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Pathroot Health Executive Overview
Download the 2-page executive overview of Pathroot Health
Download the 2-page executive overview of Pathroot Health
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Is the Family the “Missing Piece” in Recovery?
One of my favorite books is titled The Missing Piece . The author Shel Silverstein describes an almost whole circle that seeks a “missing piece” to complete it. This began me thinking about the search for a missing piece in addiction recovery to reduce those incredibly high relapse rates.
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One of my favorite books is titled The Missing Piece. The author Shel Silverstein describes an almost whole circle that seeks a “missing piece” to complete it. This began me thinking about the search for a missing piece in addiction recovery to reduce those incredibly high relapse rates.
When we think about recovery, we often focus on the individual: therapy, medication, support groups. These are all essential “pieces”, but what if a "missing piece" is actually the family? Recovery is often seen as an individual journey but, addiction impacts not just the person, but their entire family who should play a critical role in recovery by offering support, understanding, and accountability.
A Page from My Experience
My daughter struggled with substance use disorder and entered an outdoor behavioral program at 15, followed by a therapeutic boarding school. Meeting parents overwhelmed with shame and guilt inspired me to focus on supporting families, so I founded Phoenix Outdoor, a licensed program for adolescents, that took individuals from all over the country. We used a portal to track progress, held virtual support groups, and offered telehealth therapy meetings so we could educate and empower families to make informed decisions for their child after treatment.And it worked so well that other programs in the adolescent treatment industry followed suit and inspired CRC Health (now Acadia Healthcare) to purchase the program and keep it running for the next 15 years. The family became the key to ensuring they made the best decisions to support their teenagers.
The Family's Role in Recovery
Today, families are often kept at arm’s length when a loved one is in treatment. They may come to a family day and get education about addiction, but they aren’t usually involved in a significant way nor are they assisted in understanding their role in recovery. So, without knowing it, they fail to hold boundaries, communicate poorly out of frustration, and make decisions that are counterproductive to the recovery process.
Studies show that an educated and involved family can significantly lower relapse rates by up to 30%. This isn’t just about being there for your loved one; it’s about actively learning how to deal with the emotional and psychological challenges that come with addiction.
Putting the Family at the Center of a “Circle of Care”
It takes an entire circle of care to help individuals manage the chronic disease of addiction and stay in recovery. This circle could include treatment professionals, therapists, sponsors, friends, and supporters. But given that most people coming out of treatment live with a family member, here are some thoughts about how to help the family complete the circle.
Involve Families Early in the Process: Before and during treatment, educate and involve family members to understand addiction and the recovery process. This helps set expectations and prepares them for their role in supporting their loved one and healing their family.
Provide Ongoing Education and Resources: Offer families access to resources, including recovery education, coping strategies, maintaining boundaries and effective communication to empower them with the knowledge to support their loved one effectively.
Create Clear Communication Channels: Ensure that families have regular access to progress updates, treatment plans, and open lines of communication with the treatment team. This builds trust and ensures everyone is aligned on goals.
Encourage Active Participation in Therapy: Include family members in therapy sessions, support groups, and recovery meetings. Active involvement helps families understand their loved one's challenges and enables them to contribute to healing.
Provide Ongoing Support After Treatment: Recovery doesn’t end when treatment does. Continue supporting families through post-treatment services like check-ins, family counseling, and peer support groups to ensure lasting recovery and maintain the family’s role in the process.
Takeaway
As Shel Silverstein writes, “When the missing piece finally arrives, the circle will be complete.” In the context of addiction recovery, perhaps the missing piece is the family, the people who love and care for the person in recovery, and who can play an essential role in helping them heal.
The journey to recovery isn’t one that should be walked alone. The family can be the anchor, the support system, and the motivation needed to ensure long-term success. By embracing the role of the family as part of the recovery process, we can help reduce those high relapse rates and build a stronger foundation for lasting recovery.
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Pathroot Health Launches Program to Advance Value-Based Care in Behavioral Health
Phase One Focuses on Patient & Family Engagement with Remote Monitoring in Phase Two
Overview: Pathroot Health is an all-in-one technology solution that empowers behavioral health and substance use disorder (SUD) treatment programs to deliver value-based care without relying on multiple ...
Phase One Focuses on Patient & Family Engagement with Remote Monitoring in Phase Two
Overview: Pathroot Health is an all-in-one technology solution that empowers behavioral health and substance use disorder (SUD) treatment programs to deliver value-based care without relying on multiple platforms. By combining predictive analytics, AI-driven insights, and automated alumni engagement, Pathroot helps providers track patient progress, engage families in recovery, and reduce relapse rates. It streamlines post-treatment care with community engagement, on-demand education, and data-driven outcome assessments to improve long-term recovery management.
BHB VALUE Conference - New Orleans - March 19, 2025: Pathroot Health, a leader in behavioral healthcare technology, today announced the beta launch of its patient and family engagement platform, marking the first phase of a comprehensive solution to support treatment providers in delivering value-based care. This initial rollout enhances post-treatment support through AI-powered tools that keep patients and families engaged and supported, ensuring continuity of care and improved long-term recovery."As value-based care reshapes behavioral health, treatment providers need more effective tools to track outcomes beyond discharge," said Carolyn Bradfield, CEO of Pathroot Health. "Our turnkey program delivers post-treatment engagement, education, and family support with real-time insights. Next, we’ll integrate remote monitoring with wearable data and AI analytics, setting a new standard for outcome-driven care."Pathroot’s Phase One introduces automated engagement, including interactive educational tracks, AI coaching, family discussion forums, and live support groups.Patient Monitoring & Compliance – Surveys and automated tracking of participation.Post-Treatment Engagement & Family Support – AI assistance, live support groups, discussion forums, educational tracks with chatbot guidance, and automated text/email outreach.Contingency Management – Incentivize behaviors through automated rewards.
Key Benefits for Treatment ProvidersIncreased patient adherence to post-treatment support by keeping individuals and families engaged longer.Reduced administrative burden with automated compliance tracking and real-time outcome reporting.Optimized staff efficiency without adding workload, allowing teams to focus on care delivery.Delivering critical insights into patient progress, helping providers intervene before relapse occurs.In Phase Two Pathroot will introduce intelligent monitoring for predictive recovery insights to offer:
Remote Patient Monitoring – Integrating everyday wearables to deliver biometric data (heart rate variability, sleep patterns, stress markers) and AI-powered relapse risk analysis.Compliance & Risk Alerts – Automated geolocation check-ins, breathalyzer tests and next generation wearable alcohol monitors with predictive analytics to notify care teams and family members of relapse risks.Enhanced Data-Driven Outcomes – Aggregating patient engagement and biometric insights to provide a real-time personalized view of treatment success.
See how Pathroot Health can help you shift to a value-based care solution. Get in touch ».
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Introducing Pathroot: Press Release June 2024
Introducing Pathroot — Comprehensive Online Support for Families Impacted by Addiction Education, Community, AI, and Wearables
Pathroot is an online support program that addresses a critical need to provide resources to families impacted when a loved one is struggling with substance misuse or ...
Addiction, Pathroot, support
Introducing Pathroot — Comprehensive Online Support for Families Impacted by Addiction Education, Community, AI, and Wearables
Pathroot is an online support program that addresses a critical need to provide resources to families impacted when a loved one is struggling with substance misuse or addiction. The technology-driven platform ensures families have easy access to effective, focused support, links to counseling and treatment programs, and education geared to their specific family situation. Pathroot offers its members privacy and anonymity, and fosters a network of peer connections, creating a supportive online community when facing common challenges.
Greenville, South Carolina — June 12, 2024 — Pathroot Health formerly InterAct LifeLine, a pioneer in behavioral health technology, today launched Pathroot™, a comprehensive online service supporting families impacted by substance misuse and addiction. As an alternative to public forums like Al-Anon, Pathroot offers members direct connection with other families facing similar challenges through confidential peer mentor programs, support groups, discussion forums and community activities. Pathroot’s Knowledge Centers organize and display curated content on addiction, treatment options, family dynamics, substances, behavioral disorders, wellness and prevention strategies along with educational tracts for families and clinical professionals.
“Pathroot informs, educates and supports families that are underserved or ignored when a loved one struggles with substance misuse or enters addiction treatment or recovery programs,” said Carolyn Bradfield, CEO of Pathroot Health. “Addiction impacts every member of the family and is ultimately a family disease. It affects individuals struggling with it as well as creating chaos in the lives of those around them. Addiction is pervasive and widespread, with 20 million Americans experiencing a substance use disorder (SUD) each year. Recognizing the profound impact on families, Pathroot provides comprehensive support beyond traditional therapy for the 1-in-3 households affected by addiction.”
A History in Treatment and Technology
In the early 2000s, the founders of Pathroot launched Phoenix Outdoor, pioneering one of the first adolescent treatment programs to provide comprehensive family support services exclusively through virtual technology. After Pathroot’s CEO, Carolyn Bradfield, experienced the losses of her first husband to alcoholism and her daughter to overdose, she redirected her company’s mission. Bradfield developed innovative resources and tools to help families understand addiction and support their loved ones, focusing on reducing stigma, shame, and trauma.
“Pathroot brings together individuals facing similar challenges, matches them with knowledge from experts in the field to address substance misuse, and builds important connections to a community that understands their struggle,” added Bradfield. “We are not a treatment or telehealth provider, but we offer a path to empower families to find the right services and support based on individual situations using a single online location.”
Pathroot Launch
Pathroot will launch initially as a free service giving families access to resource centers, live streams, and learning paths. As additional services come online, families can upgrade for a low monthly subscription to access peer mentors, support groups, educational programs, and advice from experts along with community programming. Pathroot’s roadmap includes integration with smart watches and wearables to provide valuable health and activity insights offering proactive responses to potential safety issues. The program will leverage artificial intelligence (AI) to learn about each individual, surface concerns, make recommendations and direct services.
