The Four Pillars of CCARA
CCARA's Mission
To create the nation’s first true “on‑demand” addiction treatment system by guaranteeing universal access to treatment when an individual presents a need — and eliminating waiting lists where Californians die waiting for care.
Why the Four Pillars Matter
These pillars guide CCARA’s policy priorities and legislative advocacy. They address the root causes of treatment delays, workforce shortages, and systemic inequities — and they outline a path toward a more effective and compassionate recovery system.
Explore the Four Pillars
CCARA's Mission
California’s addiction treatment system is fragmented and under‑resourced. CCARA’s mission is to build a unified, accessible, and equitable system that meets the needs of all Californians.
Pillar 1: Physical Capacity
Issue: California lacks capacity to provide addiction treatment and restricts local access.
Pillar: Expand physical capacity through the California Comprehensive Addiction Recovery Act.
Pillar 2: Workforce Capacity
Issue: Workforce roadblocks cripple addiction treatment providers.
Pillar: Expand and support the treatment workforce.
Pillar 3: Workforce Professionalization
Issue: The addiction profession lacks licensure for private practice.
Pillar: Professionalize and license the workforce to improve quality and access.
Pillar 4: Payment Reform & Stigma Reduction
Issue: Payment systems lack accountability, and stigma prevents support for treatment and recovery.
Pillar: Reform payment systems and reduce stigma through policy and education.
Pillar 1: Physical Capacity
California lacks sufficient treatment capacity and restricts local access. CCARA advocates for expanding the continuum of care through the California Comprehensive Addiction Recovery Act.
Pillar 2: Workforce Capacity
Workforce shortages and barriers cripple treatment providers. CCARA supports workforce expansion, training, and retention efforts.
Pillar 3: Workforce Professionalization
The addiction profession lacks licensure for private practice. CCARA promotes professionalization and credentialing reform.
Pillar 4: Payment Reform & Stigma Reduction
Payment systems lack accountability, and stigma prevents support for treatment. CCARA pushes for payment reform and stigma‑reducing policies.

A Path Toward a Stronger Recovery System
California’s addiction treatment system faces significant challenges — from long wait times and workforce shortages to inconsistent funding and widespread stigma. CCARA’s Four Pillars provide a roadmap for addressing these issues through policy, advocacy, and collaboration.
By expanding capacity, strengthening the workforce, professionalizing the field, and reforming payment systems, CCARA aims to build a treatment system that is responsive, equitable, and accessible to all Californians.
Get In Touch
Call
(800) 564-5927
Address
2400 Marconi Ave., Ste. C, Sacramento, CA 95821
Hours
Mon - Fri: 8:00 am - 5:00 pm