Addiction researchers and treatment providers have increasingly advocated moving away from an acute-care model of treatment to embracing Recovery Oriented Systems of Care (ROSC) which emphasize person-centered and self-directed pathways to recovery with an emphasis on building on the strengths and resilience of individuals, families and communities.
In this collection we feature a selection of reports and state documents related to creating and implementing ROSCs. Included are a 2008 overview of the ROSC model from noted researcher William White, a 2009 Substance Abuse and Mental Health Services Administration (SAMHSA) report on the guiding principles and key elements of ROSCs as well as review of the published research that supports ROSCs, a one page document from SAMHSA listing the key elements of ROSCs, and a guide to addressing stress and trauma in ROSC programs.
In addition, policy manuals and implementation guides from 4 states or localities who have implemented ROSC models are included. Practice guidelines from Connecticut and Philadelphia can be found below. Michigan’s 2011 implementation plan for transforming their substance use disorder treatment system into a ROSC is included, as well as two interviews William White conducted with Michigan policymakers about their program. Finally, multiple documents from the State of Ohio which is currently in process of transforming its behavioral health system into a ROSC model by working with its County Behavioral Health Authorities. The Ohio documents include the following:
- Presentation slides, a 2 page overview, and the state’s blueprint for transforming its behavioral health system into a ROSC including goals and action steps for implementation
- An adaptation of the state’s blueprint for the Counties of Allen, Auglaize and Hardin which updates the state plan to add strategies, interventions and outcomes to the goal/action step format
- Butler County, Ohio’s strategic plan for its ROSC transformation
- A reference guide for County Behavioral Health Authorities that explains current state laws that affect ROSC transformation efforts
- A copy of an assessment tool used to measure county readiness to adopt ROSC concepts and a report on the assessment findings
- A 2016 progress report on ROSC transformation efforts, and
- A copy of Hancock County’s ROSC implementation evaluation plan.
Note: We are working to include additional resources about ROSC and ROSC implementation in states and addiction treatment programs. If you have materials to include in this collection, please let us know by visiting our call for submissions page.
Noted researcher William White prepared this 2008 overview of Recovery Oriented Systems of Care (ROSC) model. The report traces the history of addiction treatment and why the system needs to move to a more recovery-focused model. This report is considered one of the foundational documents of the ROSC movement.
This 2009 report from the Substance Abuse and Mental Health Administration includes a working definition of recovery, 12 guiding principles of recovery, and 17 elements of Recovery Oriented Systems of Care (ROSC). The report also reviews the research to date on recovery that supports the ROSC principles.
More substance use disorder treatment providers are adopting the principles of a recovery-oriented, systems of care approach to treatment. This one page document describes the elements of a recovery-oriented system of care framework.
This 2015 manual provides guidance for incorporating trauma-informed approaches to Recovery Oriented Systems of Care. It includes descriptions of the principles behind trauma-informed care, the role of leadership, strategies for implementing trauma-informed approaches, workforce
Connecticut was one of the first states to adopt a Recovery Oriented Systems of Care (ROSC) model for addiction treatment and is commonly cited as a model for other states to follow. This document provides guidelines for addiction treatment providers to adopt ROSC principles in their
The city of Philadelphia was an early adopter of the Recovery Oriented Systems of Care model for substance use disorder and mental health treatment. These 2011 practice guidelines provide an overview of the Philadelphia framework and provide strategies for organizations and providers
Michigan prepared this 2011 implementation plan for transforming its substance use disorder treatment system into a Recovery Oriented Systems of Care (ROSC) model. Michigan was a leader in adopting the ROSC model.
Noted recovery researcher William White interviewed Deborah Hollis about Michigan’s program to develop a Recovery Oriented System of Care (ROSC) approach to addiction treatment.
Noted recovery researcher William White interviewed Mark Witte and Kevin McLaughlin about Michigan’s program to develop a Recovery Oriented System of Care (ROSC) approach to addiction treatment. Keven McLaughlin served as Executive Director of Recovery Allies of West Michigan and
These 2018 presentation slides present an overview of Ohio’s efforts to transform their behavioral health treatment system to a Recovery Oriented Systems of Care. The slides provide an overview of Ohio’s efforts and an update on the program’s progress.
This 2 page document briefly explains Ohio’s plan to transform its behavioral health system by adopting the Recovery Oriented Systems of Care (ROSC) model.
The blueprint for Ohio’s 5-year plan to transform the state’s mental health and addiction treatment system to a Recovery Oriented Systems of Care (ROSC) model. The report includes descriptions of the ROSC model and action steps for county agencies to implement ROSC in their communities.
The Mental Health and Recovery Services Board of Allen, Auglaize, and Hardin counties created this strategic plan to implement Recovery Oriented Systems of Care (ROSC) in their communities from 2015 to 2020. The plan includes background information on ROSC and a step by step action plan for implementation.
This is the strategic plan for Butler County, Ohio to implement a Recovery Oriented System of Care during the years 2016 to 2018. The report includes an analysis of the readiness assessment and key stakeholder recommendations, and then presents the strategic plan for implementation.
This 2016 reference guide identifies and explains the laws in Ohio that oversee the operational duties and responsibilities of community alcohol, drug addiction, and mental health boards. The guide was prepared by the Ohio Association of County Behavioral Health Authorities to assist boardsas they transition to Ohio’s Recovery Oriented Systems of Care model for treatment.
Ohio created an assessment process to determine the degree to which county’s had adopted Recovery Oriented Systems of Care principles and identify areas or strength and opportunities for improvement. This 2019 report provides the results of the 2018 assessment.
This form provided by the Ohio Association of County Behavioral Health Agencies can be used to assess stakeholder readiness to adopt Recovery Oriented Systems of Care by assessing readiness in 6 domains: degree of focus on clients and families; ensuring timely access to care; promoting
Ohio launched its behavioral health transformation with the publication of a blueprint for creating Recovery Oriented Systems of Care (ROSC) in Ohio communities. This 2016 report describes the progress made in their 5-year plan with updates from county’s on their progress.
As Ohio works with its counties to implement Recovery Oriented Systems of Care (ROSC) through their County Boards of Alcohol, Drug addiction and Mental Health Services the state required counties to design implementation and evaluation plans. This 2014 document from Hancock County, Ohio provides options for evaluating patient and program outcomes during the ROSC implementation process.