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Q&A

Caban Q&A: therapy retention and Aftercare follow-up model

New York City Council · Sep 18, 2026 · starts 0:39:14 · 2 min 48 sec

Caban asks about causes of veterans dropping out of therapy programs. Associate Commissioner Donee' Smalls describes the new Aftercare model with follow-up at 24 hours, two weeks, three months, and six months, and shares her peer-to-peer approach as a combat veteran.

Tiffany L. Cabán

So you mentioned some of the major barriers being family members and their eligibility.

Tiffany L. Cabán

We've also seen, and it's outlined in the committee report, interruption in programs and therapy.

Tiffany L. Cabán

So can you speak to some of the causes of veterans not being able to continue their therapy programs or dropping out of therapy programs?

Tiffany L. Cabán

Thank you for that question.

Nicole Orlando

I think what we see also specific to mental health, but in the community in general, is just that continued engagement and different periods of the year where they may be more busy with life, with family, and we see that as an issue of not engaging in specific resources.

Nicole Orlando

I think from our perspective, and as Danae mentioned as well, is that is why we are increasing that follow-up so that if someone does fall off or maybe has, you know, is more quiet in times of the year, we can be sure to engage them again.

Tiffany L. Cabán

And what does that look like, that process of engagement?

Tiffany L. Cabán

Is there a sort of formula for, hey, this person missed one or two days, or there's a certain period of time they're gone, and then what does that engagement or follow-up look like?

Tiffany L. Cabán

What amount of time?

Nicole Orlando

Yeah, I'm going to pass over to Donnie to outline that.

Donee' Smalls

Yes, so the detail, the model that we will follow is 24 hours after we connect veterans to services, we want to make sure that we follow up with them to see if they were engaged

Donee' Smalls

or do they need further care.

Donee' Smalls

Once that 24 hours.

Donee' Smalls

comes, we have that communication.

Donee' Smalls

The veteran let us know, yes, we seek services.

Donee' Smalls

We're okay with the service provider that we're going.

Donee' Smalls

Then we follow up with them two weeks later to make sure that they're still engaged in our services.

Donee' Smalls

From there, we will go three months, six months, or we build a communication and a relationship.

Donee' Smalls

with our veterans to where if they are falling off or if they need more help, they know that they can call us.

Donee' Smalls

We give a safe space, especially, well, I can't speak personally because I engage with the veteran community.

Donee' Smalls

I'm also a combat veteran.

Donee' Smalls

Retired U.S.

Donee' Smalls

Army.

Donee' Smalls

So I use my peer-to-peer skills that I have to engage with the veteran community, and I give them a safe space to talk

Donee' Smalls

and feel comfortable that if they are going through crises or anything, that they could come back to not only me but my staff.

Donee' Smalls

And my staff, I trained them in the same way where, you know, they can have that safe space with their clients.

Donee' Smalls

Where if anything is happening within the intervals of the aftercare program, that they could come back to us and we can get them back on track with the services that they need.