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The administrative files contain executive meeting minutes from the Conference's earliest days through the late 1980s. During those years, members kept the minutes in large, hardcover binders; the archivist removed the papers from those binders for preservation purposes and placed them in acid-free folders in the order in which they appeared in the original binders. In the 1990s, Conference members began filing their meeting minutes under the heading of "chronological files" along with meeting announcements and correspondence. The chronological files became series two of this collection and researchers will find more meeting minutes there. However, there is a gap in the Conference's meeting minutes from 1989-1994.

This series focuses on some of the Conference's more specific endeavors, including (but not limited to) those with definitive start and end dates as opposed to ongoing tasks. Examples include the Kids Oneida project, the Commission on the 21st Century, various grant applications, and the committees for developmental disabilities and chemical dependency.

The Conference began publishing its own newsletter in the early days of its existence, but most of the issues from the 1980s and 1990s are not included in this collection. Researchers will find a consistent run from 1979 through 1981, a few issues from 1993, 1994, and the late 1990s, then another consistent run from 2000 through 2008. There are also several issues of a newsletter published specially by the Conference chair.

These records are specific to the counties of New York as they participated in coordinated care efforts for people with mental health needs. There are documents regarding activities unique to certain counties, such as closures of facilities and resignations of Conference members. There are also letters, memos, and reports covering topics like mandate relief recommendations, comprehensive outpatient programs, health needs surveys, and funding issues.

This series consists of various reports and booklets that were used by the NYSCLMHD in the course of business, but were not always produced by the Conference. They are from organizations such as the New York State legislature, the Office of Mental Health, the Office of Alcoholism and Substance Abuse, the state prison system, and the Conference of Local Mental Hygiene Directors themselves. Topics range from mental healthcare in the twenty-first century, to juvenile mental health, to criminal offenders with mental illness.