ACL’s member agencies are organized into five regions that coincide with the New York State Office of Mental Health’s regional field offices.

These regions, and the counties/boroughs they include, are listed below. Select a specific region for more information.

Central Region: Delaware, Broome, Cortland, Chenango, Otsego, Montgomery, Fulton, Hamilton, Herkimer, Oneida, Essex, Clinton, Franklin, St. Lawrence, Lewis, Jefferson, Oswego, Onondaga, Cayuga, Madison

Hudson River Region: Westchester, Orange, Rockland, Putnam, Dutchess, Ulster, Sullivan, Columbia, Greene, Albany, Schoharie, Rensselaer, Schenectady, Saratoga, Warren, Washington

Long Island Region: Nassau and Suffolk

New York City Region: Brooklyn, Bronx, Manhattan, Queens and Staten Island

Western Region: Tioga, Schuyler, Seneca, Wayne, Yates, Chemung, Tompkins, Steuben, Allegheny, Cattaraugus, Chautauqua, Erie, Niagara, Orleans, Genesee, Wyoming, Livingston, Monroe , Ontario