Janine Fitzmaurice

Coordinator of Children with Special Needs Services

Ages birth through 5 years old

(845) 486-3518


Dana Hopkins

Coordinator of Intellectual & Developmental Disabilities Services

Ages 5 years through adulthood

(845) 486-2766


Deborah Disanza

Coordinator of Children’s Services and Children’s POA Coordinator

(845) 486-2768


Toni-Marie Ciarfella. Ph.D.

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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Need Help?

Access: Supports for Living, Inc

Most of us in the Hudson Valley are connected to someone living with a challenge. That may be a friend or a colleague, a child with autism, or a parent with dementia.

We support individuals and families with very different needs, from those with significant medical or behavioral issues, to others who live independently with minimal help.

We try to respect and understand each person on their own terms, and work hard to tailor supports to individual goals and potentials.

Our mission is to help people live the healthiest and fullest lives possible, and our first priority is those who live with the challenges associated with developmental disabilities and behavioral health issues.


26 Oakley St, Poughkeepsie, NY 12601
Phone: 888-750-2266


47 West Market Street Rhinebeck, New York 12572


225 Dolson Avenue, Suite 403 Middletown, New York 10940

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