroe Transport at 304-772-3383. Use 911 for an active fire, injury, or medical emergency.

Role: county 911 center administrative/non-emergency contact; geography: Monroe County; cost/eligibility: ask about any administrative fees; emergency limit: this is the published non-emergency number, not the number for active emergencies; call 911 instead.

Monroe County 911 Center — non-emergency office

The county directory labels 304-772-3911 as the 911 Center non-emergency number. It is not a cleanup referral or a replacement for 911 during danger.

Role: screening of reports about suspected abuse, neglect, or exploitation; geography: West Virginia; cost/eligibility: intake determines whether a report meets screening criteria; emergency limit: not cleanup, housing, or routine hoarding referral; call 911 for immediate danger.

West Virginia protective-services intake

Use the state intake when there is a specific concern about abuse, neglect, or exploitation. A cluttered home or neighbor disagreement alone does not establish abuse or neglect.

Role: poison exposure information and guidance; geography: United States; cost/eligibility: free phone consultation; emergency limit: call 911 for severe symptoms, collapse, seizure, or immediate life-threatening danger.

Poison Control

Call 1-800-222-1222 for poison exposure guidance. If someone is unconscious, having a seizure, or in immediate danger, call 911.

Role: confidential domestic-violence support and safety planning; geography: United States; cost/eligibility: call or text; carrier charges may apply; emergency limit: not 911 dispatch; use a safer device if needed.

National Domestic Violence Hotline

Call 800-799-SAFE or text START to 88788. Consider whether calls, texts, or browsing could be visible to another person; 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: county public-health information and services; geography: 200 Health Center Drive, Union; countywide; cost/eligibility: confirm the specific service, appointment, and any fee; emergency limit: not emergency response.

Monroe County Health Department

The state lists the department at 200 Health Center Drive, Union, open weekdays 8 a.m.–4 p.m. Call to confirm current hours and whether the service you need requires an appointment.

Role: federally qualified community health center; geography: 200 Health Center Drive, Union; cost/eligibility: insurance and program terms vary; ask about the sliding-fee application and current charges; emergency limit: not emergency care.

Monroe Health Center — Union

The health center lists its Union location and patient-centered care. Call about the service needed, new-patient availability, insurance, accessibility, and current fees; no hoarding-specialty service is claimed.

Role: income-based discount information for eligible health-center patients; geography: Monroe Health Center; cost/eligibility: family size, income, and documents are reviewed; some services are excluded; emergency limit: not emergency or free-care guarantee.

Monroe Health Center sliding-fee discount

The center says qualified patients may receive a discount based on household size and income. Patients remain responsible for the discounted fee; private vaccines and outside dental-lab costs are excluded. Ask for the current application and documents.

Role: behavioral-health, substance-use, and related outpatient services; geography: Monroe County office, Union; cost/eligibility: call to confirm service fit, intake, insurance, and current fees; emergency limit: use FMRS crisis line or 911 as appropriate, not this routine office contact.

FMRS Health Systems — Monroe office

FMRS lists a Monroe office at P.O. Box 527, Union, and weekday hours. Call 304-772-5452 to confirm the current appointment location, intake process, service availability, and cost. No hoarding-specific treatment is promised.

Role: county public-benefit and human-services intake; geography: 535 North Street, Union; countywide; cost/eligibility: program-specific household, income, and documentation rules; emergency limit: office intake, not emergency dispatch or guaranteed aid.

Monroe County Department of Human Services

The state lists a Monroe County office and services including benefits and human-services programs. Call before visiting to confirm the right program, current address and hours, required documents, and eligibility.

Role: state applications for assistance programs; geography: West Virginia; cost/eligibility: each program has its own household and documentation rules; emergency limit: an application is not urgent response or guaranteed approval.

WV PATH benefits portal

Review or apply for Medicaid, SNAP, and other assistance through the state portal. Submission is not approval; contact DoHS if you need help with documents or status.

Role: voluntary family education, peer connection, and practical referrals; geography: Monroe County; cost/eligibility: state says services are voluntary and open to interested families with children or pregnant family members; emergency limit: not crisis response or guaranteed material aid.

Monroe County Family Support Center

West Virginia describes Family Support Centers as offering family education, parent-to-parent support, child-development activities, and referrals. The 2025–26 state directory has inconsistent address/ZIP details for Monroe County, so call 304-772-4987 to confirm the current location, hours, and programs before visiting.

Role: older-adult nutrition, homemaker, personal-care, respite, and non-emergency transportation information; geography: Monroe County; cost/eligibility: age, program, assessment, funding, and capacity rules apply; confirm fees and access; emergency limit: not emergency transport or guaranteed in-home availability.

Monroe County Council on Aging

The Council lists home-delivered and congregate meals, homemaker and personal-care programs, and non-emergency rides for routine doctor visits and local grocery shopping. Call to ask about eligibility, Union-area coverage, waitlists, fees, and current availability.

Role: eligible rides to covered medical care; geography: West Virginia; cost/eligibility: Medicaid/WVCHIP membership, covered-service, advance-booking, and accessibility rules apply; emergency limit: not ambulance or urgent transport.

West Virginia Medicaid and WVCHIP non-emergency medical transportation

The state says eligible Medicaid and WVCHIP members can arrange non-ambulance rides to covered services through Modivcare. Confirm trip eligibility, scheduling notice, accessibility, and current contact options before relying on a ride.

