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admissions adolescents Bronx bureau Capital District Psychiatric Central Islip Central New York children and youth Children's Psychiatric Center chronically mentally ill clients clinical community residences community support system comprehensive coordination County Creedmoor Psychiatric Center CSS programs Department of Mental director discharge planning District Psychiatric Center Elmira Elmira Psychiatric Center established evaluation federal fiscal forensic unit funding geriatric Gowanda Psychiatric Center hospital Hudson River Psychiatric implementation individuals Island Research Institute Long Island Long Island Research major Manhattan Psychiatric Center ment mental health Mental Health Center mental health services Mental Hygiene Mental Retardation mentally disabled mentally ill Mid-Hudson Psychiatric Center million munity needs Office of Mental operations outpatient patients percent Pilgrim Psychiatric Center population Psychiatric Institute regional office River Psychiatric Center Rochester Psychiatric Center Rockland served statewide Suffolk County teams treatment utilization review Ward's Island Western New York York City York Psychiatric Center York Region