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 limited 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

Hope Speaks, Niagara Campaign Message from a Niagara County Community Member. Looking to connect with community resource...
03/16/2026

Hope Speaks, Niagara Campaign Message from a Niagara County Community Member.

Looking to connect with community resources or supports? Check out the Well Niagara webpage at https://www.wellniagara.niagaracounty.com/ or download the Well Niagara app from the Google Play or App Store.

Remember: There is Help; There is Hope! Recovery is Possible.

A good sleep routine is essential for our overall health. Be sure to check out the link below.
03/13/2026

A good sleep routine is essential for our overall health. Be sure to check out the link below.

Catch those Z’s and recharge! On World Sleep Day, let’s remember that quality sleep is the foundation for a healthier, happier life. Sleep can support memory, growth, immunity, and prevent chronic health conditions. Are you getting enough hours of sleep? 😴
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Lean more at: https://www.cdc.gov/sleep/about/index.html

NCDMH joins NCDOH in recognizing and celebrating the uniqueness of every mind and the journey of every individual.
03/11/2026

NCDMH joins NCDOH in recognizing and celebrating the uniqueness of every mind and the journey of every individual.

The NCDOH recognizes and celebrates the uniqueness of every mind and the journey of every individual. Together, we can build a more inclusive world with opportunities for all.
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If you have questions or need assistance regarding your child’s development, contact the Niagara County Children and Youth with Special Health Care Needs Program at (716) 278-8194 or visit https://www.niagaracounty.gov/departments/a-f/children_with_special_needs/children_with_special_health_care_needs_program.php

03/11/2026

Firefighting and other first responder roles expose members to hazards that may affect fertility, pregnancy outcomes, and long-term reproductive health. These include combustion byproducts, endocrine-disrupting chemicals, heavy metals, heat stress, shift work, sleep disruption, and chronic stress. As more women enter the fire and EMS workforce, important gaps in research, policies, and workplace protections are becoming clear. Join us for an open discussion on how we can support a healthier workforce and healthier families across the profession.

Register - https://us06web.zoom.us/meeting/register/CRtHr1XCQFKNKzWgbWJh-A #/registration

The Niagara County Department of Mental Health and Substance Abuse Services (NCDMH) is a member of NITAG, which stands f...
03/11/2026

The Niagara County Department of Mental Health and Substance Abuse Services (NCDMH) is a member of NITAG, which stands for the Niagara Threat Advisory Group. NITAG is a partnership network of local and federal law enforcement, mental health professionals, social services, schools and private entities dedicated to closing threat management gaps throughout Niagara County. NITAG partners share a commitment to keeping Niagara County safe, and to the belief that our community is best served by a collaborative approach. For more information about this initiative and to report potential threats, visit https://www.niagaratag.com/

03/08/2026

Creating boundaries for is crucial for well-being and preventing burnout. Here are steps to establish and maintain healthy boundaries:

✅ Delegate
✅ Learn to say no
✅ Prioritize self-care

Hope Speaks, Niagara Campaign Message from a Niagara County Community Member.Looking to connect with community resources...
03/02/2026

Hope Speaks, Niagara Campaign Message from a Niagara County Community Member.

Looking to connect with community resources or supports? Check out the resources and supports in the Well Niagara App or visit the Well Niagara corresponding web page at https://www.wellniagara.niagaracounty.com

Remember: There is Help; There is Hope! Recovery is Possible.

03/01/2026

Let’s continue to support advancements that empower individuals of all abilities to live independently and thrive!
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Help us build a more accessible Niagara County! We are looking for individuals with access and functional needs to join our Core Advisory Group. Your lived experience and input help guide the organizations and advocacy groups serving our community.
Our next meeting is scheduled for Thursday, March 19th at 10:00 AM. For more information or to attend, contact the NCDOH, Division of Planning and Emergency Preparedness at tracy.fricanochalmers@niagaracounty.gov or (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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Our Story

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