Recovery-Oriented Systems of Care

(ROSC) “LANGUAGING”

Definitions and Elements

SAMHSA/CSAT2010

DEFINITIONSDEFINITIONS

RECOVERY

Recovery from alcohol and drug problems is a process of change through which an

individual achieves abstinence and improved health, wellness, and quality of

life.

RECOVERY-ORIENTED SYSTEMS OF CARE (ROSC)

A ROSC is a coordinated network of community-based services and supports that is person-

centered and builds on the strengths and resilience of individuals, families, and communities

to achieve abstinence and improved health, wellness, and quality of life for those with or at risk

of alcohol and drug problems.

Elements of a ROSC

Values Underlying a ROSC

Operational Elements of a ROSC

Values Underlying a ROSC Person-centered

Self-directed

Strength-based

Participation of family members, caregivers, significant others, friends, community

Values Underlying a ROSCcontinued

Individualized, comprehensive services and supports

Community-based services and supports

Operational Elements of a ROSC

Collaborative decision-making

Continuity of services & supports

Service quality & responsiveness

Operational Elements of a ROSCcontinued

Multiple stakeholder involvement

Recovery community/peer involvement

Outcomes-driven For the individual For the system

Adequately and flexibly funded

Outcomes for the Individual

Abstinence Education Employment Reduced criminal

justice involvement Stability in housing Improved health Social connectedness Quality of life

Outcomes for the System

Increased access/capacity Proper placement and

quality of care Retention Perception of care Cost-effectiveness Use of evidence-based

practices