Chance for Change is an OASAS-licensed outpatient substance use treatment program based in Manhattan that blends recovery services with a trauma-informed, harm-reduction-oriented framework for adults experiencing homelessness or housing instability alongside alcohol or drug use challenges. It is offered through Neighborhood Coalition for Shelter, a longstanding nonprofit that provides supportive housing and integrated services aimed at helping New Yorkers move toward stable, substance-free living.
Outpatient Substance Use Treatment Designed for Real-World Barriers
Chance for Change operates as a community clinic in a small, welcoming environment on the Upper East Side where clients can engage in individual and group counseling without requiring residential admission. Services are tailored to meet people “where they are,” acknowledging the complex challenges of homelessness, co-occurring mental health conditions, chronic medical issues and socioeconomic instability.
Trauma-Informed and Holistic Engagement
The program uses a harm-reduction approach informed by clinical research specific to chronically homeless populations, offering support that respects personal readiness for change while reinforcing collaboration, stability and dignity. Beyond substance use therapy, engagement often includes broader life assistance and linkage to other supportive resources.
Connection With Broader Supportive Services in NYC
Chance for Change is part of a wider portfolio of services provided by Neighborhood Coalition for Shelter, from supportive housing to vocational and educational resource referrals. Clients often connect to housing support, employment preparation, healthcare access, and continuing care programs as they progress in recovery.
Recovering With Structure While Staying in the Community
Because the program is outpatient in nature, clients maintain contact with daily responsibilities and community life while receiving structured recovery planning, clinical counseling and peer support. This model supports sustained behavioral change without isolating recovery from the realities of everyday living.
