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How to get Help
- If you are in crisis and need immediate assistance, call 911 or proceed to the nearest emergency room.
- For information on inpatient admissions at Nyack Hospital, call 845-348-6700.
- To schedule an appointment in our Pomona Clinic or to obtain referral information, call 845-364-2150, Monday - Friday 8:30 AM - 4:30 PM.
- Outpatient mental health and chemical dependency clinics are located throughout the County. Please see the list of agencies on the Mental Health Provider Agencies & Resources page and the Chemical Dependency Provider Agencies & Resources page.
National Suicide Prevention Lifeline - Call 24/7
No matter what problems you are dealing with, we want to help you find a reason to keep living. By calling 1-800-273-TALK (8255) you'll be connected to a skilled, trained counselor at a crisis center in your area, anytime 24/7.
New York HOPEline - Call 24/7
Addiction can happen to anyone, any family, at any time. Find Help for Alcoholism, Drug Abuse, Problem Gambling. Call 1-877-846-7369
Veterans Crisis Line - Call 24/7
The Veterans Crisis Line connects veterans in crisis & their families & friends with qualified, caring responders through a toll-free hotline. Call 1-800-273-8255 for confidential support 24 hours a day, 7 days a week, 365 days a year.
Department of Mental Health Overview
The Rockland County Department of Mental Health is both a provider of behavioral health services and, as the Local Governmental Unit (LGU), is the lead agency in the Rockland County Local Services system of behavioral health care. As a provider of services to the citizens of Rockland County, the Department of Mental Health is licensed by NYS Department of Health and the NYS Office of Mental Health. Services are coordinated with other behavioral health, health and social service agencies as required.
The mission of the Department is to ensure and oversee delivery of high quality, comprehensive, person-centered and recovery oriented services for persons in the Rockland community with mental illness, developmental disabilities and chemical dependence. These services will be provided in an ethical, courteous, timely, safe, culturally competent and cost effective manner. The role of RCDMH is to insure that no client falls through the safety net, which is especially critical today given the many changes occurring in the health care delivery systems.
As the LGU, the Department is responsible for the planning, coordination, administration and budgetary oversight of a comprehensive and integrated service delivery system in which County, State and Voluntary not-for-profit agencies deliver mental health, developmental disabilities and chemical dependency services. The agencies are funded, regulated and/or licensed by the NYS Office of Mental Health (OMH), Office for People with Developmental Disabilities (OPWDD) and/or Office of Alcoholism and Substance Abuse Services (OASAS). The Mental Hygiene Law governs the delivery of services provided. In addition, each Office has a set of regulations by which programs under its auspices must be in compliance.
The Rockland County Department of Mental Health accepts a full range of insurance coverage, including managed care plans, Medicaid and Medicare. If you don't have insurance, fees are based on your ability to pay.
Pomona Mental Health Clinic
The Pomona Clinic serves Rockland County residents and provides services designed to help people develop skills to effectively manage behavioral and emotional problems, strengthen the family system, resolve acute psychiatric symptoms and formulate effective medication regimens. The clinic's target population includes adults, adolescents and children.
Our multidisciplinary team uses evidence-based focused interventions addressing behavioral issues associated with presenting problem(s). These services allow individuals to minimize hospitalization, helping individuals to function optimally on an interpersonal, social, educational, and occupational level. Services offered include individual, group and family psychotherapy, psycho-educational groups, psychiatric evaluation and assessment, crisis intervention, and medication monitoring. The Clinic specializes in working with individuals who have experienced debilitating effects of trauma in their lives. We also liaise with other service provides and assist in connecting individuals with appropriate community services.
The Clinic has offered Crisis Management training to various county agencies and businesses in Rockland County, assisting them in managing potentially threatening situations in the workplace. Additionally, the clinic staff provides support for individuals and organizations involved in unforeseen catastrophic events in the community. The clinic provided counseling both on site and in the community after Hurricane Sandy, the Earthquake in Haiti, 911, school suicides and other unexpected deaths.
The Pomona Clinic is located in Building F of the Dr. Robert L. Yeager Health Center. Call 364-2150 for an appointment.
Local Government Unit
As the Local Governmental Unit, the Department is responsible for the planning, coordination, administration and budgetary oversight of a comprehensive and integrated service delivery system in which County, State and Voluntary not-for-profit agencies deliver mental health, developmental disabilities and chemical dependency services. The goal is to ensure that all population groups are adequately covered, that sufficient services are available to all persons with mental illness, developmental disabilities and chemical dependence, that there is coordination and cooperation among local, county and state providers of services, and that there is continuity of care among all providers of services.
This goal will continue to be accomplished with enhanced partnership and collaboration with community based and state agencies, other County health and human service departments, recipients and other stakeholders in determining how to best provide services, enhance the delivery of community-based services and promote cross system planning for high risk/high need individuals with disabilities that require services from multiple county departments and service providers. This is especially critical with our many group homes and community residences in which our clients reside that we as Rockland's LGU always provide a safety net so no client falls through the cracks.
