C4 Innovations

Our Projects

We develop and implement approaches that advance equity and person-centered care, support recovery and stable housing, achieve health and wellness, and effect lasting social change. We bring our values and expertise to everything we do—from targeted consulting and community change work to large-scale training and technical assistance. Check out a sampling of the projects we have worked on since we opened our doors in 2006.

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Diverse colleagues discuss implementation at a Together in Recovery meeting.

Supporting Informed Treatment & Recovery Decisions in Massachusetts

Together in Recovery is fostering an accessible, integrated treatment and recovery network in Massachusetts that champions evidence-based approaches, supports multiple pathways to recovery, and puts people in charge of their treatment choices. In 2019-2020, we partnered with RIZE Massachusetts to convene peer, ...

clinical, policy, family, and community stakeholders and experts to deepen understanding of evidence-based approaches and person-centered strategies. Using a facilitated dialogue process, we engaged in one-on-one conversations and hosted Change Team meetings, regional meetings, and a statewide event. Through this exploration of diverse viewpoints and experiences, we developed and released a blueprint for action that embraces a unified vision and offers specific steps for implementation. We are now facilitating phase two of the project and are working with RIZE and the Together in Recovery Action Committee to achieve the identified goals and priorities for action. Learn more.

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Addressing Institutional Bias & Racism to Achieve Organizational Equity

Institutional bias and racism perpetuate inequities. C4 is partnering with the African American Behavioral Health Center of Excellence to run a learning collaborative that will take a specific and actionable look at what organizations can do to be anti-oppressive, racially equitable, and rooted in...

authentic inclusion practices. Participants in the learning collaborative will examine the inter-connectedness of institutional bias and stigma as well as steps to address these forms of oppression, reduce harm, and increase engagement with treatment. More about our equity and recovery work.

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Gray and orange New England Mental Health Technology Transfer Network logo

Delivering Evidence-Based Mental Health Services

Through the New England Mental Health Technology Transfer Center, C4 Innovations staff are working with partners to strengthen capacity to deliver evidence-based mental health services. We are providing training, consultation, technical assistance, and knowledge dissemination...

activities to organizations and treatment practitioners on mental illness prevention, treatment, and recovery support. More about our substance use and mental health recovery support work.

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Opioid Use Response Network (ORN) logo

Responding to the Opioid Epidemic

SAMHSA created the Opioid Response Network (ORN) to deliver State Targeted Response Technical Assistance (STR-TA). By bringing together experts in prevention, treatment, and recovery, ORN supports local efforts addressing the opioid epidemic. C4 Innovations is a core team member...

leading recovery-oriented technical assistance and coordinating teams of recovery experts nationally. We work closely with partners to ensure that recovery is an integrated focus for individuals using and prescribing medication-assisted treatment (MAT) to address opioid use disorders. More about our opioid overdose prevention and support work.

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Project Amp for recovery website homepage

Preventing Substance Use for At Risk Adolescents

C4 Innovations staff designed Project Amp, a brief intervention to reduce and prevent substance use for adolescents who are at risk. The intervention is delivered by young adult peer mentors with personal experience of substance use and recovery. We completed a pilot study in school and...

healthcare settings to support and expand Screening, Brief Intervention, and Referral to Treatment (SBIRT) efforts. Early findings are highly promising for both feasibility and preliminary effectiveness. With support from the Conrad N. Hilton Foundation, we are continuing this work with a fully-powered randomized controlled trial in schools to determine effectiveness, explore formalized roles for young peers, and advance the study of best practices in youth substance use prevention and early intervention. Learn more.

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Outreach worker supports individual experiencing homelessness.

Transforming Homeless Services

We have worked to transform homeless services through a number of federal initiatives dedicated to improving the lives of people experiencing homelessness. We operated a national resource and training center for the homeless service field and an online resource center of best practices,...

research, and policy, reaching more than 25,000 service providers through on-site and online training, technical assistance, interactive online resources, and product development and dissemination. Together with SAMHSA, we developed the first U.S. Department of Health and Human Service (HHS)-sponsored website to employ social media tools and Web 2.0 features. We also operated the technical assistance center for SAMHSA’s Services in Supportive Housing grantees.

For 10 years, we provided data collection, cleaning, and analysis for the Projects for Assistance in Transition from Homelessness (PATH) program. We also collaborated with SAMHSA, U.S Department of Housing and Urban Development (HUD), and PATH grantees to align data collection, reporting, and performance measurement practices and supported nearly 500 providers with data collection and reporting through informational webcasts and technical assistance and support. More about our work on housing solutions.

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Recovery Rising Supporting Informed Decisions

Recovery Rising in Pennsylvania

We are partnering with the Pennsylvania Department of Drug and Alcohol Programs on “Recovery Rising,” an initiative to foster a resilient, diverse, and accessible recovery environment in the state. Our goals are to facilitate dialogue to: deepen understanding of person-...

centered recovery support services; expand equitable access to multiple pathways to recovery and wellness; further diversity, equity, and inclusion; and culminate with a unified framework for change. To achieve these goals, we are exploring diverse viewpoints, sharing research and data, and convening key stakeholders including people in recovery and families via the “Recovery Rising” Advisory Commission, regional meetings as well as a statewide convening. Read a report about the dialogue process. More about our substance use and mental health recovery support work.

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A peer provides support for a woman with substance use disorder.

Evaluating Collegiate Recovery Services in Washington

C4 and partners at Washington State University (WSU) conducted an environmental scan to assess availability and quality of collegiate recovery support services in Washington State. We collected data from multiple sources including current literature, surveys, policy reviews, and stakeholder interviews. In the report, we make recommendations for individuals and ...

organizations providing collegiate recovery supports. WSU also examined educational needs and priorities for young people in recovery and transitioning to collegiate settings. C4’s evaluation team continues to examine collegiate recovery seed grantee outcomes. More about our evaluation work.

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