Rockland County Department of Mental Health

The Rockland County Department of Mental Health (RCDMH), in its role as the Local Governmental Unit (LGU), plans, develops and oversees the behavioral health system of care (SOC) for people with mental health concerns, intellectual and developmental disabilities, and substance use disorders.

The goal is the development of high quality, comprehensive, integrated, person-centered and recovery-oriented services for Rockland residents.

RCDMH seeks to ensure that all population groups are adequately covered, that sufficient services are available, and that there is coordination, cooperation, and continuity of care among local, county and state providers of services.

Emergency Resources

If you are in crisis and need immediate assistance:

  • Call 911 or proceed to the nearest emergency room.

BHRT - Behavioral Health Response Team 

Call 845-517-0400 or toll-free at 1-844-255-BHRT (2478), 24/7

If you require mental health outreach services, help is available. Call BHRT, the Behavioral Health Response Team anytime, 24/7.


Crisis Text Line 

Text GOT5 to 741741, 24/7

A crisis can happen at any time. And it isn't always a life-threatening situation. There's a new way to reach out. New York State has partnered with Crisis Text Line, an anonymous texting service available 24/7. Starting a conversation is easy. We've got time to talk.


Red Nacional de Prevención del Suicidio


Ayuda En Español. Lifeline ofrece 24/7, servicios gratuitos en español, y no es necesario hablar inglés si usted necesita ayuda.


National Suicide Prevention Lifeline

Call 1-800-273-TALK (8255), 24/7 or for TTY Users, use your preferred relay service or dial 711 then 1-800-273-8255

Having Trouble Coping? Talk to someone now. Call if you're thinking about suicide, are worried about a friend or loved one, or would like emotional support. You'll be connected to a skilled, trained counselor at a crisis center in your area. The Lifeline is free, confidential and always available.


Veterans Crisis Line

Call toll-free at 1-800-273-8255, 24/7

Are you a Veteran in crisis or concerned about one? Call anytime to a reach caring, qualified responder, often a Veteran themselves. This free support is confidential and available to Veterans, Service Members, National Guard, Reserve, and family members and friends.


Make the Connection

Make the Connection connects Veterans, their families and friends, and other supporters to mental health information and hundreds of videos of Veterans sharing their inspiring stories of recovery. The site is free to use and accessible to everyone.



The Trevor Project

Call 1-866-488-7386 or Text 'START" to 678-678, 24/7, 365 days a year

Connect with a trained counselor that understands the challenges LGBTQ young people face. Click here for a link to chat with a counselor or for more information.


Center for Safety and Change

Call 845-634-3344, 24/7

Help for victims of domestic violence, sexual assault, human trafficking and other crimes. Get help now.  Call the 24 hour hotline.

How to Get Help

For information on treatment, services and supports:

Youth Behavioral Health Information and Referral Line

Do you need help finding behavioral health services for your child and family?  The Saint Dominic's Family Services, Youth Behavioral Health Information and Referral Line is free and confidential.  Family Peer Advocates use their experience and understanding of the mental health system to connect you to the information and support you need.

  • Call 833-YouthBH (833-968-8424)

Children's Single Point of Access (C-SPOA)

Children's Single-Point-of-Access was created to decrease out of home placement and psychiatric hospitalization for children and youth who are struggling emotionally and/or have a mental health diagnosis. There are many in-home and community based support services available for children and their families such as:

  • Care management
  • In-home counseling
  • Skill building
  • Respite
  • Youth and family peers

To start the process or learn more about the options and eligibility requirements, check out the C-SPOA Instructions and/or Application or call the C-SPOA Coordinator, Erica Martinez at 845-364-2345.

If the child/youth is a Medicaid beneficiary and looking for services other than care management, check out the Children and Family Treatment and Support Services Application HERE.

Adult Single Point of Access (A-SPOA)

The Adult Single Point of Access (A-SPOA) is a process to identify adults with a mental illness who are most in need of services and to provide access to the following:

  • Care Management
  • Assertive Community Treatment (ACT)
  • Licensed OMH Housing
  • Supportive Housing

The A-SPOA Coordinator works with referral sources, families, and hospitals to ensure a smooth transition to appropriate care. For more information call the A-SPOA Coordinator, Eva Hernandez, at 364-2399 or fill out the A-SPOA application.

Assisted Outpatient Treatment Services (Kendra's Law)

Kendra's Law was enacted to provide Assisted Outpatient Treatment (AOT) services for certain mentally ill individuals who, in view of their treatment history and circumstances, are unlikely to survive safely in the community without adequate supervision. The law established a process for obtaining a court order to direct these individuals to comply with a court ordered treatment plan.  For more information or to make a referral, please contact the AOT Coordinator, Lisa Defeciani at 364-3691.

Adult Sex Offender (ASO) Program

The Adult Sex Offender (ASO) Program delivers sex offender-specific behavioral health services to individuals who are on probation/parole related to a sex offense, as well as their families when indicated. Clinic-based services are provided utilizing evidence-based practices specific to sex offending behavior, and a trauma-informed and person-centered approach. The program coordinates with other agencies serving the clients, including probation.  For more information call 914-345-0700 X7303.

Employee Assistance Program (EAP) for Rockland County Employees

Confidential assessment and referral program designed to offer professional help to employees who need assistance with personal problems or concerns.  Although not mandated, the program is available to all Rockland County employees and their families as per the agreement with the various unions.  The purpose is to provide early identification and prevention as well as referral to appropriate professional counseling.  Call 364-2300 for more information or to make a referral.


The New York State SAFE Act stops criminals and the dangerously mentally ill from buying a gun by requiring universal background checks on gun purchases, increases penalties for people who use illegal guns, mandates life in prison without parole for anyone who murders a first responder, and imposes the toughest assault weapons ban in the country. The Office of NICS Appeals and SAFE Act provides the guidance to mental health professionals on reporting requirements.

Guidance Documents
9.46 Reporting