Janine Fitzmaurice

Coordinator of Children with Special Needs Services

Ages birth through 5 years old

(845) 486-3518


Linda Monkman

Coordinator of Children’s and Intellectual & Developmental Disabilities Services

Ages 5 years through adulthood

(845) 486-2766


Toni-Marie Ciarfella

Deputy Commissioner for Special Needs

(845) 486-3434


If this is an emergency and you need immediate assistance please contact 911

Crisis Counseling, Support, Information & Referrals

Dutchess County HELPLINE 

Toll free: (877) 485-9700

Stabilization Center

(845) 485-9700

NY State Central Register for Child Abuse 


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Care At Home (CAH)

Care at Home

“The Medicaid-waiver CAHI/II program provides community-based services to physically disabled children who require hospital or skilled nursing home level of care, and allows the child to be at home instead of in an institutional setting. Medicaid state plan services and waiver services, including case management, respite, home adaptations, vehicle modification and palliative care are available to assist families in caring for their disabled child at home. Considered as a group, the cost of care of children participating in CAH I/II can not exceed that if cared for in a skilled nursing facility or hospital.” (Visit the New York State Department of Health Care at Home page)