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New ICL Program Fills Gaps in NYC’s Mental Health System

This fall, ICL is launching an innovative pilot program that expands the continuum of care for New Yorkers experiencing the most significant mental-health challenges. ICL’s new IMT/ACT Step-Down Model addresses the urgent need to better support the increasing numbers of our neighbors living on the streets and in institutional settings like shelters.

The STEPS program (Step-down Treatment Ensures Personal Success), provides an alternative for individuals who have successfully been served by the highly effective Assertive Community Treatment (ACT) and Intensive Mobile Treatment (IMT) teams and are ready for less intensive care. The new pilot is being funded through a generous grant from The Helmsley Charitable Trust.

ICL will provide up to 250 individuals with an optimized mix of services for their current needs—including medication management, wellness education, case management and advocacy, skills development, and peer recovery support. The services are designed to support them as they continue to build independence. 

ICL recently celebrated Brandon's transition from IMT to STEPS.

"Due to the success of ACT and IMT, many of our participants are ready for a stepped-down service model that still ensures they stay on a path to improved well-being. This allows us to support people to live more independently, and importantly frees up space on long ACT and IMT waitlists so individuals requiring higher-touch programs can get the care they need," said Jody Rudin, President & CEO of ICL.

ICL has a nearly 30-year track record of running ACT and IMT teams. These programs bring comprehensive, whole-health resources into the community, helping people achieve stability and get better.


In December 2022, ICL launched Changing Spaces, a new model that quickly moves New Yorkers who have experienced long-term homelessness into permanent housing. The team offers person-centered, trauma-informed, whole- health services to a small group of guests in a home-like setting.

The results are impressive: 75% of guests have secured stable housing, 50% found employment,


87% were connected to benefits, and 87% were engaged with medical services.

Gary arrived at Changing Spaces after spending five years in shelters and safe havens. “I initially had my guard up due to trauma in my past, but at ICL there was always someone to talk to,” he says. “I felt very welcome.”

In just two and a half months, Gary had completed his supportive housing application, interviewed for an apartment, and moved into his new home. “I showed initiative and put in the work. ICL was with me every step of the way. It’s still hard to believe I have my own place.”

Changing Spaces is a partnership with the State’s Office of Mental Health and works collaboratively with the City’s Safe Options Support (SOS) teams. ICL is proud to be part of the larger State and City effort to better address the needs of people experiencing homelessness and serious mental-health challenges.


This October, ICL’s East New York Health HUB marks five years of providing whole-health services. The East New York Health HUB is considered one of the most comprehensive primary and mental health care centers in the country and is a national model for supporting individuals and families so they can live their most fulfilled, healthy lives.

The East New York Health HUB advances ICL’s work to reduce disparities and enhance equity. It fills a significant gap in health care for a local community that has experienced under-investment and poor outcomes, including the second highest rate of psychiatric hospitalizations in the city.

Since 2018, nearly 9,000 New Yorkers have come through our doors. People have access to robust

and integrated resources, including primary care, mental health care, housing support, nutritional programming, job placement, youth and parent advocacy, and substance use disorder treatment.


Institute for Community Living — People Get Better With Us

It is ICL's mission to help New Yorkers with behavioral health challenges live healthy lives by providing comprehensive housing, health care, and recovery services. We believe all people should have the opportunity to live healthy and fulfilling lives. We take a trauma-informed approach—meeting the people we serve wherever they are, working together to support them in achieving their goals.

Support ICL

Please take a moment to help people get better with us. Your gift will immediately help those with the greatest need. To discuss your gift or learn more about your giving options, please email Development@iclinc.net or call 212-385-3030, x 10004.  


Call 844-ICL-HOPE (844-425-4673) to connect to resources.

Visit iclinc.org to learn more about ICL programs and services.


Contact Us

Institute for Community Living (ICL)
125 Broad Street, Third Floor
New York, New York 10004

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