Program areas at CASES
Behavioral health Services: Cases' expertise serving people with serious mental illness (smi) and serious substance use needs includes seven assertive community treatment (act) teams and seven intensive mobile treatment (imt) teams delivering mobile treatment to clients whose needs have not been met by more traditional service delivery approaches. The multidisciplinary team approach with various professional disciplinespsychiatry, nursing, social work, mental health counseling, peer support, and case managementwork together to provide clients with in-vivo Services and care in the community for as long as Services are needed. (continued on schedule o)in fy23, the act and imt teams served 711 clients and delivered over 41,660 community-based treatment Services and over 7,840 telehealth visits to clients and their collateral contacts. According to nys office of mental health (omh) data, the act teams support respective 36% and 33% reductions in homelessness and hospitalization and 13% increase in Employment engagement from program intake to exit. Nathaniel act, established 2000, providing the evidence-based act mobile treatment model as a unique multiyear ati for people with smi and felony arrests supported respective 59% and 49% reductions in homelessness and hospitalization and 100% and 225% increases in education and Employment engagement from program intake to exit, while consistently supporting nearly 90% of graduates to have no new felony convictions in the two years following ati completion. Omh data also demonstrates that the act teams perform better than the statewide performance for act teams to achieve the adherence of clients with schizophrenia to psychotropic medications. The Cases act teams achieved a 15% greater rate of medication adherence for their clients with schizophrenia and a 43% higher rate for clients who are hispanic.
Education, career & enrichment svs: the education, career & enrichment Services (ece) programs serve youth and young adults with a broad spectrum of youth development, mentoring, education, Employment, in-home family therapy, and violence prevention Services. In fy23, 685 youth and young adults were served. Ece placed 221 youth in subsidized summer jobs and eight participants earned the high school equivalency diploma at Cases. The assertive community engagement & success (aces) works with east harlem and south bronx young people (16-24 years old), who may be at risk of becoming incarcerated or becoming involved in violence in the community. (continued on schedule o)many aces participants have experienced challenges when attempting to engage in more traditional, less flexible youth development programs. The aces model begins with a focus on outreach, a process that may take months. Mentors show up again and again to attempt to engage young people in this multiyear program. Aces' initial, assertive outreach forges the foundation for the mentor-participant relationship, out of which young people will gradually strengthen their socioemotional skills and begin to identify and work toward goals. Aces has served 127 participants and has delivered 2,390 hours of work crew Services in fy23, where participants are involved in work-readiness projects that support local community groups and contribute to the development and improvement of the neighborhoods where participants reside.
Pretrial Services: since 2016, Cases has provided the manhattan supervised release program (msrp) pretrial Services in the manhattan criminal and supreme court, using evidence-informed practices to address clients' needs while they remain in the community. Msrp provides Services to people who may otherwise have been jailed can maintain housing, Employment, continuity in treatment and support Services, and can stay connected with their families while they await the progress of their criminal case through the courts. (continued on schedule o)in fy23, msrp enrolled 5174 intakes of people arrested for misdemeanor and felony crimes in new york county. Msrp served over 7000 participants and delivered more than 36,000 Services to support participants to attend scheduled court appearances and achieve their goals. 3261 (66%) participants successfully completed the program, fulfilling court requirements and exiting supervision. Compared to the overall msrp population, young people aged 16-24 were 17% more likely to complete msrp, achieving a 77% completion rate. The program established a new specialist youth and young adult Services team within msrp called planning alternatives & creating community (pacc), to enhance standard msrp compliance and supervision activities through the creation of a team of youth engagement specialists delivering mobile, highly individualized Services. Pacc includes the opportunity for youth to experience transitional Employment work crew Services, through which participants earn stipends while building employment-readiness skills in a structured and supportive environment. Msrp's commitment to enhancing mandated Services saw the launch of the rapid response team (rrt). Rrt is an innovative mobile treatment and peer engagement model with a psychiatric nurse practitioner and peer specialist embedded in the manhattan criminal court arraignments. Rrt rapidly engages people eligible for msrp who are experiencing serious behavioral health needs, including acute crisis due to mental health decompensation or substance use withdrawal.
Clinic Services: Cases established the nathaniel clinic in 2014 to ensure ease of access and seamless coordination of treatment and support Services for youth and adults who have mental illness and have become involved in new york city's criminal legal system (cls). The nathaniel clinic is the only state-licensed outpatient mental health clinic in manhattan specifically designed to work with cls-involved people. In fy23, the clinic served 1,147 people through psychiatric, therapy, and health and wellness Services. Nathaniel clinic clients attended over 14,180 treatment Services, with clients engaging in 73% of scheduled psychotherapy and 70% of scheduled treatment Services with psychiatrists and psychiatric nurse practitioners. In fy23, the nathaniel clinic launched a new initiative to bring clinical care to the south bronx/mott haven with specialist ontrackny satellite Services. Ontrackny is a mental health treatment program that empowers young people to pursue their goals for school, work, and relationships as they receive comprehensive and flexible developmental mental health support. In fy23, ontrackny admitted 28 clients experiencing first episode psychosis and delivered nearly 600 treatment and support Services to young people and their family members.
Clinical support & supervision: community support & supervision (css) delivers alternative-to-incarceration (ati) programs serving youth/young adults and programs for adult participants who have mental illness and substance use needs. In fy23, the ati programs enrolled 1,240 clients with open criminal Cases in the bronx, brooklyn, and manhattan courts. 552 clients successfully completed ati community supervision. The reframing opportunity, alternatives & resilience (roar) program for youth and young adults aged 16-27 who are at risk of jail-or prison-sentences, provides comprehensive supports offered by a multidisciplinary team approach that includes a senior coach, emotional wellness clinician, court advocate, and an engagement & activities specialist. Roar features education, Employment Services, and counseling to promote youth engagement in pro-social, positive youth development, and support Services. In fy23, roar achieved a 50% successful ati completion across the three community teams located in central harlem, downtown brooklyn, and the south bronx. The newstart program serves adults arrested for misdemeanor crimes who face incarceration in the nyc jail. Newstart, established 2012, with 978 intakes fy23, supporting 50% successful ati completion among population in which 46% are homeless, 77% have a substance use need, and 56% a mental health need; among the 19% of participants who have serious mental illness (smi), 59% are homeless and 68% report no connection to support or treatment in the community. In 2020, Cases implemented nathaniel community success (ncs) to provide an ati for people with mental health needs and/or co-occurring mental health and substance use disorders. Ncs includes central harlem and downtown brooklyn teams delivering intensive initial Services that gradually taper as clients build skills, independence, and linkages to ongoing Services in the community. In fy23, ncs achieved 55% (22) clients exiting the program after successfully completing the Services. This compares to the clients that were discharged because they were unsuccessfully engaged in program Services. Within the program's alternative-to-incarceration (ati) Services for people arrested for felony crimes, 63% of clients had successful exists compared to the clients that were unsuccessful. Overall, ncs supported 22 clients to reach the resolution of the criminal case without exposure to incarceration.