The mission of Saratoga County Department of Mental Health & Addiction Services is to provide outpatient mental health and alcohol/drug treatment services that are accessible and responsive to the needs of persons suffering from mental illness and/or alcohol/drug problems, their families, and the community. These services will assist them in living, whenever possible within the community in ways that are acceptable to the community and that are personally satisfying and productive. Services are provided regardless of age, race, color, sex, marital status, ethnicity, national origin, creed, or sexual orientation.

Goals:
• To provide treatment for individuals suffering from serious mental illness and alcohol/drug use;
• To protect both the public and individuals from the manifestations and consequences of mental illness and from the impairments related to alcohol/drug use;
• To be responsible stewards of limited public resources.

Services and Programs

Mental Health Clinic

The Saratoga County Mental Health Clinic provides outpatient treatment designed to reduce symptoms of mental illness and emotional disturbance, to improve daily functioning, and to provide ongoing support. Services includes emergency and crisis intervention, screening and referral, individual, family, and group counseling, medication education and management, and symptom management. In addition to the main clinic in Saratoga Springs, the Clinic maintains a satellite in Mechanicville.

Youth Services provides treatment for emotionally and behaviorally disturbed children and adolescents up to the age of eighteen, who, together with their parents, often require intensive interventions. Youth Services provides community-oriented consultative activities in conjunction with community-based interventions.

Adult Services provides treatment for mentally ill adults, particularly those who are seriously and persistently mentally ill. For the seriously and persistently mentally ill, a long-term disease management approach to medication management and supportive therapy is utilized.

Saratoga County Mental Health Clinic: (518) 584-9030

Personalized Recovery Oriented Services

Saratoga County PROS operating as Reflections PROS (Personalized Recovery Oriented Service) is a comprehensive, individualized, recovery based program that offers rehabilitation, support, and treatment services under one roof. Reflections PROS serves adults (over 18) with a mental illness diagnosis who have a functional disability that interferes with their ability to live a fulfilling life. The purpose of PROS is to help participants take control of their own lives by teaching the skills necessary to overcome the mental, emotional, behavioral, and social barriers resulting from mental illness and addiction and to effectively negotiate life’s challenges . PROS services are person-centered and include group and individual sessions, family education and support, as well as vocational services and supports for participants who are interested in obtaining and maintaining competitive employment in the community.

Personalized Recovery Oriented Services: (518) 885-4521

Addiction Services

Saratoga County Addiction Services is a medically supervised outpatient program providing treatment for individuals suffering from an alcohol and/or drug disorder and for family members trying to cope with the presence of alcohol or drug disorders within the family. Treatment is designed to promote abstinence, to improve community integration, and to improve daily functioning. Services include: Screening, referral, assessment, and individual and group counseling.

Saratoga County Addiction Services: (518) 587-8800

Assisted Outpatient Treatment (AOT)

In 1999, New York State enacted legislation that provides for court-ordered Assisted Outpatient Treatment (AOT) for eligible individuals with mental illness who, have a history of dangerousness associated with non-compliance with treatment and who, in view of their treatment history, are unlikely to survive safely in the community without supervision. This legislation is commonly referred to as “Kendra’s Law.”

The intent of Kendra’s Law is to increase the likelihood that high-risk individuals with serious mental illness will engage in treatment services that will best meet their needs. Some individuals may be court-ordered to comply with treatment and supportive services. Other individuals may enter into a voluntary agreement with the county, allowing them the opportunity to participate in treatment services without a court order requiring them to do so. Additional information can be obtained at the website for the Office of Mental Health for the State of New York: “An Explanation of Kendra’s Law” and the NYS OMH AOT Brochure.

An individual may be ordered to obtain AOT only if, after a hearing, a court finds by clear and convincing evidence that the subject of the petition meets all of the following criteria:
• is at least 18 years of age and suffers from a mental illness;
• is unlikely to survive in the community without supervision, based on clinical determination;
• has a history of non-compliance with treatment for mental illness which has led to either two hospitalizations for mental illness in the preceding three years, or resulted in at least one act of violence toward self or others, or threats of serious physical harm to self or others, within the preceding four years;
• is unlikely to voluntarily accept the treatment recommended in a treatment plan;
• is in need of AOT to avoid a relapse or deterioration that would likely result in serious harm to self or others; and
• is likely to benefit from AOT.
Before a court may order AOT, it must be satisfied that it is the least restrictive alternative for the person. If a less restrictive program or plan for treatment exists that could effectively deal with the person’s mental illness, the court will not issue an order for assisted outpatient treatment.

For inquiries regarding Assisted Outpatient Treatment (AOT) in Saratoga County, please contact the Saratoga County Department of Mental Health and Addiction Services at 518-584-9030.

Saratoga County Single Point of Access (SPOA)

The Single Point of Access (SPOA) for Adults and Children is coordinated by Saratoga County Department of Mental Health. SPOA is designed to prioritize and facilitate clinically appropriate referrals for the highest risk adults, children and families living in Saratoga County. This effort between NYS OMH and local governments, in the spirit of collaboration, strives to move towards a more responsive, accountable, and coordinated service delivery system in our community. While SPOA does not provide any direct services, it can help an individual or family access the continuum of mental health support services in Saratoga County. If you have questions about the referral process, please contact the SPOA Coordinator at 518.584.9030.

