PowderHorn Consulting staff represents a wide range of health and human services experience, and spans the US and Canada in service locations. Our team of consultants, with over 150 years of experience, has a proven record of accomplishment of certification achievement. Let us add you to our success rate.


Tom Sefcik brings his knowledge of both sides of the CARF accreditation process to PowderHorn Consulting clients. As a CARF surveyor, Tom provided accreditation services in the roles of an administrative and program surveyor for behavioral health, opioid treatment programs, juvenile justice, and children and youth services in the United States and Canada. On the client side, he served as Chief Operating Officer for a nationally recognized benefits management organization that provides services to persons with autism spectrum disorders.

Previously, he was executive director of several behavioral healthcare organizations that provided services to over 3,500 persons. Tom delivered services as a clinician in emergency response, inpatient services, outpatient treatment for child, youth, adult, family and group therapy, and community and business development. He has served in the roles of director of a variety of individual clinical programs as well as clinical director of behavioral healthcare organizations.

Tom received his Masters of Social Work degree from Tulane University in New Orleans with an emphasis in clinical services, specializing in child/youth/family services. He also holds a Masters of Business Administration from Indiana University with an emphasis in marketing and information technology.


Dwight Sperry has over 39 years’ of experience in the provision of mental health services, including the private and public sectors. Licensed as an Independent Psychological Examiner (AR), and a Licensed Professional Counselor (TX), he has 15 years of experience surveying for the State of Arkansas Division of Behavioral Health Services, followed by twelve years of experience as a CARF surveyor. He volunteered on multiple community boards, and served three terms on the Texarkana, Arkansas School Board. The Arkansas Governor appointed him to the Arkansas Psychology Board and the Arkansas Child Abuse and Neglect Prevention Board. He received his Master’s Degree from Texas Christian University in Community Psychology and a Bachelor’s Degree in Psychology from Vanderbilt University.



STEVEN SHEARDSteve received his Master of Arts degree in Clinical Psychology from George Mason University with an emphasis on child and adolescent services.  He received his Bachelor of Arts degree in Psychology from George Mason as well.  Steve has over 31 years of experience providing and managing mental health and substance abuse programs.  He has worked in residential treatment, day treatment, and co-occurring (MH/SA) treatment programs.  Steve served as the Site Director for Fairfax County’s largest outpatient mental health treatment center, where over 60,000 face-to-face outpatient and 12,000 emergency services/crisis interventions were provided annually.  Steve has extensive experience with inter-agency collaboration, including Wrap-around Services and Systems of Care initiatives.  He is experienced in public-private partnership and provided key leadership in establishing unique programming for community-based crisis intervention.  Steve served as the Virginia Community Services Boards’ representative to the Virginia Interdepartmental Regulatory Authority, providing input to state-wide policy formation.Steve has been an active CARF surveyor since March 2006.  He has surveyed in a wide variety of programs and populations in the Behavioral Health array of services.  Steve is committed to a consultative approach and enjoys sharing the many different right ways to do things he has seen while surveying across the United States and Canada.


MyriamMyriam Forster has been involved in several school and community level research studies with expertise in data collection, survey design, data management, program evaluation and project management. Myriam’s academic training and interest center on adolescent trauma and risk behavior; substance abuse, violence perpetration/ victimization, and risky sexual behavior.  Myriam has conducted outcome evaluation studies for several community based substance use and behavioral health programs and has authored or co-authored papers that examine addiction specificity and co-occurrence, violence victimization, and substance use. Myriam has a Master of Public Health (MPH) degree with an emphasis in health education and child and youth services. She earned a PhD in Preventive Medicine from the University of Southern California, Keck School of Medicine.  Myriam is currently conducting research that (i) investigates the effect of sociocultural and community stressors on access to, and utilization of, prevention and intervention services, and (ii) the interplay between risk and protective factors across contexts that can advance the development of evidence-based programs implemented in community care settings.


