Niagara County Department of Mental Health & Substance Abuse Services

Niagara County Department of Mental Health & Substance Abuse Services NCDMH offers direct services & facilitates access to appropriate services & supports for Niagara We serve individuals ages 5 and older.

The Niagara County Department of Mental Health & Substance Abuse Services (NCDMH) provides a broad range of services and supports to individuals with mental health, alcohol and substance use and intellectual disabilities / developmental disabilities concerns. We have two fully integrated clinics, located in Lockport and Niagara Falls, that offer mental health, alcohol and substance abuse and limit

ed physical health services. We accept a variety of insurances including Medicaid and Medicare. In addition, we offer 24 hours a day, 7 days a week Crisis Services to individuals in Niagara County. Phone Aides are available to provide a confidential resource through which individuals can receive referrals for services that are needed. ( Examples include; housing, counseling, substance abuse treatment, food pantries and other community resources). Callers can ask questions, share concerns, and receive assistance for themselves or someone they know who may be experiencing difficult life changes or challenges including mental illness and thoughts of self harm, suicide, or homicide. Some of the NCDMH community based services and supports in which Crisis Services facilitates access to include the following:

Adult Single Point of Access (ASPOA) Program: Serves Seriously and Persistently Mentally Ill (SPMI) individuals who are Niagara County residents and may have difficulty accessing housing or care management services. If an individual does not have a serious persistent mental illness but is at risk and in need, the ASPOA committee will make recommendations to the individual for other appropriate services. ASPOA establishes an efficient and comprehensive single entry point for individuals into the service system while providing systems management. Consumers of services are able to enter the system more seamlessly, be served more appropriately, and gain more from the experience of being served by one or more of Niagara County’s agencies. All stakeholders (consumers, NCDMH, New York State Office of Mental Health, and contract agencies) have the opportunity to view themselves as partners in a collaborative system. Services that can be accessed through ASPOA include Assertive Community Treatment (ACT), care management, mental health housing, and other services such as Assisted Outpatient Treatment services, Crisis Services Coordination, Forensic Case Management, Hospital Diversion services, Healthy Aging Services, Peer Support services, Parole Reentry Program services, and Mobile Integration Team (MIT) services. Participation in ASPOA is voluntary. Care management is provided to consumers regardless of medical insurance coverage or type of coverage. Due to demand, some services may have a waiting list. Children's Single Point of Access (CSPOA): Serves Niagara County children and youth with serious emotional disabilities (SED). If a child does not have a serious emotional disability but is at risk and in need of help, the CSPOA Committee will make recommendations to the family for appropriate services. CSPOA establishes an efficient and comprehensive single-entry point for individuals into the service system while providing systems management. All stakeholders (consumers and their families, NCDMH, New York State Office of Mental Health, and contract agencies) have the opportunity to view themselves as partners in a collaborative system. CSPOA develops strategies to maintain children and youth in the community, assesses the strengths and needs of a child referred, and create a plan to link the child to the most appropriate services. A brief list of the services that can be accessed through CSPOA includes: Youth Assertive Community Treatment (YACT), Care Management, Community Crisis Intervention, Home and Community Based Services Waiver, Mobile Integration Team (MIT), Multisystemic Therapy (MST), In-Home Respite, Family Support, Children’s Mental Health Housing (Residential Treatment Facilities and Community Residences). Participation is voluntary. Participation in CSPOA is voluntary. Hospital Diversion Program services provide linkages to necessary services. Adults can utilize the Hospital Diversion Practitioner for supportive visits as well as linkages to community resources. The Practitioner will conduct an assessment and interview with the individual to determine needs and will further work with the individual to determine appropriate referrals. While the individual awaits contact with needed resources, the Practitioner will maintain contacts with the individual to provide counseling and help maintain mental and emotional stability. The Practitioner aims to assist the individual to safely remain in the community and avoid hospitalization. The Practitioner is available in the evenings to provide individuals with additional after-hour support, treatment linkages, and referrals. Visits on weekends and holidays can be made by appointment. For a full list of services offered through NCDMH, please visit the Services tab. NCDMH is the administrative division for Local Government and the Community Services Board for the execution of the local mental health, developmental disabilities, alcoholism and drug abuse service plans. The provision of services is furnished to Niagara County residents through a system of providers. Programs offered by the Department and each of the Contract Agencies of the service system. For more information on program services and contract agencies, please visit: https://www.niagaracounty.gov/departments/m-r/mental_health___substance_abuse/index.php

Funding Sources Include:
County of Niagara
NYS Office of Mental Health
NYS Office of Addictions Services & Supports
NYS Office for People With Developmental Disabilities
U S Government

04/22/2026

NCDOH is proud to share the opening of Sexual Health Clinic in Lockport on May 5th!

