The 1,100 sworn and non-sworn employees of the Monroe County (NY) Sheriff’s Office have access to a special mental health program. The MCSO program developed by Sheriff Todd Baxter and Dr. Kim Butler embeds mental health clinicians in the agency.
Innovative Law Enforcement Leaders 2023: Monroe County SO's Mental Wellness Program
One of the goals of the program is to help deputies overcome any reticence to speak with the clinicians. “Stigma is found to be the greatest barrier to law enforcement seeking mental health treatment,” Dr. Kim Butler says.

As part of the Monroe County Sheriff's Office wellness program, Dr. Kim Butler and other clinicians are embedded with the deputies and build friendly relationships with them.
Monroe County SO
Dr. Butler says the design of the program is like a three-legged stool. The legs include peer support, programming, and the embedded clinicians. “The vision is to have one full-time clinician stationed at each of the three patrol zones, as well as one at the court,” she says.
One of the goals of the program is to help deputies overcome any reticence to speak with the clinicians. “Stigma is found to be the greatest barrier to law enforcement seeking mental health treatment,” Butler says. “The thought is that with embedded clinicians they would in time become known—seen at the gym, seen at roll call, seen drinking coffee—where deputies would be more likely to talk to them when the bottom fell out of their world or after a critical incident.”
Butler says the program has been a great success. “Hundreds of sworn staff reach out each month, wanting to address their alcohol intake, PTSD symptoms, insomnia, and even thoughts of suicide,” she says.
The program is not just for MCSO employees in crisis. Some of it is just to provide some healthy outlets and prevent mental, physical, or monetary issues before they start. “We have offered yoga, meditation, financial planning, and nutrition,” Butler says.
More Command
How One Police Department Cut Crime by 46% with Smarter Patrol Management
Discover how one police department cut crime nearly in half using smarter patrol data. This whitepaper breaks down the real-world strategy behind a 46% drop in vehicle thefts, improved officer safety, and stronger community visibility.
Read More →
Is Your Duty Holster Duty Rated?
The first – and worst – time I had to fight to keep my gun, my holster and duty belt held up far better than my training did.
Read More →More IACP 2025 From the Show Floor
Watch expanded coverage of IACP 2025 as the POLICE Magazine team walks the aisles at the expo and shares what we found interesting on display for chiefs from across the country and around the world this week in Denver, Colorado.
Read More →IACP 2025 - From the Show Floor
Take a look inside the expo at IACP 2025 to see a sampling of what is displayed for chiefs from across the country and around the world this week in Denver, Colorado.
Read More →
Pro-gard Expands Law Enforcement Vehicle Protection and Transport Solutions
Pro-gard has introduced HD Fender and Headlight Wraps for added front-end protection and a new P1300 Pro-Cell transport system for Ford F-150 and Super Duty models.
Read More →
COPS Teams With The Wounded Blue To Help Injured And Disabled Law Enforcement Officers And Their Families
Free officer-wellness training comes to Las Vegas Sept. 22–25: The Wounded Blue’s 5th Annual National Law Enforcement Survival Summit opens registration.
Read More →
Video: Officer Crawls Across Ladder to Rescue Family from Floodwaters
When floodwaters overturned a vehicle in rural New Mexico, Officer Walker Eby risked his life—crawling over raging currents on a ladder—to rescue a woman, her child, and their dog.
Read More →
Ahmedabad, India, to Host 2029 World Police & Fire Games
Birmingham, Alabama, hosted the 2025 World Police & Fire Games, and Ahmedabad, India, has been announced as the host city for 2029.
Read More →Trump Calls Out National Guard to Address D.C. Crime
The memorandum says D.C. is a Federal city and violent crime “prevents Federal workers from safely performing their duties and prevents Americans from safely accessing their elected officials.”
Read More →
