The East End House provides help by referral only. Any recognized organization can provide a referral. A complete Thanksgiving dinner basket is provided through generous donations, turkeys and various foodstuffs, and the time of staff and volunteers. The families are referred to the East End House by local social workers, agencies, and churches. Every December the East End House receives donations from local organizations to provide gifts to the children of needy families of the area.
Local schools participate by collecting and donating gift baskets containing toys and candy.