Contribute to the 2026 Q1 Briefing

We're conducting confidential interviews with behavioral health leaders about how you're preparing for Medicaid cuts and managing operational pressures. Share your strategies in a 25-minute conversation, and you'll receive comprehensive findings from all participating executives in February—including peer benchmarking and actionable insights you can implement immediately.

Book Your Interview

This is peer-to-peer knowledge sharing, not a sales conversation. Your insights help the entire community prepare better, and you'll receive the complete briefing summarizing what leaders across the country are doing right now.

Why Our Recent Focus on Behavioral Health Organizations

Right now, behavioral health organizations are getting hit by workforce shortages, documentation overload, and constant policy disruption all at once. And it’ll get worse throughout 2026.

  • Wild Swings in Healthcare Policy

    What used to be modest adjustments are now radical shifts that make planning nearly impossible. Funding you counted on can vanish overnight.

  • Soaring Demand for Services

    More people are seeking help. The need isn't leveling off—it's accelerating, putting immense pressure on existing staff.

  • Your Workforce is Burning Out

    Clinicians came into this field to help people. Instead, they're drowning in paperwork. They're leaving faster than you can replace them.

When these three forces hit at the same time, organizations reach a breaking point. You're trying to plan when you can't predict what's coming. You're losing your best people. And more people need your help than ever before.

This isn't just business for us. It's personal. We've both seen how the right support at the right time changes everything—in our own families and communities. We believe behavioral health is as essential as roads and power grids. And we believe you deserve partners who see your work that way, not vendors who just see another market.

We're focusing here now because the organizations that survive this moment will be the ones that can adapt to constant disruption. And after 60 combined years navigating every major transformation while helping teams put out fires, we know how to help you do that.

Who We Are

Experience That Spans Industries and Roles

We've worked with Fortune 500 companies and mission-driven nonprofits with 100-1,200 employees. We've sat in every seat: internal executives, external consultants, industry advisors.

We understand both the strategic pressure you're under and the practical realities your teams face daily. This dual perspective allows us to bridge the gap between boardroom vision and frontline execution.

60+

Combined Years

Guiding organizations through strategy-blocking problems

7

Major Tech Shifts

The PC revolution, the internet, Y2K, ERP, cloud, mobile, and now AI.

100%

People-First

When people succeed first, transformations succeed.

Meet Our Partners

Jenny Trautman

Jenny combines engineering thinking with operational expertise to get groups on the same page. For 30+ years, she's connected systems, aligned competing teams, and helped leaders see clearly what's slowing them down.

  • My path from semiconductor engineer to corporate executive taught me something: the biggest challenge in improving how organizations operate isn't technology. It's getting everyone on the same page.

    For more than 30 years, I've helped organizations fix what's broken: connecting systems and work processes, removing bottlenecks, getting teams aligned on priorities, and making decisions instead of avoiding them.

    I've implemented integrated systems in the semiconductor and media industries. Aligned technology operations at 26 decentralized newspapers. Brought competing media companies together for an industry solution. Led enterprise system implementations across organizations where departments barely talked to each other. The pattern you get: groups who don't naturally agree, on the same page and working together.

    Since founding Same Page People, I've worked with nonprofits—many providing behavioral health services. I've facilitated strategic and operational planning, led executive decision-making, and helped teams improve operations. Before that, I served on nonprofit boards for a decade, making the hard calls about programs, funding, and staffing when money is tight.

    I grew up in a family where brilliant, caring people struggled without access to behavioral health services. And in my work, I've watched intervention and support transform lives.

    You know what it's like when your systems don't match how your people work. When departments can't coordinate because everyone's pulling in different directions. When you need to implement something new but can't get everyone aligned on what or how.

    That's where engineering thinking meets business operations. I help leadership teams see clearly what's slowing them down and decide how to fix it.

    Based in Atlanta, I serve clients nationally. When I'm not working, I teach couture sewing. Turns out precision and problem-solving work the same way whether you're tailoring a jacket or transforming an organization.

Stephanie Fleming

  • I help organizations make changes that actually last.

    After 30+ years working with nonprofits and Fortune 500 companies, here's what I've learned: change efforts don't fail because teams can't do the work. They fail because real obstacles stay hidden. I work with leaders to uncover what's blocking progress, improve how teams work together, and build the adaptability to sustain new ways of working.

    I watched my sister-in-law struggle with alcohol addiction and supported my husband through the grief and damage that affected his entire family. And I've seen how this crisis plays out in my city: mental health, homelessness, and barriers to care intersecting daily.

    I was also an early investor and advisor to Credible, a behavioral health EHR company acquired by Qualifacts in 2020. That experience showed me the unique pressures behavioral health organizations face: documentation requirements that don't match clinical reality, different funding sources with different rules, systems that create work instead of reducing it.

    Right now, you're facing pressure to adopt new technology, fill open positions, and transform operations—all at once. That's exactly when the human side of change matters most.

    Twenty years ago, I resigned from a senior VP role. Success without purpose wasn't enough. I brought my Fortune 500 leadership experience to help 140+ competing utility companies agree on one shared plan and follow through, achieving results that exceeded their goals. There were organizations with more power than others, competing priorities, different business objectives, and a deep rural/urban divide. Success took truly understanding what people needed, bridging their differences, and changing how we all worked together. That rare combination—Fortune 500 strategic leadership paired with deep expertise in getting teams through major changes—helps organizations achieve what's hardest: real teams where everyone speaks up, solves problems together, and gets the things that matter done. Even when everything keeps shifting.

    Based in Portland, I serve organizations nationally. I volunteer with the Oregon Organization Development Network's Community Consulting Projects, helping nonprofit leaders work through the strategic problems that keep them up at night.

Stephanie brings Fortune 500 leadership and expertise in leading teams through change. She surfaces the obstacles that derail progress and builds adaptive teams that deliver—even when everything around them keeps shifting.