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County plans five‑year SPOA changes; after‑hours coverage eyed with 988, AOT staffing required by state

Steuben County Community Services Board, Mental Health Subcommittee · March 10, 2026
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Summary

Steuben County Community Services reported a planned five‑year overhaul of the Single Point of Access (SPOA), the planned retirement of the After‑Hours worker and steps to use 988 for after‑hours coverage. Staff said the state now requires a full‑time AOT position and the agency is exploring contracted psychiatry.

Steuben County Community Services told the Mental Health Subcommittee on March 10 that it will implement changes to the county’s Single Point of Access (SPOA) over the next five years and is preparing staffing and coverage adjustments.

The agency reported an After‑Hours worker will retire at the end of the month and that staff are pursuing a partnership with the 988 lifeline to provide after‑hours coverage. Officials also said the state is requiring a full‑time position for assisted outpatient treatment (AOT) and for enhanced voluntary arrangement (EVA). The agency said it is exploring contracting psychiatry specifically for the AOT program and that unused state funds for Aspire Hope will be used to provide additional debriefing for the Disaster Mental Health team.

Why it matters: the changes affect how residents access crisis and post‑crisis services and could alter who handles after‑hours calls and AOT caseloads. The agency asked members to identify local service needs for inclusion in the local services plan.