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Recovery-Oriented Systems of Care
(ROSC) “LANGUAGING”
Definitions and Elements
SAMHSA/CSAT2010
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DEFINITIONSDEFINITIONS
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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.
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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.
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Elements of a ROSC
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Values Underlying a ROSC
Operational Elements of a ROSC
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Values Underlying a ROSC Person-centered
Self-directed
Strength-based
Participation of family members, caregivers, significant others, friends, community
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Values Underlying a ROSCcontinued
Individualized, comprehensive services and supports
Community-based services and supports
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Operational Elements of a ROSC
Collaborative decision-making
Continuity of services & supports
Service quality & responsiveness
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Operational Elements of a ROSCcontinued
Multiple stakeholder involvement
Recovery community/peer involvement
Outcomes-driven For the individual For the system
Adequately and flexibly funded
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Outcomes for the Individual
Abstinence Education Employment Reduced criminal
justice involvement Stability in housing Improved health Social connectedness Quality of life
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Outcomes for the System
Increased access/capacity Proper placement and
quality of care Retention Perception of care Cost-effectiveness Use of evidence-based
practices