Lessons from Laura: Book One — ‘The Knock on the Door’
Bradfield added “Along with the launch of Pathroot I am releasing my first book; Lessons from Laura: Book One — ‘The Knock on the Door’, a story of love, loss and a fight against addiction. I share insights from my family’s journey navigating the challenges of my daughter Laura's addiction and tragic loss from overdose.” www.amazon.com
Note: In January 2025, InterAct LifeLine changed its name to Pathroot Health to reflect a change in focus and new capabilities. Pathroot Health empowers providers, employers, and payers to deliver value-based care by supporting patients and their families post-treatment with technology-driven engagement and monitoring solutions.
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Pathroot — The First Mobile Solution to Use Fitness Tracker and Smartwatch Data to Detect Overdose, Alert Families and Direct Help
The First Mobile Solution to Use Fitness Tracker and Smartwatch Data to Detect Overdose, Alert Families and Direct Help
Overview: Pathroot is a prevention program designed to reduce overdose deaths through a mobile application combined with fitness tracker and smartwatch data to monitor vital ...
Pathroot, remote patient monitoring
The First Mobile Solution to Use Fitness Tracker and Smartwatch Data to Detect Overdose, Alert Families and Direct Help
Overview: Pathroot is a prevention program designed to reduce overdose deaths through a mobile application combined with fitness tracker and smartwatch data to monitor vital signs, detect problems, alert loved ones and direct help. Pathroot is coupled with an online portal that educates families on the risks of fentanyl and other illegal drugs, the dangers of experimentation, and provides wellness counseling and support.
June 13, 2023 — Pathroot Health, formerly InterAct LifeLine, today announced a mobile application and SaaS solution that collects data from fitness trackers and smartwatches, notifies if vital signs indicate suspected overdose, alerts contacts and directs emergency help to the individual’s location. Designed for families of adolescents and young adults, the Pathroot mobile application will integrate off-the-shelf wearables, assess vital signs, and provide real-time geolocation.
“Pathroot monitors abnormal patterns in heart rate which is a leading indicator that someone may be overdosing,” said Carolyn Bradfield, CEO of Pathroot Health. “It first reaches out to the individual to see if they are ok and simultaneously alerts family members or emergency contacts of potential trouble. The mobile app integrates with the Pathroot portal for education and outreach, access to family support services, as well as counseling through licensed providers.”
To improve accountability, Pathroot users have a personal calendar to add daily commitments and schedule text reminders. When they are near a planned location, Pathroot will ask for a check-in, automatically open the smartphone camera, and take a picture to confirm identity. The online portal offers a continuous flow of content and education geared to families, young people, and individuals in recovery. Articles, videos, and education raise awareness of the danger of substance misuse and offer strategies to make healthier choices.
“In 2017, my 29-year-old daughter was just one mile from a trauma hospital overdosed and was fighting for her life with bystanders who did not render aid,” added Bradfield. “An off-the-shelf wearable could have detected that she was in trouble, directed help and potentially saved her life. Millions wear fitness trackers or smartwatches every day, so it’s time to turn those devices into a life-saving companions to reduce overdose deaths.”
“Timely and effective detection and response to drug overdose is critical to prevent fatalities and promote recovery. Reversing overdose with naloxone, providing follow-up care, and addressing underlying substance use disorder are all essential components of an overdose response.” - Centers for Disease Control and Prevention (CDC)
Pathroot Features
Wearables: Commercially available fitness trackers or smartwatches monitor vital signs and communicate through a mobile application and integrated SaaS platform.Accountability: Schedule commitments on a personal calendar, receive text reminders, and be prompted to check-in using geolocation and identity verification.Harm Reduction: Educational content specifically directed at youth, families, or those in recovery focused on substance misuse, and effective parenting strategies.
Family Support: Meaningful resources and connections to family support groups or access to optional telehealth therapy.
Education: Regular live educational sessions with optional on-demand content.
Affordable: Pathroot is a low-cost monthly subscription. Supported wearable devices are economical and readily available.
Free Wireless Access: Qualified low-income families can receive free smartphones and significantly reduced service through affiliated suppliers supporting the Federal Affordable Connectivity Program.
Families can subscribe to Pathroot on the mobile application or portal, add family members, set up alert preferences, and pair wearables. Learn more at: https://pathroot.com.
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Note: In January 2025, InterAct LifeLine changed its name to Pathroot Health to reflect a change in focus and new capabilities. Pathroot Health empowers providers, employers, and payers to deliver value-based care by supporting patients and their families post-treatment with technology-driven engagement and monitoring solutions.
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Press Release: The Launch of an Integrated Technology Solution to Support Treatment and Collegiate Recovery
Pathroot Health Launches an Integrated Technology Solution for Substance Abuse Treatment, Collegiate Recovery and Substance Abuse Prevention
August 1, 2019 — Pathroot Health formerly InterAct LifeLine today announced the first in a series of online technology solutions designed to reduce ...
Collegiate Recovery, Substance Abuse Prevention
Pathroot Health Launches an Integrated Technology Solution for Substance Abuse Treatment, Collegiate Recovery and Substance Abuse Prevention
August 1, 2019 —Pathroot Health formerly InterAct LifeLine today announced the first in a series of online technology solutions designed to reduce addiction relapse, improve long-term recovery care and offer drug abuse prevention support for families. Pathroot helps addiction treatment and collegiate recovery programs leverage technology to better serve their clients, students and families, keeping them connected and improving patient outcomes.
“Pathroot’s new technology automates how drug treatment programs manage and educate their clients, keep them connected to the program during the post-treatment aftercare phase and provide families the resources to support their loved ones through recovery,” said Carolyn Bradfield CEO of Pathroot Health. “In addition, Pathroot integrates with mobile technology used by drug and accountability courts in over 29 states to monitor participants. This mobile platform provides structure to keep individuals accountable to their care plan and promotes safety to improve recovery success.”
The Pathroot solution provides addiction treatment and collegiate recovery programs with a custom branded knowledge portal for wellness and recovery education populated with an on-going stream of new content. The mobile platform and smart phone app communicate with clients for reminders and status checks and provides connections to treatment professionals both online and in person. Clients and their families can participate in virtual support groups, online classes, and discussion forums. Pathroot uses Bluetooth technology to monitor vital signs and can locate a client and provide alerts if there is a potential overdose risk.
“Addiction is a chronic disease that claims more than 70,000 American lives a year, costing almost a trillion dollars in healthcare, criminal justice and work-related costs,” added Bradfield. “My 29-year-old daughter was one of those victims who died from a drug overdose that potentially could have been prevented with this technology. Our program will improve safety and streamline processes to help programs and families better support those effected by this disease, protect them and put them on a path to long-term wellness.”
Pathroot launched its first pilot programs in the collegiate recovery community with 6 major universities beginning in August. This fall, five regional drug treatment programs will pilot Pathroot implementing the technology and educational solution as an aftercare program for their clients, as well as a unique family support connection. All treatment facilities receive branded portals for clients and families, a continuous flow of education and content, the mobile application for structure and accountability, along with analytics to monitor results.
Pathroot provides parents with a program to elevate their understanding of the risks of addiction, strategies to prevent the onset of the disease and tools to ensure the safety of their children. This first of its kind drug abuse prevention solution includes online education, connections to virtual support, and a mobile application that is designed to hold teens and young adults accountable, verify their location, and monitor vital signs to detect risk for overdose.
Editor’s Note: The COVID pandemic significantly postponed the release of the technology related to the Pathroot wearables solution. It is currently slated for release in late 2025.
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Note: In January 2025, InterAct LifeLine changed its name to Pathroot Health to reflect a change in focus and new capabilities. Pathroot Health empowers providers, employers, and payers to deliver value-based care by supporting patients and their families post-treatment with technology-driven engagement and monitoring solutions.
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Is Behavioral Health at Risk from Federal Budget Cuts?
Last week, the U.S. Department of Health and Human Services (HHS) unveiled a sweeping reorganization that eliminates over $11 billion in federal funding for addiction and mental health services — but the story doesn’t stop there.
This week, the National Institutes of Health (NIH) — the ...
Last week, the U.S. Department of Health and Human Services (HHS) unveiled a sweeping reorganization that eliminates over $11 billion in federal funding for addiction and mental health services — but the story doesn’t stop there.
This week, the National Institutes of Health (NIH) — the country’s largest funder of public health research — began implementing its own significant cuts under this new initiative. The changes could reshape the entire landscape of behavioral health funding, research, and service delivery.
What's Happening at HHS and NIH?
As part of the federal government’s new “Workforce Optimization” initiative:
10,000 HHS employees are being laid off, including at NIH, CDC, SAMHSA, and CMS.
SAMHSA is being folded into a new agency: the Administration for a Healthy America (AHA).
Over 230 NIH grants were canceled, including HIV-related research efforts serving vulnerable youth and LGBTQ+ communities.
A proposed 15% cap on indirect costs for NIH grants could severely reduce operating budgets at leading research institutions.
NIH Director Dr. Jay Bhattacharya acknowledged these are “difficult changes” and pledged to implement them humanely.
The result? A massive reduction in both behavioral health research and community service funding — especially for programs that serve high-need populations.Programs at RiskThis new direction puts key programs in jeopardy, including:
Substance Abuse Prevention and Treatment Block Grant (SABG)
Community Mental Health Services Block Grant (MHBG)
State Opioid Response (SOR) Grants
Certified Community Behavioral Health Clinic (CCBHC) Expansion
Mental Health Awareness Training (MHAT)
Project AWARE (school-based mental health)
HRSA Behavioral Health Workforce Training
Each of these has supported prevention, treatment, education, and recovery nationwide. Their disruption will hit vulnerable populations hardest — especially youth, rural communities, and those with co-occurring mental health and substance use challenges.What Behavioral Health Programs Can Do NowAlthough states are suing to reverse these decisions, the government will continue to undergo a massive overhaul with drastic employee and expense cuts. Although it may feel as if programs are caught like a deer in the headlights, there are some positive steps that can be taken to future-proof against what is likely to come.
