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"*": "<div id=\"content_view\" class=\"wiki\" style=\"display: block\">\n \n=Recovery-Oriented Systems of Care (ROSC)=\n<span style=\"font-family: Arial,Helvetica,sans-serif\">Return to [[Increase%20Resources%20to%20Address%20the%20Opioid%20Crisis|Increase Resources to Address the Opioid Crisis]]<div id=\"toc\">\n=Table of Contents=\n<div style=\"margin-left: 2em\">[[#x-Recovery Support Services (RSS)|Recovery Support Services (RSS)]]</div><div style=\"margin-left: 2em\">[[#x-Role of Recovery Management|Role of Recovery Management]]</div><div style=\"margin-left: 2em\">[[#x-Planning and Implementing Steps|Planning and Implementing Steps]]</div><div style=\"margin-left: 3em\">[[#x-Planning and Implementing Steps-Readiness Assessment|Readiness Assessment]]</div><div style=\"margin-left: 3em\">[[#x-Planning and Implementing Steps-Needs Assessment|Needs Assessment]]</div><div style=\"margin-left: 3em\">[[#x-Planning and Implementing Steps-Capacity Building|Capacity Building]]</div><div style=\"margin-left: 3em\">[[#x-Planning and Implementing Steps-Strategic Planning Process|Strategic Planning Process]]</div><div style=\"margin-left: 3em\">[[#x-Planning and Implementing Steps-Implementation|Implementation]]</div><div style=\"margin-left: 3em\">[[#x-Planning and Implementing Steps-Evaluation|Evaluation]]</div><div style=\"margin-left: 2em\">[[#x-Additional ROSC Resources|Additional ROSC Resources]]</div><div style=\"margin-left: 2em\">[[#x-Additional Health Care Reform Resources|Additional Health Care Reform Resources]]</div></div><br /> </span><br /> <span style=\"background-color: #ffffff\">Return to </span>[[Opioid%20Top-Level%20Strategy%20Map|Opioid Top-Level Strategy Map]]<span style=\"background-color: #ffffff\"> or the </span>[[ZOOM%20Map%20-%20Expand%20Harm%20Reduction%20Practices%20Associated%20with%20Opioid%20Misuse|Zoom Map (Expand Harm Reduction Practices Associated with Opioid Misuse)]]<br /> <br /> <br /> <span style=\"font-family: Arial,Helvetica,sans-serif\">The '''Substance Abuse and Mental Health Services Administration''' (SAMHSA) has published the [https://www.samhsa.gov/sites/default/files/rosc_resource_guide_book.pdf Recovery-Oriented Systems of Care (ROSC) Resource Guide]. A ROSC supports the premise that there are many pathways to recovery. Recovery-oriented activities include providing a menu of traditional treatment services and alternative therapies, including peer recovery coaching, acupuncture, meditation, and music and art therapy. Recovery support services, including employment assistance, child care, care management and housing support, may enhance the engagement of individuals and their families in achieving and sustaining recovery.<sup class=\"reference\">[1]</sup> The following websites will provide you with background material to assist in understanding recovery-oriented activities and approaches:<br /> \n\n* <span style=\"font-family: Arial,Helvetica,sans-serif\">Guiding Principles and Elements of Recovery-Oriented Systems: What do we know from the research?</span>\n<span style=\"font-family: Arial,Helvetica,sans-serif\"> [http://pfr.samhsa.gov/docs/Guiding_Principles_Whitepaper.pdf]</span><br /> \n\n* <span style=\"font-family: Arial,Helvetica,sans-serif\">Recovery as an Organizing Concept: [http://www.facesandvoicesofrecovery.org/pdf/recovery_symposium/GLATTCInterviewClark.pdf]</span>\n* <span style=\"font-family: Arial,Helvetica,sans-serif\">Building Resilience, Wellness and Recovery: A Shift from Acute Care to a Sustained Care Recovery [http://www.nattc.org/] Go to Resources & Publications; Type \u201aBuilding Resilience, Wellness and Recovery\u201b in Search bar and press \u2018Go.\u2019</span>\n* <span style=\"font-family: Arial,Helvetica,sans-serif\">Connecticut Department of Mental Health and Addiction Services: Proposed Model for Mental Health Recovery and Recovery-Oriented Services: [http://www.ct.gov/dmhas/lib/dmhas/recovery/mhmodel.pdf]</span>\n* <span style=\"font-family: Arial,Helvetica,sans-serif\">The Institute for Research, Education, and Training in Addictions (IRETA): [http://www.ireta.org/]</span>\n<span style=\"font-family: Arial,Helvetica,sans-serif\"> \u00b7 Faces and Voices of Recovery: Guide to Mutual Aid Resources: [http://www.facesandvoicesofrecovery.org/resources/support/index.html]</span><br /> <br /> <br /> <span style=\"font-family: Arial,Helvetica,sans-serif\"> Like other chronic health conditions, substance use disorders typically require long-term involvement with the health care system and parallel informal networks. Recovery-oriented services and supports include provision of continuing care following treatment, education regarding self-care, regular check-ups and linkage to community resources.