Located at: 55 Stevens Street, Lockport, NY 14094

Our clinic is open to everyone ages 13 and up. We provide confidential testing and treatment, along with a variety of referral services to support your health and well-being.

🚶Please note: All services are walk-in only and services are provided on a first-come, first-served basis. Registration will continue until the clinic’s capacity has been reached.

If you have any questions or would like more information, please call us at (716) 278-1900.

NCDMH is currently hiring for a full-time Crisis Counselor I position in our Crisis Services 24-Hour call center and for...
04/20/2026

NCDMH is currently hiring for a full-time Crisis Counselor I position in our Crisis Services 24-Hour call center and for a full-time Licensed Clinician in our Niagara County Counseling and Wellness Services Lockport Clinic program. For more information on these positions please see the job postings below. Interested candidates may apply online by visiting https://niagara-portal.mycivilservice.com/

The Niagara County Community Services Board is scheduled to meet tonight. Please see the information below.
04/20/2026

The Niagara County Community Services Board is scheduled to meet tonight. Please see the information below.

Mental Health Awareness Month is coming in May! One of the spotlights is on Correction Officer Wellness. Here's a great ...
04/18/2026

Mental Health Awareness Month is coming in May! One of the spotlights is on Correction Officer Wellness. Here's a great lunch & learn virtual training opportunity to register for!

Correction Officer Week gives us time to focus on the mental readiness and professional resilience of corrections personnel. The course challenges the common misconception that emotional intelligence (EQ) is a “soft skill.” Instead, it reframes EQ as a tactical and teachable skillset that serves as psychological armor for corrections professionals.

Registration - https://us06web.zoom.us/meeting/register/DNqX1DnfRv2B_DocY04GFQ #/registration

Mental Health Awareness Month is coming in May! One spotlight is on First Responder Wellness. Here's a great lunch & lea...
04/16/2026

Mental Health Awareness Month is coming in May! One spotlight is on First Responder Wellness. Here's a great lunch & learn virtual training opportunity to register for!!

Join us on National Firefighters Day to hear Raleigh Fire Department’s Battalion Chief, Dena Ali, speak about leadership practices from all levels, directly impacting first responder wellness, stress regulation, and operational performance. The training will also examine how psychological safety, trust, and belonging contribute to resilient teams and improved decision-making in high-stakes environments. This session will also emphasize the role of leadership in building sustainable systems that support both organizational wellness and operational effectiveness.

Registration - https://us06web.zoom.us/meeting/register/q9kfgf_yRgy6xXe-TUlXMA #/registration

Exciting news for our community! Congratulations Niagara County Department of Health!
04/14/2026

Exciting news for our community! Congratulations Niagara County Department of Health!

04/10/2026
04/03/2026

NCDMH, with the exception of Crisis Services 24-hour phone line at 716-285-3515, is closed today in observance of Good Friday.

Check out the link below for free harm reduction items that can be delivered right to you.
04/03/2026

Check out the link below for free harm reduction items that can be delivered right to you.

You can still get free life-saving harm reduction tools delivered right to your door! Visit our website to order naloxone and test strips today.


https://oasas.ny.gov/harm-reduction-delivered

04/02/2026

April is —a time to raise awareness of alcohol use & misuse. Find helpful resources on alcohol use & misuse prevention, treatment & recovery support that you & your community can use: samhsa.gov/alcohol

03/31/2026

Be a lifesaver! The Niagara County Department of Health provides FREE Narcan training and kits to any Niagara County business, school, or organization. Participants also receive an Opioid Overdose Prevention certificate!
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To schedule your FREE training, contact Tracy Fricano Chalmers by calling (716) 439-7431.

Address

475 S. Transit Street
Lockport, NY
14094

Opening Hours

Monday 8:30am - 4:30pm
Tuesday 8:30am - 4:30pm
Wednesday 8:30am - 4:30pm
Thursday 8:30am - 4:30pm
Friday 8:30am - 4:30pm

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NCDMH is responsible for the planning, supervision, and coordination of services for individuals in Niagara County who experience mental health, substance abuse, and intellectual disabilities / developmental disabilities concerns.

