The Catalyst Podcast

What if the smartest response to addiction, relapse, and repeat court involvement is not harsher punishment, but a highly structured path back to stability? The Honorable Shannon R. Dougherty, a Circuit Judge for Division 6 of the 23rd Judicial Circuit in Jefferson County, Missouri, and  Lori Epley, the Director of Project Access at Chestnut Health Systems, break down how problem-solving courts are helping people stay in recovery, keep families together, and rebuild their lives while protecting public safety. Judge Dougherty explains how treatment courts work in practice: close monitoring, regular drug testing, team staffing, and individualized responses that mix accountability with support. Lori Epley, Director of Project Access at Chestnut Health Systems, shares how Chestnut's clinician and peer support specialists work alongside the court team to provide therapy, transportation help, resume support, and practical services that participants need to succeed. You'll discover: Why treatment courts are more demanding than many people assume How judges, probation, prosecutors, treatment providers, and case managers make decisions together What happens when a participant struggles or relapses Why employment, housing, credit repair, and transportation are often part of recovery How misinformation and stigma can block access to life-changing programs Our guests make the case for better education, stronger interagency collaboration, and a future treatment court center where participants can access multiple services in one place. If you care about criminal justice, substance use recovery, family stability, or practical solutions that actually change outcomes, this episode is essential listening. 

Michael Castanon is the founder and CEO of Alter Behavioral Health and Care Predictor, and founder of the Behavioral Health Outcomes Consortium.  After 30 years in banking and predictive analytics, Michael brings an outsider’s eye to behavioral health and makes a case the field can’t ignore: if you can measure the inputs, you can improve the outcomes. He explains how a deeply personal trauma journey led him from private equity and finance into mental health care, and why that intersection of lived experience and data science became the foundation for Care Predictor. Michael discusses two important concepts  - “relational velocity and relational intelligence” - and how these traits can be measured, scored, and developed. He describes how Care Predictor uses psychometrics and AI to help deliver better care. We also get into what some are calling the loneliness epidemic, driven by AI “companionship,” remote work, and algorithmic echo chambers. Michael makes the case that when we lost human connection, people lose the friction, challenge, and healthy conflict that build resilience, judgment, and real relationships. Finally, Michael discusses the upcoming BHOC 26 gathering, where policymakers, health plans, providers, technologists, and researchers will come together to create a more unified outcomes framework for behavioral health (more information is provided below).  The Behavioral Health Outcomes Consortium (BHOC26) is an outcomes-focused event designed for behavioral health leaders, operators, providers, payers, and partners committed to advancing measurable outcomes across the continuum of care.  Dates: September 8th – 10th, 2026 Location: Waldorf Astoria Monarch Beach, Dana Point, California Register here. 

Grant Wood’s American Gothic (1930), depicting a middle-aged rural couple, is what “seniors” look like in the popular imagination, but recent data tell a very different story. Opioid overdoses and prescription misuse are rising fast among the elderly.  Returning to the pod for his second appearance to discuss this little-known issue and the bill proposed to address it is Al Guida, veteran healthcare lobbyist and policy strategist with over 30 years of experience navigating Washington’s complex legislative landscape. We discuss:  How the opioid epidemic has infiltrated the senior population, defying stereotypes The details behind the Residential Recovery for Seniors Act and how it defines and funds residential addiction centers under Medicare The strategic political alliances and bipartisan support making this legislation possible—more Republicans than Democrats are involved! The financial and healthcare impact of expanding residential treatment, including cost savings from avoided ER visits and hospital stays The challenges and opportunities in implementing high-quality addiction care for seniors, and why incremental progress is the best approach With the upcoming legislative hurdles and regulatory headwinds, understanding how this bill could reshape care for millions has never been more urgent. This podcast is for healthcare professionals, advocates, policymakers, or anyone with a personal stake in getting seniors battling substance use disorder the attention and treatment they need and deserve. 

The ASAM Criteria Fourth Edition (released in 2023) is the most widely used, evidence-based set of standards for assessing, placing, and treating individuals with substance use disorders (SUDs), addiction, and co-occurring conditions. Developed by the American Society of Addiction Medicine (ASAM), the fourth edition champions holistic, person-centered care that’s more inclusive, equitable, and effective than ever before.  We are joined by Diana Kelly, a Licensed Clinical Social Worker (LCSW), clinician, educator, and Clinical Director for the Consulting and Training Team at the Hazelden Betty Ford Foundation, where she leads the development and implementation of national training and consultation initiatives for the ASAM Criteria Fourth Edition. Diana is an Army veteran with 12 years of service, during which she served as both a Combat Medical Sergeant and a Sexual Assault Response Coordinator. Diana joins us to discuss how this new blueprint is revolutionizing the way we approach substance use and co-occurring disorders.  We discuss how the 2023 revision incorporates harm reduction, medication-assisted treatment, and trauma-informed strategies into standard practice. Diana breaks down the key differences between adolescent and adult treatment standards, emphasizing the power of early intervention to alter lives. She shares the groundbreaking focus on family inclusion, peer support, and tailored approaches for marginalized populations, including women veterans and justice-involved individuals.  We also explore the critical challenges—and opportunities—related to access and how this blueprint acts as a north star for future policy, funding, and community efforts. 

Dr. Mark Godley was there at the creation, 40 years ago, when he was the first director of Chestnut Health Systems’ Lighthouse Institute for Research and Training. Dr. Godley pulls back the curtain on a remarkable four-decade journey,  from the Lighthouse Institute’s early struggles to keep the lights on to its emergence as the world-class research powerhouse it is today.  He shares behind-the-scenes stories of their bootstrapping early days and major milestones along the way: winning their first major NIH grants in 1997, developing client follow-up protocols that led to a 19-year study, the institute's evolution from program evaluation to investigator-initiated research, among other notable achievements. We break down: how research shifted from confrontational models to supportive, adolescent-centered care; the secret to building lasting community partnerships; and the surprising ways resilience and vision transformed a fledgling organization into a national leader.  

