; Adam Bello, County Executive

Office of Mental Health

1099 Jay Street, Bldg. J
Rochester, NY 14611

 Phone: 585 753-6047


211 or (585) 275-5151 or TEXT to 898-211 

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Mental Health and Substance Use services remain available during COVID-19. Services are being delivered primarily by telephone or video technology. View Walk In Times for contact information to either connect to your current provider or plan for new admissions.

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Dr. April Aycock
Dr. April Aycock

The Monroe County Office of Mental Health (MCOMH) is committed to improving the health and quality of life of county residents who are affected by mental illness, developmental disabilities, alcohol and other drugs.

On This Page

MCOMH is an administrative division within the Department of Human Services and is the governmental entity authorized to receive and allocate public mental hygiene funds in accordance with NYS law.  As the agency charged with system oversight and encouragement of programs aimed at prevention and treatment, the MCOMH:

  • Develops a comprehensive county plan for mental health, developmental disability and alcohol/substance abuse services.
  • Allocates funding to local agencies based on community priorities, treatment outcomes, and program performance.
  • Ensures coordination of services across levels of care and among an array of community providers.
  • Assists in the transformation of our system to providing flexible services that are person/family centered, strengths-based, culturally competent, recovery-oriented and evidence-based.

To accomplish these objectives, the MCOMH oversees the local service system through a variety of sub-contracts; provides fiscal oversight and technical assistance to agencies; and collaborates extensively with other DHS and county divisions, service providers, and community groups.  Provider contracts are monitored by Coordinated Care Services, Inc. (CCSI) on behalf of MCOMH.  Click here for more information about CCSI.

    How the Office of Mental Health can be helpful to you:

    • Identify services for mental health, developmental disabilities or alcohol and other drugs offered in Monroe County on this website.
    • Find information about the Socio-Legal center and assisted outpatient treatment on this web-site
    • Provide an opportunity for you to share your thoughts about the Monroe County Mental Hygiene System—See Community Services Board for further information
    • Resolve issues/concerns regarding service access or quality

    Mental Health Services Overview

    The Monroe County Office of Mental Health oversees the mental health system and provides funding to a number of community agencies for the provision of services to individuals with mental illness and their families. Mental Health services are available for adults, adolescents and children.

    Mental Health Services include:

    • Emergency—crisis services
    • Inpatient—acute and intermediate levels of care
    • Outpatient treatment—individual and group
    • Residential/housing services
    • Community support programs—vocational support, respite, family support, self-help, consumer initiatives, socialization and recreation opportunities

    Community mental health services are aimed at offering individuals and families treatment and support services that assist them in successfully living in the community, avoiding unnecessary hospitalization or out-of-home placement.


    • Contact provider agency directly
    • For adult mental health care coordination and residential services, see the referral forms on the Adult SPOA Referrals page and contact the Monroe County Single Point of Access (SPOA) Manager at 753-2874.
    • For child and adolescent mental health care coordination and residential services contact the Monroe County Single Point of Access (SPOA) Manager at 753-2881.

    Service Providers

    Addiction Services Overview

    The Monroe County Office of Mental Health oversees the Addiction system and provides funding to a number of community agencies for the provision of addiction services for individuals, families and the community. Services are available for adults and adolescents.

    Services include:


    • Contact provider agency directly

    Substance use disorder services are covered by most third party insurance plans, Medicaid and all OASAS licensed facilities have sliding fee scales.

    Service Providers

    Developmental Disabilities Services Overview

    The Monroe County Office of Mental Health provides funding to a number of community-based provider agencies for the provision of services to individuals with developmental disabilities and their families.

    Developmental Disabilities Regional Offices (DDROs) are the starting point to apply for services. With an eye to enhanced oversight and quality improvement, the Office for People With Developmental Disabilities (OPWDD) has established 5 regionally based offices across the state that allow for better coordination of services with the State Office of Mental Health, State Department of Health and other agencies with whom we often partner in providing services.

    In order to assist individuals and families to make informed choices about the supports and services best suited to their needs, DDROs work with local voluntary provider agencies to improve access to and coordinate services within a region.

    DDROs are responsible for the following activities:

    • Determination of Developmental Disability Eligibility
    • Intake
    • Waiver enrollment (a Federal‐State partnership which makes certain types of services available within the home or community so as to avoid placement in an institution)
    • Authorization of services for individuals with developmental disabilities
    • Consistent practices which support accessing supports and services in the most integrated setting and in line with presenting needs
    • Management of resources for crisis intervention
    • Advocacy
    • Shared management of OPWDD statewide applications;
    • Service recruitment and development for the Family Care program; and
    • Programs, services and supports for aging individuals with developmental disabilities.


    Eligibility for services is determined by the Developmental Disabilities Regional Offices(DDROs). For more information, please contact the Finger Lakes Regional Office at (585) 241-5741. 

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