Helping Vulnerable Populations During COVID-19: Challenges of Mitigation in Congregate Residential Settings

In New York City, tens of thousands of people with serious mental illness or developmental disabilities live in congregate housing or homeless shelters. For behavioral health agencies like the Institute for Community Living (ICL), the COVID-19 pandemic has presented an urgent challenge: With over...

An Effective Work Force Embraces and Drives Integrated Care

The behavioral health sector has been in the throes of a generational change over the past decade, one that has challenged the very way we offer treatment, organize operations and receive funding for our services. Our agencies have worked hard to adapt to these changes while maintaining the...

Aging Through a Strengths-Based Lens: Dreaming Big, Living Longer

Nearly 50 million Americans are over the age of 65; by 2030, that number will surpass 70 million and account for about 20% of the population. While for some, late adulthood can be a time of great fulfillment, for many, our culture’s emphasis on youth and a fast-paced life leads to a declining...

Collaborating to Improve Children’s Health Care: The Time is Now

In 2015, New York State’s Medicaid Redesign Team (MRT) issued a “Roadmap for Medicaid Payment Reform” that laid out a path for dramatic and innovative change in the way the state financed and administered healthcare. Initially, MRT took on a volume-based approach to health care through the...

Integrating Health and Behavioral Health: Consider All the Dimensions

A discussion of integrated care should actually start by redefining the term itself. Integrated care is commonly considered the weaving together of physical and behavioral health, but experience has shown that this definition limits the discussion to two dimensions. What dimension is missing? What...

Integrating Primary Care into Assertive Community Treatment

The great health disparities and poor health outcomes experienced by people with serious mental illness are even more significant for the people served by Assertive Community Treatment (ACT) teams. Individuals are eligible for ACT services if they have been hospitalized more than four times in the...

The East New York Health Hub: Realizing the Promise of Whole Health

Over the last few decades, there has been an increasing focus on health care reform and bending the cost curve through a combination of new approaches including social determinants of health, trauma-informed treatment, health equity, patient engagement and integrated care. While these elements have...

Social Isolation: A Solution-Focused Approach

Doris has been living in her studio apartment in the Crown Heights section of Brooklyn for the past 15 years. She obtained this apartment after finding herself homeless following the breakup of her marriage and other stressors she was experiencing. Doris is quite humble as she describes how her...

ICL Housing: Like a Nice Piece of CAKE

As the story goes, at ICL we’ve been saying for quite a while, that Housing is much more than just a bed, some clean sheets and case management services. At ICL we believe that Housing is far more complex and that at the very core of all of our Housing is hope and relationship building. Today,...

The New Normal: How We Learned to Love and Understand Data

Data. The world today is all about data. With the transformation of the Medicaid payment system into a more value-based approach, the need for understanding data has taken a higher priority at many agencies, including ICL. Managed Care Organizations (MCOs) are making arrangements with agencies that...