</span><br /> <br /> <span style=\"font-family: Arial,Helvetica,sans-serif\"> The following websites will provide you with information on the ROSC framework and health care reform:</span><br /> \n\n* <span style=\"font-family: Arial,Helvetica,sans-serif\">Perspectives on Systems Transformation: How Visionary Leaders are Shifting Addiction Treatment Towards a Recovery-Oriented System of Care (ROSC): [http://www.attcnetwork.org/regcenters/productdetails.asp?prodID=258&rcID=3]</span>\n* <span style=\"font-family: Arial,Helvetica,sans-serif\">Coalition for Whole Health: Summary of Recommendations for Including Mental Health and Substance Use Disorder Prevention, Treatment, Rehabilitation, and Recovery in Health Reform: [http://lac.org/doc_library/lac/publications/CWH--Healthcare_Reform_Recommendations--%20summary.pdf http://lac.org/doc_library/lac/publications/CWH--Healthcare_Reform_Recommendations-- summary.pdf]</span>\n* <span style=\"font-family: Arial,Helvetica,sans-serif\">The Effects of Health Care Reform on Access to, and Funding of, Substance Abuse Services in Maine, Massachusetts, and Vermont [http://www.nasadad.org/resource.php?base_id=2104]</span>\n* <span style=\"font-family: Arial,Helvetica,sans-serif\">Vermont Health Care Reform Legislation</span>\n<span style=\"font-family: Arial,Helvetica,sans-serif\"> [http://hcr.vermont.gov/legislation]</span><br /> <br /> <br /> <span style=\"font-family: Arial,Helvetica,sans-serif\"> In order to learn more about the guiding principles of recovery and the early conceptual work done to define the systems elements of a ROSC, refer to the following website:</span><br /> \n\n* <span style=\"font-family: Arial,Helvetica,sans-serif\">National Summit on Recovery: Conference Report [http://pfr.samhsa.gov/] Enter \u201aNational Summit on Recovery\u201b in the Search bar.</span>\n<span style=\"font-family: Arial,Helvetica,sans-serif\"> Additional resources associated with the history of ROSC, including reports, research briefs, monographs, training manuals, and presentations can be found at:</span><br /> \n\n* <span style=\"font-family: Arial,Helvetica,sans-serif\">The Institute for Research, Education, and Training in Addictions (IRETA) [http://www.ireta.org/]</span>\n==<span style=\"font-family: Arial,Helvetica,sans-serif\">Recovery Support Services (RSS)</span>==\n<span style=\"font-family: Arial,Helvetica,sans-serif\">Each of the partners in a ROSC can play a role in the provision of recovery support services. When RSS are provided across the continuum of care, they support resiliency, open doors to service access and engagement, and support long-term recovery. Person-centered supports bolster successful individual and family outcomes.</span><br /> <br /> <span style=\"font-family: Arial,Helvetica,sans-serif\"> Recovery support services are non-clinical services that assist individuals and families working towards recovery from substance use disorders. They incorporate a full range of social, legal, and other resources that facilitate recovery and wellness to reduce or eliminate environmental or personal barriers to recovery. RSS include social supports, linkage to and coordination among allied service providers, and other resources to improve quality of life for people in and seeking recovery and their families. RSS are provided by professionals and peers and are delivered through a variety of community and faith-based groups, treatment providers, and RSS providers. Provision of RSS is based upon the needs in a person\u2019s individualized recovery plan.</span><br /> <br /> <span style=\"font-family: Arial,Helvetica,sans-serif\"> While typically viewed as available post-treatment, recovery support services within the construct of ROSC can be offered before, during, or even in lieu of treatment. This approach and its supports are inclusive of pre-treatment, as well as promotion of resiliency in prevention and early or brief interventions. These are tenets that also form the basis of a public health model and are aligned with the principles of health care reform.</span><br /> <br /> <span style=\"font-family: Arial,Helvetica,sans-serif\"> As a ROSC implements RSS, a few key steps can guide the process:</span><br /> \n\n* <span style=\"font-family: Arial,Helvetica,sans-serif\">Secure a broad range of supports through leverage with all partner systems.</span>\n* <span style=\"font-family: Arial,Helvetica,sans-serif\">Focus on the specific needs of the individuals and families.</span>\n* <span style=\"font-family: Arial,Helvetica,sans-serif\">Engage peer recovery coaches who have a personal recovery focus.</span>\n* <span style=\"font-family: Arial,Helvetica,sans-serif\">Define competency guidelines. (Competency guidelines should reflect requirements of third- party insurance carriers if possible.)</span>\n<span style=\"font-family: Arial,Helvetica,sans-serif\"> Resources found below can assist States and providers to achieve these steps.