County Executive Adam Bello secures $4.5 million investment to keep Delphi Rise Open Access Clinic operating around the clock for the next five years

Monroe County, New York – A critical lifeline for people battling addiction in Monroe County is set to remain open around the clock for years to come after a major financial commitment announced this week by Adam Bello.

County officials confirmed that Monroe County will invest $4.5 million from opioid settlement funds into Delphi Rise to support the organization’s Open Access Clinic, the county’s only 24-hour walk-in center dedicated to urgent substance use care.

The funding commitment stretches across five years and is intended to guarantee uninterrupted services at a time when addiction treatment providers across the country continue to face uncertain financial conditions and shifting federal support.

For many residents struggling with substance use disorders, the clinic has become one of the few places where help is available instantly — no appointment, no insurance hurdles, and no waiting list.

“This investment ensures that individuals in our community seeking help in moments of crisis continue to have immediate access to care,” said Monroe County Executive Adam Bello. “Delphi Rise’s Open Access Clinic saves lives, and Monroe County is committed to ensuring those doors remain open. We will continue investing in treatment, recovery, and real solutions to confront the substance abuse epidemic in our community. Thank you to Attorney General Leticia James for securing this vital funding.”

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The announcement underscores the county’s broader effort to strengthen behavioral health services while continuing to respond to the long-running opioid epidemic that has strained families, emergency responders, and healthcare systems throughout New York and beyond.

Operating every hour of every day, the Open Access Clinic has built its reputation around immediate intervention. The model is intentionally simple: individuals who decide they are ready for help can walk through the doors at any time and receive support that same day.

Services include clinical evaluations for substance use disorders, guidance from peer specialists who have personal experience with recovery, and rapid referrals to detox programs, outpatient treatment, and longer-term recovery services.

Supporters of the program say that immediacy is essential. Delays — even short ones — can often become the difference between recovery and relapse.

“The Open Access Clinic exists for one reason: when someone is ready for help with addiction, they should not have to wait. Monroe County’s continued investment ensures that every person who walks through our doors is met with immediate support, dignity, and a real opportunity to move forward,” said Jen Cathy, Delphi Rise President & CEO.

The latest funding package also arrives after a turbulent period for the clinic earlier this year.

According to county officials, Delphi Rise suddenly lost federal funding support in early 2025, creating an immediate threat to the future of the facility. The loss placed core services at risk and raised concerns that individuals seeking urgent treatment could suddenly lose access to one of the region’s most relied-upon recovery resources.

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County leaders responded with emergency funding that kept the clinic operational through the end of 2025, preventing a shutdown that many feared would leave a dangerous gap in overdose response efforts.

Officials now say the newly announced long-term investment is designed not only to stabilize the clinic, but also to give Delphi Rise time to explore sustainable funding solutions in the years ahead.

Beginning January 1, 2026, Monroe County will allocate $900,000 annually over a five-year period. The support is expected to keep the clinic fully operational through 2030.

The funding itself comes from opioid settlement dollars — money secured through legal settlements involving opioid manufacturers and distributors accused of contributing to the national addiction crisis. Communities across the United States have increasingly directed those resources toward treatment, prevention, and recovery initiatives.

In Monroe County, officials describe the Open Access Clinic as a cornerstone of the local overdose response network.

More than 1,500 people seek help through the clinic each year, many arriving during moments of acute crisis. Advocates say the facility’s ability to immediately connect individuals with treatment and recovery pathways has made it an indispensable resource for the region.

While overdose deaths and addiction-related emergencies continue to challenge communities nationwide, local leaders say preserving access to immediate care remains one of the most effective tools available.

For Monroe County, the latest investment signals a clear message: the county intends to keep that door open — day or night — for anyone ready to take the first step toward recovery.