A Hoarding Alliance local resource guide

Hoarding support in Wampsville, New York.

If clutter, housing pressure, or a difficult family situation feels hard to carry, you deserve support that begins with you—not a demand to discard belongings. A small, chosen next step is enough.

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

Start here - Fight the Blight

Choose a first step that fits

These independent programs have different roles and service areas. Ask what is available, what it costs, who qualifies, and what information may be shared before deciding.

Talk through what is difficult today and ask about virtual peer-group options. You do not have to agree to discard belongings or arrange a cleanup to ask for support.

Role: nonprofit hoarding-support and virtual-group front door; geography: online, including Madison County; cost/eligibility: ask about current group access and options; emergency limit: not therapy or emergency response.

For immediate danger

For immediate physical danger, a fire, serious injury, or urgent medical emergency, call 911. For emotional distress or thoughts of suicide, call or text 988. Madison County Mental Health lists a 24-hour crisis line at 315-366-2327 (press 1); confirm the appropriate local response. This guide and peer support are not emergency response.

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 peer-led hoarding support, organizing, groups, and family guidance; geography: remote or Madison County service must be confirmed; cost/eligibility: private-pay—ask for current rates, travel, and remote availability; emergency limit: not therapy or emergency response. | Programs, eligibility, schedules, costs, service areas, and capacity can change. Confirm details directly before traveling or making plans; a referral is not a guarantee of service or placement.

The Peer Tree

For one-to-one peer support, organizing help, groups, or guidance for family, ask what can be offered locally or remotely and what it costs. Assistance is consent-based; no forced cleanout.

Role: digital peer support for people affected by hoarding and supporters; geography: online; cost/eligibility: confirm current app access and any paid options; emergency limit: not therapy, clinical care, or emergency support. | Programs, eligibility, schedules, costs, service areas, and capacity can change. Confirm details directly before traveling or making plans; a referral is not a guarantee of service or placement.

Unburied

Find peer connection and practical tools online, at your own pace. Unburied is not a substitute for a clinician or crisis service.

Role: information, options counseling, and referrals for long-term services and caregiver support; geography: Madison County; cost/eligibility: ask about the appropriate NY Connects and Office for the Aging pathway; emergency limit: not emergency response or guaranteed placement. | Programs, eligibility, schedules, costs, service areas, and capacity can change. Confirm details directly before traveling or making plans; a referral is not a guarantee of service or placement.

Madison County Office for the Aging / NY Connects

Ask about home supports, meals, transportation, disability services, caregiver help, or another point of contact. The Office for the Aging describes countywide services for older residents and caregivers; confirm age, program, and intake details.

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, or ambulance response; geography: United States; cost/eligibility: emergency dispatch; emergency limit: use for immediate danger, fire, serious injury, or urgent medical help—not routine cleanup or housing intake. | Programs, eligibility, schedules, costs, service areas, and capacity can change. Confirm details directly before traveling or making plans; a referral is not a guarantee of service or placement.

911 — immediate danger or urgent medical emergency

Call 911 when someone faces immediate danger, a fire, serious injury, or an urgent medical emergency. Do not wait for a routine appointment or cleanup visit during an emergency.

Role: 24/7 emotional-distress and suicide-crisis support; geography: United States, including New York; cost/eligibility: free call, text, or chat; emergency limit: call 911 for immediate physical danger or urgent medical/fire emergency. | Programs, eligibility, schedules, costs, service areas, and capacity can change. Confirm details directly before traveling or making plans; a referral is not a guarantee of service or placement.

988 Suicide & Crisis Lifeline

Call or text 988 for emotional distress, suicidal thoughts, or a mental-health crisis; you do not have to be suicidal to reach out. Ask about local options. It is not housing placement or cleanup service.

Role: county mental-health crisis telephone support; geography: Madison County; cost/eligibility: county lists 24-hour access at its main number; emergency limit: call 911 for immediate physical danger, fire, injury, or urgent medical emergency. | Programs, eligibility, schedules, costs, service areas, and capacity can change. Confirm details directly before traveling or making plans; a referral is not a guarantee of service or placement.