The extraordinary Dr. Leslie Korn is a pioneering integrative medicine expert with over 40 years of experience living among and studying indigenous cultures. She joins us to discuss how targeted, culturally-informed dietary strategies can heal the brain, reduce chronic stress, and restore well-being.  We discuss the importance of bioindividuality and personalized dietary strategies over one-size-fits-all diets. You'll discover how trauma impacts biochemistry, and how specific nutrients can reliably fuel recovery. Dr. Korn’s insights are backed by research on trauma survivor populations, including Holocaust offspring, revealing how biochemistry reflects behavioral shifts and how targeted nutrition can reset these responses. Other key topics include the global shift toward food as medicine, the influence of refined, processed diets on chronic disease, and practical tips for integrating nutrient-rich foods into everyday life.  Leslie is the author of 10 books; we discussed the recent re-issue of Nutrition Essentials for Mental Health: A Complete Guide to the Food-Mood Connection, which updates the original published in 2016. We also discussed her parallel career as a documentary filmmaker, which is informed by her work on indigenous cultures and the connection between nutrition and whole health. This is a timely and important conversation, raising awareness of the importance of nutrition and its connection to mental health disorders, chronic illnesses, and trauma. Be prepared to rethink everything you thought you knew about diet, trauma, and healing.Dr. Korn's filmography includes:   Searching for Capomo  Salal, Cedar and Spruce The Untold Story of the Constitution Express  

Alex Dopp is an implementation scientist and child clinical psychologist who studies the use of research evidence and related policy implications for improving youth mental health services. Alex shares how his unique dual expertise in mental health and economic evaluation helps unlock the real-world value of evidence-based interventions for adolescents. We break down: The often-overlooked role of financing strategies—like targeted reimbursements and supplemental funding—for scaling effective youth programs How federal and state funding decisions influence the adoption of evidence-based practices, with real-world case studies The importance of defining “evidence-based” in community-driven ways, honoring local expertise and cultural relevance The stark disparity between mental health and substance use services in schools, and why stigma and legal barriers hinder progress Practical tips for policymakers and system leaders to better support sustainable, impactful adolescent mental health initiatives If you’re an advocate, policymaker, or leader seeking to transform youth mental health services, this episode is your insider’s guide to making smarter investments that truly reach the kids who need it most.Links to the studies Alex mentioned in the podcast:  Optimizing Federal Grants to Scale Up Evidence-Based Practices in Health and Social Services Aligning Policy to Support the Use of Evidence-Based Practices Equitably and at Scale in Youth Substance Use Services

Karen Sours and Angela Marinas-Mackenzie are Community Health Navigators with Chestnut Health Systems, whose persistent community outreach bridges gaps in housing, healthcare, and social support.  In this episode, they discuss how they help individuals navigate complex systems for disability and housing, tackling issues like food insecurity and transportation that prevent access to care, and they turn dire circumstances around with small, meaningful wins. You'll discover:  How community health workers serve as vital connectors, stepping into the community instead of waiting for people to come through clinic doors The specific day-to-day activities that make an immediate impact—like helping people get into housing or acquire necessary IDs—leading to tangible outcomes such as stability and hope The challenges of emotional toll and resource limitations, and how these frontline heroes stay motivated through small wins and deep community bonds Common misconceptions about their roles—clarifying that community health navigators are advocates and guides, not medical providers—and why understanding this distinction matters The surprising ways these workers build trust, overcome systemic barriers, and keep their community resilient Angela and Karen share stories of how persistent, compassionate outreach help overcome systemic barriers, change lives…one at a time, and at scale.  

Most healthcare leaders overlook one of the most critical factors threatening their workforce’s sustainability: burnout is escalating, and traditional solutions aren’t enough. We’re joined by two industry veterans who have dedicated their careers to transforming healthcare work culture: Mitchell Best, CEO of Vital Work Life, and Derek Bell, Vice President of Solutions. Mitch and Derek reveal how the healthcare sector has evolved over the past 25 years, and why we’re now at a pivotal crossroads. You'll discover how the shift from reactive to proactive wellbeing strategies, driven by data and COVID-19’s stark realities, has reshaped organizational priorities. They share concrete frameworks like the 'Flourishing Scale' and discuss the profound impact of integrating wellbeing into everyday leadership—beyond benefits and check-box initiatives—to foster genuine resilience and engagement. We break down:  The key inflection points that have made mental health and wellbeing a top C-suite concern How data-driven approaches uncover the unseen costs of burnout, including turnover and patient safety Practical strategies for embedding wellbeing within organizational culture, leadership training, and daily workflows The transformative potential of AI to reduce administrative burdens while amplifying personalized support for healthcare workers Why traditional wellness programs fall short, and how holistic, interconnected solutions can revolutionize workforce health How this approach enables healthcare organizations to retain top talent, improve care quality, and build resilient organizations ready for future challenges

Most states are overwhelmed by the rising tide of homelessness and grappling with its various downstream effects.  Max Seely, Director of Government Affairs at the Supportive Housing Providers Association (SHPA), joins us to discuss the complex root causes of homelessness and what SHPA is doing to turn the tide. Max reveals how flexible, individualized supportive services—like addiction treatment, mental health care, and job support—are significantly reducing homelessness. In this episode, we break down: What people (policymakers, business leaders, the general public) get wrong about homelessness.  How Illinois’ full continuum of care (prevention → shelters → supportive housing) works as one interconnected system. Why criminalizing homelessness only makes the problem worse, and what actually breaks the cycle. The staggering costs of underfunding these services. The single biggest policy change that could dramatically reduce homelessness. If you care about social justice, urban solutions, or what it will take to fix America’s homelessness crisis, this is essential listening. 

