Field notes from behavioral-health operations.
Frameworks, case notes, and playbook excerpts — for clinicians, operators, and administrators building the next generation of care.
Compliance & Accreditation · Jul 25, 2026
Joint Commission vs. CARF: Which Accreditation Path Fits Your Program
The two dominant BH accreditors optimize for different things. Here's how to pick the right one before you spend $15k+ on the wrong application.
ReadHR & People · Jul 25, 2026
How to Hire (and Keep) Great Clinicians in a Broken Labor Market
The BH clinician labor market has structurally shifted. Programs that keep hiring like it's 2019 are losing. Here's the modern playbook.
ReadProgram Development · Jul 25, 2026
Why 90% of Behavioral Health Programs Close in Five Years — and What to Do Differently
The failure mode is almost never clinical. Here are the six operational patterns we see in every program that closes — and the three questions to ask before you open.
ReadProgram Development · Jul 25, 2026
The 90-Day Playbook for Opening a New Behavioral Health Program
A week-by-week breakdown of what it actually takes to open a licensed behavioral-health program — from real estate to first admission.
ReadResearch · Jul 16, 2026
The 10 non-negotiables
Ten operational floors that every level of care must meet.
Read
Insights · Jul 16, 2026
Why ASAM 3.5 needs BHTs, not more clinicians
The counterintuitive staffing insight from 400+ residential engagements.
Read