Recovery Oriented Systems of Care
Dr. Dawn-Elise Snipes PhD, LPC-MHSP
Executive Director: AllCEUs Counselor Continuing Education
Podcast Host: Counselor Toolbox, Addiction Counselor Exam Review & Happiness Isn’t Brain Surgery
Objectives
• Define a Recovery Oriented System of Care
• Discuss the 17 Elements of a ROSC
• Explore the Guiding Principles of Recovery
Recovery Oriented Systems of Care
• Affirms the real potential for permanent resolution of behavioral health problems
• Offers solutions to behavioral health problems on a community and cultural level
• Shift away from risk management and relapse prevention toward encouraging clients to self-define goals and take responsibility for achieving them
• A shift from emergency room/acute care model to one of sustained recovery management which include wrap-around recovery support services
Recovery Oriented Systems of Care
• Emphasis on
• Post-treatment monitoring
• Stage-appropriate recovery education
• Peer recovery coaching
• Assertive linkages to recovery communities
• Early re-intervention
• Maintaining functional ability in all life activities
• Recovery in illness instead of recovery from illness
Recovery Oriented Systems of Care
• Goals
• Foster health and resilience activities
• Increase permanent housing and sense home/belonging
• Ensure gainful employment and access to education to provide a sense of purpose
• Enhance communities by increasing availability of necessary supports from and for peers/family/community
• Reduce barriers to social inclusion
• Counselor functions
• Identify gaps in services
• Identifying emerging trends and needs
• Monitor system effectiveness
ROSC Guiding Principles
• Recovery emerges from hope and is…
• Person-centered – self-efficacy, self-direction
• Non-linear, and occurs via many pathways (methods)
• Holistic – mind, body, spirit, community
• Supported by peers and allies (counselors/case workers)
• Supported through relationships and social networks (family, peers, faith groups, community)
• Culturally based and influenced
• Supported by addressing trauma
• Based on respect of individual, family and community strengths and responsibilities
ROSC Guiding Principles
• Recovery emerges from hope and…
• Involves a personal recognition of the need for change and transformation
• Involves a process of healing and self-redefinition
• Exists on a continuum of improved health and wellness
• Involves addressing discrimination and transcending shame and stigma
• Involves (re)joining and (re)building a life in the community
• Is a reality
Elements of a ROSC
• Person-centered, strengths-based, individualized providing integrated, comprehensive services across the lifespan
• Inclusive of family and other ally involvement
• Anchored in the community
• Continuity of care
• Partnership-consultant relationships
• Culturally responsive /Responsive to personal belief systems
• Commitment to peer recovery support services for client and families
• System-wide education and training
• Ongoing monitoring and outreach
• Outcomes driven
• Research based
• Adequately and flexibly financed.
Recovery Management
• Spans 3 phases
• Prerecovery identification and engagement
• Recovery initiation and stabilization
• Recovery maintenance
Recovery Oriented Systems of Care
• 3 core components
• Collaborative decision making /individual empowerment
• Continuity of services and supports
• No wrong door
• Services available as long as needed
• Service quality and responsiveness
• Evidence based
• Development