The Peer Tree
A private-pay pathway when grant-funded or public services do not cover the kind of hands-on or ongoing support needed.
A Hoarding Alliance local resource guide
You do not have to solve everything at once. Start with the safest next step, then add the right local support around it.
Start here - Fight the Blight
These starting points help you choose a path without treating a difficult home situation like a character flaw. Ask what is available now, what it costs, and what the service does not cover.
A respectful first conversation about what is happening, what feels urgent, and which next step may fit.
Role: nonprofit first-conversation and virtual peer-group front door; geography: remote; ask about Winston-Salem or Forsyth County; cost/eligibility: confirm current program fit and availability; emergency limit: nonclinical support is not therapy, crisis response, shelter, or cleanup.
If anyone is in immediate danger, call 911. For a mental-health crisis or thoughts of suicide, call or text 988. Neither service is a hoarding cleanup, housing guarantee, or property-preservation program.
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.
A private-pay pathway when grant-funded or public services do not cover the kind of hands-on or ongoing support needed.
A judgment-free digital pathway for personal support, friends and family, groups, and steady momentum between local conversations.
Use 211 to ask about current housing, food, transportation, health, and community-service options when you are unsure where to start.
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.
Use the official county site to confirm current offices, notices, forms, and contacts before traveling.
The city identifies minimum housing, sanitation, trash, illegal dumping, overgrown-lot, and hoarding-related environmental-abatement concerns; ask what process applies before submitting a report.
Use the city page to identify neighborhood services and confirm which department handles a property or stabilization question.
The city directs people to Coordinated Intake for emergency shelter, homelessness prevention, and housing connections; call before traveling if housing is at risk.
This city division coordinates housing and community services and can help identify the right program or funded service partner.
Call CityLink to route a city service, sanitation, missed pickup, or code question to the right department.
The county lists behavioral-health access, peer-support specialist connections, Mobile Integrated Healthcare, FROST, and Bridges to Hope; ask which option fits the current need.
The county describes community paramedics supporting behavioral health, medical, and environmental needs; ask whether a referral can address the situation.
The county lists a 24/7 behavioral-health crisis number for urgent support and routing.
Call or text 988 for immediate emotional or mental-health crisis support; call 911 when there is immediate physical danger.
Call 911 for an immediate threat to life, fire, serious injury, or another emergency requiring dispatch.
The county lists public benefits, Medicaid, energy assistance, non-emergency medical transportation, and protective services through its call center.
Use the county page to apply or ask about current Food and Nutrition Services/EBT rules and appointment options.
The county FAQ routes emergency rental-assistance questions to DSS and lists the Housing Authority of Winston-Salem as a separate housing contact.
The city page explains where to begin for coordinated intake, homelessness prevention, rehousing, housing counseling, and legal-help connections.
Use the housing authority's current resident and applicant information to ask about public housing, vouchers, and support options.
Ask about housing, eviction, safety, benefits, disability, or consumer-law questions before a deadline passes.
Use the state page to understand the public behavioral-health system and find the correct local access path.
Use APS information when an adult may be unable to protect their own health or safety because of abuse, neglect, exploitation, or disability.
Use the official Medicaid site to check eligibility, enrollment, covered services, and current member-help routes.
Use the county health pages to identify public-health contacts and ask which department handles a health or environmental concern.
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.
Bethesda Center says it operates day and emergency night shelter for people experiencing homelessness; call first to confirm current access.
Crisis Control describes short-term assistance for housing, utilities, food, and prescriptions when a financial crisis affects basic needs.
Sunnyside Ministry is a Winston-Salem crisis-intervention agency; confirm current intake and hours before traveling.
Use the local Salvation Army page to ask about current emergency financial, food, housing, or seasonal assistance.
The Rescue Mission provides a community pathway for people needing shelter or practical support; confirm current eligibility and capacity.
Second Harvest directs people to nearby grocery and meal assistance and recommends 211 for additional help; use its finder before traveling.
Habitat Forsyth describes income-based homeownership paths; it is a longer-term housing program, not a same-day emergency response.
The county describes an affordable homeownership program and related tools for residents who may be able to pursue a longer-term housing path.
Use the library for information access, computers, printing, referrals, and a safe place to plan next steps; confirm current hours.
Check current WSTA routes, service alerts, fares, and accessible-transport options before a trip.
Use the city's service finder and collection rules to plan ordinary household disposal; bulky or unusual items may require separate confirmation.
The utilities department describes disposal facilities and safe solid-waste access; confirm what can be accepted before hauling materials.
Use the joint utility department to ask about water, sewer, solid-waste, billing, and service questions that affect housing stability.
NCWorks is North Carolina's official online job-search and workforce resource; use it to look for employment and training options.
Use the NCDHHS energy-assistance page to identify current LIHEAP/energy programs and ask DSS about local application steps.
Use the state housing agency's renter information to look for affordable-housing and counseling pathways; confirm local availability.
Use NC Vocational Rehabilitation information to ask about employment support and accommodations when disability affects work or daily stability.
Use the county guide to widen the search, then verify each organization's current hours, eligibility, capacity, and service area because directory details can age.
This county-published program list helps identify the right public office for health, social, economic, and energy questions.
A note from the Alliance
This guide is anchored in Winston-Salem, 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