1. Engage with the AHA Transition
As HHS reorganizes, stay engaged with updates on the Administration for a Healthy America. Funding may reappear under new umbrellas — but only if voices from the field speak up.
2. Leverage Opioid Abatement Funds
With billions flowing from opioid settlements, behavioral health organizations have a rare opportunity to secure local funding for long-term care, technology, peer services, and wraparound support. This is the time to get in front of city and county decision-makers.
3. Build Value-Based Partnerships
Health systems and Medicaid plans are investing in behavioral health for better outcomes and reduced costs. Partner with those payers who need your expertise.
4. Tap Philanthropy and Earned Revenue
Foundations often step up in crisis. Meanwhile, diversifying through private pay, licensing, training, and tech services can help ensure long-term sustainability.
Technology as a Force Multiplier
Platforms like Pathroot are proving that you can scale care without scaling costs. With digital tools, you can:
Deliver education and group support virtually
Involve the entire circle of care, not just the person struggling with addiction or mental health issues.
Do more with less staff and by reducing burnout and admin load
Stay connected to clients post-discharge to be positioned for a shift to value based care.
Monitor recovery using technology to ensure compliance with post discharge treatment plans
Flag relapse risk early to prevent costly readmissions.
Technology is no longer a “nice-to-have” — it’s essential infrastructure in an underfunded system.
Final Thoughts
These cuts represent a serious challenge, but also a wake-up call. The behavioral health field must evolve to remain sustainable, evidence-based, and accessible.
By combining smart partnerships, diverse funding strategies, and efficient technology, we can continue showing up for the people who need us most.
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Book Release: Lessons from Laura: Book One — “The Knock on the Door”
Book Release: Lessons from Laura: Book One — “The Knock on the Door”, A Mother and Daughter's Journey through Substance Abuse, Addiction, and Loss.
Overview: Lessons from Laura: Book One — “The Knock on the Door” is a story of love, loss and a mother’s unwavering fight to ...
Addiction, Recovery, self-help
Book Release: Lessons from Laura: Book One — “The Knock on the Door”, A Mother and Daughter's Journey through Substance Abuse, Addiction, and Loss.
Overview: Lessons from Laura: Book One — “The Knock on the Door” is a story of love, loss and a mother’s unwavering fight to support her daughter in the face of addiction. Carolyn Bradfield shares insights from her family’s journey as they navigated the challenges of Laura's drug misuse and tragic loss from overdose.
Greenville, South Carolina — June 12, 2024 — Pathroot Health, a pioneer in behavioral health technology, today released a new book by the company’s CEO, Carolyn Bradfield, “Lessons from Laura: book one — ‘The Knock on the Door.’” It’s a story of love, loss and an unwavering fight against addiction as Bradfield shares her insights into a family’s journey navigating the challenges from a daughter’s addiction and overdose. Book One is available in paperback or to download from Amazon at Lessons from Laura.
“I began writing about my journey creating the ‘Lessons from Laura series,’ as blog posts in the days and weeks following the overdose death of Laura,” said Carolyn Bradfield, author of Lessons from Laura and CEO of Pathroot Health. “I always knew that one day I might get the dreaded ‘knock on the door.’ That day came just before Christmas 2017 at 4am when a somewhat confused Roswell, Georgia police officer showed up to let us know that my 29-year-old daughter Laura ‘had been transported’ and gave us a number to call.”
Bradfield tells the story of Laura’s life up until the final days, the emotions and experiences and encapsulates the challenges of living with a family member who is struggling with the disease of addiction. Her chronicles are designed to prepare other families and give them tools and understanding of the disease of addiction and how it affects the family of those struggling with substance misuse.
“Expecting to retrieve her from jail, we soon learned Laura was in North Fulton Cherokee Hospital, unresponsive after an overdose. We hurried to the hospital in the early morning hours, entering a nearly empty facility. The young doctor came out, explained that Laura had been revived but she had not regained consciousness.
Entering the ICU only reinforced that the situation was dire. Laura was unconscious, connected to multiple machines, and struggling with a ventilator. Over the next two days, friends and family gathered, praying for a miracle, but we had already accepted that Laura had lost her battle with addiction. When she died, I began to reflect on lessons she taught me that I needed to pass along to others.”
“Lessons from Laura: Book One — ‘The Knock on the Door’ is meant to be shared with families that need help and guidance to survive the trauma, shame and turmoil of having an addicted loved one,” added Bradfield. “Addiction impacts every member of the family. It’s ultimately a family disease that not only affects those struggling but creates chaos in the lives of those around them. Addiction is a pervasive and widespread problem, with 20 million Americans experiencing a substance use disorder (SUD) each year.”
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About the Author
Carolyn Bradfield founded and sold four technology companies and established Phoenix Outdoor, a licensed adolescent therapy program in Asheville, NC focused on substance misuse and family support. Her personal experience with her daughter Laura, who tragically died from an overdose in 2017, gives Bradfield unique insight and a passionate drive to support families facing substance abuse and addiction challenges. She currently runs Pathroot Health, an online service for families struggling with addiction and substances: www.pathroot.com.
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Book Release: Lessons from Laura: Hindsight is 20/20
Pathroot Health CEO Releases the Second in a Series Focused on Personal Insights Gained from the Struggles and Overdose Death of Her Daughter Overview: Lessons from Laura: Book Two “ Hindsight is 20/20” is the second in a series that follows Carolyn Bradfield’s journey with her daughter ...
Addiction, self-help
Pathroot Health CEO Releases the Second in a Series Focused on Personal Insights Gained from the Struggles and Overdose Death of Her DaughterOverview: Lessons from Laura: Book Two “Hindsight is 20/20” is the second in a series that follows Carolyn Bradfield’s journey with her daughter as both struggled for 15 years to manage Laura’s addiction, only to lose her to overdose in December 2017. This book looks back on Laura’s life, decisions Carolyn made as her mother, and what she might have changed with the benefit of hindsight.
Greenville, South Carolina — June 26, 2024 —Pathroot Health, a pioneer in behavioral health technology, today released the second in a series of books by the company’s CEO, Carolyn Bradfield, Lessons from Laura: Book Two “Hindsight is 20/20.” “Hindsight is 20/20” explores the challenges families face when loved ones struggle with substance misuse, alcoholism or addiction. The book offers insights from personal stories along with guidance on how to manage difficult situations to achieve a better outcome.
“Hindsight is 20/20” is a sequel to Lessons from Laura: Book One “The Knock on the Door,” the Number 1 new release on Amazon in Drug Dependency & Recovery. In “The Knock on the Door,” Bradfield shares the challenges she and Laura faced in battling addiction, and the aftermath when Laura overdosed and died. The emotions and experiences in the book highlight the challenges of living with a family member who is struggling with the disease of addiction. The goal is to prepare families with tools to understand the disease and how it affects every member of the family. “Hindsight is 20/20” offers practical advice on prevention, how to repair family dynamics, and ways to better manage and support family members that face drug or alcohol dependency.
“As the parent of an adolescent or young adult you make decisions every day that affect the trajectory of their life, sometimes for the better, sometimes not,” said Carolyn Bradfield author of the ‘Lessons from Laura’ series. “Even with the best of intentions, I made mistakes in dealing with Laura’s drug use, my attempts at trying to force recovery and the relationship challenges between Laura, me and other family members. Hindsight is always 20/20 and looking back it's easier to see how my decisions were counterproductive to helping Laura manage her disease, embrace recovery, and become a functional adult.”
Lessons from Laura: Book Two “Hindsight is 20/20” addresses:
Prevention Strategies: Explore different strategies to understand a child’s risk and ways to prevent substance misuse.The Ripple Effect: Understand the profound effects addiction has on the entire family.Mental Health Challenges: See how other issues like depression and anxiety factor in when someone struggles with addiction.Seeking Help: Understand your paths to get help when your adolescent, young adult, spouse or parent needs treatment.
What sets this book apart:
Carolyn shares her honest portrayal of what was going on in Laura’s life as she struggled through substance misuse and treatment and her responses as she tried to help. She reveals the decisions that she made at the time, the impact those decisions had on those around her, and what she would have changed that might have made a difference.
Lessons from Laura: Book Two “Hindsight is 20/20” is available in paperback or to download from Amazon at Lessons from Laura.
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About the Author
Carolyn Bradfield founded and sold four technology companies and established Phoenix Outdoor, a licensed adolescent therapy program in Asheville, NC focused on substance misuse and family support. Her personal experience with her daughter Laura, who tragically died from an overdose in 2017, gives Bradfield insight and a passionate drive to support families facing substance abuse and addiction challenges. She currently runs Pathroot Health an online service for families struggling with addiction and substances: www.pathroot.com.
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St. Pete Mother Creates App to Reduce Overdose Deaths after Losing Daughter
View the full article on ABC Action News here: https://www.abcactionnews.com/...
Carolyn Bradfield created Interact Lifeline after her daughter died from an overdose. The company connects people to online treatment after rehab and spreads information on the dangers of drugs.
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Addiction, Overdose, safety net
View the full article on ABC Action News here: https://www.abcactionnews.com/...
Carolyn Bradfield created Interact Lifeline after her daughter died from an overdose. The company connects people to online treatment after rehab and spreads information on the dangers of drugs.
PINELLAS COUNTY, Fla. - A mother in St. Petersburg is making it her life mission to reduce the number of overdose deaths in our country.According to the CDC, more than 100,000 people died from a drug overdose in 2022 alone.Carolyn Bradfield started a company called Pathroot Health formerly Interact Lifeline. Its original purpose was to educate people on the dangers of fentanyl and opioids. It also aims to keep people connected to treatment after they get out of rehab.