</span><br /> <br /> \n\n* <span style=\"font-family: Arial,Helvetica,sans-serif\">An RCSP Conference Report: Emerging Peer Recovery Support Services and Indicators of Quality [http://www.facesandvoicesofrecovery.org/pdf/Publications/2006-09_RCSP_Report.pdf]</span>\n* <span style=\"font-family: Arial,Helvetica,sans-serif\">Ethical Guidelines for the Delivery of Peer-based Recovery Support Services [http://www.bhrm.org/recoverysupport/EthicsPaperFinal6-8-07.pdf]</span>\n* <span style=\"font-family: Arial,Helvetica,sans-serif\">Manual for Recovery Coaching and Personal Recovery Plan [http://www.bhrm.org] Select \u201aClinical Guidelines\u201b; select \u201aAddiction Guidelines; scroll down to \u201aRecovery Coach and Recovery Planning Manual</span>\n* <span style=\"font-family: Arial,Helvetica,sans-serif\">Center for Substance Abuse Treatment: What are Peer Recovery Support Services [http://store.samhsa.gov/product/SMA09-4454]</span>\n* <span style=\"font-family: Arial,Helvetica,sans-serif\">Recovery Coach Training Manual [http://www.nattc.org/resPubs/changeBook.html]</span>\n* <span style=\"font-family: Arial,Helvetica,sans-serif\">Financing Recovery Support Services: Review and Analysis of Funding Recovery Support Services and Policy Recommendations [http://pfr.samhsa.gov/docs/RSS_financing_report.pdf]</span>\n* <span style=\"font-family: Arial,Helvetica,sans-serif\">Vermont Substance Abuse Recovery - provides access to the Recovery Centers Website; Friends of Recovery-Vermont (consumer/advocacy network); and the Vermont Peer Resources Guide [http://healthvermont.gov/adap/recovery/Recovery.aspx]</span>\n==<span style=\"font-family: Arial,Helvetica,sans-serif\">Role of Recovery Management</span>==\n<span style=\"font-family: Arial,Helvetica,sans-serif\">Within the framework of a ROSC, recovery management provides treatment and recovery supports to individuals with severe substance use disorders. This targeted approach to a specific population differs from the overarching role of a ROSC. As has been described, a ROSC serves those with or at risk for substance use problems. The persons served within a ROSC encompass the general population, at-risk populations, harmful users of alcohol and drugs, those with dependence, and those with chronic dependence.</span><br /> <br /> <span style=\"font-family: Arial,Helvetica,sans-serif\"> To learn more about the role of recovery management within ROSC, please access the following websites:</span><br /> \n\n* <span style=\"font-family: Arial,Helvetica,sans-serif\">Implementing Recovery Management Part 1: The Organizing Concept [http://www.attcnetwork.org/learn/topics/rosc/docs/AddicMsgVol.11,Issue4NEW.pdf]</span>\n* <span style=\"font-family: Arial,Helvetica,sans-serif\">Implementing Recovery Management Part 2: Making the Philosophical Shift [http://www.attcnetwork.org/userfiles/file/Vol.%2011,%20Issue%205%20NEW.pdf]</span>\n* <span style=\"font-family: Arial,Helvetica,sans-serif\">Frontline Implementation of Recovery Management Principles [http://www.facesandvoicesofrecovery.org/pdf/recovery_symposium/GLATTCInterviewBoyle.pdf]</span>\n* <span style=\"font-family: Arial,Helvetica,sans-serif\">Recovery Management & Recovery-Oriented Systems of Care: Scientific Rationale & Promising Practices [http://www.attcnetwork.org/REGCENTERS/generalContent.asp?rcid=3&content=STCUSTOM1]</span>\n* <span style=\"font-family: Arial,Helvetica,sans-serif\">Recovery Management in Communities of Color [http://www.nattc.org/recoveryresourc/docs/RecMgmt.pdf]</span>\n* <span style=\"font-family: Arial,Helvetica,sans-serif\">Implementing Recovery Management Part 3: Recovery Coaching Pays Dividends [http://www.nattc.org/userfiles/file/Vol.%2011,%20Issue%206%20NEW(1).pdf]</span>\n<br /> <span style=\"font-family: Arial,Helvetica,sans-serif\"> The websites below will provide you with information on initiatives that are underway across the country:</span><br /> \n\n* <span style=\"font-family: Arial,Helvetica,sans-serif\">National Summary of CSAT\u2019s Regional Recovery Meetings [http://pfr.samhsa.gov/recovery.html]</span>\n* <span style=\"font-family: Arial,Helvetica,sans-serif\">A Recovery Revolution in Philadelphia [http://www.ireta.org] Enter the title in the Search bar and press \u2018Go.