Albany County Street Psychiatry program targets homeless residents with mental illness

ALBANY, NY — Albany County has recorded 927 homeless individuals so far in 2025, including 157 people experiencing behavioral health challenges such as mental illness or addiction. County leaders say a new street psychiatry pilot program is designed to meet those residents where they are, with the goal of building relationships that can lead to recovery and long-term stability.

The Albany County Department of Mental Health officially launched the Street Psychiatry pilot program on Monday. The program aims to provide mental health services to people experiencing homelessness around the county who are unable or reluctant to seek traditional office-based care.

Albany County Executive Dan McCoy described the approach as direct outreach. “Treat them on the streets,” McCoy said. “See right where they are. Go right to where they’re at. Help them. And you get this with the street psychiatry.”

Dr. Stephen Giordano, the county’s commissioner of mental health, said the program is intended to reach people who have been pushed to the margins. “There’s some people who have been othered to the point of no one goes to them and asks them what they need,” Giordano said. “And they’re just waiting for someone to do that.”

The pilot program is funded by a $250,000 grant from the city of Albany.

The street psychiatry team will travel around the city in a van equipped with supplies and services, including a first aid kit, immunizations, and space for people to rest and talk.

Albany Mayor Dorcey Applyrs praised the outreach workers for showing up during difficult moments. “The people here meet those folks during some of the hardest days and despite your own challenges, you show up to help people,” Applyrs said.

Applyrs, who has a background in public health, said the program’s mission is personal. Her father died from substance abuse issues and HIV, and she said that experience shaped how she relates to others struggling with addiction. “As a child watching your loved one struggle with addiction, you develop personally just a level of empathy for others who are struggling with addiction,” Applyrs said.

The street psychiatry team is starting with one van, with plans to expand as the program grows.