Bradfield started the company after she lost her daughter to an overdose in 2017. "Like many, many families over the past years, I had a personal tragedy in my family. My daughter overdosed and died at Christmas," Bradfield said.A tragedy that most mothers never recover from. Bradfield said she felt her daughter's death was a call to action. "Pretty soon after her death, I started researching why were people relapsing and overdosing at such a high rate," Bradfield said.From there, Bradfield used her technology and business background to create Interact Lifeline. It's a technology service that focuses on helping recovery programs and keeping people connected to treatment online after rehab. She's also working on an app that will launch next year with the ability to detect a potential overdose.Bradfield said, "It's designed to prevent overdoses and overdose deaths by taking data out of your fitness tracker."The app connects with your Apple Watch, Fitbit, or whatever you use to track your fitness. From there, it monitors your vitals and heart rate. The team can then detect a potential overdose."Now, my daughter, when she overdosed, she was a mile from the trauma hospital. She was around a lot of people; they did not intervene," Bradfield explained.
She said she hopes this app can save lives and prevent other families from dealing with the devastation that her family went through. She also encourages everyone to have Narcan in their medicine cabinet or even carry it in a purse. That can save someone's life."Now, my daughter, when she overdosed, she was a mile from the trauma hospital. She was around a lot of people; they did not intervene," Bradfield explained.
She said she hopes this app can save lives and prevent other families from dealing with the devastation that her family went through. She also encourages everyone to have Narcan in their medicine cabinet or even carry it in a purse. That can save someone's life.
"Now, my daughter, when she overdosed, she was a mile from the trauma hospital. She was around a lot of people; they did not intervene," Bradfield explained. She said she hopes this app can save lives and prevent other families from dealing with the devastation that her family went through. She also encourages everyone to have Narcan in their medicine cabinet or even carry it in a purse. That can save someone's life.You can buy Narcan over the counter, or the locations below offer free Narcan.Specialty Care Center at 1105 E. Kennedy Blvd.University Area Health Center at 13601 N. 22nd St.Sulphur Springs Health Center at 8605 N. Mitchell Ave.Tuberculosis Center at 8515 N. Mitchell Ave.
By: Keely McCormickNote: In January 2025, InterAct LifeLine changed its name to Pathroot Health to reflect a change in focus and new capabilities. Pathroot Health empowers providers, employers, and payers to deliver value-based care by supporting patients and their families post-treatment with technology-driven engagement and monitoring solutions.
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'It Could Be Your Kid' St. Pete Start-Up Battles Fentanyl Overdoses
Carolyn Bradfield's daughter Laura suffered a fatal drug overdose in 2017, just a few days before Christmas.
She was 29 years old.
"She didn't make her 30th birthday," Bradfield said, noting her daughter's challenges with substances and visits to rehab centers in hopes of some improvements. ...
Interview
Carolyn Bradfield's daughter Laura suffered a fatal drug overdose in 2017, just a few days before Christmas.
She was 29 years old.
"She didn't make her 30th birthday," Bradfield said, noting her daughter's challenges with substances and visits to rehab centers in hopes of some improvements. Now, Bradfield, who lives in St. Petersburg, hopes to bring technology to combat rising numbers of fatal overdoses in Florida and across the nation.
InterAct LifeLine: Tragic Beginnings
Bradfield and Bruce Ahern are spearheading Pathroot Health formerly InterAct LifeLine. The startup effort focuses on bringing digital services and assistance to rehabilitation patients after they leave treatment centers. The pair are rolling out a smart-watch app, Lifeline Connect. The app aims to help loved ones keep track of those struggling with dangerous substances. The companies have operations in St. Pete and the Atlanta area. Bradfield knows the business and personal sides of the venture. She and Ahern have senior and principal-level experience with teleconferencing, telemedicine, and other digital and technology platforms.
Bradfield also knows the heartache of losing a child. She said her daughter Laura struggled with drugs and addiction for 15 years. The struggles started when she was 14 and included multiple visits to rehabilitation centers. Laura overdosed in late December 2017. Bradfield said she died in an Atlanta area hospital four days before Christmas.
"It Could Be Your Kid"
Bradfield said her daughter probably would have died earlier in the current substance landscape. Fentanyl, a synthetic opioid frequently manufactured in China and smuggled into the U.S. from Mexico, is 50 times more powerful than heroin and 100 times more potent than morphine. It's also more deadly.
The U.S. Centers for Disease Control projects 109,940 fatal drug overdoses between February 2022 and February 2023. (The most recent data available.) More than 8,000 of those deaths happened in Florida, with most of the fatal overdoses tied to fentanyl. Deadly drug overdoses increased from less than 20,000 fatalities annually in 1999 and 2000 to the current levels of more than 105,000 deaths each year.
The dangerous opioid is cheap to make, easy to transport, and used in fake pain pills and other medications. Increasingly, it's mixed with illegal narcotics. In many ways, fentanyl has created instances of Russian roulette with users - from the experienced to first timers - not knowing what's mixed in with their drugs. That's increased the number of dreaded telephone calls and knocks on the door around Florida and other states.
"It could be your kid," Bradfield said, noting the dangers to first-time or neophyte users who might get the wrong pill from the wrong person at the wrong party or event. "It's not just the addicted."
Help After Rehab
Her main impetus is to use technology to make rehabilitation efforts more effective after patients check out of centers. Bradfield said there are frequent trends of those struggling with addiction going back to those behaviors in the weeks and months after visits to often-expensive inpatient centers. "People didn't stay connected to the rehab. They didn't have enough structure and accountability," Bradfield said in an interview with The Gabber Newspaper.
She and Ahern want to work with treatment centers, behavioral health groups, and educational partners to help extend those connections and offer digital resources aimed at the root of addictions and relapses.
"We are going to take our technology and we are going to use it offer digital treatment (services), extensive amounts of education, support groups, and other groups that will help you if you are struggling with other things [like] depression, PTSD, anxiety," she said. Levels of anxiety, depression and other mental and behavioral health challenges are up, according to Mental Health America and its 2023 annual surveys. Fifteen percent of Americans had substance abuse problems in the last 12 months, according to the group, with 93.5% not receiving any treatment. Fifty million Americans are facing mental health challenges with another 12.1 million saying they seriously considered suicide, according to MHA.
Carolyn Bradfield (right) and her late daughter, Laura. photo by Brittany Kelland
Digital Safety Net
The St. Petersburg pair are rolling out an app for parents and other loved ones that link to their kid's smartwatch or Fitbit. The app connects those watches by tracking movements and vital signs. If someone goes silent on the app or shows signs of distress, the concerned parent or family member can then try to contact them or their social circle or can call 911. In some overdose instances, minutes and seconds can be a matter of life and death.
"It just gives you a safety net around the kid," Ahern said.
Bradfield said Laura was found overdosing at a RaceTrac gas station in Atlanta. "We got a knock on the door at 4:30 in the morning," she said, noting that if responses to the overdose had been faster Laura might have had a great chance of surviving. She said a number of fatal overdoses - during and after the pandemic - happen when people are alone and struggling with other mental and behavioral health issues.
"A lot of these people are overdosing alone at home," she said. Ahern said the target price on the app is $19.99 per month. That price will cover two people and their smartwatches.
"Laura was in 10, 15 programs. We spent a lot of money on rehab and none of it worked," Bradfield said. The pair hopes to gain more momentum via word of mouth and proselytizing from families and kids who gain from the digital treatment offerings as well as the smartwatch app, which they hope saves lives. "I want one parent in every high school as an evangelist," he said. That will help spread the word and prove proof of concept in a behavioral health and treatment space looking for plenty of answers.
by Mike Sunnucks
Note: In January 2025, InterAct LifeLine changed its name to Pathroot Health to reflect a change in focus and new capabilities. Pathroot Health empowers providers, employers, and payers to deliver value-based care by supporting patients and their families post-treatment with technology-driven engagement and monitoring solutions.
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St Pete Mom Creates Overdose Detection App
When Carolyn Bradfield's daughter Laura died from a drug overdose just days before Christmas in 2017, she made it her mission to help other families avoid the same tragedy. Bradfield, a St. Petersburg resident, brought her background in technology and behavioral health to create a better path ...
When Carolyn Bradfield's daughter Laura died from a drug overdose just days before Christmas in 2017, she made it her mission to help other families avoid the same tragedy. Bradfield, a St. Petersburg resident, brought her background in technology and behavioral health to create a better path forward for individuals leaving treatment. She founded InterAct LifeLine, which evolved into Pathroot Health in January 2025 — a change that reflects the platform’s expanded focus and capabilities.
Pathroot Health now helps providers, payers, and employers deliver value-based care by keeping individuals and families connected after treatment. The platform uses wearable data, breathalyzer results, digital check-ins, surveys and engagement tracking to detect early signs of relapse risk, enabling proactive support and intervention. While overdose detection remains part of the long-term roadmap, today Pathroot is focused on preventing relapse before it happens — empowering recovery through smart, personalized monitoring and family engagement.
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What RFK's Leadership Could Mean in Behavioral Health
Robert F. Kennedy Jr - Credit: Renato68 - stock.adobe.com
As Robert F. Kennedy Jr. steps into leadership at HHS, treatment providers should be paying close attention. The headlines about Kennedy’s views on vaccines and environmental policy have distracted us from the bigger picture ...
Robert F. Kennedy Jr - Credit: Renato68 - stock.adobe.com
As Robert F. Kennedy Jr. steps into leadership at HHS, treatment providers should be paying close attention. The headlines about Kennedy’s views on vaccines and environmental policy have distracted us from the bigger picture surrounding Kennedy’s views on healthcare reform, cost-cutting, and recovery that may have a big impact on behavioral health.
Our Healthcare System Is Failing—And Everyone Knows It
The U.S. spends more than $12,000 per person each year on healthcare, yet our life expectancy (76.4 years) lags far behind peer nations.
We rank last among 11 wealthy nations for healthcare outcomes (Commonwealth Fund).
Only 1 in 10 people with a substance use disorder (SUD) receive treatment.
If RFK Jr. is serious about fixing a broken system, behavioral health could be one of the obvious places to start.