Most people underestimate the rapid rise of sports gambling addiction—until it hits close to home. Amanda Arrowsmith, Associate Director of Residential Programs with Chestnut Health Systems,  exposes the “hidden epidemic,” fueled by mobile betting apps, aggressive marketing, and the normalization of in-game wagers.This is a particularly timely topic as sports gambling is very much in the news, as we recorded this during the NCAA basketball tournament, when offices around the country are obsessed with betting pools –  a far more benign manifestation of the broad, rapid, and alarming rise of sports gambling that’s going on in our country right now.    Amanda breaks down how sports betting has exploded from $400 million in revenue in 2018 to over $13 billion today, with nearly 40 states now legalizing it. She discusses the subtle signs that indicate someone is developing a gambling problem—like obsessive score-checking, mood swings, and secrecy—and why these behaviors often go unnoticed because sports betting lacks the physical cues of substance abuse. You’ll discover how the brain’s reward system is hijacked, making recovery even more complex. We delve into practical steps to help loved ones -why simply offering money often worsens the problem -and what supportive interventions like professional therapy, family counseling, and behavioral health programs look like. Amanda highlights Chestnut’s proactive approach: universal screening for gambling disorder and community education about recognizing and addressing risky behaviors. She warns that without proper regulation and awareness, we risk amplifying a crisis that can lead to devastating consequences, including higher suicide rates among compulsive gamblers.

Employment law expert Jon Hyman joins us to unpack the groundbreaking $6 million judgment that held social media giants Meta and YouTube liable for addictive design, which caused the plaintiff to develop severe mental health issues, including anxiety, body dysmorphia, and suicidal ideation, starting from age six. Could this case reshape the future of mental health, workplace liability, and digital/AI ethics?We discuss how courts could attribute liability for psychological harm from addictive apps, what this would mean for employers requiring social media use, and potential openings for future litigation. We break down the core arguments: from social media's addictive algorithms to the broader conversation about AI’s role in mental health and workplace safety, and whether organizations will be required to undertake expanded duty-of-care responsibilities. Whether you're a mental health professional, business leader, legal professional, or simply curious about the future of digital/AI addiction and accountability, you’ll leave with a clearer picture of the challenges ahead in our increasingly AI-driven world. 

"Meeting our current challenges requires that we reform and strengthen criminal justice systems, following where the evidence leads to promote public safety, and to integrate such measures within the broader portfolio of economic development, health, and social services to address the causes and consequences of crime.  Meeting these challenges also requires active collaboration among the public health, social work, and law enforcement communities."  Engaging the Victim’s Voice in Public Safety ResearchDr. Harold Pollack, one of the foremost authorities on public health and social justice, joins us to share insights from his decades of work on harm reduction, restorative justice, and community engagement. We discuss: How his training as an electrical engineer applies to his work. Why public policy experts must improve how they communicate - clear, relatable messages are far more effective at building public support. His collaboration with Chestnut Health Systems (calling them “the best at what they do,” with special praise for their exceptional communication skills. Thank you, Dr. Pollack). The critical importance of listening to victims' voices.  Harsh treatment serves no useful purpose—a more meaningful way to honor crime victims is to truly listen to them, address their needs, and respect their values. The persistent resistance to harm reduction strategies, in contrast with their proven effectiveness (such as syringe exchange programs in preventing HIV transmission and reducing overdose deaths). What both the political right and left often get wrong on these issues—with thoughtful prescriptions for bridging the divide, at least in the realms of public health and social justice. How his book "The Index Card: Why Personal Finance Doesn't Have to Be Complicated" (2016) connects to his public health work.  How the rise of AI intersects with public health and social work.   Dr. Harold Pollack is the Helen Ross Distinguished Service Professor at the University of Chicago and the faculty codirector of the University of Chicago Health Lab. In addition to his academic work, Dr. Pollack’s writing has appeared in the New Republic, the Atlantic, the Washington Post, Politico, Vox, among other leading publications. 

The pace and scope of change buffeting behavioral health organizations – large and small – is unprecedented, yet some organizations are thriving while others struggle to keep the lights on. Michael Allen is Executive VP with Open Minds, where he provides executive oversight and leadership for provider and payer client engagements. Michael lays out the most pressing short-term and systemic changes – from federal policy to aging populations to digital transformation – and explains why traditional strategies no longer suffice. He describes concrete frameworks, such as scenario planning and the 6 Ps, that empower leaders - and their organizations - to stay resilient amid uncertainty and rapid, sweeping change. We discuss:  Why systemic changes are more challenging to navigate and often hard to reverse. How scenario planning helps organizations prepare for multiple futures. Why investing in AI and data management is crucial for future success. The importance of focusing on infrastructure to support growth. The lowering of stigma in asking for help among leaders today. The increase in collaboration among competitors in the behavioral health space. Why understanding market metrics is essential for strategic planning. The growing need for integrated care approaches in the industry. This conversation is essential for executive leaders, strategic planners, and innovators seeking insights and guidance on navigating these changes and preparing for long-term sustainability. For further reading on these topics, I recommend OPEN MINDS Circle Executive Briefings, authored by OPEN MINDS Chief Executive Officer and Founder, Monica E. Oss. Each day, a new briefing is released covering the latest industry developments paired with insights and expert analysis. 

We’re joined by Dr. Christopher R. Larrison,  Associate Professor at the University of Illinois at Urbana-Champaign. Dr. Larrison’s research includes studying the use of technology to improve mental health services and social interventions. We discussed the study he co-authored, titled “From Reddit to Generative AI: Evaluating Large Language Models for Anxiety Support Fine-tuned on Social Media Data.” We discussed:  How the study was conducted, its aim, and the gaps in extant studies that it sought to address.   The study’s findings, including how fine-tuning on social media data improves accessibility and coherence.   Whether there’s a material difference between genuine empathy and “synthetic” empathy.   The steep challenges in developing a “peerbot” that approximates the behavior of a traditional peer in a therapeutic setting.    The potential paradox at the core of a GenAI-based peer bot: “the more you train it, the less like a peer it behaves.” Additional research that needs to be done, and other research projects Chris is working on.  As more people engage GenAI chatbots for counseling, and as they become increasingly integrated into the therapeutic "space," we must get a deeper understanding of their behaviors, fine-tune them to improve the quality and "sensitivity" of the interactions, and, perhaps most importantly, ensure that the proper guardrails are in place. Anyone with an interest or stake in these issues should make it a point to listen to this important conversation. 

