Existing research on the foreclosure crisis tends to focus on national trends or on metropolitan areas. Few studies focus on rural areas, and none look at Appalachia in particular. Existing research on rural housing issues suggests that rural communities face unique challenges in the wake of the foreclosure crisis due to capacity constraints, lack of qualified counselors in rural areas, and lack of funding availability. This study investigates the impact of existing policies upon Appalachian communities and households—analyzing whether communities suffering from widespread foreclosures lack the governmental and nonprofit resources necessary to adequately utilize funding and other resources to respond to the crisis. This paper presents findings from a survey of housing counselors serving the Appalachian region, which suggests that lack of directed federal funding is preventing counseling agencies from getting distressed homeowners aid in a timely manner or helping them to make modifications to their mortgages. I conclude with policy and planning recommendations designed to target assistance to these and other rural and distressed communities suffering from foreclosures.