Local Services Planning
The Department, in collaboration with service providers and other stakeholders, is responsible to review services and local facilities for the mentally disabled of the area for which it serves; determine needs; develop the program of local services; ensure coordination and cooperation among local providers; exercise general supervisory authority over or administer local services; and submit annually a local services plan for the provision of services for OMH, OASAS and OPWDD.
Assisted Outpatient Treatment Services
The Department is responsible for coordinating and overseeing the Assisted Outpatient Treatment (AOT) program, established following the enactment of Kendra's Law in August 1999, to provide 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 establishes a process for obtaining a court order for these individuals to direct them to comply with a court ordered treatment plan. This program requires significant oversight on the part of the Department to ensure the safety of the community. For more information or to make a referral, please contact the AOT Coordinator, Tami Schonberg, at 364-3691.
9.46 Safe Act
As a result of legislation enacted in March 2013, when a psychiatrist, MD, registered nurse, psychologist or licensed social worker currently providing mental health treatment services to a person determines, in the exercise of reasonable professional judgment, that such person is likely to engage in conduct that would result in serious harm to self or others, he or she shall be required to report, as soon as practicable, to the County Commissioner. The County Commissioner evaluates the clinical information and, based on her assessment, forwards information to the NYS Department Criminal Justice Services, which results in an individual being denied a pistol permit or revocation of an existing pistol permit in NYS. For more information on the NY Safe Act please refer to the NYS Office of Mental Health website. Follow this link to make a 9.46 Safe Act Report.
The Department of Mental Health, as the Local Governmental Unit (LGU), contracts for services with 21 behavioral health agencies. The Department has established a performance based contract management process that includes annual on-site reviews. The goal is to more effectively monitor performance outcomes, service delivery volume, and the cost of service delivery and to ensure compliance with all applicable standards and requirements.
Emergency Operations Center
Coordinates the countywide response for behavioral health services in an emergency situation. RCDMH functions as a liaison with other agencies and providers of service and reports to the NYS OMH, DOH, OASAS, and OPWDD. Staff trained as crisis/disaster mental health responders respond, as needed, to emergency situations in the county. Additionally, RCDMH staff are assigned to Mental Health Coordinator role at the County Emergency Operations Center (EOC), acting as liaison between the Department of Mental Health, the EOC and the many agencies represented at the EOC to provide both the Department of Mental Health and the EOC staff with the information needed to coordinate the Department's response to an emergency situation.
SPOA (Single Point of Access) Committees
Rockland County's Adult SPOA Committee reviews all requests for Case Management, Assertive Community Treatment, and Housing for county residents with mental illness 18 years of age and older. The committee insures the timely access to needed services, and brings together providers and adjunct supports to help everyone get the help they need and for which they are eligible. The SPOA Chair works with referral sources, families, and hospitals to insure a smooth transition to appropriate care. Applications are reviewed daily and followed up until services are in place. Individuals are welcome to attend SPOA to meet providers and insure their wishes are respected and the services person-centered. For more information call the Adult SPOA Coordinator, Jennifer Clark, at 364-2399 or fill out the Adult SPOA Application.
Child and Adolescent SPOA
The Child and Adolescent SPOA Committee is a service provided to children with serious emotional disturbance and their families. The goal is to identify and address their needs, many of who need access to services from multiple systems. The Committee reviews applications for Case Management and OMH Home and Community Based Waiver Services to support each family in their wish to keep their child at home, with specialized treatment, school, and other supports such as respite. The Child and Adolescent SPOA is comprised of child and family serving agency representatives as well as members of other county departments working with families to prevent unnecessary out of home placements. An evidence-based practice of networking with families and schools to put together an individualized plan of support is an essential feature of SPOA. For more information or to obtain an application call the Children's SPOA Coordinator, Catherine Bunyan, at 405-4180 X3511 or fill out the Children's SPOA Application.
The SPOA committees are the "go to" place for and complicated and individualized planning and service requests, generating cross systems collaboration and county-wide needs assessment and feedback. Each SPOA Chair is able to respond to emergency request and works closely with other county departments and agencies.
Approval of HCBS Waiver of Level of Care (LOC) and Initial Service Plan (ISP) Forms
The Home and Community Based Services (HCBS) Waiver provided by St. Dominic's Home, ensures that children and families have access to services that are culturally relevant and that lead to improved resiliency, the achievement of age specific developmental imperatives and a supportive home environment. The target population for the HCBS Waiver is children and adolescents:
with serious emotional disturbance.between the ages of 5 and 17 years (prior to 18th birthday),
who demonstrate complex health and mental health needs,
who are at imminent risk of admission to a psychiatric institutional level of care or have a need for continued psychiatric hospitalization,
whose service and support needs cannot be met by just one agency/system,
who are capable of being cared for in the home and/or community if services are provided,
who have a viable and consistent living environment with parents/guardians who are able and willing to participate in the HCBS Waiver, and
who can reasonably be expected to be served under the HCBS Waiver at a cost which does not exceed that of psychiatric institutional care.