\u2019</span>\n* <span style=\"font-family: Arial,Helvetica,sans-serif\">Continuum of Services System Re-Engineering Report, September 24, 2008 [http://www.adp.cahwnet.gov/COSSR]</span>\n* <span style=\"font-family: Arial,Helvetica,sans-serif\">Vermont Blueprint for Health [http://hcr.vermont.gov/blueprint_for_health]</span>\n* <span style=\"font-family: Arial,Helvetica,sans-serif\">Building a Recovery-Oriented System of Care: A Report of the NCIOM Task Force on Substance Abuse Services, January, 2009. [http://www.nciom.org/wpcontent/uploads/NCIOM/projects/substance_abuse/chapters/FullReport.pdf]</span>\n<br /> <span style=\"font-family: Arial,Helvetica,sans-serif\"> The following three documents can be found at: [http://pfr.samhsa.gov/rosc.html]</span><br /> \n\n* <span style=\"font-family: Arial,Helvetica,sans-serif\">Access to Recovery (ATR) Approaches to Recovery-Oriented Systems of Care: Three Case Studies</span>\n* <span style=\"font-family: Arial,Helvetica,sans-serif\">Provider Approaches to Recovery-Oriented Systems of Care: Four Case Studies</span>\n* <span style=\"font-family: Arial,Helvetica,sans-serif\">Approaches to Recovery-Oriented Systems of Care at the State and Local Levels: Three Case Studies</span>\n==<span style=\"font-family: Arial,Helvetica,sans-serif\">Planning and Implementing Steps</span>==\n<span style=\"font-family: Arial,Helvetica,sans-serif\">Creating a ROSC requires thoughtful and strategic planning, particularly as policymakers, providers, the recovery community, and the general public negotiate systems changes that involve the integration of substance use services within the general health care system. This evolution is ongoing, so be mindful of its implications as you plan and implement ROSC within your State or community. Identifying where you are in the ROSC planning and implementation process, while being cognizant of the new health care environment, will guide you in determining priorities and next steps.</span><br /> <br /> \n===<span style=\"font-family: Arial,Helvetica,sans-serif\">Readiness Assessment</span>===\n<span style=\"font-family: Arial,Helvetica,sans-serif\"> A Readiness Assessment should examine your willingness and ability to establish a platform for a ROSC. A coalition of stakeholders should be engaged to consider important questions that examine the level of commitment and feasibility for the effort. That dialogue may prompt divergent opinions before you reach a consensus. However, that is to be expected, given the time and effort needed to construct a functional ROSC. A facilitator with no vested interested in the outcome can play a key role in keeping the discussion moving and maintaining a record of the proceedings.</span><br /> <br /> <br /> <span style=\"font-family: Arial,Helvetica,sans-serif\"> The next step in the assessment readiness process is to establish a Conceptual Framework. Use of focus groups and key participant interviews can ensure input from a broad spectrum of the community. Participation by persons in recovery, as well as family members and other allies, can provide valuable insights as stakeholders develop a vision for a system of care, clearly articulate values for how services should be delivered, and determine the desired outcomes for individuals, families and communities. Some of the questions posed to the stakeholder group during the assessment readiness exercise may help structure the conceptual framework. In addition, other important questions are:</span><br /> \n\n* <span style=\"font-family: Arial,Helvetica,sans-serif\">What is your definition of recovery?</span>\n* <span style=\"font-family: Arial,Helvetica,sans-serif\">What should a ROSC look like in your community?</span>\n* <span style=\"font-family: Arial,Helvetica,sans-serif\">Why is a change needed?</span>\n* <span style=\"font-family: Arial,Helvetica,sans-serif\">What outcomes do you hope to achieve through a ROSC?</span>\n<br /> <span style=\"font-family: Arial,Helvetica,sans-serif\"> A discussion and consideration of these issues should result in a common vision, and in common values, system elements, outcomes, and definitions. Without general agreement on the conceptual framework for the ROSC, the process cannot successfully move forward. Below are additional resources to inform your dialogue when developing a conceptual framework:</span><br /> \n\n* <span style=\"font-family: Arial,Helvetica,sans-serif\">Connecticut Recovery Core Value</span>\n<span style=\"font-family: Arial,Helvetica,sans-serif\"> [http://www.ct.gov/dmhas/cwp/view.asp?a=2901&q=335078]</span><br /> \n\n* <span style=\"font-family: Arial,Helvetica,sans-serif\">Overarching Tenets of the Recovery Initiative [http://www.ct.gov/dmhas/LIB/dmhas/Recovery/tenets.pdf]</span>\n* <span style=\"font-family: Arial,Helvetica,sans-serif\">A Recovery Revolution in Philadelphia</span>\n<span style=\"font-family: Arial,Helvetica,sans-serif\">[http://www.ireta.org/ http://www.ireta.org/] Enter the title in the Search bar and press \u2018Go.\u2019</span><br /> <br /> <br /> \n===<span style=\"font-family: Arial,Helvetica,sans-serif\">Needs Assessment</span>===\n<span style=\"font-family: Arial,Helvetica,sans-serif\">Completion of a Needs Assessment is another key step in developing an informed ROSC plan. Stakeholders must understand the extent of substance use problems, the populations affected, gaps in services and supports, and services and systems that require quality improvements. This information will allow you to target and maximize resources. Identifying community and organizational strengths is equally important, as they provide a strong foundation upon which to build. This identification can strengthen discussion among ROSC partners, and provide a path for support in your implementation plan. Stakeholders should also examine policies and practices to assess their alignment with ROSC elements, in order to determine what changes are required to structure a functional ROSC.