1. RECOVERY ORIENTED SYSTEMS
OF CARE

2. RECOVERY ORIENTED SYSTEM OF CARE
 Substance use disorder is a chronic issue and is no different that any
other illness (diabetes, heart problems, cancer) and should be
treated as such.
 Chronic care illnesses are addressed by treating the whole person
(body, mind, and spirit) in a holistic approach
 Recovery incorporates the involvement of persons with shared living
experiences and other supportive allies.
 Comprised of a network of collaborating services (prevention,
intervention, treatment, and recovery support services)
 Require flexibility in coordination of services and with little to no
funding.

3. WHAT’S A ROSC?
ROSC Definition
a framework for
organizing and
coordinating multiple
services, supports and
systems to deliver
person-centered
services that are flexible
and adjusts to support
the person’s or family’s
chosen pathway to
recovery. (Kaplan,
2008).

4. WHAT DOES A ROSC FRAME WORK LOOK LIKE
It is a system that:
 supports person centered, self-directed approaches to services
 builds upon and relies on the strengths and resilience of
individuals, families, and communities to take responsibility for
their sustained health, wellness, and recovery
 offers a comprehensive menu of prevention, intervention
treatment, and support services
It is a system that:
 provides services that can be combined and readily adjusted to
meet an individual’s and family’s needs
 maximizes use of natural supports and settings
 Provides many pathways to recovery
 requires realignment of policy, administrative, and fiscal practices,
within and between systems (Behavioral Health, Public Health,
Criminal Justice, Family and Protective Services, and family support
organizations)

5. Operationalizing Recovery-Oriented Systems
Administrative –Requires
Strong leadership that can:
 create culture change
 foster organizational
learning
 guide the development of
policies and procedures to
assist in the
implementation of
recovery oriented systems
 facilitate the development
of recovery-oriented
mission, vision, and values
to guide the
implementation and
sustainability of recovery-
oriented systems
Crews, 2010; Kotter, 1995

6. Operationalizing Recovery-Oriented Systems
Workforce- Peers in Recovery
Why
 valuable to the delivery of services
and supports
 Increase’s an individual’s recovery
success rate
What they can do
 Educate and demonstrate to
providers, stakeholders, and
communities new practices and
philosophies of recovery
What has and is being done
 Bring in ROSC experts on systems
change to increase awareness and
create a sense of urgency for
change
 DSHS Recovery Coach Curriculum
and trainings
 Incorporating trained recovery
coaches in treatment, community
and faith-based, and recovery
community organizations

7. Operationalizing Recovery-Oriented Systems
Cross-system collaboration
requires
 Integration and collaboration
among stakeholders
 Culture and system changes
within each organization
 Amending policies on all levels
that inhibited collaboration
(federal, state, and local)
 Funding and incentives for
services and systems that
reached outside of current
silos to integrate services
 Including the recovery
community in developing
cross-system services and
supports

8. Operationalizing Recovery-Oriented Systems
Community Inclusion involves:
 Assessing current resources
 Determining and mapping
recovery community capital
 Assisting with determining
how to utilize natural
community supports
 Working to reduce stigma and
discrimination for individuals
seeking recovery

9. ROSC OUTCOMES
 Abstinence
 Education
 Employment
 Stability in housing
 Improved health
 Social
connectedness
 Reduced criminal
Justice involvement
 Quality of life

10. Restores Opportunities, Self, and Communities