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Tompkins County Mental Health

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Contact Information

201 E. Green Street
Ithaca, NY 14850
(607) 274-6200
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Tompkins County Mental Health

For 24 hour help, call the Crisisline, provided by Suicide Prevention and Crisis Service at (607) 272-1616
Any life-threatening emergency should be resolved by calling 911

Provides assessment, counseling, treatment, and crisis services to adults, children and families with mental health impairments, on a sliding scale basis. Provides court-ordered evaluations for family courts in Tompkins and adjacent counties, and evaluates and provides or monitors mental health services for jail inmates.

Tompkins County Mental Health is on the silver screen!

Our PROS Director, Heather Sanford, was recently interviewed for a documentary called "Breaking the Silence". The documentary, created by Ithaca College's Jordan Gallant, discusses treatment and advocacy in Tompkins County. 

Our Services

Mental Health Clinic

Mental Health intake assessments are offered by scheduled appointments or walk-ins. Scheduled appointments are prioritized and made only for next business day. Children & Youth, Forensic, and psychiatric hospital discharge appointments are always scheduled in advance. Walk-ins welcome Monday-Friday until 2:30pm.
For further information or to schedule an appointment please call Melissa Kilanowski at 607-274-6200

Mental Health Services: Assessment
The program functions as a Single Entry Point to the Tompkins County Mental Health Services and provides comprehensive, timely, quality mental health assessments, crisis intervention, therapy, consultations and referrals to appropriate programs. The professional staff provides assessment, planning, implementation and evaluation of care towards: diagnosis and treatment, teaching and consultation, client advocacy and coordination and management of care and services. After a comprehensive assessment, each client is assigned to a primary therapist and/or a psychiatrist. Other recommendations may include referrals to community agencies including coordination of housing services (such as Lakeview, Unity House and Cayuga Addiction Recovery Services).

Adult Mental Health Services
This program is designed to provide and oversee clinical services to adults with acute psychiatric problems and/or with recurrent acute episodes of disability in the context of chronic psychiatric conditions. Clinic treatment revolves around a specific treatment plan with goals and objectives, developed in collaboration with the treatment team and the client. Treatment may include psychopharmacology, psychotherapy, and/or case management. Therapy approach will be determined by diagnosis, severity of impairment, and client response.

Children & Youth Mental Health Services
The Children and Youth Program is a NYS licensed outpatient treatment program for children with mental health problems. Services include: psychiatric evaluation and assessment; psychological evaluation; social, family, and home evaluation; behavior evaluation; medical assessments; and alcohol and substance abuse screening. Also provided are services to Tompkins County Family Court in the form of mandated evaluations and treatment of children and their families referred by the Court.


Forensic Unit
The Forensic Program is the formal link between the mental health system and the criminal justice system providing assessment, evaluation and crisis intervention services to individuals who are inmates of the Tompkins County Public Safety Building or who are participating in the Alternatives to Incarceration, Felony Treatment Court, or Family Treatment Court Programs. Services include screening and consultation, transition case management, and treatment including medication recommendations and monitoring and supportive therapy. In the event of Court Ordered Evaluations, services include interviewing, psychological testing and evaluation, psychiatric examination and comprehensive bio-psycho-social evaluations and reports as well as expert testimony to the Court system. Community education is provided to Probation and Community Groups.


Crisis Services
It is the intent of Tompkins County Mental Health Services to provide emergency outreach services to any person within Tompkins County who may need emergency services due to a behavioral health crisis. This includes outreach services to individuals who are perceived to be at high risk and having difficulty accessing the Tompkins County Mental Health Clinic.
Crisis services are offered as determined by the TCMHS Crisis Services:

Emergency Outreach Service (EOS) - Available 8:30 am–4:30 pm Monday through Friday. Provided during the business week to individuals and families who have mental health needs that have become a crisis. Emergency outreach also provides ongoing consultation to local law enforcement agencies, assisting them in resolving mental health problems that come to their attention. Consultation will also be provided to other government agencies, local business and members of the community. Any life-threatening emergency should be resolved by calling 911.

Mobile Crisis Team (MCT) - Available 4:30pm–8:30am seven days per week. The focus of MCT is to assess individuals with acute mental health needs and/or psychiatric crises for hospitalization. Access is through Suicide Prevention & Crisis Service via their Crisisline and through local law enforcement agencies.

Critical Incident Negotiation Team (CINT) - Available to law enforcement agencies 24 hours per day, seven days per week. The Critical Incident Negotiating Team (CINT) has specialized training in dealing with violence and weapons and provides on-call assistance to law enforcement agencies for hostage negotiations, barricaded subjects and other critical incidents.


Care Management Services
Care Management Services is a program of the Tompkins County Mental Health Department that provides case management services to adults with severe and persistent mental illness. In the care management program, a client is matched one-to-one with a caseworker that can offer or provide access to a variety of services relating to the individual client’s needs. The result may be a short intervention of a few months during a transitional period, or a long-term relationship over a number of years.


Tompkins County Personalized Recovery Oriented Services (PROS)
Tompkins County Personalized Recovery Oriented Services (PROS) is a comprehensive PROS program which operates with four main components. Participants may be involved in the Community Rehabilitation and Support (CRS), Intensive Rehabilitation (IR), Ongoing Rehabilitation and Support (ORS) and/or Clinical Treatment. The goal of Tompkins County PROS is to assist every person in treatment to move toward their own individual recovery. Eligibility for Tompkins County PROS program is for individuals age 18 and over that have a mental illness diagnosis. These individuals must also demonstrate a functional disability in relationship to this diagnosis.

  • Person-centered, client-driven, mental health and substance use rehabilitative services for adults with serious and persistent mental illness
  • Focused on wellness in all life role areas - living, working, learning, and socializing
  • Participants set their own goals focusing on using their strengths to overcome challenges and barriers
  • Services are usually provided in classes taught by staff
  • Individual and family therapy are also available
  • Psychiatrist on staff to complete evaluations and manage medication
  • Classes available from 9am to 3 pm Monday – Friday
  • Staff include Progam Director, Employment and Rehabilitation Specialists, Social Workers, Nurse and Casework Assistant.

If you have any questions, you may contact Heather Sanford LMSW, MPA - PROS Program Director at (607) 274-6200