Madison County Mental Health 24-hour crisis line

Madison County lists 315-366-2327, press 1, for its 24-hour crisis line. Ask the responder about available services and the appropriate next step; this is not a housing or hoarding-cleanout service.

Role: confidential survivor advocacy, safe-dwelling referral, and crisis support; geography: Madison County; cost/eligibility: county describes services as free and confidential for survivors and family; emergency limit: call 911 for immediate danger; do not use a shared device if unsafe. | Programs, eligibility, schedules, costs, service areas, and capacity can change. Confirm details directly before traveling or making plans; a referral is not a guarantee of service or placement.

Help Restore Hope Center — domestic and sexual violence support

The county describes a 24-hour hotline and survivor-directed options including advocacy, counseling, and safe-dwelling referrals. Contact only in a way that feels safe; confirm current options and capacity.

Role: confidential statewide survivor hotline and referral; geography: New York State; cost/eligibility: call for confidential information and options; emergency limit: call 911 for immediate danger. | Programs, eligibility, schedules, costs, service areas, and capacity can change. Confirm details directly before traveling or making plans; a referral is not a guarantee of service or placement.

New York State Domestic and Sexual Violence Hotline

A statewide alternative when a local contact is not comfortable or available. Use a safe phone or device if privacy is a concern; confirm service and language access directly.

Role: county benefits screening and emergency-housing information; geography: Madison County; cost/eligibility: household and program rules apply—ask DSS; emergency limit: not an overnight shelter or guaranteed placement; use 911 for immediate danger. | Programs, eligibility, schedules, costs, service areas, and capacity can change. Confirm details directly before traveling or making plans; a referral is not a guarantee of service or placement.

Madison County Department of Social Services — emergency housing screening

The county directs people needing emergency-housing assistance to DSS during weekday office hours. Call to ask about current screening, after-hours options, eligibility, and local placement; the page does not promise a bed.

Role: poison-exposure guidance; geography: United States; cost/eligibility: free 24/7 expert call; emergency limit: call 911 for collapse, seizure, trouble breathing, or inability to wake. | Programs, eligibility, schedules, costs, service areas, and capacity can change. Confirm details directly before traveling or making plans; a referral is not a guarantee of service or placement.

Poison Help

Call Poison Help after a possible ingestion or exposure to a chemical, medicine, or other poison. Have the product container available if safe. Do not induce vomiting unless directed by a professional.

Role: county EMS agency information; geography: Madison County; cost/eligibility: call for non-emergency agency information; emergency limit: this office line is not dispatch—call 911 for an emergency. | Programs, eligibility, schedules, costs, service areas, and capacity can change. Confirm details directly before traveling or making plans; a referral is not a guarantee of service or placement.

Madison County EMS — administrative contact

The county EMS page lists its administrative contact and countywide service. For emergency response, call 911 rather than this office number.

Role: information and referral to community services; geography: New York State; cost/eligibility: ask 211 about the local referral and access options; emergency limit: not crisis dispatch, shelter placement, or emergency response. | Programs, eligibility, schedules, costs, service areas, and capacity can change. Confirm details directly before traveling or making plans; a referral is not a guarantee of service or placement.

New York 2-1-1

Ask for current food, housing, utility, transportation, or family-support options near your address. A referral is not confirmation of eligibility, open intake, or available space.

Role: county emergency preparedness information; geography: Madison County; cost/eligibility: public information; emergency limit: call 911 for immediate response, not the preparedness office. | Programs, eligibility, schedules, costs, service areas, and capacity can change. Confirm details directly before traveling or making plans; a referral is not a guarantee of service or placement.

Madison County emergency management and preparedness

Use county preparedness information to plan for severe weather and local emergencies. It is not an individual crisis response or cleanup service.

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 outpatient mental-health and substance-use services; geography: Wampsville clinic and Madison County; cost/eligibility: bring insurance or proof of finances and ask about intake, fees, and current capacity; emergency limit: routine clinic care is not emergency dispatch. | Programs, eligibility, schedules, costs, service areas, and capacity can change. Confirm details directly before traveling or making plans; a referral is not a guarantee of service or placement.