A Push Toward Value-Based Care
Kennedy has criticized the inefficiency and waste in U.S. healthcare. This could accelerate HHS’s shift to value-based care, meaning:
Greater focus on outcomes, not volumeReimbursement tied to long-term recovery, not just short-term stabilizationFunding for integrated, whole-person care that connects addiction, mental health and physical health.
Treatment providers offering continuing care, family education, and digital recovery tools are well-positioned when Kennedy’s priorities become federal policy with changes coming faster than expected."Wellness Farms" as a Strategy?Robert F. Kennedy Jr.'s wellness strategy for addressing addiction focuses on creating "wellness farms"—rural, community-based retreats designed to help individuals recover from substance use disorders. These farms would combine nature-based therapy, organic farming, and holistic practices to foster physical, emotional, and social healing. Kennedy envisions these wellness farms as a way to provide a supportive, therapeutic environment that encourages personal growth and self-reliance, moving away from reliance on medication and traditional treatment models. This approach aims to help individuals reconnect with nature and work in a way that supports long-term recovery and wellness.
“I’m going to create these wellness farms where they can go and get off of illegal drugs, off of opiates, but also legal drugs,” Kennedy said at a virtual event during his campaign.
Will you know what's ahead?RFK Jr. just rolled back a long-standing transparency rule, the Richardson Waiver, giving HHS more power to change policies, like Medicaid rules or NIH funding, without public notice or input. For treatment providers, this means changes could happen faster, but with less warning or opportunity to adjust. It’s a clear sign that Kennedy plans to move quickly, and on his own terms.
Expect a focus on the big players
Expect Kennedy to scrutinize pharmaceutical and insurance companies which should signal that treatment providers should be prepared for potential shifts in how care is authorized and paid for.
Loosening of prior authorization requirements for addiction medications like buprenorphine or naltrexone making it easier and faster for patients to access these treatments.Revised reimbursement models that favor bundled payments, episode-of-care pricing, or incentives tied to long-term recovery outcomes rather than service volume.Pressure on pharmaceutical companies to increase transparency on pricing and marketing practices related to SUD medications.
While these changes may take time, providers who can show they deliver cost-effective, patient-centered care will likely be favored in a more accountable system. Now’s the time to think through a strategy, track your outcomes, and prepare for a shift from volume to value.
Takeaway
The new administration has left most of us reeling with the pace of change and we should expect that pace will impact behavioral health treatment policy in profound ways. The transparency afforded to us in the past for advanced notice about policy changes to weigh in on them is now gone. This means that programs cannot afford to be blindsided because they are unprepared to shift strategy to keep pace with the change.
See how Pathroot can help programs improve and track outcomes. Get in touch ».
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How to Get Ready for Value-Based Care in Behavioral Health
Value-based care (VBC) is changing the game in behavioral health, shifting from a pay-per-session model to one that rewards better patient outcomes. With payers, employers, and policymakers pushing for higher-quality, data-driven care, providers must adapt to stay competitive and secure funding.
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Value-based care (VBC) is changing the game in behavioral health, shifting from a pay-per-session model to one that rewards better patient outcomes. With payers, employers, and policymakers pushing for higher-quality, data-driven care, providers must adapt to stay competitive and secure funding.
So, how can your organization make the shift? This guide breaks down the key steps, strategies, and tools to help you succeed in value-based care.Step 1: Understand the Value-Based Care Models
Instead of getting paid per session, providers now earn reimbursement based on real impact—patient engagement, symptom improvement, and long-term recovery.
Common Value-Based Payment Models:✓ Pay-for-Performance (P4P): Rewards for hitting quality and outcome goals.✓ Bundled Payments: One payment covers an entire episode of care, from treatment to follow-up.✓ Capitated Payments: A fixed amount per patient, encouraging preventative care and long-term support.The shift away from fee-for-service is happening fast. Understanding these models now helps you stay ahead and thrive in the future of care.Step 2: Implement Outcomes Tracking & Measurement
One of the biggest shifts in value-based care is proving treatment results. Providers need to track and report patient progress to show their treatments are working.
What to track:✓ Symptom Improvement: Use tools like PHQ-9 (depression), GAD-7 (anxiety), or ASAM criteria (addiction recovery).✓ Engagement & Retention: Monitor session attendance, group participation, and app usage to gauge involvement.✓ Relapse Prevention: Track check-ins, biometrics (if available), and surveys to identify risk factors early.A good EHR coupled with a digital monitoring and engagement platform is a must have to automate data collection and reporting—making this process easier and more effective.Step 3: Keep Patients Engaged Beyond Treatment
Payers expect long-term engagement strategies that keep patients connected beyond traditional treatment. High drop-off rates could negatively impact reimbursement and make it harder to track outcomes.
How to Improve Engagement:✓ Use Digital Check-Ins → Keep patients accountable between sessions.✓ Offer Peer Support & Virtual Groups → Reduce isolation & and build a strong support system.✓ Send Reminders & Follow-Ups → Text/email nudges improve session attendance & medication adherence.Why It Matters: The more engaged patients are, the better their outcomes—and the stronger your value-based success.
Step 4: Leverage Technology and Data for Decision Making
Technology plays a critical role in monitoring patients, keeping them connected, analyzing trends, predicting relapse risks and providing ways to proactively intervene.
Key Technologies for Value-Based Care:✓ Electronic Health Records (EHRs): Track patient data & automate reporting.✓ Engagement Portal: Offer support groups, educational tracks, family support, and AI-driven insights for personalized recovery guidance.✓ Predictive Analytics: AI-driven insights help identify patients at high risk for relapse or crisis.✓ Monitoring Tools: Geolocation, meeting check ins, breathalyzer tests to verify compliance✓ Survey Tools: Push out surveys via text or email to get self-reported patient feedback.What to Do Now: Assess your current tech stack to see if you have the tools to collect and analyze patient outcomes, identify relapse risk and keep patients and their families engaged.
Step 5: Build Stronger Relationships with Payers & EmployersTo secure value-based contracts, behavioral health providers must demonstrate value to payers (Medicaid, private insurers, and employer health plans).
Prepare for Payer Discussions:✓ Show Data-Driven Results: Present engagement metrics & patient outcomes to prove program effectiveness.✓ Align with Employer Health Needs: Employers want mental health solutions that reduce absenteeism & improve workforce productivity.✓ Be Ready for Alternative Payment Models (APMs): Understand the payer’s expectations for risk-sharing, bundled payments, or performance incentives.
Next Step: Reach out to payers now—position your organization as a partner in improving mental health outcomes.Step 6: Get Your Staff OnboardAdapting to value-based care requires a shift in mindset for clinical staff, case managers, and administrative teams.
Training Areas to Focus On:✓ Outcome-Based Documentation → Teach clinicians how to document patient progress effectively.✓ Payer Expectations → Ensure staff understands reimbursement models and quality metrics.✓ Tech Adoption → Train teams on EHR systems, data tracking, and predictive analytics tools.
A well-trained team ensures compliance, maximizes reimbursements, and improves patient outcomes.TakeawayThe shift to value-based care is here, and behavioral health providers who prepare now will be best positioned for success. Start tracking patient outcomes, invest in technology to support engagement and data analysis, strengthen payer relationships, and equip your team to thrive in a performance-driven system. Acting early ensures long-term sustainability and better patient care.
See how Pathroot Health can help you shift to a value-based care solution. Get in touch ».
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Wearables: The Future of Addiction Recovery
Wearable technology is evolving beyond tracking steps or heart rate—it’s set to transform addiction recovery. By offering real-time monitoring and proactive relapse alerts, wearables can help healthcare professionals, recovery communities, and treatment programs enhance outcomes and reduce ...
Wearable technology is evolving beyond tracking steps or heart rate—it’s set to transform addiction recovery. By offering real-time monitoring and proactive relapse alerts, wearables can help healthcare professionals, recovery communities, and treatment programs enhance outcomes and reduce relapses.
The Role of Wearables in Addiction Treatment
Wearables like smartwatches and fitness trackers continuously monitor physiological indicators such as heart rate, movement patterns, and skin conductance. This data provides real-time insights, helping to detect stress and cravings—critical markers for relapse. A study from the "Scoping Review of Wearables in Monitoring Opioid, Tobacco, and Alcohol Abuse" highlighted devices like the Empatica E4 and Spire Health Tag as effective tools for monitoring substance use, enabling healthcare providers to offer more tailored, timely interventions.
Continuous Monitoring for Proactive Recovery Management
A key benefit of wearables is their ability to provide seamless, continuous monitoring without requiring user action. Unlike traditional clinical check-ins, wearable data is collected and analyzed in real time, enabling proactive interventions. Pathroot exemplifies this with its personalized recovery scores, derived from wearable data, which alert users and their support teams to potential risks before relapse occurs.
A key benefit of wearables is their ability to provide seamless, continuous monitoring without requiring user action.
The Future of Wearables in Addiction Recovery
Wearables are poised to play an even greater role in recovery as artificial intelligence (AI) and machine learning (ML) become integrated. These technologies can process vast amounts of data to predict relapse risks and recommend personalized interventions. In the near future, wearables may provide real-time notifications to both users and their care teams, ensuring timely action.Pathroot is at the forefront of this innovation, using wearable data to inform recovery strategies and engage care teams proactively. Coupled with community support and expert guidance, this approach not only prevents relapse but fosters a supportive and personalized recovery experience.
Emerging Trends in Wearable Technology for Recovery
The integration of biometric data and advanced algorithms is set to make wearables even more effective. Innovations like biosensors for detecting specific substances and tools to anticipate behavioral changes are on the horizon. As data privacy improves and healthcare systems adopt these tools, wearables will become a staple in addiction treatment protocols.Companies like Pathroot are leading this transformation, leveraging wearable technology to offer scalable, personalized solutions for relapse prevention. By integrating state-of-the-art monitoring with community engagement, wearables are reshaping addiction recovery.
Join the MovementPathroot offers a comprehensive platform to support long-term recovery, combining wearable technology, community engagement, and expert guidance. Join the Pathroot community to access cutting-edge tools that make addiction recovery more accessible, supportive, and personalized. Take the first step toward leveraging wearable technology to transform the recovery journey.
