New Alternatives Referral Application

We're glad you're here!

Please complete this form to help us understand the unique needs and goals of those you are referring, enabling us to develop a personalized support plan that aligns with their aspirations. We encourage you to provide detailed information to ensure that we can offer the most effective assistance possible. 

Your role is vital in guiding individuals toward the skills and confidence they need to thrive independently.

An eligible youth is age 18-21 who:

1. Is diagnosed with a serious emotional disturbance/serious mental illness or co-occurring mental illness and substance use disorder;
2. Has a functional impairment and a history of difficulty in functioning successfully in the community, school, home, or job; or who will need services from the adult mental health system;
3. Is not currently assessed as being dangerous to self or others or otherwise in need of hospitalization;