New York, NY — Dossier

Lilefia Garcia

Clinical care and policy for criminalized communities and trauma survivors

Founder of Across Five Systems, an NYC operations and policy consultancy for nonprofits and therapy practices. Nine years in harm reduction, crisis intervention, research partnerships, and coalition advocacy. Completing an MA in Clinical Mental Health Counseling.

LILEFIA GARCIA · NEW YORK · LILEFIA GARCIA · NEW YORK · LILEFIA GARCIA · NEW YORK ·
9 yrsResearch & program operations
$250K+Grant funding secured, full lifecycle
25+Staff directly recruited & managed
100+Volunteers & interns coordinated
Partnered with
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Summary

I’ve spent nine years working with people who use drugs, people in the sex trade, and survivors of trauma and sexual violence. I’ve done the direct work, like outreach and crisis care, and the behind-the-scenes work of building partnerships, writing grants, and organizing policy coalitions.

I’ve built research partnerships with the University of Illinois Chicago, Rush University Medical Center, and the City of Chicago, raised over $250,000 in grants, and written confidentiality protocols everywhere I’ve worked. Now I use that experience to help nonprofits and therapy practices in New York through Across Five Systems.

The throughline

I want to support criminalized communities both as a clinician and as an advocate for the policies and legal systems that affect their care.

Clinical Practice LMHC TRACK Policy & Law LAW SCHOOL Criminalized communities & trauma survivors

Clinical Practice

Completing an MA in Clinical Mental Health Counseling and pursuing LMHC licensure in New York. Seeking clinical supervision with a focus on criminalized communities and trauma survivors.

Policy & Law

Studying for the LSAT, with law school on a flexible timeline. I want to focus on policy and privacy protections for the communities I work with as a clinician.

Communities I’ve served

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Experience

201120142017202020232026Across Five SystemsPHIMCResilienceSWOP ChicagoChicago TribuneEnvision UnlimitedNOWDirect service & clinicalOperations, research & policyOther
2025 – Present
Founder & Principal Consultant
Across Five Systems, New York, NY
Program Operations Internal Policy IT & Systems Funding Curriculum & Advocacy
  • Provide operations, policy, IT, funding, and training support to grassroots organizations, state-level nonprofits, therapy practices, and small businesses.
  • Write personnel and confidentiality policy with client teams, aligned with compliance standards, and support leadership through implementation.
  • Build scopes of work, MOUs, and data-sharing and reporting systems across partner organizations, medical and academic partners, and city agencies.
  • Set up HIPAA-compliant, encrypted workspaces, case management, and scheduling systems for practices handling sensitive client information.
  • Manage grant research, writing, compliance, and renewal, and train finance teams to run funding independently.
  • Design staff training and curricula on prevention, harm reduction, policy, and domestic and sexual violence.
2023 – 2025
Prevention Outreach & Technician Specialist
Public Health Institute of Metropolitan Chicago (PHIMC), Chicago, IL
  • Founded and led a 20-member research and advisory board spanning partner nonprofits in drug policy advocacy for populations ages 12 and older, alongside a companion youth board.
  • Directed the build of a cloud-based training portal and launched hundreds of curricula on it, based on what community needs assessments showed.
  • Managed portal governance and credentialed access, and hired and directed outside teams to edit curricula based on stakeholder feedback.
  • Served as primary liaison to partner agencies, coordinating cross-organizational workflows and adapting systems to partner capacity.
  • Monitored public health policy and funder requirements to maintain grant and program compliance across partner organizations.
2021 – 2023
Prevention Education & Campaign Manager
Resilience, Chicago, IL
  • Revamped 30–40 presentations across the organization's 40-hour and 60-hour, state-certified crisis intervention training tracks.
  • Delivered ICASA-certified crisis intervention training to mental health professionals, specializing the curriculum in sex work and drug use as they relate to sexual violence policy and survivor populations.
  • Delivered training and psychoeducation reaching thousands of mental health professionals, volunteers, interns, and students across Chicago Public Schools.
  • Facilitated psychoeducation alongside therapeutic treatment for clients processing trauma and sexual violence, providing informal supervision and direct support.
Featured project — Our Music My Body

Secured funding for and led a consent and body-safety campaign, building relationships with Lollapalooza, Riot Fest, and local venues to bring harm reduction and consent education into nightlife spaces.

2016 – 2021
Sex Workers Outreach Project (SWOP) Chicago
Five years, starting in street outreach and promoted to operations manager
Executive Partnerships & Operations Manager 2019 – 2021
  • Built and managed multi-institutional partnership agreements with the University of Illinois Chicago, Rush University Medical Center, and the City of Chicago, coordinating scopes of work, timelines, and deliverables.
  • Owned the full grant lifecycle as sole fundraiser, managing scope, budget, compliance, data tracking, and financial reporting for six-figure funding.
  • Directed two research initiatives on drug harm reduction and sex work, coordinating with universities and grantors and translating findings into policy advocacy.
  • Developed confidentiality protocols and trained partner organizations in confidentiality standards and compliance.
  • Recruited, trained, and directly managed a core team of 15, while coordinating outreach corps of 100+ volunteers, staff, and interns.
Street Outreach Coordinator 2016 – 2019
  • Provided trauma-informed harm reduction services and direct support to people on the street, meeting them where they were without judgment.
  • Recruited, trained, and supervised outreach volunteers and built relationships with community partners.
  • Championed hiring practices that prioritized professionals with lived experience who shared identities with the populations served.
2013 – 2016
Digital Photo Technician
Chicago Tribune, Chicago, IL
  • Automated a manual daily photo processing workflow over three months, increasing throughput from 20 to 200 photos per day with no loss in quality, using tools I built myself, years before AI editing tools existed.
2011 – 2014
Direct Support Professional & Program Instructor
Envision Unlimited, Chicago, IL
  • Implemented individualized therapeutic interventions for a caseload of up to 10 clients, balancing group programming with individual goals.
  • Worked under therapists on clinical treatment planning for adults and seniors with autism spectrum disorder, developmental disabilities, and physical disabilities.
  • Specialized in supporting non-verbal clients and clients with aggressive behaviors, collaborating with case managers on resources.
  • Led integrated community programming enabling adults with disabilities to participate in otherwise inaccessible neighborhood events.
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Key Competencies