Madison County Mental Health Department

The county says people can begin services by walking in at the Veterans Memorial Building on weekdays; waits may vary. Call first to confirm hours, appointment process, insurance, fees, accessibility, and fit.

Role: peer-led mental-health recovery support and groups; geography: Oneida and Madison County; cost/eligibility: adults 18+ living in Madison County may self-refer; ask about current access and any costs; emergency limit: not clinical treatment or emergency dispatch. | Programs, eligibility, schedules, costs, service areas, and capacity can change. Confirm details directly before traveling or making plans; a referral is not a guarantee of service or placement.

Liberty Resources Pathways Wellness Center — peer recovery support

The provider describes peer-run support groups, wellness planning, community links, and support that may travel within Madison County. Ask about current schedule, service area, and transportation.

Role: peer-supported short-term mental-health respite; geography: Madison County; cost/eligibility: adults 18+ experiencing a mental-health crisis may ask about referral and screening; emergency limit: not emergency dispatch or a guaranteed bed. | Programs, eligibility, schedules, costs, service areas, and capacity can change. Confirm details directly before traveling or making plans; a referral is not a guarantee of service or placement.

Liberty Resources — crisis respite

The provider describes a home-like respite option with peer/crisis staff, planning, and referrals. Call to confirm current eligibility, referral steps, capacity, transportation, and whether this is suitable; use 911 for immediate danger.

Role: outpatient behavioral-health and integrated-care services; geography: Oneida and Madison County; cost/eligibility: confirm age, referral, insurance, fees, and appointment availability; emergency limit: outpatient visits are not crisis dispatch. | Programs, eligibility, schedules, costs, service areas, and capacity can change. Confirm details directly before traveling or making plans; a referral is not a guarantee of service or placement.

Liberty Resources Integrated Health Care — Oneida

The provider lists outpatient counseling and behavioral-health services at its Oneida location. Confirm which clinicians and services are currently accepting referrals and whether the location fits your needs.

Role: primary, specialty, hospital, and urgent medical care; geography: Madison County locations include Oneida-area services; cost/eligibility: ask about appointment, insurance, and current clinic hours; emergency limit: use 911 for life-threatening emergencies. | Programs, eligibility, schedules, costs, service areas, and capacity can change. Confirm details directly before traveling or making plans; a referral is not a guarantee of service or placement.

Oneida Health — primary care and urgent care

Oneida Health lists a network of primary-care locations and hospital services. Confirm which clinic is closest, accepting patients, and appropriate for the concern; urgent-care hours and scope can change.

Role: hospital and community primary-care services; geography: Hamilton and nearby Madison County communities; cost/eligibility: confirm location, appointment availability, coverage, and fees; emergency limit: call 911 for a life-threatening emergency. | Programs, eligibility, schedules, costs, service areas, and capacity can change. Confirm details directly before traveling or making plans; a referral is not a guarantee of service or placement.

Community Memorial Hospital and Family Health Centers

Community Memorial describes hospital and family-health services in the county. Confirm which office is open, whether it is taking new patients, and whether the service is appropriate before traveling.

Role: primary healthcare access; geography: Oneida and surrounding area; cost/eligibility: provider says age 16+ and uninsured or underinsured; verify current hours and fees; emergency limit: not an emergency department. | Programs, eligibility, schedules, costs, service areas, and capacity can change. Confirm details directly before traveling or making plans; a referral is not a guarantee of service or placement.

The Mary Rose Clinic — primary care for uninsured or underinsured adults

The clinic describes primary care for people who are uninsured or underinsured. Call before visiting to confirm eligibility, current clinic hours, appointment requirements, and what services are available.

Role: public-benefit screening for SNAP, Medicaid, HEAP, and temporary assistance; geography: Madison County; cost/eligibility: program-specific income, household, and documentation rules apply; emergency limit: not immediate emergency response. | Programs, eligibility, schedules, costs, service areas, and capacity can change. Confirm details directly before traveling or making plans; a referral is not a guarantee of service or placement.

