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Improving Systems through Collaboration: Top Down or Bottom Up? Both!

National Center on Substance Abuse and Child Welfare

Date: July 14, 2022 | Length: 1:28:34

Features NCSACW staff along with professionals from two of NCSACW’s specialized technical assistance programs: In-Depth Technical Assistance (IDTA) and Regional Partnership Grant (RPG). The panel discussed the lessons and successes of change implementation. The discussion focused on how sustaining system-level change: 1) maximizes implementation efforts, and 2) ensures programs remain effectively and equitably delivered and sustained—from the top down and bottom up.


  • - Teri Kook, Senior Program Associate, NCSACW
  • - Claudia Alvarez-Valber, Senior Program Associate, NCSACW
  • - Silvia Quintana, Chief Executive Officer, Broward Behavioral Health Coalition, Inc.
  • - Skye Maine Cleek, Project Director, Broward Behavioral Health Coalition, Inc.
  • - Teresa Stephenson, Senior Director, Adult and Family-Centered Substance Use Treatment and Recovery Services
  • - Tayvon Lewis, Cross-Systems Coordinator, Oklahoma State University
  • - Tammy Williams, Hope Ambassador, Oklahoma Department of Human Services
  • - Barbara O’Brien, Director, Oklahoma Perinatal Quality Improvement Collaborative

Topic(s): Building Collaborative Capacity

Section: Related Online Training, Videos, and Webinars

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Substance Use and Mental Health Treatment Locator

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To locate general treatment services, visit the Substance Abuse and Mental Health Services Administration’s (SAMHSA’s) Treatment Locator online or call 1-800-662-4357 (HELP). This service provides referrals to local treatment facilities, support groups, and community-based organizations. It is a free, confidential, 24-hour-a-day, 365-day-a year information service, in English and Spanish, for individuals and family members needing treatment for a mental and/or substance use disorder.

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If you suspect that a child has been harmed or is at risk of being harmed by abuse or neglect, call the National Child Abuse Hotline at Call the National Child Abuse Hotline at 1-800-422-4453. Serving the United States and Canada, the hotline is staffed 24 hours a day, 7 days a week with professional crisis counselors who—through interpreters—provide assistance in over 170 languages. All calls, texts, and chats are confidential. If you believe a child is in immediate danger of harm, call 911 first.

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The National Center on Substance Abuse and Child Welfare offers free technical assistance to a variety of systems on making policy and practice changes to improve outcomes for families affected by substance use disorders and involvement with child welfare services. To learn more about technical assistance services or if you have a question please email NCSACW at or call toll-free at 1–866–493–2758.

National Center on Substance Abuse and Child Welfare