County Executive Bello Announces $4.5 Million Investment To Sustain 24/7 Walk-in Open Access Clinic At Delphi Rise

April 29th, 2026

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Monroe County Executive Adam Bello today announced a major investment that secures the future of Monroe County's only 24/7 Open Access Clinic, ensuring uninterrupted access to urgent substance use support for thousands of community members.

Monroe County is investing $4.5 million in opioid settlement funding to Delphi Rise to fund its Open Access Clinic for the next five years. This support will be vital in allowing Delphi Rise to maintain operations while actively exploring long-term sustainability strategies in a rapidly shifting funding landscape.

"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."

The Open Access Clinic operates 24 hours a day, seven days a week, offering no-cost, walk-in access to substance use services without appointments, insurance requirements, or other barriers. Designed to meet individuals at the moment they are ready for help, the model includes:

• Immediate, same-day clinical substance use evaluations,
• Peer-led engagement from staff with lived experience in recovery, and
• Rapid connection to outpatient treatment, detox, and recovery.

"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.

In early 2025, Delphi Rise faced an unexpected and immediate loss of federal funding that supported the Open Access Clinic, creating a significant risk of service disruption for individuals seeking urgent care and recovery support. Recognizing the critical importance of this resource, County Executive Adam Bello and his administration acted swiftly, providing emergency funding that prevented imminent closure and maintained uninterrupted services through the end of 2025.

Building on that emergency response, Monroe County further stabilized the program in January 2026 through a landmark investment made possible by the opioid settlement fund, committing $900,000 annually for five years, effective January 1, 2026. This $4.5 million investment will sustain the Open Access Clinic through 2030 and represents a major commitment to Monroe County's overdose response and behavioral health infrastructure.

Each year, the Open Access Clinic serves more than 1,500 individuals, providing immediate support during high-risk moments and playing a central role in the County's overdose response continuum.