Our Products and Publications

C4 Innovations translates the latest research and best practices into real-world products and tools that are practical, accessible, and adaptable in healthcare and social service settings. Our team creatively integrates adult learning principles, beautiful design, and cutting-edge technology into everything we do. Our work has been published in peer-reviewed journals and other key publications. Here are some examples of the products and publications our staff have created.

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Racial Equity Analysis: Coordinated Entry Systems Assessment Data

Nationally, people of color are overrepresented among those who are homeless. Stakeholders and policymakers are examining system-level factors which may be contributing to, reinforcing, and perpetuating these racial inequities. In partnership with Building Changes and several Continuums of...

Care, we conducted an analysis to examine potential limits of assessments used by coordinated entry systems to prioritize those with the greatest need. Our findings point to the pressing need and potential to initiate change and transformation for more equitable assessments and prioritization processes. More about our racial equity work.

TICOMETER

The TICOMETER© measures the degree to which an organization is engaged in trauma-informed practices. Consisting of 35 items across five domains, the assessment take approximately 15 minutes for staff members to complete online, and scores are available to the organization immediately.

Developed by C4 Innovations staff and national experts, it is the first psychometrically-validated instrument that measures the levels of trauma-informed care in health and human service organizations. Learn more about using the TICOMETER©.

Read about the development of the TICOMETER©:

Developing an Instrument to Measure Organizational Trauma-Informed Care in Human Services: The TICOMETER in Psychology of Violence (January 2016)
Organizational Trauma-Informed Care: Associations with Individual and Agency Factors in Psychological Services (February 2019)

Policy Academy: Catalyst for Change

Between 2011 and 2018, 36 state, territorial, and tribal mental health and substance use disorder authorities built diverse, collaborative teams that worked together to improve their ability to serve people with the most serious mental illnesses or substance use disorders. As a result...

publicly funded systems reported a number of accomplishments. The BRSS TACS Policy Academy: A Catalyst for Change Lessons Learned from State Teams, 2011–2018 documents their challenges, successes, and lessons learned and offers recommendations for community, regional, county, and state-level service systems. C4 staff led the Policy Academies with funding from SAMHSA's Bringing Recovery Supports to Scale Technical Assistance Center Strategy (BRSS TACS) project.

Shared Decision-Making in Children’s Mental Health

Strong and Informed is a website to help families make choices about their children’s mental health treatment. It was created by parents, youth, doctors, therapists, researchers, representatives from SAMHSA, and other experts in children’s social, emotional, and mental health.

It is designed to help you and your child engage in shared decision-making, a process of working with your child’s care team to explore options. C4 staff developed this tool with funding from SAMHSA's Bringing Recovery Supports to Scale Technical Assistance Center Strategy (BRSS TACS) project. Learn more about our work on behavioral health and recovery.

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

Core Competencies for Peer Workers

A growing body of research shows that support provided by peer workers benefits people in or seeking recovery in many ways. “Core Competencies for Peer Workers in Behavioral Health Services” can guide service delivery and promote best practices in peer support.

C4 staff developed the core competencies with diverse subject matter experts, including people with lived experience, and funding from SAMHSA's Bringing Recovery Supports to Scale Technical Assistance Center Strategy (BRSS TACS) project. Learn more about our work integrating peer workers.

Decisions in Recovery: Treatment for Opioid Use Disorder

Medication-assisted treatment (MAT) can be life-saving for many people struggling with opioid use disorder and an essential part of a person’s long-term recovery plan. We developed a web-based, shared decision making tool–Decisions in Recovery: Treatment for Opioid Use Disorder–that focuses...

on informed treatment choices for people seeking recovery. It assists in learning about MAT, comparing treatment options, and discussing preferences with a provider. This tool was developed through SAMHSA’s Bringing Recovery Supports to Scale Technical Assistance Center Strategy contract. More about our opioid overdose prevention and support work.

Value of Peers

Through shared understanding, respect, and mutual empowerment, peer support workers help people become and stay engaged in the recovery process and reduce the likelihood of relapse. Learn more about how peers can advance recovery and add value to behavioral health systems in English and Spanish.

C4 staff developed these guides with funding from SAMHSA's Bringing Recovery Supports to Scale Technical Assistance Center Strategy (BRSS TACS) project. Learn more about our work integrating peer workers.

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