In this episode of Fostering Solutions, Dr. Michelle Foster speaks with Dr. Jake VanHorn, Chief Program Officer at Cabin Creek Health Systems, about what it means to hold the mission together when uncertainty looms. Dr. VanHorn received his Doctor of Clinical Psychology from Marshall University, where he developed a passion for working in communities that face systemic barriers to care. Since joining Cabin Creek Health Systems in 2017 as a Behavioral Health Provider, he has helped lead the organization’s efforts to develop systems of care that decrease barriers, increase access, and improve patient outcomes. Believing that “good healthcare does not happen in a silo, but as part of a community that meets people where they are,” Dr. VanHorn champions a “no wrong door” approach—linking healthcare providers, behavioral health professionals, and community partners to ensure comprehensive and compassionate care. His professional interests include developing models of care that support community integration into the healthcare system, behavioral health as public health, program development, advocacy, and organizational structure. In this conversation, Dr. VanHorn shares how thoughtful leadership, collaboration, and a deep commitment to community well-being guide his work at Cabin Creek. Together, we explore how leaders can stay grounded in mission, even in the face of uncertainty—and how cross-sector partnerships can strengthen both systems and the people they serve.