Dr. Joel Bennett is President, Organizational Wellness & Learning Systems (OWLS), a consulting firm specializing in evidence-based wellness and e-learning technologies that promote organizational health and employee well-being. Joel joins us to discuss “The Ripple Effect,” an evidence-based approach for social capital in workplaces and communities.  Joel unpacks what the training consists of, how it’s delivered, and how it brings teams/groups together to promote community, connection, belonging, social capital, and collective efficacy. He explains why the program meets this moment in our society, politics, and at workplaces, what it will take to elevate the training into a movement…and why this is so important. 

Dr. Casey Sarapas, a research scientist at Chestnut Health Systems’ Lighthouse Institute, unpacks a study he led, titled Predictive Validity of the e-Connect Suicide Risk Classification Algorithm in Youth on Probation (selected as among 2025’s best studies by the senior editors at JAACAP Open). In this episode, Casey discusses the science behind eConnect’s risk classifier, which combines youth self-report data, substance use patterns, and recent mental health symptoms to assign risk levels more precisely than traditional methods. Casey shares how this tool outperforms many existing assessment measures, with a prediction accuracy (AUC) of around 0.7, capturing more youth at risk than ever before. He breaks down the key components—unsupervised self-report questionnaires, risk classification algorithms, and referral pathways—and how each element addresses critical gaps in behavioral health care for underserved populations.Casey explains how this technology is designed to work seamlessly for non-clinicians, removing the burden of interpretation from probation officers and fitting into their often-overwhelmed workflow. We discuss scalable models for other settings like schools and child welfare agencies, and explore the potential for periodic reassessment to monitor progress and adapt interventions over time. If you're involved in juvenile justice, mental health, or youth advocacy, this episode is essential, explaining how frontline workers can make faster, better-informed decisions in preventing the alarming rise in suicidal ideation among justice-involved youth. 

Dr. Jennifer Smith Ramey is the Director of Grants and Programs with Horizon Behavioral Health. She has worked with a variety of populations, including adults with severe and persistent mental illness and adolescents with co-occurring mental health and substance abuse disorders. Jennifer is also a consultant/trainer for Chestnut Health Systems, serving as a lead trainer and coach for Chestnut’s Evidence-Based Practice Center, and has worked with Chestnut on various projects, including adolescent mentoring, services for the unhoused, and family treatment court.  Jennifer discusses how Horizon’s agile approach informs their care, keeping them competitive in these challenging times.  She discusses the evolution of Horizon’s integrated, strength-based treatment models, reducing stigma and bridging gaps between substance use and mental health services. Jennifer also offers insights into successful grant strategies, the role of technology in training and how it improves service, and what is driving an increasing need for crisis intervention. If you’re a behavioral health professional looking to future-proof your organization or find innovative solutions to meet the urgent demand for crisis care, this episode delivers a compelling vision of what’s possible. 

This podcast does the impossible: it gives lobbying a good name. Political lobbying invariably evokes images of bespoke suits, steakhouses, expensive cigars, and backroom deals. Chris Lowery, of Lowery Consulting, is a refreshing exception to the well-earned stereotype.   Chris Lowery Consulting is a political consulting and lobbying firm based in Springfield, Illinois. Prior to lobbying, Chris worked in the House majority's operations for nearly a decade, including as a regional political director for the Democrats for the Illinois House, as well as a senior legislative coordinator and floor manager for the Speaker of the House.  We discuss what drew him to this line of work, the challenges in transitioning from government to lobbying, the realities of working in ”the sausage factory,” his focus on healthcare advocacy, pressing healthcare-related issues in Illinois politics, and overcoming the stigma of lobbying. 

Alternative title: Everything you wanted to know about healthcare - from the ACA to Medicaid - but were afraid to ask. Healthcare economics is a notoriously complex subject, but if you need to check out one podcast to make sense of it, this is that podcast!    Dr. Timothy McBride, Bernard Becker Professor of Public Health at Washington University in St. Louis and a leading health economist, joins us to debunk common misconceptions about healthcare economics. We explore how the ACA’s “Amazon-like” insurance marketplaces create choice overload and buyer’s remorse, research on balancing options with simplicity, the looming expiration of ACA subsidies and rising premiums, Medicaid’s vital role for working families, the elderly, and rural areas (beyond just “welfare”), and evidence-based reforms Dr. McBride would prioritize—including for rural access and uninsured rates, plus his thoughts on Medicaid reform. Check it out! 

We're joined by Kiara Kuenzler, the newly appointed president and CEO of MHCA, Mental Health Corporations of America. MHCA was created to support CEOs and C-suite executives of behavioral healthcare organizations, promoting innovation and entrepreneurship.  We discuss their mission and how they keep leaders of these organizations on their game and on top of constant change to maximize the impact of their work (including insights on workforce development and avoiding burnout). We discuss the unique challenges in leading a behavioral health organization, the role of technology and AI in advancing mental health care, and MHCA's key initiatives in 2026. 

Several months ago, we were joined by Chuck Ingoglia, the CEO and President of the National Council for Mental Wellbeing, for an excellent and informative conversation on the organization’s advocacy work. On this episode, we’re joined by Peter Delia, the Council’s Federal Policy and Advocacy Strategist. Peter was previously Senior Attorney for the FL Senate, and the Assistant Attorney General Florida Office of the Attorney General. Peter discusses his journey from state government to the National Council for Mental Wellbeing. We delve into the One Big Beautiful Bill Act and its implications for Medicaid, mental health, and substance use disorder care.  The conversation covers the council's advocacy efforts, including action alerts, member surveys, and webinars, aimed at addressing the challenges posed by the new legislation and the strategies being employed to mitigate their effects.

Lou Servizio is the founder/CEO of Wellcast ROI, the leading international provider of analytical tools that calculate the ROI of wellness, behavioral, pharmaceutical, and occupational health programs. One of the more fascinating people we’ve visited with - Lou is also an accomplished scuba diver and marathoner - we discuss his journey from international banking to healthcare informatics and how it led to the formation of Wellcast ROI. We talk about the Workplace Outcome Suite (WOS), which was developed by Chestnut Health Systems (CHS), and emerged to become a standard for EAPs to measure the efficacy of their services in five key areas: work absenteeism, work presenteeism, work engagement, workplace distress, and life satisfaction. Lou shares plans to create a new, more modern instrument to align with the evolution of EAPs as they’ve expanded their services and products. Lou also discussed how it will incorporate AI, and how he and the CHS team are planning to make it a more “universal” tool that can be adapted beyond EAP/behavioral health to measure services and programs addressing physical health, and the increased ROI when they’re applied to both (based on “portfolio theory” - you’ll have to listen to the very end to understand how that works!).A fascinating conversation with a fascinating guy. 

