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C4 Recovery Solutions has a long and rich history of facilitating collaboration among various groups in the addiction treatment field. From its earliest days, C4 Recovery Solutions has brought together experts to collaborate on challenges facing the field.

C4 Recovery Solutions' predecessor organization, the Committee on Benefits (COB), was formed to develop strategies to address the precipitous drop in reimbursement for addiction treatment, and, the subsequent drop in the number of addiction treatment beds available, as a result of the "managed cost" revolution of the late 1980's. The goal of COB was to bring a group of providers, researchers, and payers together to collaborate to find a solution.

Since that time, C4 Recovery Solutions has been involved in numerous collaborations to address important issues in addiction treatment.

Here are some current examples:

C4 Recovery Solutions Palestinian Treatment Initiative

C4 Recovery Solutions has collaborated with several NGOs and signed a Memorandum of Understanding for a project on the West Bank in Palestine to improve the delivery of addiction treatment services in Jerusalem and the occupied territories. The "Yala Maana" project is a collaboration among five partners: The Ohrstrom Foundation, C4 Recovery Solutions, The Levenson family, the Al Huda Foundation and the Palestinian National Authority. The goal of the project is to establish a national Palestinian treatment network that will use C4 Recovery Solutions-developed methodology to measure clinical and financial outcome and to feedback those data into the delivery of service to improve the quality of recovery.

Indigenous Healers

For years C4 Recovery Solutions’ overseas activities have put it in touch with various indigenous healers who encounter and deal with addiction in their cultures. It has been apparent to C4 Recovery Solutions that there is little interaction between the healers of various cultures and that many were doing good work around addiction-related issues. There was obviously a need to establish an informational exchange to leverage their comparative and collective knowledge as well as to expose Western medicine to it. In partnership with the Ohrstrom Foundation, C4 Recovery Solutions established the Four Winds indigenous Healers Circle. The collaboration dove deep into the past to collect, unearth and share a rare but illuminating perspective on addiction from indigenous peoples from around the globe. The result was the inaugural Summit on Indigenous Healing, which was the first collective of its kind. The Summit left those present with a perspective-shifting peek at the past, present, and future of addiction treatment as seen through the eyes of our planet’s most insightful indigenous healers. The Four Winds collective is planning to meet annually and developing a strategic plan to become a self-sustaining process.

Veterans with Addictive and Co-occurring Disorders

C4 Recovery Solutions is convening a group that will focus on the treatment needs of Veterans. The 2013 collaboration with the Rutgers Summer School on Addiction Studies attracted experts from around the country to attend a day and a half meeting to discuss best practices in the treatment of Veterans with addictions and co-occurring problems. C4 Recovery Solutions is acutely aware that many involved in developing treatment approaches for Veterans, i.e., clinicians, scientists, policymakers, have not successfully shared their successes with each other. C4 Recovery Solutions is also aware that some very successful non-traditional approaches must also become part of the treatment continuum. Because of C4 Recovery Solutions' success in convening experts to address parallel issues, we are confident that the recommendations of this group will provide ongoing, added value to this, sadly, ever-growing population.


The addictions service delivery system in the United Kingdom (UK) is broader than the American system because there are many providers who do not use the traditional AA-based approach, and do not have abstinence as their primary goal. These “Harm Minimization” agencies and personnel are sometimes perceived as being at odds with the abstinence-oriented providers. C4 Recovery Solutions' predecessor organization (COBB) convened a group of representatives of these varying points of view in order to reduce the acrimony that existed between and among providers. Over several years, and many meetings, COBB convened meetings to bring together the treatment professionals and administrators of these divergent treatment approaches, resulting in a level of understanding and cooperation that manifested itself in two major projects:

  • A “Shadowing” project where provider staff from one philosophical orientation worked in collaboration with their colleagues from the other orientation, which led to an emerging understanding and appreciation of the value of these different approaches; and
  • In its conferencing role, C4 Recovery Solutions (i.e. COBB) sponsored a conference held at Westminster Cathedral in November, 2003 at which representatives from the various points on the continuum shared their approaches and practices with professionals from other agencies.

Information on UNIITY can be obtained through Deirdre Boyd at This email address is being protected from spambots. You need JavaScript enabled to view it.

Access and Retention Management Services

C4 Recovery Solutions collaborated with Employee Referral Foundation (ERF) a project titled Access and Retention Management Services” (ARMS) in 2003. Pretreatment Services for Wait-Listed Clients that was designed to address a problem affecting communities throughout the world, namely the lack of timely availability of treatment for substance use disorder. This project was the result of a broadly collaborative, two-year problem assessment, research, design and implementation process. A governing factor throughout was to test a cost- and outcome-effective strategy for wait-listed clients that could be readily replicated. Drawing on evidence-based practices, it was hypothesized that immediate access to interim services for those placed on wait lists would increase the number and motivation of wait-listed individuals entering treatment, the number who successfully complete treatment, and the number with long-term positive treatment outcomes. During the period September 15, 2003 – February 15, 2005 (17 months), 1,795 individuals were invited to benefit from the ARMS project, of which 1,410 voluntarily agreed to participate (79%). During this time period, of the 797 ARMS participants who reached their treatment intake date, 657 were admitted to treatment (82%). For those participating in the program, the wait time drop-out rate (18%) has been reduced by 56% from the baseline of 41%. The ARMS project demonstrated an effective strategy for improving the rate at which people on a waiting list will access an intake interview. 

Iowa Business-To-Business Project

In 2002, C4 Recovery Solutions (then COBB) collaborated with the Hanley Foundation and Employee Referral Services (ERS) to develop a “business-to-business” training program in value-based purchasing for large corporate employers. The content of the program was developed from training events that COBB had been successfully conducting for a number of years for public sector payers. This content for this project was augmented by extensive input from organized labor and commercial insurance representatives. In 2003, a two day seminar was convened in Des Moines, Iowa attended by 14 large corporations including, the Prime Group, Pella Windows, Burlington Northern Railroads, Amana Appliances and several other Fortune 500 companies.

As a result of contacts fostered in this process, COBB developed a strong relationship with organized labor, which led to similar trainings for the UAW, the ILWU, and several other large unions. Many of the participants in both trainings reported subsequent success in negotiating more comprehensive coverage packages for substance abuse from the third-party providers and insurers.

Gap X

C4 Recovery Solutions is collaborating with the Levenson family in its commitment to help bridge cultural, ethnic, political, international, academic, and religious gaps that inhibit the advancement of addiction treatment sciences around the world. GAP-X is a global addiction professional exchange program that is designed to foster and fund the bi-lateral exchange of individual addiction professionals between US providers and participating partner addiction treatment programs around the world. GAP-X enables physicians, therapists, nurses, counselors, students, researchers and administrators to work alongside their counterparts in U.S. treatment systems. Similarly, qualifying individuals from the U.S. can apply and spend up to one month working in participating partner programs located in areas such as Palestine (West Bank), Africa, Croatia, South America and Caribbean countries like Jamaica. Additional activities driven by Gap X include the sharing of research and best practices. Gap X is committed to breaking down silos and promoting worldwide collaboration for the universal cause of helping the struggling drug user, which will have a rippling effect on the elimination of stigma while fueling significant advances in the field. To learn more about GAP-X and participation criteria, visit www.originsrecovery.com or call Ben Levenson or Amanda Armstrong at 956.772.9200.

Because of C4 Recovery Solutions' expertise in collaborating, we can help individuals and organizations bring together experts to address important issues. Please contact C4 Recovery Solutions at: 800.611.5735 to discuss with a C4 Recovery Solutions staff person any of these projects and other collaboration opportunities.