Madison County Social Services — benefits and applications

The county explains how to apply for benefits online, by mail, fax, or in person. Ask about current documentation, interview, language access, and appeal steps; an application is not an approval.

Role: cash assistance and emergency benefits screening; geography: Madison County; cost/eligibility: state and household eligibility rules apply; emergency limit: not a shelter guarantee or emergency dispatch. | Programs, eligibility, schedules, costs, service areas, and capacity can change. Confirm details directly before traveling or making plans; a referral is not a guarantee of service or placement.

Temporary Assistance and emergency stabilization

County information describes Family Assistance, Safety Net, and emergency help for some eviction or utility-shutoff crises. Ask DSS about current rules, documents, deadlines, and whether your situation qualifies.

Role: home health-and-safety education, checkups, supplies, and referrals; geography: Madison County; cost/eligibility: county describes a free program; confirm current intake and scope; emergency limit: not remediation, inspection clearance, or emergency service. | Programs, eligibility, schedules, costs, service areas, and capacity can change. Confirm details directly before traveling or making plans; a referral is not a guarantee of service or placement.

Madison County Public Health — Healthy Homes

The county describes Healthy Homes as a free health-and-safety checkup and education program. Ask what concerns it can address, what the visit includes, and whether a referral or separate funding program is required.

Role: housing stabilization and case management; geography: Madison County; cost/eligibility: provider says programs focus on families homeless or at high risk—ask about eligibility, funding, and intake; emergency limit: not an immediate shelter or guaranteed placement. | Programs, eligibility, schedules, costs, service areas, and capacity can change. Confirm details directly before traveling or making plans; a referral is not a guarantee of service or placement.

Community Action Partnership for Madison County — housing support

CAP describes temporary rent or utility assistance and housing support for eligible families. Call to ask about current funding, household criteria, documentation, wait times, and whether a non-family pathway exists.

Role: weatherization, housing counseling, and limited home-repair programs; geography: Madison County; cost/eligibility: income, property, age, and program rules apply; confirm current openings and fees; emergency limit: not emergency repair dispatch. | Programs, eligibility, schedules, costs, service areas, and capacity can change. Confirm details directly before traveling or making plans; a referral is not a guarantee of service or placement.

Stoneleigh Housing — weatherization and housing counseling

Madison County lists Stoneleigh as its weatherization provider and describes housing counseling and limited repair programs. Ask about renter consent, income guidelines, owner requirements, inspection, funding, and waitlist.

Role: aging services, nutrition, caregiver information, and in-home supports; geography: Madison County; cost/eligibility: many services are age- or assessment-based and may use income cost share; confirm details; emergency limit: not emergency response. | Programs, eligibility, schedules, costs, service areas, and capacity can change. Confirm details directly before traveling or making plans; a referral is not a guarantee of service or placement.

Office for the Aging — meals and in-home support

The Office for the Aging describes congregate and delivered meals, nutrition counseling, case management, and some in-home assistance. Ask about age, assessment, suggested contributions, service area, and current availability.

Role: public transportation; geography: selected Madison County routes; cost/eligibility: check current route, fare, service days, and accessibility with the operator; emergency limit: not emergency transport. | Programs, eligibility, schedules, costs, service areas, and capacity can change. Confirm details directly before traveling or making plans; a referral is not a guarantee of service or placement.

Madison Transit System

Madison County describes limited-frequency bus routes operated by Birnie Bus and says all buses are wheelchair accessible. Check the current county schedule and call the operator before traveling; the service does not cover every community or trip.

Role: volunteer rides to medical appointments; geography: Madison County residents age 60+; cost/eligibility: county materials describe donations accepted and advance scheduling; confirm current lead time and capacity; emergency limit: not emergency transport. | Programs, eligibility, schedules, costs, service areas, and capacity can change. Confirm details directly before traveling or making plans; a referral is not a guarantee of service or placement.