KEVIN ROBERTSONKevin comes to PowderHorn Consulting with over 20 years executive level experience in residentially-based dual diagnosis treatment programs. He served as Executive Director for Keystone/Broad Horizons, a JCAHO accredited 40 bed residential program in San Diego before becoming Director of Campus Programs and Business Development at San Diego Center for Children, a 72 bed residential program serving children and adolescents.

Most recently, Kevin has served as Director of Compliance at New Method Wellness, maintaining CARF accreditation and licensing compliance for the adult recovery program. For PHC, Kevin specializes in accreditation and licensure consult to organizations and programs throughout California. Kevin holds a Bachelor of Arts degree from UCLA, and his MBA from National University.



R. SCOTT GRAHAMScott Graham brings experience from the service side for many years and the CARF surveyor perspective for ten years to PowderHorn Consulting clients. He most recently served as the Director of Quality Improvement for Riverside Health, Inc., a start-up, Medicaid managed care company in Maryland. Prior to that position, he worked at Criterion Healthcare, Inc., a nationally renowned healthcare consulting firm. Scott is the author of numerous articles and book chapters ranging in content from vocational rehabilitation services for people with psychiatric disabilities to marketing in a non-profit setting. He presents at dozens of conferences on a wide variety of themes and is co-author of a recently released management book, The No Money Manager and the author of Principled Leadership: A Training Guide. Scott has a long history of involvement in social causes. In 1977, he became Executive Director of Boley Manor, at that time a psychiatric halfway house, in St. Petersburg, Florida. He expanded the operations of Boley to provide a complete array of community support for people with psychiatric disabilities. In 1983, Revisions, Inc. in Catonsville, Maryland named Scott as the founding Chief Executive Officer and he built it from a starting budget of $50,000 to revenues of over $9 million a year. In 2004, Mr. Graham accounted for a cash turnaround of $700,000 during his tenure as CEO of Family Service Foundation, headquartered in Landover Hills. Afterwards he served as CEO at Valley HealthCare Center in Morgantown, and then moved to Criterion. Scott served as President of the Community Behavioral Health Association of Maryland and of the International Association of Psychiatric Rehabilitation Services.


Laurie Reid has over 18 years of experience serving individuals, families and communities in the behavioral healthcare field. After her service to her country, Laurie earned a B.S. degree with a major in Sociology from Wichita State University, and an M.S. degree in Marriage and Family Therapy from Friends University. In addition, she is a Certified Addictions Professional, a Licensed Marriage and Family Therapist, Life Coach, Mental Health First Aid facilitator by the National Council for Behavioral Health and Certified Recovery Educator from the Copeland Center for Wellness and Recovery.

Also, she is an expert in quality assurance, clinical processes, clinical documentation, as well as specialized Medicaid documentation regulations and often provides consultation to agencies seeking state licensing and accreditation with The Joint Commission or CARF. One of her most visible and well defined talents is her ability to clearly communicate clinical issues to administration, and to clearly communicate administrative issues to clinicians.

In 2011, Laurie received the prestigest award honored to a clinician, Direct Service Provider of the Year by the Florida Council on Community Behavioral Health in recognition for her outstanding professional contributions and innovations to the field of mental health care.


STEPHEN O. AMUSALAStephen Amusala has over 16 years’ of experience in the human service sector serving in various capacities including direct care, client service management and executive leadership. He has provided CARF accreditation expertise in more than 30 States in the USA, and several Provinces in Canada as the administrative surveyor for employment and community services, behavioral health and aging services standards. He also served as a program surveyor in the areas of community housing, community inclusion, respite services, support for persons with autism spectrum disorders and a host of family services under the employment and community services standards. He mentors organizations that are preparing for CARF accreditation surveys on Vancouver Island in British Columbia. As a technical consultant for British Columbia Ambulance Service, Stephen worked on quality standards-related projects ranging from field studies and comparative analysis of response times for paramedics across the province; redesign of the online presentation format of the Ambulance Service Field Operations Policy and Procedure Manuals; and validation of established medical protocols with evidence-based research. He is very passionate about quality standards and has a commanding understanding of the outcomes management and performance improvement process. He holds a Bachelor of Science degree in Human and Social Development specializing in Health Information Science from the University of Victoria.