See how Pathroot can help your organization, Request a Consultation »
ReferencesCarreiro, S., Chintha, K. K., Shrestha, S., Chapman, B., Smelson, D., & Indic, P. (2020). Wearable sensor-based detection of stress and craving in patients during treatment for substance use disorder: A mixed methods pilot study. Drug and Alcohol DependenceShopeju, O., & Choudhury, A. (Ph.D.). (Year). Scoping Review of Wearables in Monitoring Opioid, Tobacco, and Alcohol Abuse: A Potential Intervention for West Virginia. Proceedings of the West Virginia Academy of Science
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From Fee-for-Service to Value-Based Care: The Future for Behavioral Health
The behavioral health industry is going through a big change—moving from fee-for-service (FFS) models to value-based care (VBC). In this new scene, providers don't just get paid for the number of sessions they give but are rewarded to improve patient outcomes. As healthcare costs go up, payers ...
The behavioral health industry is going through a big change—moving from fee-for-service (FFS) models to value-based care (VBC). In this new scene, providers don't just get paid for the number of sessions they give but are rewarded to improve patient outcomes. As healthcare costs go up, payers push for change, and more people need mental health services, value-based care is what's coming. Providers who get this shift and change with it will be in the best spot to last and do well in the long run.What’s Wrong with Fee-for-Service in Behavioral Health?
In the current fee-for-service setup, providers get paid for each visit or treatment, no matter how well the patient does. This approach has a few big problems: X It's All About Quantity, Not Quality – There is no financial incentive to ensure long-term recovery. X It Costs More for Everyone – It leads to extra treatments that might not even work driving up cost X Nobody's on the Hook – There's no clear way to tell if the treatment helped.
As insurance companies and employers push for better mental health care that shows real results, the field is moving towards a system that rewards providers for value.What Is Value-Based Care (VBC) in Behavioral Health?
Value-based care rewards providers that improve patient outcomes, reduce relapse, and boost engagement. Payers no longer reimburse for each visit. Instead, they pay based on the quality and how well the treatment worked.
Key Elements of Value-Based Care:✓ Technology-Driven Engagement – Automated check-ins, monitoring, mobile apps, engagement portals✓ Care Guided by Numbers – Requires tracking of engagement, patient-reported outcomes, and clinical improvements.✓ Preventative Approach – Aims to cut down hospital stays, setbacks, and emergency expenses.✓ Tech & Patient Tools – Digital tracking, AI-driven insights, and patient monitoring play a key role.Why the Shift to Value-Based Care Matters in 2025
1. Payors Are Prioritizing VBC Contracts
Medicare, Medicaid, and private insurers are shifting toward value-based reimbursement.Employers and health plans want proof that behavioral health programs actually work.
2. Increased Funding & Reimbursement Tied to Outcomes
Grants and state funding favor providers who track and improve patient outcomes.Programs that fail to adapt risk losing reimbursement opportunities.
3. Patients Expect More Personalized, Effective Treatment
Engagement tools, wearable data, and remote monitoring are helping tailor care.Telehealth and digital interventions support long-term patient success.
How Behavioral Health Providers Can Succeed in Value-Based Care
To succeed in a value-based system, providers must track outcomes, involve patients, and prove effectiveness. Here's how:✓ Set up Outcomes Tracking – Apply proven tests like PHQ-9 (depression), GAD-7 (anxiety), and relapse checks.✓ Enhance Patient Engagement – Use check-ins, support groups, education, community interaction and online tools to keep patients active.✓ Use Monitoring Technology – Wearables, AI, drug and alcohol testing, and predictive analytics catch relapse risk early✓ Team Up with Payers – Learn about different payment plans (bundled fees shared risks fixed rates) to win contracts.The Takeaway: The Future of Value Based Care Is Here to Stay
The shift to value-based care in behavioral health is accelerating. Providers who adapt now will secure better reimbursement, improved outcomes, and long-term success.
See how Pathroot Health can help you shift to a value-based care solution. Get in touch ».
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Why Traditional Alumni Programs in Behavioral Health Fail
Alumni programs in behavioral health were designed to keep individuals connected to support after treatment, helping them maintain their recovery. In theory, these programs offer ongoing engagement, community, and relapse prevention. In practice, however, many fail to deliver meaningful ...
Alumni programs in behavioral health were designed to keep individuals connected to support after treatment, helping them maintain their recovery. In theory, these programs offer ongoing engagement, community, and relapse prevention. In practice, however, many fail to deliver meaningful impact—leaving providers wondering why participation drops off and relapse rates remain high.
The reality is that traditional alumni programs are outdated and struggle to keep up with the needs of today’s recovery community. Below, we explore the top reasons why these programs fail and what behavioral health providers can do to fix them.
Reliance on Outdated Engagement ModelsMost traditional alumni programs depend on manual outreach, occasional events, or generic newsletters—which simply don’t work in today’s digital world.Common Issues:X Infrequent Contact – Sporadic check-ins aren't enough to sustain engagement.X Passive Communication – A one-size-fits-all newsletter doesn’t offer personalized support.X Lack of Real-Time Support – Alumni need instant access to community and resources, not just planned check-ins.Solution: Move toward technology-driven engagement including automated check-ins, virtual peer groups, discussion forums, or trained AI chat bots
Failing to Keep Alumni ConnectedRecovery is a lifelong process, yet many alumni programs only engage right after treatment before fading into the background. Without ongoing community connection, alumni often feel isolated—leading to increased relapse risk.Why This Fails:X Short-Term Focus – Many programs engage alumni for a few months, then lose touch. X No Personalization – Recovery isn’t linear; alumni need tailored support for their unique challenges. X Limited Social Connection – Without peer interaction, alumni feel disconnected from support systems.Solution: Implement long-term digital communities, peer-led virtual groups, and personalized recovery paths to keep alumni engaged for years, not months.
Lack of Outcome Tracking or Meaningful DataTraditional alumni programs don’t measure success in a way that is useful for treatment providers, payers, or the alumni themselves. Without data, there’s no way to demonstrate value, adjust the program, or secure funding.Gaps That Hurt Alumni Programs:X No tracking of engagement levels – Are alumni actually using resources? X No relapse risk indicators – Can you predict who needs intervention? X No outcome reporting for payers – Without data, programs struggle to secure grants, funding, or insurance reimbursement.Solution: Implement real-time tracking of alumni participation, including check-ins, peer support engagement, and behavioral patterns that indicate relapse risk.
No Real Clinical or Peer SupportMany alumni programs operate as separate, standalone initiatives rather than integrating into ongoing care models. Without a seamless transition from treatment to long-term support, alumni often feel like they’re “on their own” after discharge.What’s Missing?X Lack of Coordination with Clinicians – Programs don’t connect alumni back to providers when needed. X Minimal Peer Recovery Involvement – No structured way for alumni to engage with mentors, sponsors, or accountability partners. X No Digital Integration – Without an easy-to-use platform, alumni are forced to rely on scattered communication methods.Solution: Connect alumni programs with treatment teams, peer coaching networks, and digital tools that allow for a seamless, continuous recovery journey.
Ignoring the Role of Families or Support NetworksRecovery isn’t just about the individual—it’s about their entire support system. Yet, most alumni programs do not engage family, friends, or caregivers, missing a critical element in relapse prevention.Why This Fails:X Families don’t have ongoing support or education. X Alumni lack structured accountability from loved ones. X Programs don’t facilitate ongoing communication between alumni and their care network.Solution: Offer family engagement resources, structured caregiver support groups, and tools that help loved ones track and encourage progress.No Incentives or Motivations for Continuous Engagement
Alumni programs often fail to keep people engaged because they lack a reason to return. Without a sense of progress, achievement, or motivation, alumni may drift away over time.
Common Mistakes:X No Goal Setting – Without progress tracking, there’s no sense of accomplishment. X No Positive Reinforcement – Celebrating milestones keeps alumni engaged. X No Ongoing Education – Alumni need continuous learning opportunities to stay committed.
Solution: Incorporate gamification, milestone tracking, and digital recovery badges to reinforce progress.
How to Transform an Alumni ProgramTo truly support long-term recovery, alumni programs must evolve. Here’s what modern alumni engagement should look like:✓ Technology-Driven Engagement – Automated check-ins, monitoring, mobile apps, engagement portals ✓ Continuous Connection – Community-building through structured, ongoing virtual and in-person support. ✓ Data-Backed Insights – Tracking relapse risk factors, engagement levels, and outcome metrics.✓ Seamless Integration – A connected ecosystem between treatment, peer recovery, and alumni networks.✓ Family & Caregiver Involvement – Providing resources and structured check-ins for loved ones.
TakeawayTraditional alumni programs fail because they don’t adapt to real-world recovery needs. To be truly effective, providers must rethink how they engage alumni, track outcomes, and integrate long-term support. If your alumni program struggles with engagement, retention, or outcome tracking, it’s time for a change. The key is to automate, incorporate all of the stakeholders including the family, and provide a vibrant digital community that will support your alumni for the long run.
See how Pathroot Health can help you automate and transform your alumni programGet in touch ».
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What Every Behavioral Health Alumni Program Must Offer in 2025
As behavioral health care shifts toward value-based models, alumni programs are becoming critical for long-term recovery support. Yet, many traditional programs fail to keep individuals engaged, leading to higher relapse rates and lost opportunities for ongoing treatment success.
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As behavioral health care shifts toward value-based models, alumni programs are becoming critical for long-term recovery support. Yet, many traditional programs fail to keep individuals engaged, leading to higher relapse rates and lost opportunities for ongoing treatment success.
In 2025, effective alumni programs must evolve to meet the needs of modern patients, payers, and providers. Below are the key elements that every behavioral health alumni program must offer to stay relevant and impactful.
Offer Continuous Engagement After Discharge
The most successful alumni programs don’t just check in for a few months after treatment—they provide long-term engagement and support for years.