Katherine (Kate) Elkington, PhD, is a Professor of Medical Psychology (in Psychiatry) at Columbia University and a Research Scientist at the New York State Psychiatric Institute. Dr. Elkington also serves as the Director of the Center for Behavioral Health and Youth Justice, within the Division of Child and Adolescent Psychiatry. She has over 15 years of research experience in criminal and juvenile legal settings, with expertise in documenting and understanding correlates of mental illness, substance use/disorders, and HIV risk behaviors in highly vulnerable youth. In this episode, Kate discusses the complexities of the juvenile justice system, the importance of understanding the mental health needs of these youth, and the innovative E-Connect screening tools designed to link young people to behavioral health services. Kate also addresses the role of AI in mental health care and the future directions for E-Connect, emphasizing the need for better family involvement in treatment. 

"We have over 100 board members because we feel it’s important to have representation in all of our communities.” In this episode of the Catalyst Podcast, we sit down with David Gomel, CEO of Rosecrance Behavioral Health, to explore the evolution of behavioral health care over the past 30 years.  David shares insights into the challenges and triumphs of leading a nonprofit organization dedicated to providing comprehensive care across multiple states. We discuss the impact of managed care and private equity on the field, the flexibility of their hybrid business model, their ability to pivot as an organization, and the role of AI in therapy. We delve into the complexities and innovations shaping the field today, the many things that make him proud of the work Rosecrance's dedicated staff does in the face of daily challenges, what made him fall in love with the field three decades ago, and how his passion remains undimmed. 

Dennis Watson, Senior Research Scientist with Chestnut Health System, breaks the land-speed record by making an unprecedented third appearance on the Catalyst podcast. We delve into the Recovery Management Checkups (RMC) model, examining its potential to reshape long-term recovery strategies, particularly in primary care settings. We discuss:  How the RMC model works.  How RMC aligns with how substance use disorders should be treated.  How RMC for primary care (RMC-PC) is different from the original model, and what it looks like in practice.  What stood out from his recent study of RMC-PC.  What it will take for RMC-PC to become routine in primary care.  The role of AI in enhancing recovery training/support.

A fascinating, wide-ranging conversation with David Guth, CEO of Centerstone, a nonprofit health system specializing in mental health and substance use disorder treatments. We discuss David’s remarkable journey, from his unlikely beginnings as a math major at his beloved Vanderbilt (yes, we spoke about the equally unlikely success of their football program), to his nearly four-decade stewardship of what has become the largest nonprofit behavioral health provider in the US following the recent merger with Brightli. David sings the praises of incoming CEO, Dr. C.J. Davis, discusses what the merger means for the market, and how it will better serve unmet needs. We also discussed what makes his work so deeply rewarding, the challenges ahead, as well as the (mostly positive) impacts of AI and the irreducible importance of the human connection in therapy.  

In this episode we’re joined by Mark Ishaug, President and CEO of Thresholds, providers of  healthcare, housing, and hope for thousands of persons with mental health and substance use conditions in Illinois each year. Mark shares his inspiring 40 year journey in nonprofit leadership. We discuss the importance of integrated care, as well as the stigma, funding and other challenges in delivering healthcare and housing. Mark then describes what he means by “leading with love,” how he “operationalizes” it, and its transformative impacts on colleagues and clients. #MentalHealth #Leadership #CommunitySupport

When most think of mobile health (mHealth) apps, they think of Calm, BetterHelp, Talkspace, etc. They don't typically think of the music streaming or exercise apps we have in our pockets and that we use every day. Dr. Michael Dennis, the Chief Research Officer for Chestnut Health Systems’ Lighthouse Institute (LI) and a Senior Research Psychologist, focuses the conversation on the challenges faced by emerging adults (ages 18-25) with substance use disorders (SUD): emerging adults have the highest rates of SUD, and only 3% of them receive treatment. Mike discusses the potential of mobile health (mHealth) solutions to address these issues. But rather than focus on the "usual" apps, Mike focuses on music and fitness apps that effectively "reroute" emerging adults from unhealthy cravings to positive activities. He discusses the role music and social support play in recovery, and the unique challenges faced by young adults in rural communities. It's an eye-opening examination of the SUD crisis among our nation's emerging adult population, and an enlightening "reframing" of mHealth and its immense potential in addressing the crisis.   

 Dr. Jared C. Rogers, Medical Director at Chestnut Family Health Center, and Dr. Todd Kettering of OSF Healthcare discuss the partnership between the two organizations,  where OSF provides residents and training while Chestnut supplies ambulatory services and infrastructure. They explore how this collaboration delivers integrated care to underserved communities, addressing "medical deserts" that extend beyond rural areas. The conversation covers innovative approaches to making care more visible and accessible to at-risk populations, their efforts to enhance medical education and patient care, and the integration of AI in healthcare—examining its potential to revolutionize diagnostics and treatment while maintaining the irreplaceable value of human connection in medicine. 

A culture of resilience and innovation, and the importance of balancing mission with performance, are the themes of this fascinating and inspiring conversation with Chestnut's freshly minted CEO, Puneet Leekha. Puneet joined Chestnut as Chief  Operating Officer and General Counsel in 2015 and shares his journey from corporate law to healthcare, highlighting the advantages of bringing a legal background to his new role. He discusses his leadership philosophy and management style, and lays out the most critical challenges and biggest opportunities going forward. He refers to Chestnut as a "true unicorn - we have so many strengths and competitive advantages: a legacy of innovation and collaboration, service lines which are deep and broad, a workforce devoted to our mission, leaders with talent and institutional knowledge...and the Lighthouse Institute, our behavioral health research division, which is our crown jewel." Bonus Content: We discuss Puneet's love of tennis, which he inherited from his father and handed down to his young son, who just won his first tournament!  Tune in for a thoroughly engaging conversation about leadership, resilience, and the future of integrated healthcare.