</span><br /> \n\n* <span style=\"font-family: Arial,Helvetica,sans-serif\">Assessment Primer: Analyzing the Community, Identifying Problems, and Setting Goals [http://www.cadca.org/resources/detail/assessment-primer]</span>\n* <span style=\"font-family: Arial,Helvetica,sans-serif\">Yale Program for Community Health and Recovery: Recovery Self-Assessment (Provider Version)</span>\n<span style=\"font-family: Arial,Helvetica,sans-serif\">[http://www.yale.edu/prch/tools/rec_selfassessment.html]</span><br /> <br /> <br /> \n===<span style=\"font-family: Arial,Helvetica,sans-serif\">Capacity Building</span>===\n<span style=\"font-family: Arial,Helvetica,sans-serif\">The needs assessment process has identified the strengths as well as gaps in services within the current systems. It should now be translated into a plan to enhance the capacity of your system where needed. Capacity Building is an integral part of successful systems change implementation. Does your ROSC have capacity at all levels, the staff or volunteer level, the organizational level, the broader systems level?</span><br /> <br /> <span style=\"font-family: Arial,Helvetica,sans-serif\"> Each systems element should reflect a comprehensive, person-centered, and individualized approach to service provision. It is understandable that all systems may not initially align with this operational philosophy, but it\u2019s important to determine what your capacity needs are so that they can be addressed. In addition to workforce capacity, technology and other resources should be considered. For further information on capacity building, see the resources below:</span><br /> \n\n* <span style=\"font-family: Arial,Helvetica,sans-serif\">Capacity Primer: Building Membership, Structure and Leadership [http://www.cadca.org/files/CapacityPrimer-07-2009.pdf]</span>\n* <span style=\"font-family: Arial,Helvetica,sans-serif\">National Certified Recovery Specialist</span>\n<span style=\"font-family: Arial,Helvetica,sans-serif\">[http://www.iaodapca.org/certifications/ncrs/]</span><br /> \n\n* <span style=\"font-family: Arial,Helvetica,sans-serif\">Maintaining Abstinence Program: A Curriculum for Families in Recovery [http://www.ireta.org/ireta_main/recoveryCD/MAPSFamiliesinRecovery-Stages-of-Recovery.pdf]</span>\n* <span style=\"font-family: Arial,Helvetica,sans-serif\">Pennsylvania OMHSAS: Strategies for Promoting Recovery and Resilience and Implementing Evidence-Based Practices [http://www.cmsu.org/recoverydocument.pdf]</span>\n* <span style=\"font-family: Arial,Helvetica,sans-serif\">Executive Leadership Guidelines for Developing a Behavioral Electronic Health Record System Technology Plan [http://www.ndiic.com/documents/Developing%20an%20Electronic%20BH%20Tech%20Plan%20%2001-27-2010.pdf http://www.ndiic.com/documents/Developing%20an%20Electronic%20BH%20Tech%20Plan %2001-27-2010.pdf]</span>\n<span style=\"font-family: Arial,Helvetica,sans-serif\"> \u00b7 State HIE Resources [http://statehieresources.org/state-plans/]</span><br /> <br /> \n===<span style=\"font-family: Arial,Helvetica,sans-serif\">Strategic Planning Process</span>===\n<span style=\"font-family: Arial,Helvetica,sans-serif\">The next step in ROSC planning and implementation is development of a Strategic Planning Process. After you have assembled a planning team that represents stakeholder interests, articulated a vision, conducted a needs assessment, and constructed a capacity building plan, it\u2019s time to develop a strategic plan including specific ROSC goals. A critical step at this juncture is, once again, to ensure sufficient community representation, inclusive of individuals in recovery, family members and other allies.</span><br /> <br /> <span style=\"font-family: Arial,Helvetica,sans-serif\"> Following that, the planning team should be charged with identifying measurable objectives for each goal, as well as strategies to support achievement of each goal. Other tasks that should be completed in order to reinforce a strategic planning process are:</span><br /> \n\n* <span style=\"font-family: Arial,Helvetica,sans-serif\">Developing action steps,</span>\n* <span style=\"font-family: Arial,Helvetica,sans-serif\">Identifying timelines and parties responsible for completing each strategy,</span>\n* <span style=\"font-family: Arial,Helvetica,sans-serif\">Creating a resource plan, and</span>\n* <span style=\"font-family: Arial,Helvetica,sans-serif\">Documenting the entire plan.