The Niagara County Department of Mental Health & Substance Abuse Services (NCDMH) provides a broad range of services and supports to individuals with mental health, substance abuse and intellectual disabilities / developmental disabilities concerns. We have two fully integrated clinics, located in Lockport and Niagara Falls, that offer mental health, substance abuse and physical health services. We accept a variety of insurances including Medicaid and Medicare. In addition, we offer 24 hours a day, 7 days a week Crisis Services to individuals in Niagara County. Phone Aides are available to provide a confidential resource through which individuals can receive referrals for services that are needed. ( Examples include; housing, counseling, substance abuse treatment, food pantries and other community resources). Callers can ask questions, share concerns, and receive assistance for themselves or someone they know who may be experiencing difficult life changes or challenges including mental illness and thoughts of self harm, su***de, or homicide. Some of the NCDMH community based services and supports in which Crisis Services facilitates access to include the following: Adult Single Point of Access (ASPOA) Program: Serves Seriously and Persistently Mentally Ill (SPMI) individuals who are Niagara County residents and may have difficulty accessing housing or care management services. If an individual does not have a serious persistent mental illness but is at risk and in need, the ASPOA committee will make recommendations to the individual for other appropriate services. ASPOA establishes an efficient and comprehensive single entry point for individuals into the service system while providing systems management. Consumers of services are able to enter the system more seamlessly, be served more appropriately, and gain more from the experience of being served by one or more of Niagara County’s agencies. All stakeholders (consumers, NCDMH, New York State Office of Mental Health, and contract agencies) have the opportunity to view themselves as partners in a collaborative system. Services that can be accessed through ASPOA include care management, mental health housing, and other services such as Assertive Community Treatment (ACT), Assisted Outpatient Treatment (AOT) services, Crisis Services Coordination, Forensic Case Management, Hospital Diversion services, Healthy Aging Services, Community Mental Health Nurse services, Peer Support services, Parole Reentry Program services, and Mobile Integration Team (MIT) services. Participation in ASPOA is voluntary. Care management is provided to consumers regardless of medical insurance coverage or type of coverage. Due to demand, some services may have a waiting list. Children's Single Point of Access (CSPOA): Serves Niagara County children and youth with serious emotional disabilities (SED). If a child does not have a serious emotional disability but is at risk and in need of help, the CSPOA Committee will make recommendations to the family for appropriate services. CSPOA establishes an efficient and comprehensive single entry point for individuals into the service system while providing systems management. Consumers of services are able to enter the system more seamlessly, be served more appropriately, and gain more from the experience of being served by one or more of Niagara County’s agencies. All stakeholders (consumers and their families, NCDMH, New York State Office of Mental Health, and contract agencies) have the opportunity to view themselves as partners in a collaborative system. CSPOA develops strategies to maintain children and youth in the community, assesses the strengths and needs of a child referred, and create a plan to link the child to the most appropriate services. A brief list of the services that can be accessed through CSPOA includes: Care Management, Community Crisis Intervention, Home and Community Based Services Waiver, Mobile Integration Team(MIT), Multisystemic Therapy (MST), In-Home Respite, Family Support, Children’s Mental Health Housing (Residential Treatment Facilities and Community Residences). Participation is voluntary. Participation in CSPOA is voluntary. Care management is provided to consumers regardless of medical insurance coverage or type of coverage. Due to demand, some services may have a waiting list. Hospital Diversion Program services provide linkages to necessary services. Adults can utilize the Hospital Diversion Practitioner for supportive visits as well as linkages to community resources. The Practitioner will conduct an assessment and interview with the individual to determine needs and will further work with the individual to determine appropriate referrals. While the individual awaits contact with needed resources, the Practitioner will maintain contacts with the individual to provide counseling, and help maintain mental and emotional stability. The Practitioner aims to assist the individual to safely remain in the community and avoid hospitalization. The Practitioner is available in the evenings to provide individuals with additional after-hour support, treatment linkages, and referrals. Visits on weekends and holidays can be made by appointment. For a full list of services offered through NCDMH, please visit the Services tab. NCDMH is the administrative division for Local Government and the Community Services Board for the ex*****on of the local mental health, developmental disabilities, alcoholism and drug abuse service plans. The provision of services are furnished to Niagara County residents through a system of providers. Programs offered by the Department and each of the Contract Agencies of the service system. For more information on program services and contract agencies, please visit: http://www.niagaracounty.com/Departments/Mental-Health-Services-Substance-Abuse-Services Funding Sources Include: County of Niagara NYS Office of Mental Health NYS Office of Alcoholism & Substance Abuse Services NYS Office for People With Developmental Disabilities U S Government