Dr. Katie Clark, Data Scientist at Chestnut Health Systems, discusses her unusual journey, from counseling individuals experiencing substance use, mental health, homelessness, trauma, and medical conditions, to her current work as a data scientist. With Chestnut, she leads data collection initiatives, doing everything from methodology consultation to grant writing, to software and database development, data visualization, and program evaluation. The episode centers on CRICIT (Clinical Research Information Core for Integrity and Tracking systems), Dr. Clark's innovative platform designed to help researchers maintain fidelity to study protocols. She breaks down how CRICIT addresses common clinical study challenges by streamlining data collection processes and ensuring research integrity through customizable tracking systems. She details CRICIT's flexibility in adapting to individual research project requirements while eliminating typical bottlenecks that plague clinical studies. She also discusses how she is beginning to utilize AI and highlights several of her current projects. For anyone interested in getting at the essence of what Chestnut/Lighthouse do, and why they are the "gold standard" in the field - combining lived experience and state-of-the-art data science - this is the podcast to listen to!   

We spoke with Matt Mollenhauer, Chief Clinical Officer at Chestnut Health Systems, where he’s been for the past 33 years. We discussed:  What a CCO does, and a sense of the scope of clinical programs within your purview as CCO.  Matt’s leadership philosophy - how he keeps staff engaged, motivated, and at the top of their game.   Matt points to two programs that best exemplify Chestnut’s innovative approaches in delivering successful outcomes.  He cites the top 3 challenges in today’s uncertain climate and what Chestnut is doing to overcome them.  What he learned from his days with Chestnut Global Partners, an international EAP, that he applies to his work today.  And since he’s a diehard Green Bay Packers fan, we couldn’t resist sprinkling in several apt football references. 

In this special episode of the Catalyst, we visit with Dave Sharar, the CEO of Chestnut Health Systems. After a remarkable 36-year career, Dave is stepping down from his post to begin a new chapter at the Lighthouse Institute.Dave reflects on his journey from camp counselor to CEO, sharing the pivotal moments that shaped his leadership philosophy, which emphasizes inclusivity, autonomy, and strategic direction. He delves into his pioneering work with Employee Assistance Programs (EAPs), the development of the Workplace Outcome Suite, a tool that revolutionized how EAPs measure their impact on productivity, and his role in pioneering the "glocal" model of international EAP delivery. The conversation also explores the challenges and achievements of his tenure—from navigating service line integration and the pressures of the pandemic to addressing widespread workforce shortages. As he transitions to his new role, Dave reveals his mission to tackle critical issues in workplace behavioral health, including access to care for the working poor and the persistent challenge of labor shortages.Join us as we celebrate Dave's legacy and look ahead to his next chapter of innovation in the behavioral health field.

Amy Gibbar, VP of Integrated Care at Chestnut and problem solver extraordinaire, discusses her extensive experience in overcoming barriers to care and the importance of integrated services in mental health and substance use treatment. Amy shares her techniques for improving access to care, the philosophies that guide her work, the value of "healthy conflict," the challenges of an evolving healthcare landscape, and how she gracefully manages the different generational needs of her team. Bonus content: Amy provides insights into creative and effective problem-solving and the significance of appreciating staff contributions in a mission-driven environment.

Nadia Klekamp is the Director of Integrated Community Education at Chestnut Health Systems. For the last fifteen-plus years, she has helped promote community-level change by developing strategies that improve public health.  Nadia shares her insights on Recovery Oriented Systems of Care (ROSC), a coordinated network of community-based services aimed at supporting individuals and families in recovery. Nadia discusses how ROSC builds on the strengths and resilience of communities, addresses stigma, and fosters collaboration among diverse stakeholders to facilitate recovery. She spoke about specific initiatives across the state of Illinois, and, in particular, the initiative across McLean County.  

Christine Grella, Senior Research Scientist with The Lighthouse Institute, joined us to discuss her decades of research on substance use disorders, with a focus on the particular challenges facing women.  Key Highlights: Chris’s early work at UCLA that focused on incarcerated men, after which most of her work focused on substance use among women.   Longitudinal insights: 30-year study revealed diverse recovery pathways beyond simple success/failure outcomes. Gender disparities: Women face more severe health consequences and historically greater stigma, while changing gender roles have reduced protective factors for girls. For Amy Winehouse fans (which includes Chris and her interlocutor), we also discussed how her tragic demise, which, like many women with substance use issues, was largely driven by her toxic romantic relationship.  Opioid crisis shift: Crisis evolved from isolated heroin use to widespread prescription opioids and fentanyl affecting younger, broader demographics. Treatment integration: Moved from stigmatized, isolated clinics to mainstream primary healthcare settings. Policy evolution: Federal approach shifted from incarceration-focused to more balanced treatment and prevention strategies. 

Two leaders from the Illinois Health Practice Alliance (IHPA) — David Berkey (CEO) and Gilbert Lichstein (COO) — join us to discuss IHPA’s mission as a clinically integrated behavioral health network advancing health, recovery, engagement, and choice across Illinois. Topics include: IHPA’s background and the market gaps it addresses The importance of integrating primary and behavioral health care Value-Based Care and how it's implemented How IHPA tackles Social Determinants of Health The role of technology in supporting integrated and value-based care The significance of evidence-based practices in IHPA programs A day in the life of an IHPA provider How potential Medicaid cuts could impact their work and care delivery