</span>\n<br /> <span style=\"font-family: Arial,Helvetica,sans-serif\"> To guide you further during the strategic planning process, refer to the information below:</span><br /> \n\n* <span style=\"font-family: Arial,Helvetica,sans-serif\">Planning Primer: Developing a Theory of Change, Logic Models, and Strategic Action Plans [http://www.actmissouri.org/PDF%20Files/Planning.pdf]</span>\n* <span style=\"font-family: Arial,Helvetica,sans-serif\">Creating a Strategic Plan [http://www.ncspfsig.org/Project_Docs/Creating%20A%20Strategic%20Plan_How%20To%20G%20uide.pdf http://www.ncspfsig.org/Project_Docs/Creating%20A%20Strategic%20Plan_How%20To%20G uide.pdf]</span>\n* <span style=\"font-family: Arial,Helvetica,sans-serif\">Getting to Outcomes: 10 Steps for Achieving Results-based Accountability [http://www.rand.org/pubs/technical_reports/2007/RAND_TR101.2.pdf]</span>\n<span style=\"font-family: Arial,Helvetica,sans-serif\"> \u00b7 Getting to Outcomes 2004: Promoting Accountability Through Methods and Tools for Planning, Implementation, and Evaluation [http://www.rand.org/pubs/technical_reports/2004/RAND_TR101.pdf]</span><br /> <br /> <br /> \n===<span style=\"font-family: Arial,Helvetica,sans-serif\">Implementation</span>===\n<span style=\"font-family: Arial,Helvetica,sans-serif\">Now that the planning is well underway, it\u2019s time to begin assembling the resources for Implementation. Engagement of the community at large, as well as individuals in recovery, their families, and other allied members, will strengthen efforts to identify and garner resources for a ROSC. Implementation of ROSC will require changes to a number of institutional practices and processes. Trying to affect change in multiple levels of systems that interact with other multiple levels of systems can be overwhelming. You may initially focus on workforce development, financing, policy enhancement, technology changes to support data tracking and billing, or one of many other topics that will come into play when putting your plan into practice. Due to the complexity and challenges inherent in a major systems change, it may be wise to implement ROSC incrementally.</span><br /> <br /> <span style=\"font-family: Arial,Helvetica,sans-serif\"> To further inform your implementation efforts, see the resources listed below:</span><br /> \n\n* <span style=\"font-family: Arial,Helvetica,sans-serif\">Implementation Primer: Putting Your Plan into Action [http://www.cadca.org/resources/detail/implementation-primer]</span>\n* <span style=\"font-family: Arial,Helvetica,sans-serif\">Implementing a Statewide Recovery-Oriented System of Care: From Concept to Reality [http://www.ct.gov/dmhas/LIB/dmhas/presentations/2.6.05.pdf]</span>\n* <span style=\"font-family: Arial,Helvetica,sans-serif\">Connecticut Department of Mental Health and Addiction Services: Proposed Model of Mental Health Recovery and Recovery-Oriented Services: [http://www.ct.gov/dmhas/lib/dmhas/recovery/mhmodel.pdf]</span>\n* <span style=\"font-family: Arial,Helvetica,sans-serif\">Cultural Competence Primer: Incorporating Cultural Competence into Your Comprehensive Plan [http://www.cadca.org/files/cultural_competence_jan09.pdf]</span>\n* <span style=\"font-family: Arial,Helvetica,sans-serif\">Connecticut DMHAS. Practice Guidelines for Recovery-Oriented Care for Mental Health and Substance Use Conditions [http://www.ct.gov/dmhas/lib/dmhas/recovery/practiceguidelines2.pdf]</span>\n* <span style=\"font-family: Arial,Helvetica,sans-serif\">Connecticut Implementation of Person-Centered Care [http://www.ct.gov/dmhas/LIB/dmhas/Recovery/personcentered.pdf]</span>\n* <span style=\"font-family: Arial,Helvetica,sans-serif\">California Access to Recovery (CARE) Recovery Support Services Screening and Assessment Tool [http://www.californiacares4youth.com/downloads/RSS%20screening%20and%20assessment%%2020tool.pdf http://www.californiacares4youth.com/downloads/RSS%20screening%20and%20assessment% 20tool.pdf]</span>\n* <span style=\"font-family: Arial,Helvetica,sans-serif\">Practice Guidelines for Recovery-Oriented Behavioral Health Care [http://www.ct.gov/dmhas/LIB/dmhas/publications/practiceguidelines.pdf]</span>\n* <span style=\"font-family: Arial,Helvetica,sans-serif\">Recovery Advocacy Toolkit: Resource Guide [http://www.facesandvoicesofrecovery.org/publications/advocacy_toolkit/resources.php]</span>\n<span style=\"font-family: Arial,Helvetica,sans-serif\"> \u00b7 Peer/Recovery Support Specialists within Behavioral Health Agencies: Desktop Guide [http://www.azdhs.gov/bhs/guidance/peer.pdf]</span><br /> <br /> <br /> <span style=\"font-family: Arial,Helvetica,sans-serif\"> As States and communities move toward implementation of ROSC, Financing may become a primary concern. Please read about the ways in which ROSC can be funded here. (page 24&25)</span><br /> <br /> <br /> <span style=\"font-family: Arial,Helvetica,sans-serif\"> Having