Your Partners for Transformative Change
Substance Use & Mental Health Recovery
People can and do recover from substance use, mental health, trauma, and other challenges. At C4, we firmly believe recovery is possible for everyone. We focus on advancing equitable access to recovery-oriented, peer-based, and culturally-responsive approaches. That means we focus on making sure everyone has fair access to recovery services and supports.
Recovery-Oriented Services and Supports
We partner with programs, organizations, and states to build and sustain recovery-ready systems, services, and communities. We honor lived and living experiences, empower peer leadership, create safe and welcoming environments for recovery, and develop training and implementation approaches. We work to ensure people who face the most barriers can access recovery supports in the amount, duration, locality, and provider of their choice.
We Can Help You ↓
- Develop and implement state- and system-wide training to develop a workforce of peer and other recovery-ready leaders
- Develop training curricula for introductory and advanced skill building with peer supporters and peer supervisors
- Facilitate meaningful stakeholder engagement through conversations, listening sessions, structured interviews, and community dialogues that build consensus and advance understanding of recovery and equity
- Review, update, and operationalize policies and procedures to support recovery-ready environments, reduce stigma, and shift organizational cultures
- Promote shared decision-making and person-centered care to engage individuals in their own care and recovery journeys
- Support peer workforce development with strategies for recruitment, integration, training, supervision, retention, professional growth, and career pathing
- Develop recovery-ready workplaces by training employers in hiring best practices, trauma-informed employment strategies, supportive supervision, and human resources policies that support employees in recovery
- Promote recovery-ready communities through recovery housing, criminal justice reform initiatives, and community-based recovery supports and services
- Build family and youth resiliency by supporting families in recovery and recovery supports across the lifespan
“Very informative, and the instructor was professional and inspiring. Everything was explained in a clear and concise manner. The speaker did well at following up with questions from the chat. I feel that I will be able to use this information to assist some of my clients in the mental health field.”
Training Partner
“I have been working in substance use for almost 30 years. This was by far one of the best trainings I have participated in that have helped with organizational capacity building and sustainability in a way that was useful, logical, and will bring positive change to our non-profit moving forward. Thank you!”
Training Partner
Our Experts
Transform Your Services
Partner with C4 to create programs and solutions that advance equitable access to recovery-oriented, peer-based, and culturally-responsive approaches.
Examples of Our Work
Advancing Recovery Knowledge
SAMHSA’s Program to Advance Recovery Knowledge (SPARK) was a national technical assistance center to assist states, tribes, territories, and communities to expand the delivery of recovery support services–such as peer support services, recovery housing, collegiate recovery and more–across the United States. SPARK partnered with people in recovery, providers, family members, and others to improve behavioral health outcomes. Through these partnerships, SPARK developed sustainable solutions and implemented coordinated strategies to expand access to recovery support services. SPARK was led by C4 Innovations with partners and other expert consultants. Access products prepared by C4 staff with funding from SPARK:
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. C4 staff partnered with RIZE Massachusetts to convene peer, clinical, policy, family, and community 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 have also worked with RIZE and the Together in Recovery Action Committee to achieve the identified goals and priorities for action. Read Together in Recovery: Facing the Opioid Overdose Crisis in Massachusetts—A Case Study (PDF) and learn more about the initiative.
Addressing Drug Use and Overdoses
A few years ago, leaders in a New England city of approximately 30,000 people were concerned with persistent public drug use, frequent overdoses, and increasing housing instability. C4 collaborated with the city to create a team of community responders to partner with first responders to support people in crisis during select 911 calls.
We convened meetings with city partners and people who would benefit from a community responder team and worked together to write a strategic plan and logic model focused on long-term, measurable outcomes. We supported regular communications with public safety and law enforcement leaders as well as recruitment and hiring for the new role. After completing a landscape analysis, key informant interviews, gathering insights from key partners, and identifying viable models that reflect community priorities and lived experience, we also helped lay a foundation for a Peer Advisory Council to support the team.
In the two years since the launch of the community responder initiative, team members, including people with lived and living experience, have completed over 13,000 engagements with more than 1,500 unique individuals, launched a coordinated partnership with the public safety dispatch, and received over 4,800 total visits to its community space.
Responding to the Opioid Epidemic
SAMHSA created the Opioid Response Network (ORN) to deliver State Targeted Response Technical Assistance. 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 also 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.
Preventing Drug Overdoses
C4 has been a technical assistance provider for the Centers for Disease Control and Prevention’s Overdose Data to Action grantees since 2021. This program funds public health departments to reduce drug overdoses and related challenges by collecting accurate data and implementing prevention activities such as public safety partnerships, health system engagement, and stigma reduction.
As part of this work, C4 developed a toolkit about engaging people with lived experience in needs assessment efforts and a guide for health department staff to engage people with lived and living experience in transparent conversations before collecting data, during data collection, when sharing findings publicly, and during program and policy development. We have also provided training to overdose response teams on stigma and how it impacts people and supported a large city’s department of public health to develop a plan to implement a consumer advisory board.
Learn More
- Listen to a podcast series where we share the wisdom amassed by recovery leaders over the past 5 decades and reflect on the journeys that have laid groundwork for today’s recovery movement
- Check out the “Next Generation Recovery Leaders” podcast series featuring youth peer workers and recovery innovators discussing how to improve and uplift behavioral health systems for youth
- My Recovery Journey: Steven Samra—video featuring C4 expert Steven Samra (4:35 minutes)
- My Experience in a Medication-Assisted Treatment Program—video featuring C4 expert Steven Samra (5:13 minutes)
- Maintaining a Homelike Environment in Recovery Housing Programs Operated by Treatment Centers—prepared by Ohio Recovery Housing with support from C4 staff (PDF)
- Science of Addiction and Recovery: A Father’s Perspective—prepared by C4 staff and collaborators (PDF)
- Financing Models and Federal Resources for Enhancing and Sustaining Peer-Run and Recovery Organizations—prepared by C4 staff and collaborators (PDF)
- Contracting to Provide Peer Services—prepared by C4 collaborators (PDF)