Role: Medicaid home- and community-based support information; geography: West Virginia; cost/eligibility: financial, medical, functional, assessment, and program-capacity rules apply; emergency limit: not urgent in-home response or guaranteed enrollment.

Aged and Disabled Waiver

The state waiver program requires eligibility assessment. Ask about application steps, current enrollment or wait status, and provider availability; it is not a hoarding cleanout program.

Role: federal housing program information and referral pathways; geography: West Virginia; cost/eligibility: each program has its own rules, openings, fees, and waiting lists; emergency limit: not a shelter or emergency-placement service.

HUD West Virginia housing information

HUD's state page points to housing resources. Ask each provider about current openings, eligibility, accessibility, and waiting lists; this listing does not promise a unit or funding.

Role: housing-counseling locator; geography: find a provider serving Monroe County; cost/eligibility: provider fees and services vary; ask about free options before scheduling; emergency limit: does not provide housing or guarantee placement.

HUD-approved housing counselors

Use HUD's locator and ask about rental or home-retention scope, fees, accessibility, language access, and appointment availability.

Role: state program information for people experiencing homelessness; geography: West Virginia; cost/eligibility: screening, availability, and program rules vary; emergency limit: no local bed or placement is confirmed.

West Virginia homeless-services information

The state describes assessment and services when appropriate and available. Contact DoHS or 211 to ask about current local access; this page does not confirm a shelter bed in Union.

Role: civil legal information and assistance for older adults; geography: West Virginia residents age 60 and older; cost/eligibility: initial age and residency requirements apply; confirm case scope and intake; emergency limit: not criminal defense or emergency legal response.

West Virginia Senior Legal Aid

The statewide program says initial qualification requires West Virginia residency and age 60 or older. Contact it to confirm case scope and intake; do not visit without an appointment. Court costs or other expenses may still apply.

Role: civil legal-help application and referrals; geography: West Virginia; cost/eligibility: case type, income, conflicts, and capacity affect eligibility; confirm during intake; emergency limit: not criminal defense or emergency response.

Legal Aid of West Virginia

Use the organization's official application page to ask whether it handles the civil issue and whether help is available. Filing an application does not guarantee representation or a specific outcome.

Role: municipal office and town-service navigation; geography: Union; cost/eligibility: applicable service charges vary; ask the town; emergency limit: not emergency dispatch.

Town of Union

The state municipal directory lists the Town of Union contact number. Call 304-772-5522 to confirm which office handles a town-service question, public hours, and any fees before visiting.

Role: county office navigation for records, roads, benefits, health, and community contacts; geography: Monroe County; cost/eligibility: office-specific service or filing fees may apply; emergency limit: directory is not emergency dispatch.

Monroe County office and agency directory

The county directory provides current contacts including the Commission, Clerk, Assessor, Health Center, library, Council on Aging, and the 911 Center's non-emergency line. Call the relevant office to confirm hours and requirements.

Role: property assessment, tax-record, and property-office information; geography: Monroe County; cost/eligibility: ask about copies, filings, and appeal costs; emergency limit: not legal advice or emergency financial help.

Monroe County Assessor

The county office directory lists the Assessor at 304-772-3083. Call about property-record questions, current office hours, and any filing or copy fees.

Role: public library access and community information; geography: Union and Monroe County; cost/eligibility: ask about resident-card rules, internet access, and copying fees; emergency limit: not case management or emergency assistance.

Monroe County Public Library — Union

The county lists a Union library phone number, while public listings show conflicting street addresses. Call 304-772-3038 to confirm the current entrance, hours, accessibility, and card or service requirements before traveling.

Role: university community education and county-extension programs; geography: Monroe County, office in Union; cost/eligibility: registration and program fees vary; ask about the specific class or service; emergency limit: not healthcare, emergency assistance, or a cleanup service.

WVU Extension — Monroe County

Call the Monroe County Extension office about current classes, community programs, accessibility, and any registration cost. Confirm current hours and office details before visiting.

Role: county contact path for waste-management and recycling questions; geography: Monroe County; cost/eligibility: current drop-off locations, accepted materials, residency rules, hours, and fees are unverified; call the county before moving items; emergency limit: not home pickup or a cleanup crew.

Monroe County Solid Waste Authority contact path

The county confirms a Solid Waste Authority exists and describes its public-health and waste-management role, but current public disposal sites, hours, fees, and accepted materials were not verified. Contact the County Commission or Clerk through the official directory before transporting anything.

Role: state locator for voluntary family-support services; geography: West Virginia, including a listed Monroe County center; cost/eligibility: service availability varies by center; state describes services as voluntary; emergency limit: not emergency or guaranteed material aid.

WV Family Support Center directory

Use the state page to learn what Family Support Centers offer and access the current county directory. Call the Monroe center before visiting because its published location details require confirmation.

Role: local referral navigation for food, housing, utilities, health, and transportation; geography: Monroe County and West Virginia; cost/eligibility: referral call is available; provider rules and carrier charges vary; emergency limit: no guaranteed service, bed, or placement.

WV 211 housing and basic-needs referrals

Contact 211 for current referrals and ask providers directly about eligibility, openings, accessibility, and required documents. A referral is information, not confirmation of assistance.

A note from the Alliance

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

This guide is anchored in Union, West Virginia, 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