Strategy and implementation across the full continuum of care.
Gatespring is a North Carolina–based consulting, training, and implementation practice for substance use, recovery systems, and community-based response. We work with counties, health systems, coalitions, and nonprofits, turning evidence, funding, and policy into systems that hold.
National-level training and curriculum design. Local systems implementation. Both, in the same hands.
We work at a dual vantage point: designing learning architecture that scales across networks, and walking alongside single counties and health systems through the everyday work of implementation. The result is consulting and training informed by real field experience, not theory translated downstream.
Strategy & settlement implementation
Decisions that hold up over time, from opioid-settlement strategy to MOUD expansion to recovery-oriented systems change.
Learning academies & curriculum
Sequenced learning pathways, course catalogs and academies, and curricula across clinical, policy, ethics, and leadership topics.
Clinical & practice training
Advanced, field-informed training delivered live and asynchronously for clinicians, peers, leadership, and community partners.
Technical assistance
Embedded support for the conditions that let evidence take hold: workflow redesign, peer integration, and quality improvement.
Strategy facilitation
Designed sessions for boards, leadership teams, and cross-sector coalitions making consequential funding and structure decisions.
Workforce & community capacity
The people side of substance use response: peer workforce design, supervision structures, and lasting community capacity.
Across the continuum. Across the system. Across complexity.
Substance use response is not one job. It runs the length of a continuum, climbs through every level of a system, and plays out in the hardest environments a community has. Most firms occupy a single slice. We work fluently across all three, which is what lets strategy survive contact with the field.
Range is the point. The hard problems live in the gaps between the slices.
Designed for the realities of the field.
Field-informed, not theory-translated
Our work draws on direct experience in opioid treatment, recovery systems, and public health, not on translating someone else's framework downstream.
Strategy and execution in the same hands
We help leaders make decisions and help teams carry them out. Strategic thinking and credible execution are not split across vendors.
Built to last past the engagement
We design learning architecture, supervision structures, and decision frameworks that leave organizations more capable after our work ends.
Equity made explicit
Substance use response demands attention to who is reached, who is missed, and why. We make those questions explicit in design and measurement.
Credibility earned across the field.
SAMHSA Opioid Response Network
Consultant delivering training and technical assistance to communities nationwide.
Opioid settlement lead
Lead coordinator for Rutherford County's opioid-settlement strategy and implementation.
NC State University
Developed substance use curricula for the School of Social Work.
Rx Summit & AATOD faculty
Presenter at the field's leading national conferences on opioids and treatment.
MSW, LCAS, CSI
Licensed clinical and operational expertise grounding every engagement.
State association leadership
Past Vice-Chair, NC Association for the Treatment of Opioid Dependence; Finance Chair, Addiction Professionals of NC.
Scott Luetgenau
Scott founded Gatespring to do this work the way it ought to be done, with strategy and implementation in the same hands and grounded in real field experience.
He has held operational leadership in opioid treatment, delivered national training and consultation through SAMHSA's Opioid Response Network, and now coordinates county-level opioid-settlement strategy alongside curriculum and academy design for organizations across the country.
His training portfolio spans Acceptance & Commitment Therapy, Motivational Interviewing, MOUD, harm reduction, ethics, trauma-informed practice, coalition-building, leadership, and quality improvement, designed as sequenced pathways rather than standalone workshops.
Scott has been a tremendous champion of Rutherford County, an exceptional community convener, and a critical partner as lead project manager for the County's nationally litigated opioid settlement funds. He brings subject-matter expertise, vision, and trust to every meeting and collaborative he engages.
Scott and his team at Gatespring exuded professionalism. They were responsive, prompt, and exceeded expectations. Scott is extremely knowledgeable and a true strategist on the difficult subject of workforce retention. The work will have a major impact in our health centers across Indiana.
What the practice looks like in the field.
Transfer Center
OTP Innovations Video Series
Curriculum development and on-camera subject-matter expertise for a national video series on innovations in Opioid Treatment Programs, distributed to clinicians and program leaders nationwide.
Response Network
NM Correctional MOUD Collaborative
Designed a 10–12 month learning collaborative for New Mexico jail and detention staff on Medication for Opioid Use Disorder, spanning screening, protocols, overdose prevention, peer support, and evaluation.
Care Association
Statewide Workforce Burnout Initiative
Built and delivered a statewide initiative on workforce retention and burnout for Indiana's community health centers, shaped to be sustained beyond the engagement.
Opioid Settlement Coordination
Lead project manager translating nationally litigated settlement dollars into long-term, recovery-oriented county capacity, convening stakeholders across health, justice, and community sectors.
Tell us about the work.
Whether you are shaping settlement strategy, designing a learning academy, expanding MOUD access, or working through the next phase of recovery-oriented system change, we would like to hear what you are building.