How to Implement It:
Automate Check-Ins: Use text, app notifications, or emails to keep alumni connected.Offer Digital Peer Support Groups: Offer online communities for ongoing interaction.Create a hybrid Engagement Model: Combine virtual and in-person events to maintain accessibility.
Why It Matters: Alumni who stay engaged are less likely to relapse and more likely to seek help when needed.
Commit to Data Drive Outcomes Tracking
With value-based care on the rise, providers must prove the effectiveness of their alumni programs to insurers and payers.
What to Measure:
Alumni Engagement Levels: Participation in check-ins, meetings, and support groups.Relapse Prevention Metrics: Sobriety tracking, hospital readmissions, or crisis interventions.Patient-Reported Outcomes (PROs): Use tools like PHQ-9 (depression), GAD-7 (anxiety), or craving intensity surveys.
Why It Matters: Payers and providers need evidence-based data to justify program funding and ensure reimbursement.
Offer Personalzed Support for Different Recovery Paths
Every person’s recovery is unique. Alumni programs must offer customized support options based on individual needs.
Key Features to Offer:
Multiple Recovery Tracks: Offer different engagement levels based on alumni needs (e.g., active support vs. maintenance).Targeted Resources: Provide tailored content and coping strategies for specific challenges (mental health, trauma, family dynamics).Personalized Outreach: AI-driven insights can recommend the right interventions at the right time.
Why It Matters: One-size-fits-all programs don’t work—customization keeps alumni engaged.
Integrate Family and Support Networks
Recovery isn’t just about the individual—it’s about their entire support system. Alumni programs must engage peers, family, and community resources to create a stronger safety net.
How to Strengthen Support Networks:
Peer Mentorship Programs: Connect alumni with mentors or sponsors for accountability.Family Education & Involvement: Offer workshops, online resources, and check-ins for family members.Community-Based Recovery Events: Host in-person and virtual gatherings to maintain connections.
Why It Matters: Strong social support is one of the top predictors of long-term recovery success.
Add Crisis Intervention & Prevention Tools
Alumni programs must go beyond basic check-ins and offer real-time intervention options when individuals are at risk of relapse.
Essential Crisis Support Features:
24/7 Access to Support: AI chatbots, peer networks, or on-call recovery specialists.Relapse Risk Alerts: Use geofencing, biometrics, or engagement drop-offs to flag high-risk situations.Crisis Management Plans: Provide alumni with structured action plans for handling high-risk moments.
Why It Matters: Early intervention reduces relapse rates and improves long-term outcomes.
Use Technology to Enable Engagement
In 2025, behavioral health alumni programs must leverage technology to enhance accessibility and engagement.
Tech Features Every Alumni Program Needs:
Mobile App and Portal: A centralized place for check-ins, support groups, and recovery resources.AI-Driven Insights: Personalized recommendations based on behavior and engagement trends.Virtual & Hybrid Meetings: Online support groups ensure alumni stay connected from anywhere.Monitoring Technology: Increase accountability through geofencing, meeting check ins, breathalyzer resultsSurvey Tools: Deliver simple surveys via SMS and more complex surveys online to get data for outcome studies.
Why It Matters: Digital tools improve alumni retention, increase accessibility, and create better data tracking for payers.
Provide Incentives and Motivation
To keep alumni involved, programs must offer meaningful incentives that encourage participation and progress tracking.
Effective Incentives Include:
Recovery Milestone Badges: Celebrate 1 month, 6 months, 1 year, and beyond.Exclusive Alumni Benefits: Offer access to advanced recovery workshops, mentorship opportunities, or leadership roles.Gamification & Rewards: Points systems, leaderboards, or recovery streaks help maintain engagement.
Why It Matters: Recognition and progress tracking reinforce motivation and long-term success.
Add Career and Life SkillsBehavioral health recovery isn’t just about staying sober—it’s about building a stable, fulfilling life. Alumni programs should support career development, education, and life skills training.How to Support Life Beyond Recovery:Job Placement & Career Coaching: Help alumni find meaningful employment.Financial Wellness & Budgeting Help: Support responsible financial decision-making.Life Skills & Continuing Education: Offer workshops on stress management, relationships, and personal growth.Why It Matters: Long-term recovery success depends on life stability—helping alumni thrive beyond treatment is key.
Takeaways
The best alumni programs in 2025 will be data-driven, tech-enabled, and deeply personalized. Behavioral health providers must shift from passive, outdated approaches to engagement strategies that actively support long-term recovery.
Key Takeaways for 2025 Alumni Programs: ✔ Continuous engagement & digital access keep alumni connected. ✔ Outcome tracking & data measurement ensure program effectiveness. ✔ Personalized recovery paths & crisis interventions improve success rates. ✔ Peer support, family involvement, & life skills training build a strong foundation. ✔ Incentives & recognition keep alumni motivated for long-term success.About the AuthorCarolyn is a seasoned technology entrepreneur with four successful start-ups in the conferencing and collaboration industry, and founder of Convey Services, a cloud-based content and marketing portal network. Now, she’s committed to supporting families facing substance misuse and addiction through Pathroot, an innovative platform offering resources, community connections, and overdose detection solutions.
See how Pathroot Health can help you automate and transform your alumni program. Get in touch »
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Why Just an App Isn’t Enough to Keep Your Alumni Engaged
Many treatment centers recognize the importance of staying connected with alumni after discharge. To do this, some have turned to alumni apps—a convenient way for former patients to check in, find resources, and stay engaged. But here’s the problem: Just having an app isn’t enough.
An app ...
Many treatment centers recognize the importance of staying connected with alumni after discharge. To do this, some have turned to alumni apps—a convenient way for former patients to check in, find resources, and stay engaged. But here’s the problem: Just having an app isn’t enough.
An app alone doesn’t ensure ongoing engagement, provide real-time intervention, or create meaningful recovery connections. In fact, most alumni apps see low adoption rates because they lack personalization, proactive outreach, and integration with a true recovery support system.
If your alumni engagement strategy begins and ends with an app, you’re missing out on the full potential of keeping patients engaged and supported in their long-term recovery. Here’s why.Apps Alone Don't Drive Long-Term EngagementMost treatment center alumni apps are passive tools—they provide a platform but don’t actively encourage participation. If alumni aren’t motivated to log in, the app becomes just another unused icon on their phone.Why Apps Fail to Engage Alumni:X No way to ensure regular check-ins.X Unable to engage users when they need it.X No social connection.What’s Needed Instead:✓ Automated engagement with check-ins via text, email, or calls.✓ Peer & mentor networks to involve alumni in community.✓ Push notifications for personalized recommendations.A successful alumni program doesn’t just offer an app—it creates a system for ongoing connection.
Apps Don't Offer Real-Time Support When Alumni Need ItA major issue with app-only alumni programs is that they rely on the individual to reach out for help—but many people don’t recognize when they need support.What’s Missing?X Unable to trigger real-time interventions. X No way to detect warning signs of relapse. X Can’t replace a peer or clinician reaching out at the right time.What’s Needed Instead:✓ Geofencing that can notify when an alum enters high-risk locations. ✓ Predictive analytics that track engagement.✓ 24/7 access to peer support or live coaching.A recovery journey needs real-time human interaction, not just an app-based check-in system.
Alumni Need More than Just Digital Content & ResourcesA lot of alumni apps function like a library of recovery resources, offering articles, videos, and self-guided exercises. While this can be helpful, it’s not enough to keep people engaged in recovery.Why This Fails:X Self-help content doesn’t replace community support. X Resources alone don’t encourage participation or accountability. X There’s no personal touch—just a one-size-fits-all approach.What’s Needed Instead:✓ Live virtual or in-person alumni events to maintain real connections. ✓ Personalized recovery journeys tailored to each individual’s needs and milestones. ✓ Structured mentorship & support groups that go beyond passive content consumption.Engagement isn’t about reading recovery tips—it’s about feeling connected to a community.
Apps Don't Integrate Well with the Bigger Recovery EcosystemA standalone alumni app is often disconnected from the larger treatment, peer support, and value-based care system. If an app doesn’t integrate with providers, mentors, and family, it becomes just another siloed tool instead of a meaningful extension of care.The Problem with Standalone Apps:X No connection to clinical providers or case managers. X No coordination with peer mentors, support groups, or sponsors. X No way to track outcomes or provide value-based care data.What’s Needed Instead:✓ Integration with treatment teams to ensure alumni stay engaged post-discharge. ✓ A seamless referral system for alumni to re-enter care when needed. ✓ Connection to family & caregivers to create a supportive recovery ecosystem.An app should be one part of a larger, well-integrated alumni strategy.
Apps Don't Provide the Data Needed for Value Based CareWith behavioral health moving toward value-based care, providers must show measurable success in alumni engagement and relapse prevention But here’s the issue—most alumni apps don’t provide useful data that payers, referral partners, and treatment centers need to measure success.What’s Missing?X No tracking of relapse prevention efforts. X Limited data on alumni participation & engagement trends. X No outcome-based insights for payers or future program improvements.What’s Needed Instead:✓ Data tracking of check-ins, meeting attendance, and engagement levels. ✓ Measurable impact reporting that helps providers secure value-based contracts. ✓ Predictive analytics that assess risk factors and support early intervention.If your alumni program isn’t tracking outcomes, it’s missing a key opportunity to prove long-term treatment success.
Takeaways
If you are relying on just an app for your alumni program, you are likely missing the big picture.
Ask yourself:❓ Does your alumni program actively keep former patients engaged? ❓ Can it detect when someone is at risk and intervene in real time? ❓ Does it provide real human support, not just self-help content? ❓ Is it integrated with the larger recovery ecosystem? ❓ Can you measure success and prove long-term impact?
If you answered “no” to any of these questions, it’s time to rethink your alumni strategy.About the AuthorCarolyn is a seasoned technology entrepreneur with four successful start-ups in the conferencing and collaboration industry, and founder of Convey Services, a cloud-based content and marketing portal network. Now, she’s committed to supporting families facing substance misuse and addiction through Pathroot, an innovative platform offering resources, community connections, and overdose detection solutions.