SPOA Brochure

Adult SPOA expedites access to care management and residential services for adults diagnosed with serious and persistent mental illness (SPMI) who require these intensive services in order to remain healthy and stable in the community. The Adult SPOA process provides for the identification of individuals most in need of services and manages service access and utilization. Referrals are prioritized based on highest need to include individuals on Assisted Outpatient Treatment (AOT) and discharging from State Psychiatric Centers. While County residency is not a requirement, current residents of Saratoga County are prioritized for available services. When a high-need/high-risk adult has been identified as appropriate for more intensive services than he/she is currently receiving, the SPOA Referral should be completed for access to this level of service in Saratoga County.

Children’s SPOA is designed to identify, screen and connect Care Coordination and Wraparound Services for youth diagnosed with a serious emotional disturbance (SED) who are at risk and/or with history of hospitalization or out-of-home placement, with multi-system involvement or needs, with substantial functional impairments and/or psychiatric symptoms and an unsuccessful history of mental health treatment. The primary goals of Youth SPOA include maintaining high-risk/high-need children in the community with their families and increasing access to community-based services. When a high-need/high-risk youth has been identified as appropriate for more intensive services than he/she is currently receiving, the SPOA Referral should be completed for access to this level of service in Saratoga County.

Mental Health and Substance Use Disorder Treatment Programs and Services in Saratoga County

This directory of mental health and substance use disorder treatment programs and services in Saratoga County is a project of the Saratoga County Departments of Health and Mental Health and Addiction Services

Crisis Service Lines
The Saratoga County Department of Mental Health & Addiction Services partners with the following organizations to provide free 24/7 support through text, phone call, and mobile crisis teams.

988 offers 24/7 judgment-free support for mental health, substance use, and more. Text, call, or chat 988.

Visit www.samhsa.gov/mental-health/988 for more information.

Crisis Text Line provides free, 24/7 support via text message.

You aren’t alone – support is out there.

Text HELLO to 741741 to reach a trained Crisis Counselor.

Visit crisistextline.org for more information.

For immediate crisis services, call 518.292.5499 anytime day or night.Mobile Crisis Services teams are comprised of licensed clinical supervisors and clinicians, family advocates, peer support specialists, and case managers. In teams of two, team members are deployed to assist adults, children, adolescents, and their families resolve emotional and behavioral health crisis situations. Read the flyer or visit www.northernrivers.org/mobile-crisis for more information.

The Suicide Prevention Coalition (SPC) of Saratoga County
The Suicide Prevention Coalition (SPC) of Saratoga County is a collaboration of community members and organizations dedicated to preventing suicide by increasing awareness, providing suicide prevention trainings, and connecting individuals, families and communities to resources. The SPC typically meets on the 4th Tuesday of each month. If you are in interested in attending or would like to learn more, please contact .

Read the brochure

Firearm Safety
Easy access to firearms can turn a moment of crisis into a permanent tragedy. Safe storage saves lives. For free cable gun locks and information on safety and prevention contact or visit: • Saratoga County Department of Mental Health and Addiction Services: 135 South Broadway, Saratoga Springs, 518-584-9030 • Suicide Prevention Coalition: • Saratoga County Sheriff’s Office: 6012 County Farm Road, Ballston Spa • Saratoga County Veterans Service Agency: 2144 Doubleday Road, Ballston Spa; • Saratoga Springs Public Library: 474 Broadway, Saratoga Springs, 518-584-7860.

Read the brochure

Community Services Board
Community Services Board meetings are held on the last Thursday of every other month at 4:00 p.m. Meeting dates and times are subject to change – View the latest meeting dates and times.

2026 Community Services Board Membership
Edmond Amyot, M.D., Chair
Molly C. Boyd-Smith, M.D.
Herman Harrison Braxton, III , Psy.D.
Erin Christopher-Sisk, Ph.D.
Joseph Commisso, Ph.D.
Sandi Cross
Amy C. Hughes, Vice Chair
Maureen Lewsey
John Lant
Lillian McCarthy
Paul A. Morcone
Daniel P. Morley
Rudolph J. Stutzmann

View the CSB meeting dates and times
View the CSB meeting minutes

Corporate Compliance Program
The Saratoga County Department of Mental Health and Addiction Services operates in full compliance with Federal, State, local laws, rules and regulations, and serves the Saratoga County community in accordance with the highest ethical and business standards. Our Department recognizes that a critical aspect of its Compliance Program is the establishment of a culture that promotes prevention, detection, and resolution of instances of conduct that do not conform to Federal and State requirements, the Organization’s ethical and business policies, and fraud, waste, and abuse prevention.

To promote this culture, the Department and County have established processes to encourage effective communication and the reporting of compliance questions, issues, concerns, or events that will result in a thorough investigation and appropriate remedial actions. Clients, staff, or private citizens may report any compliance concerns anonymously to Saratoga County’s confidential and anonymous Compliance Hotline at (518) 885-5381 x2202. Confidential reports may also be made directly to the Office of the Medicaid Inspector General (OMIG) or by phone at 1-877-873-7283. Read about the Saratoga Medicaid Corporate Compliance Program.

Mental Health and Addiction Services

Mental Health Clinic

Personalized Recovery Oriented Services

Addiction Services

Assisted Outpatient Treatment (AOT)

Saratoga County Single Point of Access (SPOA)

Mental Health and Substance Use Disorder Treatment Programs and Services in Saratoga County

Deceased Veterans Ceremony 2PM

Board Meeting 4PM

Public Safety 2:30PM

Health & Human Services 3PM

Economic Development 3:30PM