C4 and its predecessor COB spent most of its 1st decade – 1988 – 1997 – doing system design and policy advocacy in the US. Notable successes included the innovative NJ TANF SAI welfare to work treatment system, which recently graduated its 10,000th client. As a result of an ongoing dialogue with senior members of the British political establishment, C4 then played a pivotal role in the design and creation of the National Treatment Agency (NTA) for Tony Blair’s Government in 1992. Frustrated by its inability to scale these projects in North America and Europe, C4 then looked further afield and spent much of the ensuing years involved in projects in the Middle East and the Levant. C4 currently operates 2 municipal treatment systems in Istanbul Turkey. Two factors drove C4’s return to an active policy role in America. Looming changes in the financial structure for treatment reimbursement and the 6th wave of the Opioid pandemic both offered C4 the opportunity to complete unfinished work from 20 years before.

Value-Based Incentive (VBI)

The advent of Value-Based Incentive Purchasing (VBI) allowed C4 to come full circle in implementing the principles of outcomes-based purchasing and delivery of addiction treatment services that COB/C4 had pioneered in the late 80’s. Two sea changes in policy and technology have offered opportunities to move to systems that were theoretically possible but not operationally possible then due to technology deficits and poorly designed reimbursement methodologies. The CMS has mandated that 20% of all Medicaid reimbursement be tied to VBI by 2020 and 30% by 2022. Equally, the progress in technology now allows for the almost real-time collection of clinical and financial outcome data necessary to drive these systems.

Police, Treatment and Community Collaborative (PTACC)

Secondly, the 6th wave of the Opioid pandemic has radically shifted the landscape of addiction treatment in America, fostering alliances that offer the opportunity for systemic change that was unthinkable just a few years ago. C4 is very excited to have been one of the initiators of the Police, Treatment, and Community Collaborative (PTACC)

“The Police, Treatment, and Community Collaborative (PTACC) is an alliance of practitioners in law enforcement, behavioral health, community, advocacy, research, and public policy, whose mission is to strategically widen community behavioral health and social service options available through law enforcement diversion. The purpose of the Collaborative is to provide vision, leadership, advocacy, and education to facilitate the practice of pre-arrest diversion across the United States. PTACC is the national voice of the pre-arrest diversion and deflection field.”

C4 has now very much moved back into the policy sector at both the Federal and State levels. This time bolstered by significant professional relationships and its own internal education and training resources

C4 Learning

C4 Learning, the recently launched online learning initiative of C4 Recovery Foundation, has synthesized a powerful combination of living and recorded educational content. Through this blended approach, C4 Learning delivers an advanced, interactive learning experience addressing the needs of providers, policymakers, healthcare systems, and other stakeholders. C4 Learning continuously seeks to improve its platform to provide the best learning experience for the Behavioral Health field encompassing the latest technological developments and instructional methodologies.