In the tenth installment of the 2026 RECADEMY 12-part series, Kim Caudill, Senior Clinical Pharmacist/Director of Quality and Accreditations at St. Matthews Specialty Pharmacy, and David Hayden, Senior Vice President of Clinical Services at Spero Health, will draw from their partnership experience to explore how they adapted care delivery to the realities of rural Kentucky.
Using one patient’s care journey as a case study, they will examine the barriers that can make it difficult for individuals in rural communities to access and remain engaged in OUD treatment, and how coordination between a treatment provider and specialty pharmacy can help address those gaps. They will also share how their partnership has evolved over time, including a volume associated with this treatment model increased 60% over two years.
Speakers

Kim Caudill
Senior Clinical Pharmacist / Director of Quality and Accreditations, St. Matthews Specialty Pharmacy
Biography
Kim Caudill
Senior Clinical Pharmacist / Director of Quality and Accreditations,
St. Matthews Specialty Pharmacy

David Hayden
Senior Vice President of Clinical Services, Spero Health
Biography

Stuart Buttlaire
Vice President Of Clinical Excellence & Leadership
info@openminds.com
717-334-1329
Gettysburg, Pennsylvania
Expertise
Strategic planning for mental health and substance use delivery systems
Integrated behavioral health system design
Behavioral health financing and policy reform and state and federal legislative and regulatory strategy
Measurement-based care and clinical performance management
Behavioral health policy authorship and thought leadership
Highlights
Regional Director of Behavioral Health and Addiction Medicine, Kaiser Permanente
Board President, Institute for Behavioral Health Improvement
Board Member, NAMI California
Advisor on Medicaid and Medicare behavioral health programs
Biography
Stuart Buttlaire brings over 35 years of executive, clinical, and policy experience to OPEN MINDS. Dr. Buttlaire has experience in both the public and private sectors of healthcare providing leadership and direction in healthcare delivery. His career has focused on advancing integrated behavioral health and addiction medicine through strategic innovation, system redesign, quality improvement, and sustainable policy reform.
Previously, Dr. Buttlaire was the Regional Director of Behavioral Health and Addiction Medicine for Kaiser Permanente. In this role, Dr. oversaw a $200 million portfolio serving 4.6 million members across 23 emergency departments and 33 medical centers. He led development and operations across inpatient, ambulatory, emergency, call center, and contracted community services, supporting more than 2,500 mental health and substance use disorder providers. His leadership resulted in significant system transformation grounded in person-centered, measurement-based, and integrated care models. Dr. Buttlaire was also the lead Mental Health Representative for State Program Initiatives, including Medicaid (Medi-Cal) and Medicare. He pioneered the design and implementation of two psychiatric inpatient units, including a nationally recognized medical/psychiatric unit for individuals with complex co-morbidities. Additional innovations include integrated urgent services for youth and adults, intensive outpatient programs, multi-family group treatments for severe psychiatric conditions, and a mobile app for eating disorders that earned Kaiser’s Innovation Award.
Dr. Buttlaire is a widely respected advisor on behavioral health policy, legislation, and regulatory strategy. He has worked closely with state and federal agencies on issues of parity enforcement, financing reform, Medicaid redesign, and systems integration. He currently serves as Board President of the Institute for Behavioral Health Improvement, is a Board Member of NAMI California, and sits on the California Hospital Association Behavioral Health Advisory Board. He previously chaired the Behavioral Health Section of the American Hospital Association and was appointed to the AHA Regional Policy Board for the Western U.S.
As a frequent speaker and author, Dr. Buttlaire has published articles and research papers on behavioral health integration, suicide prevention, financing, and policy reform. His work continues to shape strategic direction for public and private behavioral health systems across the country.
Dr. Buttlaire holds a Ph.D. in Clinical Psychology from the California Institute of Integral Studies, an MBA with a concentration in Health Care Management and Finance from UC Irvine’s Paul Merage School of Business, a Master’s in Counseling Psychology from Humboldt State, and a B.A. in Psychology and Political Science from the University of Colorado.
What You’ll Learn:
- The key differences between treating patients in rural vs. urban settings
- How Spero Health and St. Matthews Pharmacy increased patient retention through a partnership serving patients in rural areas
- A real-life example of how one individual in rural Kentucky benefited from a care pathway designed specifically for his life
- Best practices for how your organization can apply SUD/OUD treatment access in rural areas

