Mental Health Department


The mission of the Ulster County Department of Mental Health is to ensure that all Ulster County residents with mental health challenges, struggling with substance use, or with developmental disabilities receive the services they need to achieve the best quality of life.


Ulster County COVID-19 Hotline: 845-443-8888

Ulster County COVID-19 Website 


NYS has set up a COVID Mental Health Hotline, staffed by over 6,000 MH professionals, that people can access to get online or by phone therapy to cope with the stress, anxiety, isolation, etc.  1-844-863-9314


Ulster County Mobile Mental Health: 1-844-277-4820


NYS Department of Health COVID Information Line: 888-364-3065


COVID-19 Mental Health/Substance Use Disorder Support Services 



Commissioner of Health & Mental Health: Dr. Carol Smith, MD, MPH (845) 340-3009
Deputy Commissioner of Mental Health: Tara McDonald, LMSW, MPA (845) 340-4110 
Deputy Director for Administration/Fiscal for Health & Mental Health: Kristin Carney, MBA (845) 340–4110 



The Ulster County Department of Mental Health (UCDMH) is designated under NYS Mental Hygiene Law as the Local Governmental Unit (LGU). The LGU has a role in overseeing publicly funded services for people with mental health, substance use disorder and developmental disabilities within Ulster County’s behavioral health system.



Assisted Outpatient Treatment (AOT) or Kendra’s Law provides for either voluntary or court-ordered treatment for adults who have a mental illness and who may have difficulty living safely in the community without supervision. AOT assists with priority assignment to treatment, case management services, and when applicable, housing services. More information can be found on the NYSOMH website. For further information contact the AOT Coordinator at (845) 340-4110.



SPOA is a New York State Office of Mental Health (OMH) initiative that facilitates timely access and linkage to care management and other supportive services for adults, youth and families. SPOA services are designed to promote recovery and are personally tailored and responsive to individual needs and preferences.

Child and Adult Care Management SPOA Application


Universal NYS Child SPOA Application (optional)

SPOA Adult Residential Services Application

For more information, please call (845) 340-4110 or e-mail dmh[at]co.ulster.ny[dot]us.

Ulster County SPEAK (Suicide Prevention, Education, Awareness & Knowledge) Coalition

Ulster County SPEAK is a coalition of community partners working to educate others about the warning signs and what you can do to prevent suicide.  



 Download the app:           

 Apple iOS Version

 Google Android Version

 More info




Experiencing a mental health challenge or crisis? Help is only a phone call away.

Ulster County Mobile Mental Health  

Mobile Mental Health is operated by ACCESS: Supports for Living, between the hours of 10 AM - 10 PM. Call 1-844-277-4820. Connect with a trained counselor when stress, depression or other mental health issues create a personal crisis. Your call with a trained counselor will be kept confidential. This service is available to all Ulster County residents at NO CHARGE.


Other Crisis Resources

            Family of Woodstock 24 Hour Crisis Hotline – Call/Text: (845) 679-2485

            Suicide Prevention Hotline – 1 (800) 273-TALK (8255)


Crime Victim Assistance Program (845) 340-3442

Looking for counseling?

The Ulster County Department of Mental Health no longer provides clinical services, but we’re here to help you find the right provider. Below is a list of NYS OMH licensed programs.

  •  Family Services, Inc. (845) 486-2703 (Adults)

  •  The Institute for Family Health (845) 338-2562 (Adults, Children & Adolescents)

  •  Astor Services for Children & Families (845) 340-4105

Do you need something more intensive?

  • Pine Grove Center (845) 339-4733 (Adults)

  • DSS Coordinated Children’s Services (CCS/NEXIS/MST) (845) 334-5050

  • HealthAlliance of the Hudson Valley - Partial Hospitalization (845) 334-3120 (Adults), (845) 334-3110 (Children & Adolescents)

  • Astor Services for Children & Families - Partial Hospitalization (845) 554-1365

  • Rockland Children’s Psychiatric Center

          School-Based Clinic (Port Ewen) (845) 339-8707 (May self-refer)

          School-Based Clinic & Day Treatment Center (Saugerties) (845) 246-0134

          (Must be referred by school CSE)

Looking for help with addiction?

Outpatient clinics:

  • Step One – Highland (845) 691-9191, Ellenville (845) 647-5400

  • The Bridge Back at HealthAlliance of the Hudson Valley (845) 943-6091


Detox & inpatient:

 First Step at HealthAlliance of the Hudson Valley (845) 334-4705


Recovery support services:

  • Catholic Charities Centers of Treatment Innovation (COTI) (845) 281-8478 (A team of peers and clinicians will support you and your family regardless of where you are at in the process of recovery)

  • Ulster County Family Advocate (845) 458-7455  (Get help with navigating treatment options, guidance and support)

  • Alcoholics Anonymous (845) 331-6360 Narcotics Anonymous (845) 431-9011

Looking for other support?

Call us! (845) 340-4110

  • Mental Health Association Wellness Center (845) 339-9090

  • NAMI Mid-Hudson (845) 206-9892 NAMI NYS Helpline 1 (800) 950-3228

For more Ulster County resources, visit (A public service maintained by The Mental Health Association in Ulster County Inc. for community members to review and retrieve information about recovery-oriented programs and services.)

Not sure what you need? Please call us at (845) 340-4110. We will do our best to help.