The Headstrong Project

Two decades of major combat operations in Iraq and Afghanistan heightened awareness of the invisible injuries of war, including PTSD, depression, substance misuse, and traumatic brain injury. Recent events such as the COVID-19 pandemic, the 20th anniversary of 9/11, and the chaotic U.S. withdrawal from Afghanistan further exacerbated these challenges. Public and private partners have mobilized to meet veterans’ mental health needs. The federal government recently implemented the PACT Act—the largest benefits expansion in the history of the U.S. Department of Veterans Affairs (VA)—alongside a policy ensuring that every veteran can access VA or private care during acute suicidal crises. In 2024, NYHealth awarded The Headstrong Project a grant to provide high-quality, free, culturally competent mental health care to veterans statewide. 

Under this grant, the Headstrong Project will use its trauma-informed model to provide services using evidence-based PTSD treatment. Headstrong will leverage technology to conduct outreach and increase awareness of services in high-need areas throughout the State, with a focus on rural areas and minority populations; provide approximately 300 clinical sessions to veterans statewide; work with the Steven A. Cohen Military Family Center and the VA to maintain a strong referral network; and share best practices and recommendations to support a sustainable mental health service network throughout the State.  

Steven A. Cohen Military Family Center at New York University Langone

Two decades of major combat operations in Iraq and Afghanistan heightened awareness of the invisible injuries of war, including post-traumatic stress disorder, depression, substance misuse, and traumatic brain injury. Recent events such as the COVID-19 pandemic, the 20th anniversary of 9/11, and the chaotic U.S. withdrawal from Afghanistan further exacerbated these challenges. Public and private partners have mobilized to meet veterans’ mental health needs. The federal government recently implemented the PACT Act—the largest benefits expansion in the history of the U.S. Department of Veterans Affairs (VA)—alongside a policy ensuring that every veteran can access VA or private care during acute suicidal crises. In 2024, NYHealth awarded the Steven A. Cohen Military Family Center (MFC) at New York University Langone a grant to provide high-quality, free, culturally competent mental health care to veterans statewide. 

Under this grant, MFC will build on its decade-plus expansion throughout New York to serve veterans currently on its waitlist and to those in under-resourced, hard-to-reach areas. MFC will conduct intake evaluations and suicide risk screenings, deliver mental health care to approximately 240 veterans, and connect clients with local VA and community providers to complement their treatment. Additionally, MFC will expand its training programs for pre-doctoral and post-doctoral psychology fellows to provide culturally competent care.  

Justice Innovation, Inc., dba The Center for Justice Innovation

Founded in Buffalo in 2008, Veterans Treatment Courts (VTCs) offer eligible veterans an alternative to incarceration by providing treatment for mental health and/or substance use disorders. NYHealth played a key role in securing universal access to VTCs statewide, a crucial step forward. However, ongoing efforts are needed to maximize the new policy’s impact and improve the quality of VTCs. A critical component of successful VTC programs is the role of peer mentors, but limited statewide data exist on their distribution and demographics and the quality and scope of peer mentor services. In 2024, NYHealth awarded The Center for Justice Innovation (CJI) a grant to evaluate the equitable distribution and representation of high-quality peer mentors in VTCs statewide. 

Under this grant, CJI will standardize and elevate the role of VTC peer mentors. CJI will convene an advisory committee of stakeholders; conduct a statewide survey to collect data from VTCs and partners; monitor and evaluate outcomes for VTC participants with peer mentors; assess mentors to identify opportunities for improvement; update and disseminate a handbook for mentors; create a formal peer mentor network; and develop and share statewide recommendations to strengthen VTC peer mentoring.  

New York Cares

During their time in service, more than half of all military veterans were likely exposed to toxic chemicals and other airborne hazards, including burn pits with open-air combustion of waste. This exposure has led to a range of health complications, including respiratory illnesses, cancer, and other chronic conditions. In addition to toxic exposure illnesses, veterans face mental health challenges exacerbated by compounding crises. Recent federal legislation known as the PACT Act significantly expanded eligibility for health care and mental health services for military veterans. While coordinated outreach efforts have led to significant increases in enrollment, many veterans remain unaware of these benefits or how to apply for them. In 2023, NYHealth awarded a grant supporting the expansion of the New York Cares Mission: VetCheck—a veteran outreach program launched during the pandemic in partnership with the New York City Department of Veterans’ Services (DVS). In 2024, NYHealth awarded New York Cares a grant to continue its outreach and education to veterans in New York City to maximize their understanding and use of expanded services. 

Under Phase 2 of this grant, New York Cares will continue its partnership with DVS and use its Mission: VetCheck program to reach eligible veterans. It has built a robust referral network to support veterans, including PACT Act enrollment from certified veteran benefit advisors, mental health services from the Military Family Wellness Center at NewYork-Presbyterian Health System, and housing and financial assistance services. Working with DVS, it will obtain a targeted, up-to-date contact list of veterans within the five boroughs; contact veterans through wellness check-in calls; offer information about expanded health care benefits and mental health services, provide education about eligibility and enrollment; screen for suicidal ideation; and connect veterans with resources.

New York State Defenders Association

Veterans Treatment Courts (VTCs) were founded in Buffalo, New York, in 2008 as a type of problem-solving court that provides treatment as an alternative to incarceration for eligible veterans with mental health or substance use disorders. VTCs offer a lifeline for veterans encountering the criminal justice system, but access to these courts was not historically universal across New York State. A law enacted in 2021 now authorizes the transfer of cases from jurisdictions without VTCs to adjacent counties that have them, but further work is needed to realize the full potential of the policy change. In 2024, NYHealth awarded the New York State Defenders Association (NYSDA) to work with both existing and new VTC judges and court professionals to facilitate successful case transfers. NYHealth also awarded a complementary grant to the Betty and Michael D. Wohl Veterans Legal Clinic (VLC) at Syracuse University’s College of Law to provide comprehensive legal services to VTC participants in New York State to increase their likelihood of success in treatment.

Under this grant, NYSDA will build on its extensive training network of defense attorneys, judges, and other legal professionals. It will engage six counties with a VTC and multiple contiguous counties without a VTC to facilitate the robust implementation of the transfer policy and overcome barriers. NYSDA will work to ensure smooth and legally sound case transfers, including documentation and reporting in court systems, and help judges, defense attorneys, court staff, and prosecutors who need support prior to, during, and after case transfer proceedings.

 

Betty and Michael D. Wohl Veterans Legal Clinic

Veterans Treatment Courts (VTCs) were founded in Buffalo, New York, in 2008 as a type of problem-solving court that provides treatment as an alternative to incarceration for eligible veterans with mental health or substance use disorders. VTCs offer a lifeline for veterans encountering the criminal justice system, but access to these courts was not historically universal across New York State. A law enacted in 2021 now authorizes the transfer of cases from jurisdictions without VTCs to adjacent counties that have them, but In 2024, NYHealth awarded the Betty and Michael D. Wohl Veterans Legal Clinic (VLC) at Syracuse University’s College of Law a grant to provide comprehensive legal services to VTC participants in New York State to increase their likelihood of success in treatment. NYHealth also awarded a complementary grant to the New York State Defenders Association to work with existing and new VTC judges and court professionals to facilitate successful case transfers.

Under this grant, the VLC will leverage a federal grant from the U.S. Department of Veterans Affairs to ensure that VTC participants have the legal services they need to support their recovery efforts. The VLC will conduct outreach to and coordinate with VTCs to incorporate legal services—covering areas such as government benefits, family law, housing, and debt management—into their treatment programs. It will also create a blueprint and provide support to other legal clinics in New York about how to replicate this model.

 

 

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