Recovery-Oriented Systems of Care (ROSC)
Currently, the acute-care model dominates substance abuse treatment practices, which focuses on short-term, uniform treatment, provided at a point of crisis for an individual. However, evidence implies that addiction is better characterized as a chronic rather than acute disorder, which requires long-term management and treatment. Based on this conclusion, Recovery-Oriented Systems of Care (ROSC) emerged.

The 2010 Recovery – Oriented Systems of Care (ROSC) from The Substance Abuse and Mental Health Services Administration

  •  The specialty substance use disorder field provides the full continuum of care (prevention, early intervention, treatment, continuing care and recovery) in partnership with other disciplines, such as mental health and primary care, in a ROSC.
  • A ROSC encompasses a menu of individualized, person-centered, and strength-based services within a self-defined network. By design, a ROSC provides individuals and families with more options with which to make informed decisions regarding their care. Services are designed to be accessible, welcoming, and easy to navigate. A fundamental value of a ROSC is the involvement of people in recovery, their families, and the community to continually improve access to and quality of services.


  • Through a focus on long-term and comprehensive care that is directed by an individual’s strengths and needs, ROSC promotes sustained addiction recovery. The Illinois Co-Occurring Center for Excellence is working to not only promote ROSC as the paramount addiction treatment model, but to also apply the Systems of Care Elements to co-occurring disorder treatment.



Additional References

SAMHSA 2010 Recovery-Oriented Systems of Care

U.S Department of Health and Human Services – 2009 Guiding Principles and Elements of Recovery Oriented Systems of Care (What Do We Know from the Research?)

White, William L. Recovery Management and Recovery-Oriented Systems of Care: Scientific Rationale and Promising Practices. Northeast Addiction Technology Transfer Center, Great Lakes Addiction Technology Center, and the Philadelphia Department of Behavioral Health/Mental Retardation Services, 2008.

For a definition of recovery and full list and description visit the Systems of Care Elements from the National Summit on Recovery