See how Pathroot Health can help you automate and transform your alumni programGet in touch ».
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Behavioral Health Providers Can’t Afford to Ignore Value-Based Care in 2025
The healthcare industry is moving away from fee-for-service (FFS) and toward value-based care (VBC) with behavioral health providers no longer being able to afford to sit on the sidelines. In 2025, ignoring VBC could mean fewer referrals, lower reimbursement rates, and lost opportunities for ...
The healthcare industry is moving away from fee-for-service (FFS) and toward value-based care (VBC) with behavioral health providers no longer being able to afford to sit on the sidelines. In 2025, ignoring VBC could mean fewer referrals, lower reimbursement rates, and lost opportunities for growth.
With payers demanding measurable outcomes, patient engagement, and data-driven care, providers who fail to adapt risk being left behind. Here’s why the shift is happening—and five key reasons why ignoring VBC is a major risk in the year ahead.What’s driving the shift to value-based care?The transition to VBC is happening across healthcare, but behavioral health is now at the forefront. Here’s why:
A Rising Demand for Mental Health & Addiction ServicesWith mental health concerns at an all-time high, payers want to ensure that resources go to providers who can demonstrate effective, long-term results.Payers Want a Better ROIInsurance companies, employers, and government programs are prioritizing cost-effective care that reduces hospitalizations, emergency visits, and relapses.Focus on Whole-Person CareBehavioral health is increasingly recognized as a critical piece of overall health. VBC aligns mental health treatment with broader healthcare initiatives, making integration with primary care more common.Technology is Making Outcome Tracking EasierWith EHR systems, AI-powered monitoring, and digital health tools, providers can now track patient progress in real-time—giving payers the data they need to reward quality care.Policy and Regulatory PressureGovernment programs like Medicare and Medicaid are leading the push toward value-based models, meaning providers who don’t adapt may struggle to secure contracts and reimbursement.
What are the key risks in not using a value-based care approach?
Struggles with Regulatory & Accreditation ComplianceMany state and federal programs are moving away from FFS reimbursement. Providers who don’t implement data tracking, outcome measurement, and patient engagement strategies may struggle to meet new accreditation or payer requirements.
Patient Retention & Engagement ChallengesVBC incentivizes long-term patient engagement, rewarding providers who keep patients involved in treatment. Ignoring this shift means missing out on new tools and strategies that improve patient retention, adherence, and satisfaction.
The Risk of Long-Term Business SustainabilityAs VBC becomes the norm, programs and practices relying on traditional FFS models will become less competitive. Behavioral health providers who don’t invest in technology, outcome tracking, and patient engagement could see revenue decline over time.Decreased Referrals & PartnershipsTreatment centers, primary care providers, and hospitals are aligning with value-based networks. If your practice isn’t ready, you may lose referrals to competitors who can show better patient outcomes and engagement.Lower Reimbursement and Fewer ContractsPayers are shifting dollars toward providers who track outcomes and demonstrate success. Without VBC readiness, behavioral health organizations may see declining reimbursement rates or struggles securing new contracts.How do you prepare for value-based care?Behavioral health providers don’t need to overhaul their entire model overnight—but taking steps now will set you up for success.
Start Tracking Patient OutcomesUse standardized tools like PHQ-9 (depression), GAD-7 (anxiety), or ASAM criteria (addiction recovery).
Invest in Digital Engagement ToolsImplement EHRs, mobile check-ins, and telehealth to improve tracking and care coordination.
Build Relationships with Payers & Referral PartnerAlign with insurers and health systems that prioritize value-based care.
Train Your Team on VBC Metrics & ProcesseEnsure staff understands how to track, report, and improve patient outcomes to meet payer expectations.Takeaway
The shift to value-based care isn’t a passing trend—it’s the future of behavioral health reimbursement. Providers who ignore VBC in 2025 risk falling behind in funding, referrals, and long-term sustainability.
By tracking patient outcomes, investing in engagement tools, and aligning with payer priorities, behavioral health providers can stay competitive, improve care quality, and secure financial stability in the years ahead.
The question isn’t if value-based care will take over behavioral health—it’s how soon you’ll be ready to thrive in it.About the AuthorCarolyn Bradfield is the CEO of Pathroot Health, leading the charge in helping providers implement a value-based care and technology-driven recovery support strategy. A seasoned entrepreneur, she has founded four successful technology companies in conferencing, collaboration, and cloud-based content platforms.
Her deep commitment to enabling individuals and their families to achieve long-term recovery began with the struggles of her husband and daughter leading her to found Phoenix Outdoor, a pioneering treatment program for adolescents and families facing substance use disorders. Now, through Pathroot Health, she’s empowering treatment programs to track and improve patient outcomes, engage by using technology to engage alumni and their families, and produce data-driven insights to strengthen recovery.
See how Pathroot Health can help you shift to a value-based care solution. Get in touch ».
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Which States Are Leading the Way in a Move to Value Based Care?
Behavioral health and addiction treatment is undergoing a significant shift. Instead of reimbursing providers solely based on the number of sessions they deliver, several states are beginning to implement value-based care (VBC). This new model rewards progress and measurable outcomes, focusing on ...
Behavioral health and addiction treatment is undergoing a significant shift. Instead of reimbursing providers solely based on the number of sessions they deliver, several states are beginning to implement value-based care (VBC). This new model rewards progress and measurable outcomes, focusing on results rather than just effort.
Several states have realized that fee-for-service models often lead to fragmented care, higher costs, and, most importantly, missed opportunities for lasting recovery. But now, states like Massachusetts, Texas, Oregon, California, and others are pioneering new approaches that focus on quality over quantity.
What is Value-Based Care in Healthcare?At its core, value-based healthcare delivers better patient outcomes while reducing costs. In the mental health and addiction treatment space, this means putting the patient's well-being front and center. Providers are incentivized to use proven and innovative strategies, such as measurement-based care tools, to track patient success and improve long-term recovery rates.What does this mean for providers, patients, and the future of behavioral health? Let’s examine how states are making value-based care a reality.Massachusetts: A Leader in Whole-Person Behavioral Health Care
Massachusetts has been ahead of the curve in integrating behavioral health into its healthcare system.
What’s Happening?Accountable Care Organizations (ACOs) are at the forefront. These networks of providers are paid based on patient outcomes rather than the number of services delivered. This change ensures a focus on performance-based outcome measures while addressing long-term recovery.Community health centers are stepping up. Centers like Whittier Street Health Center combine mental health, addiction treatment, and primary care services. This offers holistic support for patients and promotes outcome-based care.Massachusetts showcases how value-based healthcare can meet physical and mental health needs under one roof.Texas: Finding New Ways to Fund Behavioral Health Care
Texas faces different challenges than Massachussets, like a large rural population, limited access to care, and provider shortages. Still, innovation is alive and well in the Lone Star State regarding value-based care programs.
What’s Happening?Medicaid managed care models. Programs like STAR+PLUS align with value-based mental health care principles, keeping patients engaged and focus on improving measurable outcomes for mental health.Digital tools for mental health treatment. For example, the mobile app tested by UT Health San Antonio, used for opioid recovery, reduced substance use by 35% and extended treatment engagement times.Facilities expansion efforts. Texas Tech University Health Sciences Center is adding psychiatric care in the Permian Basin and plans to open a state-of-the-art hospital by 2026.Other States Making Big Moves in Value-Based Behavioral HealthMassachusetts and Texas are not alone in the push toward value-based care solutions. Several other states are also driving innovative behavioral health reforms.Oregon leverages Coordinated Care Organizations (CCOs) to combine mental health, addiction services, and primary care in one seamless system.California’s CalAIM initiative restructures Medi-Cal to prioritize long-term recovery through value-based payment models.North Carolina’s Medicaid reforms under the 1915(b)(c) Waiver Program focus on outcome-based progress measurements.Pennsylvania’s Medicaid programs now operate under performance-based contracts, rewarding providers for proven success rates in behavioral health recovery.What This Means for the Future of Behavioral HealthAs more states transition to value-based care models in behavioral health, the landscape is changing—for the better. By focusing on measurement-based care in mental health and leveraging measurement tools to track patient outcomes, providers can create long-lasting solutions.Better tracking of patient progress. Using tools to measure outcomes will become the standard empowering providers to demonstrate success and areas for improvement in real time.Growth of telehealth and digital tools. Engaging patients outside traditional settings is critical, as mobile and telehealth apps demonstrate they improve recovery and prevent relapse.Funding tied to measurable results. Programs that show higher engagement, lower relapse rates, and better outcomes will be financially rewarded.The Benefits of Value-Based CareThe benefits of value-based care are clear. Patients experience more comprehensive, results-driven treatment. Providers are incentivized to innovate and use measurement-based care tools to track progress. For the system as a whole, this means reduced costs and better outcomes.This shift answers critical questions like "What is value-based care in healthcare?" and "How can we achieve measurable outcomes for mental health?" by demonstrating that programs based on impact, not activity, are viable and scalable.The Value-Based Care StrategyStates are shifting to value-based care (VBC), tying funding to real patient progress instead of service volume. Massachusetts, Texas, Oregon, California, and Pennsylvania lead the way with integrated care, digital tools, and performance-based Medicaid models. Programs like Michigan’s Health Homes and West Virginia’s Quick Response Teams show how local solutions improve recovery. For providers, this isn’t the future—it’s happening now. To stay ahead, start tracking outcomes, using digital engagement, and aligning with payer expectations.About the AuthorCarolyn is a seasoned technology entrepreneur with four successful start-ups in the conferencing and collaboration industry, and founder of Convey Services, a cloud-based content and marketing portal network. Now, she’s committed to supporting families facing substance misuse and addiction through Pathroot, an innovative platform offering resources, community connections, and overdose detection solutions.
See how Pathroot Health can help you shift to a value-based care solution. Get in touch ».
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