the necessary Policies and Regulations in place is critical to successful implementation of a ROSC. A thorough inventory of existing policies and regulations will determine which require amendment or modification. This process should also include identification and subsequent development of new policies and regulations that further support the framework for ROSC implementation and ongoing operation. A successful ROSC is made up of multiple stakeholders, representing multiple systems. Thus, the inventory must include a broad range of policies and regulations. These policies exist at the State level and local provider level, and will further unfold at the Federal level as national health care reform is realized. Please read more about this topic here: (page 25)</span><br /> <br /> <br /> <span style=\"font-family: Arial,Helvetica,sans-serif\"> Below are resources to assist States and providers in developing guidelines, policies, and procedures to structure a ROSC:</span><br /> \n\n* <span style=\"font-family: Arial,Helvetica,sans-serif\">Policy Statement #33 - Individualized Recovery Planning [http://www.ct.gov/dmhas/cwp/view.asp?a=2907&q=334664]</span>\n* <span style=\"font-family: Arial,Helvetica,sans-serif\">Michigan DCHODCP Treatment Policy No. 08: Substance Abuse Case Management Program Requirements [http://www.michigan.gov/documents/mdch/TA_Treatment_03_Case_Management_Services_17%205208_7.doc http://www.michigan.gov/documents/mdch/TA_Treatment_03_Case_Management_Services_17 5208_7.doc]</span>\n* <span style=\"font-family: Arial,Helvetica,sans-serif\">Michigan DCHODCP Treatment Technical Advisory No. 07: Peer Recovery/Recovery Support Services [http://www.michigan.gov/documents/mdch/TA-T-07_Peer_RecoveryRecovery_Support_230852_7.pdf]</span>\n<span style=\"font-family: Arial,Helvetica,sans-serif\"> \u00b7 OMHAS Resilience and Recovery Policy Statement [http://www.oregon.gov/DHS/addiction/publications/recovery-resil-policy.pdf]</span><br /> <br /> <br /> \n===<span style=\"font-family: Arial,Helvetica,sans-serif\">Evaluation</span>===\n<span style=\"font-family: Arial,Helvetica,sans-serif\"> Evaluation is integral to a systems change process. It can promote sustainability of effective policies, programs, and practices. It can inform funding decisions, guide clinicians and other service providers when they are working with patients, assist in patient decision making, and educate peers. Evaluation approaches typically look at the processes as well as the outcomes, ranging from short- to long-term goals and objectives. Please read more about evaluation here: (page26)</span><br /> <br /> <span style=\"font-family: Arial,Helvetica,sans-serif\"> For information pertaining to evaluation activity, see the resources below.</span><br /> \n\n* <span style=\"font-family: Arial,Helvetica,sans-serif\">Institute for Healthcare Improvement: [http://www.ihi.org/IHI/Topics/Improvement/ImprovementMethods/HowToImprove/]</span>\n* <span style=\"font-family: Arial,Helvetica,sans-serif\">The Network for the Improvement of Addiction Treatment (NIATx): [http://www.niatx.net/Content/ContentPage.aspx?PNID=1&NID=7]</span>\n* <span style=\"font-family: Arial,Helvetica,sans-serif\">CDC Framework for Program Evaluation: [http://www.cdc.gov/eval/framework.htm]</span>\n<span style=\"font-family: Arial,Helvetica,sans-serif\"> \u00b7 Connecticut DMHAS Recovery Self-Assessment: Executive Summary: [http://www.ct.gov/dmhas/lib/dmhas/recovery/rsasummary.pdf]</span><br /> <br /> <br /> \n==<span style=\"font-family: Arial,Helvetica,sans-serif\">Additional ROSC Resources</span>==\n\n* <span style=\"font-family: Arial,Helvetica,sans-serif\"> Is Your Drug Court Fit for Recovery? A Recovery Check-up [http://www.facesandvoicesofrecovery.org/pdf/drug_court_check_list.pdf]</span>\n* <span style=\"font-family: Arial,Helvetica,sans-serif\"> A Conceptual Bridge Between the Mental Health and Addiction Fields [http://www.williamwhitepapers.com/pr/2006SystemsTransformation.pdf]</span>\n* <span style=\"font-family: Arial,Helvetica,sans-serif\"> The Recovery Revolution: Will it include children, adolescents, and transition age youth [http://www.facesandvoicesofrecovery.org/pdf/White/ChildAdolescents.pdf]</span>\n* <span style=\"font-family: Arial,Helvetica,sans-serif\"> CDC. Principles of Community Engagement [http://www.cdc.gov/phppo/pce/]</span>\n<span style=\"font-family: Arial,Helvetica,sans-serif\"> \u00b7 Guiding Principles and Elements of Recovery-Oriented Systems: What do we know from the research? [http://pfr.samhsa.gov/docs/Guiding_Principles_Whitepaper.pdf]</span><br /> <br /> <br /> \n==<span style=\"font-family: Arial,Helvetica,sans-serif\">Additional Health Care Reform Resources</span>==\n\n* <span style=\"font-family: Arial,Helvetica,sans-serif\"> Kaiser Daily Health Policy Daily Reports [http://www.kaiserhealthnews.org/Topics/Reform.aspx]</span>\n* <span