Since 1996, ETS case workers have been been providing intensive case management services to homeless chronic public inebriates in downtown Seattle.  Funded by the Seattle-King County Public Health Department's Health Care for the Homeless Network, the "REACH" project employs 8 case managers, each carrying an active caseload of 20 individuals.  Emphasis is placed on working with clients of the city's Dutch Shisler Sobering Support Center.

During the past 6 years, the REACH team has provided assistance to several hundred members of this vulnerable population.  Emphasis is placed on addressing needs for medical care, stable housing, income support, addiction treatment, and developing self-sufficiency capabilities.