Joe E. Glass is a senior research scientist who recently joined Chestnut Health Systems after a nearly five-year tenure at Kaiser Permanente Washington Health Research Institute. Dr. Glass’s work centers on expanding access to effective interventions for alcohol and drug use, with a focus on developing, testing, and implementing innovative care models that proactively deliver addiction treatment and ongoing support for those seeking help. In the podcast, we discuss: How listening to Catalyst interviews with Chestnut and Lighthouse scientists helped facilitate his transition from Seattle (Kaiser Permanente) to Eugene, Oregon, by providing valuable insight into the work and passion of his new research colleagues.  His experience at the Veterans Affairs (VA) hospital system, where he observed the unique way medical, financial, and mental health needs are addressed comprehensively under one organizational umbrella. The ABC Study which is being conducted in the Kaiser Permanente health system to address barriers to substance use disorder treatment. The study involves a care navigation program that provides immediate support to individuals referred for treatment, including motivational interviewing and assistance in overcoming logistical barriers. A large-scale study of substance use treatment pathways that combines statistical analysis of various entry points and treatment options with qualitative interviews of patients and providers to better understand real-world experiences and decision-making. What dream project he’d pursue if a genie granted him unlimited resources.   For Joe's full bio: https://shorturl.at/4R9zk 

Jessica Hulsey, President and CEO of the Addiction Policy Forum, joins us to discuss her advocacy work in the addiction and recovery field. Jessica was appointed by President Bill Clinton to serve on the Drug-Free Communities Commission and also served as a legislative aide in the U.S. House of Representatives, focusing on drug policy issues. In 2015, Jessica founded the Addiction Policy Forum. We discuss:  Her personal experiences with her parents, who struggled with heroin use disorder, and the challenges she faced in finding appropriate treatment for her father. What led to the founding of the Addiction Policy Forum,  the organization’s priorities, and goals.  The importance of using health-focused, non-stigmatizing language and making content accessible to various stakeholders, including educators, healthcare professionals, and families.  The 'bench to trench' gap - why addiction research doesn’t always translate into real-world practice.  What made her book, 'Understanding Addiction: A Guide for Families,' which took seven years to write, necessary and important (available on Amazon as an ebook and audiobook).   The personal rewards she derives from her advocacy work. 

For over 50 years, America’s “war on drugs” has been a war with unintended consequences. Framed as a battle to be won, it reshaped addiction not as a public health crisis but as a moral and criminal one. This rhetoric didn’t just stigmatize millions — it fundamentally altered the course of treatment and recovery for decades.We sit down with Dr. John F. Kelly, Harvard Medical School’s first endowed professor in addiction medicine and Director of the Recovery Research Institute at Massachusetts General Hospital. Dr. Kelly takes us deep into how the language of war derailed our response to addiction, and how we’ve fought to course-correct since. From the abandonment of outdated treatment models to the rise of evidence-based care, he breaks down the evolving science of recovery and the hard-won insights that are reshaping policy, public perception, and patient outcomes.Dr. Kelly also shares what the latest research tells us about recovery support services, how we’re finally tilting the scales from criminal justice to public health, and what we must do next to meet the challenges of the opioid epidemic and beyond.This is a must-listen for anyone who wants to understand how far we've come in treating substance use disorder, and how far we still have to go.

If you are among the many people confused about the One Big Beautiful Bill barreling through Congress and its implications for Medicaid, we have just the guy to walk you through it. Al Guida founded Guide Consulting Services, a 25-year-old consulting practice that helps corporate, government, and non-profit clients navigate Washington policy processes to achieve measurable goals. In this episode, Al breaks down Medicaid-related provisions in the BBB; we discuss the political outlook, potential impacts, and how continued advocacy can influence outcomes, even after the bill passes.Key Takeaways:Legislation Timeline: Medicaid provisions tied to tax cut bill likely to pass by early to mid-July. CBO projects rising deficits and major Medicaid cuts. Medicaid Coverage Impact: Up to 10 million may lose coverage. Red states most affected due to high Medicaid reliance. Safety net providers face more uncompensated care. Work Requirements: Mostly paperwork-related; 60% of recipients already work. Could disqualify 5.2 million due to admin burdens. Shorter retroactive coverage harms crisis mental health care. Fraud Measures: Support for blocking deceased and fraudulent enrollees. Opposed to punitive cuts and eligibility restrictions. Immigrant Coverage: Cuts affect refugees and undocumented populations. Could drive ER use and strain local budgets. Provider Advocacy: Push for carve-outs to protect mental health/addiction providers. Urged listeners to contact senators and oppose cuts. Stressed advocacy potential during regulatory phase post-passage.

Austin Howald is the Director of Integrated Community Services at Chestnut Health Systems. His work targets the intersection of mental health, housing insecurity, and social drivers of health. The overarching theme of our conversation is "what innovation in healthcare looks like" through the lens of the Medicaid Innovation Initiative. We discussed:  The Fundamental lessons that have informed Austin's approach to his work (the importance of providing support without judgment, etc.)  How the Medicaid Innovation Collaborative (MIC) works, Chestnut’s multipronged role in it, standout examples, and how they made it cost-effective.  The metrics used to measure innovation in healthcare,  focusing on social drivers of health and their impact on patient outcomes.   The importance of using consistent language when discussing concepts such as social determinants vs. social drivers of health, among other common terms of art, especially when engaging with a broader audience.

We are joined by Kevin Conlon (Founder and President) and Linda Shapiro (Executive Vice President) of Conlon Public Strategies (PS) to discuss the need for agile leadership in today’s volatile, rapidly changing landscape.  Conlon PS is a strategic advising firm dedicated to advancing the good work of nonprofits and businesses. We discuss:  Conlon's work supporting nonprofit health and human service organizations and arts organizations.  The strategic plan that has helped Chestnut successfully navigate through COVID and the present-day uncertainties.  The challenges faced by non-profit organizations relying on state, federal, and city funding.  The value of connecting similar organizations to complement/amplify each other's work. Leadership’s role in maintaining morale and transparent communication during difficult times, the need for optimism to be grounded in credibility, and for leaders to hold themselves accountable.  How to enhance effectiveness when working with board committees and non-board advisory groups.   Conlon’s advocacy work and the importance of visibility, consistent engagement with elected officials, identifying and educating champions, and building relationships to strengthen organizational influence.