Project & Program Management

  • Scoping, timeline, budget & risk management
  • Cross-functional coordination across clinical, research, finance & external partners
  • Contract & MOU development
  • Full lifecycle management, planning through evaluation

Policy, Privacy & Compliance

  • Personnel and confidentiality policy development
  • HIPAA-compliant, encrypted systems for sensitive client data
  • Policy monitoring and funder compliance across coalitions
  • AI and LLM tools for documentation, with outputs checked for accuracy

Research & Grant Operations

  • Grant writing & full lifecycle compliance ($250K+ secured)
  • Multi-institutional research partnership development
  • Original research design & data analysis
  • Human subjects protections & confidentiality protocols

Clinical & Behavioral Health Foundations

  • Crisis intervention & trauma-informed care
  • Substance use & harm reduction subject-matter expertise
  • Evidence-based curriculum design
  • Collaborative clinical treatment planning

Tools & systems

Clinical & EHR
EpicCernerKareoTherapyNotesHIPAA-compliant documentationNonprofit case management platforms
Communication
Proton Mail, Calendar & DriveEncrypted video conferencingZoomMicrosoft 365 (Outlook, Teams, Bookings, Word, PowerPoint)Google Workspace
Web, IT & systems
Website design & build (HTML/CSS)CRM & donor databasesClient scheduling systemsPrivate servers & shared workspacesSystem migrationCloud-based training portals & access management
Data & evaluation
Excel (advanced formulas, pivot tables, data visualization)Google SheetsSPSSDatabase management & reporting
AI & Automation
Claude & other LLM platformsWorkflow automation scripting
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Education & Licensure

Master of Arts, Clinical Mental Health Counseling (in progress)

The Chicago School of Professional Psychology · CACREP-accredited program

Planned courseworkAdvanced legal and ethical issues · Psychopharmacology · Substance use

Bachelor of Science, Psychology · Minor in Creative Writing

DePaul University · 2025

Clinical & communityAbnormal Psychology · Community Psychology · Health Psychology · Physiological Psychology

Research & measurementResearch Methods I–III · Statistics I–II · Introduction to Psychological Measurement

Ethics & societyCritical Thinking · What Is Freedom? · Contemporary Moral Issues · Multiculturalism in the U.S.

Licensure, Certifications & Training

In progress

  • Clinical licensure: Licensed Mental Health Counselor (LMHC), New York; Licensed Professional Counselor (LPC), Illinois
  • Continuing Education in Clinical Spanish, six-course sequence
  • LSAT preparation

Completed

  • 60-Hour Illinois Crisis Intervention Training, ICASA Certified
  • CPR / First Aid Certified
  • Certified Direct Support Professional
  • 500-Hour Yoga Teacher Certification & Yin Yoga

The road ahead

Clinical licensure, New York

  1. MA, Clinical Mental Health CounselingCACREP program with a 600-hour practicum and internshipIn progress
  2. Limited permit (MHC-LP)Supervised practice in New York after graduation
  3. 3,000 supervised hoursIncluding 1,500 hours of direct client contact
  4. NCMHCE examNational Clinical Mental Health Counselor Examination
  5. LMHCLicensed Mental Health Counselor, New York
  6. Clinical practiceA private practice that grows into a group practice with a clinical team

Law & policy

  1. LSAT preparationStudying nowIn progress
  2. Law school, part timeAlongside supervised clinical hours, finishing as licensure is completed
  3. Law practice & legal advocacyA legal career run separately from my clinical practice
Long-term goal

A nonprofit where separate clinical and legal teams work with the same clients, so people can get mental health care and legal help in one place.

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Volunteer Experience

Community Organizer & Restorative Justice Facilitator — Dollhouse, 2016–2019

Facilitated community wellness programming, including meditation, art exhibitions, music showcases, and trauma-informed yoga, and provided confidential restorative justice mediation for survivors of sexual violence seeking alternatives to law enforcement reporting.

Volunteer Educator — City Lights, 2011–2014

Provided educational support and behavioral intervention assistance to children with neurodevelopmental and behavioral support needs, using individualized, trauma-informed learning strategies.

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About Me

I was born and raised in the Chicagoland area and lived in the city for over 20 years. Growing up there, I saw up close how systemic inequity shapes people’s lives, so I have lived experience in proximity to the communities I serve. I was lucky to have a good education growing up, and I’m thankful to be in graduate school now. I’ve always been a bookworm, and I’ve always leaned toward anti-carceral justice.

Outside of work

I’m interested in building a creative, beautiful life and staying open to new ideas that inform my art, my work, and how I live. I want to be well-rounded, healthy, and mindful, and to keep showing up as an advocate for justice.

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Contact

Open to clinical supervision placements serving criminalized and justice-involved populations, consulting engagements through Across Five Systems, and policy and advocacy roles.

lefigarcia@protonmail.com Copied 847-921-8099 Copied

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Some project and role details above are limited by confidentiality agreements and research protocols with current and former employers, and cannot be fully disclosed.