Center For Alternative Sentencing And Employment Services Inc

Mobile behavioral health: 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 services. The multidisciplinary teams with various professional disciplines - psychiatry, nursing, social work, mental health counseling, peer support, and case management - work together to provide clients with services and care in the community. In fy24, the act and imt teams served 728 clients and delivered over 44,920 community-based treatment services and over 5,480 telehealth visits to clients and their collateral contacts. The nathaniel act team, established in 2000 to provide the evidence-based act mobile services as a unique multiyear ati for people with smi and felony arrests, supported 64% of clients to successfully complete the court mandate. According to nys office of mental health (omh) data, the program also reduced the percentage of clients experiencing homelessness. Comparing rates of homelessness at admission to the program when clients were released from incarceration to housing status when clients were discharged after successfully completing court mandates, homelessness was reduced by 41%.

Education, career & enrichment svcs: the education, career & enrichment services (ece) programs serve youth and young adults with youth development, mentoring, education, employment, and in-home family therapy. In fy24, 672 youth and young adults were served. Ece placed 219 youth in subsidized summer jobs and nine 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. Many aces participants have experienced challenges when attempting to engage in more traditional, less flexible youth development programs. Aces is a long-term (3-4 year) program, begins with a focus on outreach, a process that may take months. Mentors show up again and again to attempt to engage young people. Aces' initial, assertive outreach forges the foundation for the mentor-participant relationship, out of which young people will gradually strengthen their skills and begin to identify and work toward goals. In fy24, aces served 126 participants and delivered 2,545 hours of work crew services, 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.

Clinic services: cases established the nathaniel clinic in 2014 in manhattan to ensure ease of access and seamless coordination of treatment and support services for youth and adults who have a mental illness and are involved in the nyc criminal legal system (cls). In fy24, the clinic admitted 405 new clients and served 818 people. Nathaniel clinic clients attended over 12,506 treatment services and 42% (5192) of the services were delivered with telehealth. Clients engaged in 70% of scheduled psychotherapy and 70% of scheduled treatment services with psychiatrists and psychiatric nurse practitioners. Engagement in psychotherapy treatment was uniformly high across all groups. The nathaniel clinic worked to assure new clients had timely initial appointments. Throughout fy24, clients completed initial assessments in 22 days of the request for services, and in the last six months of the year this was reduced to 13 days. 74% of the clients served in the nathaniel clinic are cls-involved with cases' pretrial services manhattan supervised release program (msrp), consistently referring the largest number of clients to the clinic. The nathaniel clinic has demonstrated specific promise in addressing the challenges that clients with serious mental illness (smi) face to successfully complete court supervision with the msrp. When msrp clients with smi received mental health treatment at the nathaniel clinic, 90% of these co-enrolled clients successfully completed court mandates.

Community 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 fy24, the ati programs enrolled 1,681 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, 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 fy24, roar achieved a 55% 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 had 1222 intakes and supported 55% of participants to successfully complete court mandates in a population with 47% of participants experiencing homelessness. 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 fy24, ncs services ensured 73 clients successfully completed the court mandate.