Jim Wallis is  Director of Business Development with Chestnut Health Systems. He has over 32 years in behavioral health, starting his career in 1989 as a Deputy Juvenile Officer, working with at-risk adolescents in Missouri’s Pike, Lincoln, and St. Charles Counties. With Chestnut, he’s been instrumental in expanding Chestnut’s footprint across Missouri. We discuss:   How his background in criminology and criminal justice led him to a career on the “treatment” side of the “continuum.”  The initial challenges of expanding Chestnut’s programs from Illinois to Missouri, and its rapid expansion since.  Several of Chestnut's “signature” programs, including the innovative Metrolink and Jefferson County school-based programs. Chestnut’s success in lowering barriers to access to services in rural and urban areas across the state.    Senator Josh Hawley’s vocal opposition to the proposed cuts to Medicaid given the potential impact on his constituents, and its potential impact on Chestnut’s programs. We close by inviting the Senator to join us on the pod to explain what the cuts would mean if enacted in their present form, and lay out a path forward that will have the best outcome for Missouri and the nation.  

Chestnut’s Dennis Watson and Justin Bell join us to discuss the role of peer support specialists in substance use disorder treatment and the challenges they are facing in today’s environment.  Dennis is a senior research scientist, and Justin is a behavioral scientist.  They are among the authors of a recent article in the Journal of Substance Use and Addiction Treatment titled “Advancing peer support workforce research: Insights and recommendations through the lens of professionalization." We discuss:   What a peer support professional does and what makes them effective. The professionalization of the field and what the certification process involves.    How the peer support role has evolved and gained acceptance in the professional and treatment communities. The differences between peers working in treatment spaces and recovery spaces.  The challenges in harm reduction work including the need for nuanced skills beyond just supplying resources.   Compassion fatigue: why it’s a growing problem, and how the development of an e-learning curriculum and case-based learning can address and ameliorate it. 

Marvin Ventrell is the CEO of the National Association of Addiction Treatment Providers (NAATP).  Since 1978, NAATP has served its membership by providing training, education, and technical assistance, while supporting the addiction treatment industry via thought leadership and policy advocacy. We discussed:  How the Ventrell part of the Gannett and Ventrell law firm went from practicing law to his work with NAATP.   NAATP’s “professionalization” of the field and promotion of “integrated health” models.  The most significant changes in the industry in the 10 years he’s been CEO of NAATP.   The need for treatment centers is adequate reimbursement from insurance companies, which is crucial for providing affordable care. Marvin stresses the importance of advocacy to ensure fair payment rates, the preservation of the Affordable Care Act, and the enforcement of parity laws to maintain equal coverage for addiction treatment compared to other medical conditions. The importance of storytelling in legal work and his current role at NAATP. Of all the training, education, and technical assistance NAATP provides its members, the 2-3 things members want/need most.     What’s at stake regarding proposed cuts to Medicaid. The organization’s support for the development and integration of AI technologies in addiction treatment.

There’s no better person to help us navigate and understand today’s chaotic - her word - mental health ecosystem than Monica Oss, the CEO and founder of OPEN MINDS, an award-winning information source, executive education provider, and business solutions firm specializing in the health and human service industry. We discuss: What prompted her to start OPEN MINDS in 1987,  the changes that have had the most impact, and the evolution of the mental health field in the 38 years since (health plans expanding developing their own delivery systems, the growth of retail health clinics, hospital systems focusing on outpatient services, and the emergence of private equity firms in the healthcare sector).   Findings from their report on Health Care Policy & Market Trends In 2025: policy changes, new technologies, new competition.  The uncertainty around federal healthcare policies as the biggest challenge going forward, and the long-term implications.  Chaos Framework: management strategies for navigating a chaotic market, addressing short-term financial issues, growth strategy, and long-term vision for the “post-chaos” market.  How AI can improve the customer experience and provide vital decision-support; new technological innovations, such as deep brain implants, transcranial stimulation, and virtual reality therapies, which could revolutionize treatment methods. 

On this episode of the Catalyst Podcast we speak with Chestnut Health Systems' CEO Dr. Dave Sharar. We discussed:  Dave’s 35-year career at Chestnut Health Systems, including his current role as CEO and his previous leadership of Chestnut Global Partners, where he managed behavioral health services for over 600 employers and 1 million employees worldwide. The significant shift in public and political attitudes toward mental health and substance use disorders over the past decade, with increased recognition and bipartisan support for expanding treatment resources. Medicaid’s role as the largest funder of mental health and substance use services in the United States, providing essential healthcare access for millions of Americans, including the working poor. Chestnut’s evolution into an integrated healthcare organization, now a federally qualified health center, combining behavioral health with primary care. The benefits of an integrated care model, where multidisciplinary teams coordinate to reduce inefficiencies and improve outcomes for patients with complex needs. The potential negative impact of Medicaid funding cuts, particularly on rural areas and small towns, where access to substance use disorder treatment is already limited. The success of Chestnut’s walk-in medication-assisted treatment program for opioid use.  Challenges associated with proposed Medicaid work requirements, including the failure of previous attempts and the likely overestimation of able-bodied, non-working Medicaid recipients. Dave's cautious optimism that policymakers will appreciate Medicaid’s importance and approach any reforms thoughtfully.

We’re joined by Melissa Sienna, Executive Director of MDFT International (Multidimensional Family Therapy), and by Sandra Arguelles, National Trainer, also with MDFT International. MDFT transforms lives through family-centered treatment for youth struggling with mental health and other challenges, including  Substance Misuse Mental Health Crime & Delinquency Antisocial & Aggressive Behaviors School & Family Problems Emotional Difficulties MDFT has more than 30 years of rigorous research that proves its efficacy, and the widespread adoption of MDFT demonstrates its feasibility. Today, clinicians implement and sustain MDFT programs in over 150 public and private settings throughout the U.S. and Europe. We discussed: The MDFT for OUD program: the gaps in care that it was created to address, how the program’s enhanced training, overdose protocols, and medication access differ from standard MDFT approaches.  The Connecticut Demonstration Project, a pilot study/program evaluation involving participants aged 15 to 19 diagnosed with OUD. They tell us about the methodology and their findings.  Plans to expand the program beyond the 6 sites statewide it is currently in.   MDFT’s history of partnering with LI in working with the GAIN (Global Appraisal of Individual Needs) and the most significant outcomes achieved through their collaboration.