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Mental Health and Substance Use Treatment Services

Mental health & substance use can be difficult to talk about, and the path to treatment can feel long, scary, and to some – impossible.

Access is here for you. And we hope you will take the first step to live the fullest and healthiest life possible with us here. Today.

Access: Supports for Living offers compassionate, licensed professionals who are available 24/7 for adults and children. Whether you are or a family member is in a crisis, are struggling with a gap in psychiatric medication and are unable to get in touch with your prescriber, are experiencing substance use challenges, or don’t really know how you feel but know you’d like to feel better, we are here to support you right here, right now and to connect you to ongoing treatment (if necessary).

How do we do it? Here are some of the services we offer:

Mental Health and Substance Use Urgent Care:

Offered on-site at 3 locations and virtually, 24/7

Concerned about mental health or substance use? You are not alone. Access is here to help.

Walk-in and virtual health services for adults & children are available, regardless of ability to pay. No appointment or referral needed.


Monday – Friday: 10am – 6pm

Union Street Counseling Center

16-24 Union Street, Middletown, NY 10940

Kaplan Family Community Counseling Center

21-23 Grand Street, Newburgh, NY 12550

Ulster County

368 Broadway, Suite 205 Kingston, NY 12401

Reasons to visit the Urgent Care:

  • Feelings of Depression or Anxiety
  • Suicidal thoughts
  • Addiction to drugs or alcohol, or concerns related to overuse of substances
  • Self-harming behaviors
  • You need to see somebody in between appointments with your regular therapist or psychiatrist
  • Not sure how you’re feeling, but want to talk to someone in the hopes of feeling better
Mobile Mental Health Teams:

Offered in Orange, Ulster, and Rockland Counties

Get the help you need, the moment you need it, when mental health concerns create a personal or family crisis.

If you, your child, or a family member/friend is struggling with mental health, addiction, sexual assault, housing or food insecurity, disability, or you just don’t know where to turn for help, our Mobile Mental Health Teams can help. Whether on the phone or in person at your home, you can get connected with trained professionals, including people with lived experience, to help you through a crisis, develop support plans, and assist you in reaching ongoing support.

Our Rockland County Children’s CARE Team serves children and families ages 0-21 12-8pm each day.

The Orange County Crisis Call Center is a collaboration of:
Orange County Government, Access: Supports for Living, Mental Health Association of Orange County, Inc., and Independent Living, Inc.

The Ulster County Mobile Mental Health Team is offered through the Ulster County Department of Health and Mental Health. This service is operated by Access: Supports for Living.

The Rockland County Children’s CARE Team is offered in partnership with Rockland County Health, Rockland County Partnership for Safe & Healthy Youth, and SAMHSA
(The Substance Abuse and Mental Health Services Administration, a branch of the U.S. Department of Health and Human Services)

Community Counseling Centers:

Individual, family, and group therapies for children, adolescents, adults, and families are available in Newburgh and Middletown. Teams of experienced adult and children psychiatrists, psychiatric nurse practitioners, social workers, registered nurses, and other licensed clinical professionals partner with children, teens, families, and adults in coping with emotional problems and treating mental illness. Psychopharmacology and evidence based therapies are available as treatment options.


OnTrackNY is an innovative, evidence-based approach to providing recovery-oriented treatment to young adults aged 16-30 who have experienced their first episode of psychosis. Symptoms may include unusual thoughts and beliefs, disorganized thinking, or hallucinations (such as hearing or seeing things that others don’t). OnTrackNY treatment teams consist of a team leader, a recovery coach, a supported employment/education specialist, an outreach and enrollment specialist, a psychiatrist, and a nurse. Each OnTrackNY treatment team provides a range of treatment including: relapse prevention, illness management, medication management, integrated substance use treatment, case management, family intervention and support, as well as supported employment and education. Services are provided in individual and group formats within a shared decision-making framework and utilize individual and family psychoeducation to remove stigma and promote full recovery.

Personalized Recovery-Oriented Services (PROS)

PROS provides recovery, rehabilitation, and treatment services to adults with a serious mental illness through various components, including:

  • Community Rehabilitation and Support, which assists individuals in acquiring and maintaining skills and supports to live successfully in their communities, including wellness self-management, benefits and financial management, leisure planning, and skill development.
  • Intensive Rehabilitation offers individuals supports through reducing risk of relapse and/or hospitalization, loss of housing, or involvement with the criminal justice system.
  • Clinical Services offers treatment services including psychopharmacology, as well as group and individual therapy.

Programs are located in Middletown, New Windsor, Poughkeepsie, Hyde Park, Rhinebeck, and Millbrook.

Adult Care Management

Adult Care Management provides support to people living with serious mental illnesses and chronic health conditions. Care managers help coordinate medical, behavioral, and social needs with the goal of helping people stay healthy and safe within their communities.

Adult Behavioral Health Home and Community Based Services (HCBS)

HCBS, available to eligible adults age 21 and up, includes counseling in the community along with other services to strengthen coping skills. With the goal of increasing independence, HCBS helps people to build everyday skills to communicate and socialize. Adult HCBS can also include services for families and loved ones to help support the recovery of their family member.

Medication-Assisted Treatment (MAT)

Medication Assisted Treatment is an integrated program for people working toward opioid recovery. MAT approaches physical and mental health care with medication therapy to overcome cravings and the other physical effects of opioid addiction and withdrawal.

Intensive Outpatient Treatment Program

Our Intensive Outpatient Treatment Program is a six-week program to help adults recover in the community after a mental health crisis. Using a team approach and a combination of individual, group, and family therapy, as well as psychopharmacology, this program is focused on long-term recovery.