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Agency Testimony

Commissioner Martin on mobile treatment, clubhouses, and federal funding

New York City Council · Jun 5, 2026 · starts 2:35:29 · 3 min 27 sec

Martin details IMT teams serving over 1,000 people annually and AOT teams supporting over 2,000. He describes clubhouses as community strongholds with 13 sites across all five boroughs, where participants are members, not patients. He closes with a story about a public servant named Bev who called the work a calling.

Dr. Alistair Martin

In particular, there are long-standing funding cliffs that have been structurally solved in the budget.

Dr. Alistair Martin

We're grateful to see our work receive the long-term stability it deserves and break out of the pattern of year-to-year funding.

Dr. Alistair Martin

That includes our mobile treatment programming, which encompasses intensive mobile treatment and assisted outpatient treatment teams.

Dr. Alistair Martin

IMT teams serve New Yorkers whose needs are not being met in traditional health care settings.

Dr. Alistair Martin

They serve some of our hardest-to-reach neighbors and meet them wherever they are, at home, in the showroom,

Dr. Alistair Martin

shelter, street corner.

Dr. Alistair Martin

Many of these teams include both clinicians and peers who are equipped to support New Yorkers through mental health and substance use disorder treatment.

Dr. Alistair Martin

Services are individualized and courses of treatment are expected to last several years.

Dr. Alistair Martin

That program reached more than 1,000 people a year.

Dr. Alistair Martin

In parallel, our assisted outpatient treatment teams support adults with a history of multiple hospitalizations or harm caused by non-adherence to mental health treatment plans.

Dr. Alistair Martin

AOT reinforces recovery by monitoring the progress of a court-ordered treatment plan and supporting New Yorkers through care coordination across multiple service providers.

Dr. Alistair Martin

That work supports more than 2,000 people a year.

Dr. Alistair Martin

We are also encouraged to see funding stabilized for clubhouses, which provide New Yorkers living with serious mental illness with help accessing benefits, employment opportunities, and communities.

Dr. Alistair Martin

There are 13 clubhouses across all five boroughs.

Dr. Alistair Martin

Each of these physical sites houses a community stronghold for New Yorkers with mental illness.

Dr. Alistair Martin

40% of members have been enrolled for more than five years.

Dr. Alistair Martin

Here, participants are not clients, they're not patients, they're members.

Dr. Alistair Martin

And each clubhouse is designed by and for the members it serves.

Dr. Alistair Martin

New Yorkers deserve reliable, stable access to these services, and we're reassured this council and this administration are dedicating resources to sustain them.

Dr. Alistair Martin

Finally, at the federal level, we are watching this administration's actions very closely.

Dr. Alistair Martin

Closely.

Dr. Alistair Martin

National mental health infrastructure has consistently been devalued as far as we've seen under this administration.

Dr. Alistair Martin

Harm reduction work in particular has come under unwarranted scrutiny.

Dr. Alistair Martin

At the New York City Health Department, our federal funding is concentrated in our disease control and our emergency preparedness divisions.

Dr. Alistair Martin

Our mental hygiene division is not heavily reliant on federal funding, but every part of our agency is impacted by the rapidly changing public health landscape we live in.

Dr. Alistair Martin

We continue to monitor changes in federal funding, infrastructure, and policy.

Dr. Alistair Martin

And so in many ways, this year ahead is sure to be a challenging one, but I have every confidence that we will meet the moment.

Dr. Alistair Martin

That confidence is not derived from any one leader, but it's derived from the many public servants committed to showing up for our city every day.

Dr. Alistair Martin

Early in my tenure as health commissioner, I spoke with one of our public servants working in substance use recovery.

Dr. Alistair Martin

Her name was Bev.

Dr. Alistair Martin

When I asked Bev what keeps her going every day, she told me something I'll never forget.

Dr. Alistair Martin

She told me this wasn't a job, it was a calling.

Dr. Alistair Martin

I'm grateful to lead an agency of people who took a job and made it a calling.

Dr. Alistair Martin

I have every confidence my agency will continue to answer the call for our city.

Dr. Alistair Martin

Thanks for your attention.

Dr. Alistair Martin

We're happy to answer your questions.

Linda Lee

Great, thank you.