I work with behavioral health organizations when systems become strained—during periods of growth, transition, acquisition, or instability.My role is to help owners and executive leaders identify where operations, culture, and compliance are misaligned, and to restore clarity, accountability, and trust without disrupting care.I’m often brought in when internal efforts have stalled, when leadership teams are carrying unspoken tension, or when risks are emerging that haven’t yet become failures.
Organizations typically reach out when:• Growth is outpacing operational or leadership capacity• A new site, acquisition, or expansion is straining systems• Census, culture, or financial performance is slipping• Compliance concerns are surfacing or practices feel misaligned• Leadership teams are working hard but not pulling in the same direction• Staff morale, trust, or accountability has eroded• Previous fixes haven’t heldThese are rarely single-issue problems. They are systems problems—and they require a systems approach.
How I work
I don’t advise from a distance.I work closely with owners, executive directors, and operational leaders to:• Diagnose where strain is actually coming from• Identify real risk—not just visible symptoms• Clarify roles, expectations, and accountability• Realign operations, culture, and compliance• Support leaders as changes are implementedMy approach is direct, grounded, and practical. The goal is not disruption—it’s stability, alignment, and forward movement.
Core Consulting Areas
Organizational Assessment & Stabilization
Identifying operational, cultural, and compliance risks and developing practical corrective strategies.Growth, Expansion & Transition Support
Supporting organizations through acquisitions, de-novo launches, leadership changes, and rapid growth.Compliance & Ethical Practice Realignment
Addressing documentation, billing, and practice-policy gaps while keeping operations functional and staff engaged.Leadership & Management Development
Coaching directors and managers inside real operational pressure—not theoretical training.
Clinical & Educational Services (Secondary)
In addition to consulting, I provide limited clinical and educational services that support organizational needs, including:Contract LADC services (groups and assessments)ASAM and substance use evaluationsClinical consultation and staff educationCPRS supervision and supportThese services support my consulting work and clinical credibility but are not the primary focus of my practice.
About
I am a Licensed Alcohol and Drug Counselor with nearly 20 years of experience in behavioral health leadership, operations, and program development.Throughout my career, I have been repeatedly asked to step into complex situations—unionized programs, post-acquisition environments, de-novo startups, struggling high-impact facilities—where trust was low, systems were strained, and the path forward was unclear.I specialize in helping organizations regain alignment under pressure.
Steve Lefkowich, LADC
Principal Consultant – Behavioral Health Operations & Compliance612.703.1174
[email protected]