The HCBS Waiver utilizes a strength-based, individualized care model to promote wellness, leading to success for the child and family. It ensures effective interventions by implementing a collaborative partnership with the family, treatment provider(s), core waiver services and other natural supports.
There are six specific services that comprise the HCBS Waiver. The services are: Individual Care Coordination, Respite, Intensive In Home, Skill Building, Family Support Services and Crisis Response. Each child must have Individual Care Coordination. The remaining five services are selected as indicated by the child, family and ICC to support goals and objectives in the Service Plan.
The Department is required to sign the LOC form (two signatures) and the ISP (one signature). It is also required that the two signatures represent two different disciplines unless the LGU has requested a waiver.
Forensic Mental Health Service
Provides psychiatric and psychological evaluations and consultations to all of the courts (Family, Justice, County, Supreme) and law-related agencies in Rockland County. Conducts mandated CPL 730 competency exams. Also provides training and consultation in psychiatric-legal subjects to the staffs of agencies serving the judicial system and serves as liaison between County law-related agencies (e.g., Probation Department, Corrections Department) and County and State psychiatric facilities.
Behavioral Health Services - Rockland County Jail
he Department of Mental Health provides a Behavioral Health Care Team for the Rockland County Jail that works in collaboration with Correctional Health Services and Corrections to address and manage the range of Behavioral Health needs and risks presented by the inmate population. The Rockland County Correctional Facility is accredited through the National Commission of Correctional Health Care for the provision of health and behavioral health services at the jail site.
The Behavioral Health Team provides screening, psychiatric evaluation, behavioral health assessments, suicide risk identification and prevention, medication management, crisis intervention and stabilization, substance abuse treatment, referral to inpatient psychiatric care, referral for CPL 730 competency evaluations and transitional case management as part of an ongoing strategic risk management plan at the facility. The Behavioral Health Team provides consultation to Correctional Health and Corrections staff in identifying and managing behavioral health issues that emerge during an inmate's incarceration. Inmates placed on suicide watch as well as inmates with serious and persistent mental illness are a priority focus for the Behavioral Health Team. Behavioral Health works closely with community providers and agencies, criminal justice entities, judicial and legal services, and family members to develop post release service plans for the inmates in order to promote continuity of care upon release and provide referrals to and accommodations for alternative to incarceration programs.
The Team also provides training in the jail. Both Behavioral Health social workers are Certified Suicide Prevention Trainers and participate in the training of new corrections officers and sheriff's deputies in suicide prevention. Social workers also provide mental health training to corrections and health service personnel.
Sex Offender Behavioral Management Program
The Rockland County Sexual Offender Behavioral Management Program is located in the County Government Buildings located in New City, New York. (845) 638-5138.
The primary goal of the Sexual Offender Behavioral Management Program is to provide a higher level of community protection by assisting individuals who have engaged in illegal or deviant sexual behavior. Kurt Bumby of the Center for Sex Offender Management in November 2006 defined treatment with this population as "prescribed interventions as a means of managing crime-producing factors and promoting positive and meaningful goal attainment for participants, all in the interest of enhancing public safety."
The Rockland County Sexual Offender Behavioral Management Program focuses on training participants to modify, control, and monitor their inappropriate sexual behavior to avoid future acting out. Our program utilizes the "containment approach" of working collaboratively with vested agencies and persons in managing these participants in the community, which is considered best practice in the field of sex offender supervision and treatment. (Association for the Treatment of Sexual Offenders: Practice Standards and Guidelines, 2005)
The Rockland County Sexual Offender Behavioral Management Program works as part of a community wide team effort that includes the criminal justice system stakeholders such as probation, parole, law enforcement, judicial system, victim advocate groups and DSS in order to promote effective community risk management strategies.
The Rockland County Sex Offender Behavioral Management Program recognizes that an essential component of managing sex offenders is the provision of sex offender specific treatment that is designed to promote offender accountability and enhance skills and competencies in order to reduce the likelihood of re-offending. In order to meet this standard, clinical staff working with this population needs specialized training, as well as ongoing education, to ensure competency in the evolving field of sexual offender practice standards.
The Rockland County Sexual Offender Behavioral Management Program is committed to utilizing best practices standards in order to promote effective community risk management strategies in the management of this population.
The Consumer Advocate is available to ensure Department of Mental Health consumers' rights are respected. The role of the Consumer Advocate is to respond to complaints related to consumer care. When complaints are filed the Consumer Advocate works with consumers to obtain a resolution to their complaint. In addition to responding to concerns, the Consumer Advocate provides information on services and resources available to consumers and their families. You may reach the Consumer Advocate, Tami Schonberg, at 364-2340.
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. For more information or to make a referral, call 364-2300.