Office for the Aging volunteer medical transportation

County transportation materials describe rides for older residents to medical appointments. Call to verify current rules, trip range, accessibility, required notice, and whether a contribution is requested.

Role: referrals to local food pantries and food supports; geography: Madison County; cost/eligibility: pantry rules and service areas vary; call to verify hours, documentation, stock, and access; emergency limit: not crisis response. | Programs, eligibility, schedules, costs, service areas, and capacity can change. Confirm details directly before traveling or making plans; a referral is not a guarantee of service or placement.

Madison County food pantry directory

The county publishes a list of pantry contacts, updated October 2025. Confirm the current schedule and service area before traveling; food supply and eligibility may change.

Role: household waste and recycling information; geography: Madison County resident transfer stations; cost/eligibility: residents only; punch card or item-specific charges may apply; emergency limit: not a removal crew or cleanup service. | Programs, eligibility, schedules, costs, service areas, and capacity can change. Confirm details directly before traveling or making plans; a referral is not a guarantee of service or placement.

Madison County Solid Waste — transfer stations and disposal rules

The county explains locations, residency limits, operating days, punch cards, and recycling rules. Confirm accepted items, load limits, fees, hours, and whether a site can accept the material before hauling it.

Role: civil legal assistance, including tenant defense and benefits matters; geography: Madison County and Central New York; cost/eligibility: free services for eligible low-income people—screening is required; emergency limit: not emergency housing or legal representation until accepted. | Programs, eligibility, schedules, costs, service areas, and capacity can change. Confirm details directly before traveling or making plans; a referral is not a guarantee of service or placement.

Legal Aid Society of Mid-New York

The organization lists free civil legal help in areas including eviction defense, home conditions, public benefits, and foreclosure. Contact intake promptly about deadlines, county coverage, eligibility, and available representation.

Role: public library access and community information; geography: Madison County communities; cost/eligibility: check the library for card, guest, internet, and accessibility policies; emergency limit: not shelter or crisis response. | Programs, eligibility, schedules, costs, service areas, and capacity can change. Confirm details directly before traveling or making plans; a referral is not a guarantee of service or placement.

Madison County Library District and local libraries

Use the county library directory to locate a nearby public library and confirm current hours, internet access, meeting space, and any warming-center activation before traveling.

Role: public-health education and referrals for household environmental concerns; geography: Madison County; cost/eligibility: ask about program scope, inspections, and eligibility; emergency limit: not fire, EMS, remediation, or a clearance certificate. | Programs, eligibility, schedules, costs, service areas, and capacity can change. Confirm details directly before traveling or making plans; a referral is not a guarantee of service or placement.

Madison County Public Health — home hazards and environmental health

County Public Health lists healthy-homes, lead-prevention, and environmental-health programs. Ask what can be assessed and what falls outside the department’s role; an educational visit is not a guarantee of hazard removal.

Role: community health navigation and mobility information; geography: Madison and Chenango Counties; cost/eligibility: ask about each program and any participation rules; emergency limit: not medical care or emergency transport. | Programs, eligibility, schedules, costs, service areas, and capacity can change. Confirm details directly before traveling or making plans; a referral is not a guarantee of service or placement.

Rural Health Council of Madison and Chenango Counties

The county community health plan identifies the Rural Health Council as a local asset. Ask whether current mobility-management or self-management programs serve your town and what access requirements apply.

Role: public-health and community-action home-safety partnership; geography: Madison County; cost/eligibility: grant and program eligibility apply; confirm current intake and covered repairs; emergency limit: not guaranteed remediation or cleanup labor. | Programs, eligibility, schedules, costs, service areas, and capacity can change. Confirm details directly before traveling or making plans; a referral is not a guarantee of service or placement.

Madison County home stability and Healthy Homes partnership

The county describes Healthy Homes and a partnership with Community Action for eligible housing hazards. Ask whether the current program is accepting applications, what conditions qualify, and what repairs or supplies it can cover.

A note from the Alliance

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

This guide is anchored in Wampsville, 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