Through our focus on client-centered planning and access to community resources, each of our programs serves to improve New Yorkers’ health and recovery, employability, and social and economic stability. As a result, our clients experience improved quality of life, empowerment, and pride, as exemplified by these client stories:
|Substance Use Disorder Screening, Assessment, Intervention and Referral|
When applying for Public Assistance benefits, Mr. John S screened positive for possible substance abuse and was referred to NADAP’s Substance Abuse Centralized Assessment Program (SACAP). Based on a thorough assessment, it was the responsibility of NADAP’s qualified counselor to determine whether John’s substance use presented a barrier to his eligibility for HRA work activity. Fifty-four years old and living in a three-quarter house, John had not worked for several years, in part due to a number of medical and psychiatric problems. Through respectful and patient probing, the counselor learned that John also had a long history of heroin addiction; he managed to stop using this drug a couple of years ago with the help of a methadone program; nevertheless, he continued to use cannabis and alcohol quite heavily. Since these drugs still interfered with John’s health and functioning in the world of work, NADAP’s counselor recommended that John enroll in intensive outpatient treatment to complement his methadone treatment. Initially, John was upset that he now had to go to treatment, insisting that he was already enough to overcome his substance use disorder. Fortunately, through the positive engagement fostered and a counseling technique referred to as motivational interviewing, the counselor helped John understand how additional support could help him to improve his medical and mental health by reducing his substance abuse. As a result, John accepted a referral for an outpatient treatment program, which he was to begin within 48 hours. Exempted from HRA work activity for a period of 60 days, John’ progress in treatment will be reassessed at SACAP. The counselor also referred John to other New York City services, to provide him with customized medical and psychiatric services.
NADAP’s Care Coordination team continually reaches out to the community to identify New Yorkers with chronic illnesses; many do not have ready access to medical and mental health services necessary to help them live a fuller, healthier life. For instance, one of NADAP’s Outreach staff recently enrolled Mr. Tony M in our services. Tony is in his late 40s, lives alone, and has diabetes and COPD; he also showed symptoms of depression. Due to his medical conditions, his mobility appeared limited, he struggled with getting to the doctors, and his medications remained unfilled. As a result of crises caused by uncontrolled diabetes, Tony went to the emergency room three times in the last year alone.
NADAP’s Care Coordinator learned all this through a comprehensive assessment of Tony’s medical, mental health, and social needs. As with all our Care Coordination clients, we created a thorough care plan based on Tony’s goals and preferences. Soon after, the Care Coordinator began to tackle the most pressing issues: she arranged for Access-A-Ride transportation to take Tony to his medical appointments; linked him to a specialist for his diabetes, and accompanied him on the first visit; she connected him with a pharmacy that delivers his medications to his house; and she also referred him to a mental health provider to address his depression. To continue to assist him and check on his progress, the Care Coordinator visits Tony every month; she also routinely communicates with his medical and mental health providers to ensure that he is making his appointments and see if any new issues have been identified. As a result of these person-centered and practical supports, Tony’s health has much improved, he sees his doctors regularly, and has not been back to the emergency room in the past six months.
|Case Management Service|
When Mr. Luis H was referred to Project ACE, he was living in a homeless shelter, had only recently been released from a 10-year prison sentence, and was in need of a drug treatment program. At the same time, Luis was highly motivated to not just focus on acclimating back into society, but to be productive and self sufficient. In fact, he had already prepared his resume and was seeking employment on his own; however, he was disappointed that he was unsuccessful at even obtaining an interview. His case manager referred Luis to our Work Force Development Orientation and introduced him to his vocational case manager, who assisted him in fine-tuning his resume. He also practiced mock interviews with the Project ACE team and learned to fill out applications online.
Only a couple of months after enrolling, Luis became gainfully employed at a food specialty company and proudly reported his employment to his NADAP Case Manager and Vocational Case Manager. With the support from his case manager, Luis also very proactively sought a substance abuse program that could accommodate his work schedule. Today, Luis is in full compliance with treatment and has been employed for more than 90 days. To further improve his job skills and prospects, he is also pursuing his CDL licensing.
|Comprehensive Employment Services|
Mr. Don H was still in substance abuse treatment for severe addiction when he first came to NADAP’s Comprehensive Employment Services. With a history of incarceration and lack of recent employment consistency, he was struggling to find work. Don completed NADAP’s pre-vocational workshop, and his NADAP job developer sent him on three separate interviews. He was soon hired at a local bakery chain – only a month after starting to work with his NADAP team. At first, Don’s position involved sweeping and general cleaning for $8/hr. As he came in for continued support every month, he reported that his responsibilities were increasing since it was quickly recognized that he was a very diligent worker with ambition. Soon enough, he was promoted to customer service-oriented positions and was responsible for opening the store in the morning. In due time, Don completed treatment and was able to secure his own apartment. Only nine months after he started his job, Don proudly reported that he was now the manager of three separate stores. He still maintains a relationship with NADAP staff, and has even hired new upcoming clients.
|In-Person Assistors/ Navigator Service
Ms. Lisa B needed to find an affordable, quality plan with a start date of January 1, 2014. She considered herself not very computer-savvy, as she only used her computer for email. When she tried to enroll herself in the NY State Marketplace at home, she was confused by some of the questions and gave up. At that point, she called the NY State of Health for help and was provided with a list of Navigator telephone numbers and emails. She called NADAP, and one of our Navigators called her back the same day and scheduled an appointment for her soon thereafter. Our Navigator, along with our Program Director, met with Lisa and answered all of her questions, assisted her in the selection of a health insurance plan, and helped her enroll. Lisa was very happy when she got a printed confirmation that her new insurance would be effective on the day that she needed it.
|Technical Assistance/ professional Service|
As a result of providing a series of technical assistance, training, and program consultation services to an OASAS-licensed Opioid clinic with intensive outpatient and residential programs, the agency successfully improved and expanded its vocational offerings to clients. Provider staff implemented on-site Basic Education and ESOL classes, which enrolled 52 students in its first cycle; a ten-week evidence-based training greatly improved clients’ work readiness skills; a weekly “Employment in Recovery” group gives clients in the re-entry phase of treatment an opportunity to address concerns that might impact their employment; and in collaboration with a local building program 19 clients received specialized certified training to assist them in attaining employment. Last but not least, the clinic plans to coordinate two annual career fairs for clients to explore training and employment opportunities. NADAP’s TAPT program will continue to provide on-going program consultation, resources and training follow-up when necessary or requested by the agency.