Case Studies
Advancing Complex Public Systems into Practical Solutions
We partner with health systems, state agencies, and community organizations to design, fund, and scale solutions at the intersection of housing, behavioral health, and public policy. Please explore the following case studies:
Health & Housing Partnership Toolkit
Community Health Network of Washington
What we did
Developed a Washington-specific toolkit that helps community health centers build effective housing partnerships.
Why it matters
Housing instability drives poor health outcomes. This toolkit turns complex systems and funding pathways into clear, actionable guidance.
Results
Statewide distribution to 21 federally qualified health centers, accelerating health–housing collaboration across Washington.
Services and Capabilities
System Assessment · Stakeholder Engagement · Toolkit Development
For More Information – Please visit the CHNW website
Legislative Master Plan Study — Rising Strong West
Statewide Replication & Capital Planning
What we did
Created a replication and funding blueprint for expanding a proven family-centered treatment and housing model to Western Washington.
Why it matters
Keeping families together improves recovery outcomes and prevents foster care placement.
Results
Directly supported a successful $13.4M capital funding request included in the Governor’s 2023 budget.
Services and Capabilities
Master Planning · Financial Modeling · Cross-Agency Convening
Note: This report was commissioned by the Department of Commerce through a contract with the Catholic Community Services pursuant to section 1031, chapter 296, Laws of 2022 as passed by the Washington State Legislature. Principle Allies served as the subcontractor selected by Catholic Community Services to produce the report. The Department of Commerce offers no general endorsement of the report or its contents.
Download the report directly, or view DOC legislative reports: Reports & Publications – Washington State Department of Commerce
Substance Use Disorder Organizational Development Assessment
Harborview Behavioral Health Institute in collaboration with the Health Care Authority
What we did
This project had three phases. The first was to identify gaps in quality, the second to develop curriculum to advance gaps in knowledge, and the third to help organizations advance quality. The team designed a training for front line staff and an assessment for leadership designed to identify operational gaps and target workforce quality initiatives to advance quality.
Why it matters
SUD providers face staffing, credentialing, and infrastructure barriers that limit quality and sustainability.
Results
A scalable assessment tool now used to guide training strategies, program development, and quality improvement statewide.
Services and Capabilities
Organizational Assessment · Workforce Strategy · Pilot Design
For More Information – Please visit
- Current SODA tool
- Related project trainings – UW BHI Training
Legislative Analysis — Bridging Health & Housing for People with Complex Service Needs
Department of Health and Human Services
What we did
Led a comprehensive gap analysis of Washington’s housing and health care systems for people with complex needs, informing statewide strategies to expand capacity, improve transitions from acute care, and enhance access to tailored services.
Why it matters
28% of adults experiencing homelessness have significant medical or behavioral health needs, and hospitals report hundreds of patients ready for discharge with no appropriate community placement available.
Results
The cross-sector state agency team, service providers, and persons with lived experience identified systemic gaps across care coordination, housing services, discharge transitions, and workforce capacity. The team then developed targeted recommendations to strengthen assessments, expand supportive housing capacity, standardize case coordination, and improve Medicaid-aligned services
Services and Capabilities
Gap Analysis · Policy-Aligned Recommendations · Systems Integration · Health-Housing Continuum
For More Information – Please visit DSHS Gap Analysis
Assessing System Readiness for Integrated SUD Care
Washington State Health Care Authority
What we did
Conducted a statewide environmental scan and readiness assessment to support Medicaid payment reform for integrated SUD care.
Why it matters
Whole-person care requires alignment across medical, behavioral health, and social services.
Results
Findings informed Washington’s Roadmap to Recovery and continue to shape cross-agency implementation.
Services and Capabilities
Environmental Scans · Data Analysis · Policy-Informed Strategy
For More Information Please visit the ADAI website