Recovery-Oriented Systems of Care

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Excerpt

As a result of the Institute of Medicine's Quality of Health Care in America project, performance and outcome measures have been established to evaluate current approaches to treatment. Although the initial report dealt with quality issues on the physical health side, a later report focused on outcomes for behavioral health treatment. These concerns resulted in initiatives to integrate screening across both physical and behavioral health settings, support integrated systems of care for substance abuse and mental health disorders, and encourage evidence based practice approaches. In reviewing the results of scientific research experts began to think of addiction treatment as needing more focus on long term recovery and less on short term stabilization. To accomplish this will require a fundamental redesign of the entire system of care.
Movement toward this redesign has already begun. With the support of the Substance Abuse Mental Health Services Administration (SAMHSA), the philosophical frame has been developed and individual states are examining ways in which they can implement this new system. This new philosophical framework for structuring addiction treatment services is being called recovery management (RM). The identified pieces are pre-recovery identification and engagement, recovery initiation and stabilization, long-term recovery maintenance, and quality of life enhancement (White, Evans, Albright, & Flaherty, 2009). Within this framework are networks, recovery-oriented systems of care (ROSC), composed of informal and formal services supporting long-term recovery for individuals and families. It is important for all professionals working with individuals and families impacted by the disease of addiction to increase their understanding of this new framework for addiction treatment so they can begin to shift their treatment approaches from acute care to recovery management. The following websites are credible sources for the necessary information.
http://www.pfr.samhsa.gov/rosc.html
The SAMHSA Partners for Recovery site is a primary source. It contains background information through links to white papers and presentations. The site is accurate and has the authority of the Department of Health and Human Services behind it and contact information for both postal and e-mail is available. Information directly on the site is dated. No additional software or charges are involved in attaining the information. It is possible to link with associated websites to obtain additional information. The site is easy to navigate and can be used by both professionals and consumers. Partners for Recovery is beginning to construct an interactive map that will provide links to the initiatives for each state. Currently only five states are participating. Hopefully other states will begin to participate.
http://www.nattc.org/learn/topics/rosc/resources.asp
The Addition Technology Transfer Center Network is funded by SAMHSA. This link goes directly to the Resources page. Here you will find information and tools on elements related to recovery-oriented systems of care. In order to help visitors easily find the resources they need, this page is arranged by resources relating to recovery, recovery-oriented systems of care, recovery management, interviews with recovery leaders, and other helpful resources. The site speaks with the authority of the funding organization, has contact information available, and can be considered accurate and current. No additional software is needed to access information and there are no costs associated with it. It is easy to navigate and the information is intended for all audiences.
http://www.bhrm.org/recoverysupport/RecoveryorientsupPaper1-4-2007.pdf
http://qa.dhhs.state.nc.us/mhddsas/statspublications/presentations/sa-recovery-commwhitter.ppt
Searching with the use of any of the well-known search engines can result in thousands of websites. These sites may be very credible sources of information, links to specific documents, or just links to marketing for someone's sales effort. Each one needs to be taken on its own merit. Using tips from the sites reviewed here can be helpful but there are other web sources that may be available.
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