style=\"font-family: Arial,Helvetica,sans-serif\"> US Department of Health and Human Services, Substance Abuse and Mental Health Services Administration (SAMHSA) Health System Reform: A Framework for Discussion [http://www.samhsa.gov/Healthreform/index.aspx]</span>\n* <span style=\"font-family: Arial,Helvetica,sans-serif\"> Trust for America\u2019s Health: Prevention and Wellness in Health Care Reform resources [http://healthyamericans.org/health-reform/]</span>\n* <span style=\"font-family: Arial,Helvetica,sans-serif\"> National Health Care Reform [http://lac.org/index.php/lac/national_healthcare_reform]</span>\n* <span style=\"font-family: Arial,Helvetica,sans-serif\"> Benefit Design and the Delivery of Care (equitable & full coverage; access) [http://lac.org/doc_library/lac/publications/CWH--%20Benefit_Design_and_the_Delivery%20of_Care.pdf http://lac.org/doc_library/lac/publications/CWH-- Benefit_Design_and_the_Delivery%20of_Care.pdf]</span>\n* <span style=\"font-family: Arial,Helvetica,sans-serif\"> Reforming the Health Care Delivery System (workforce development, training all health professionals in MH and SA issues, medical home model, ensuring that MH & SA professionals are included and prioritized in any broader workforce development efforts) [http://lac.org/doc_library/lac/publications/CWH--%20Reforming_the_Healthcare_Delivery_System.pdf http://lac.org/doc_library/lac/publications/CWH-- Reforming_the_Healthcare_Delivery_System.pdf]</span>\n* <span style=\"font-family: Arial,Helvetica,sans-serif\"> Wellness Promotion and Chronic Disease Prevention Initiatives [http://lac.org/doc_library/lac/publications/CWH--%20Wellness%20Promotion_and%20_Chronic_Disease_Prevention_Initiatives.pdf http://lac.org/doc_library/lac/publications/CWH-- Wellness%20Promotion_and%20_Chronic_Disease_Prevention_Initiatives.pdf]</span>\n<span style=\"font-family: Arial,Helvetica,sans-serif\"> \u00b7 Reports of Interest [http://www.acmha.org/reports_of_interest.shtml] </span>\n----\n\n# \n</span><br /> <br /> <br /> <br /> <br /> <br /> <br /> [https://www.samhsa.gov/sites/default/files/rosc_resource_guide_book.pdf]</div>"
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"1083": {
"pageid": 1083,
"ns": 0,
"title": "Reduce Access to Precursor Ingredients",
"revisions": [
{
"contentformat": "text/x-wiki",
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"*": "<div class=\"wiki\" id=\"content_view\" style=\"display: block\">\nReturn to [[Opioid_Top-Level_Strategy_Map|Opioid Top-Level Strategy Map]]<span style=\"font-size: 13px;\">or </span>[[ZOOM_MAP_-_Minimize_Diversion_of_Prescription_Drugs|Zoom Map - (Minimize Diversion of Prescription Drugs)]]__TOC__\n\n \n\n= Background =\n\n \n\n= Programs =\n\n== NPLEx ==\n<div class=\"_\">National Precursor Log Exchange (NPLEx) adopted by 33 states across the country, helps law enforcement in the fight against meth lab production by blocking unlawful purchases of medicine containing PSE at the pharmacy counter, in real-time, and across state lines. Across the country, over 44,000 retailers use the NPLEx system and some states have gone further and use NPLEx to ban the sale of any PSE products to those previously convicted of a meth crime.<sup class=\"reference\"><ref>https://www.naddi.org/naddi-releases-2016-statistics-for-nplex-system/</ref></sup> A similar system could be used for opioids.<br/> </div> <div class=\"_\"> </div> \n= Tools & Resources =\n\n[[TR_-_Reduce_Access_to_Precursor_Ingredients|TR - Reduce Access to Precursor Ingredients]]\n\n= Scorecard Building =\n\n[[PO_-_Reduce_Access_to_Precursor_Ingredients|Potential Objective Details]]<br/> [[PM_-_Reduce_Access_to_Precursor_Ingredients|Potential Measures and Data Sources]]<br/> [[PA_-_Reduce_Access_to_Precursor_Ingredients|Potential Actions and Partners]]\n\n= Resources to Investigate =\n\n[[RTI_-_Reduce_Access_to_Precursor_Ingredients|More RTI on Reduce Access to Precursor Ingredients]]<br/> <br/> <span style=\"background-color: #ffffff; color: #222222; font-family: arial,sans-serif; font-size: 12.8px\">'''<span style=\"color: #4d4d4d\">PAGE MANAGER</span>:''' </span><span style=\"background-color: #ffffff; color: #ff0000; font-family: arial,sans-serif; font-size: 12.8px\">[insert name here]</span><br/> <span style=\"background-color: #ffffff; color: #222222; font-family: arial,sans-serif; font-size: 12.8px\">'''<span style=\"color: #4d4d4d\">SUBJECT MATTER EXPERT</span>''': </span><span style=\"background-color: #ffffff; color: #ff0000; font-family: arial,sans-serif; font-size: 12.8px\">[fill out table below]</span>\n\n{| class=\"wiki_table\"\n|-\n| '''Reviewer'''\n| '''Date'''\n| '''Comments'''\n|-\n| \n| \n| \n|}\n\n= Sources =\n\n----\n\n \n</div> \n[[Category:SAFE-Law Enforcement and Criminal Justice]] [[Category:SAFE-Prescriptions and Medical Response]]"
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}