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RECOVERY IS PERSON-DRIVEN: Self-determination and self-direction are the foundations for recovery as individuals define their own life goals and design their unique path(s) towards those goals.
RECOVERY IS SUPPORTED BY PEERS AND ALLIES: Mutual support and mutual aid groups, including the sharing of experiential knowledge and skills, as well as social learning, play an invaluable role in recovery. ReCOVERY IS SUPPORTED BY ADDRESSING TRAUMA: The experience of trauma (such as physical or sexual abuse, domestic violence, war, disaster, and others) is often a precursor to or associated with alcohol and drug use, mental health problems, and related issues. ReCOVERy INVOLVES INDIVIDUAL, FAMILY, AND COMMUNITY STRENGTHS AND RESPONSIBILITY: Individuals, families, and communities have strengths and resources that serve as a foundation for recovery.
SAMHSA recognizes there are many different pathways to recovery and each individual determines his or her own way.
This brochure introduces a working definition for recovery from mental disorders and substance use, along with 10 guiding principles intended to help advance recovery opportunities and help clarify these concepts for peers, families, funders, providers, and others.
This booklet offers tips for understanding symptoms of depression and other conditions and getting help. This booklet gives practical tips on ways to improve self esteem that includes activities that help people feel good about themselves and a list of other resources. This booklet provides suggestions for making and keeping friends and a list of other resources. This booklet focuses on helping individuals cope with traumatic events and makes suggestions of how they can take charge of their own recovery. This booklet gives helpful tips on how individuals can think about areas of their lives that may need to be changed and possible changes they could make.
This booklet addresses ways in which individuals can become self-advocates by taking control of the decisions that affect their lives. This booklet discusses strategies to help individuals learn how to consistently do those things that help in their recovery. The behavioral health treatment field is moving toward a recovery-oriented approach that involves linkages to other systems along with a full array of treatment and recovery services that encourages people and families to initiate and remain in treatment and sustain their recovery.
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 for alcohol and drug problems. The establishment of ROSC is a relatively new concept in the substance use disorder field. Through education, communities are strengthened by recovery-oriented activities that can prevent inappropriate substance use before it occurs. Family and other ally involvement: Recovery-oriented systems of care will acknowledge the important role that families and other allies can play.
Individualized and comprehensive services across the lifespan: Recovery-oriented systems of care will be individualized, comprehensive, stage-appropriate, and flexible.
Systems anchored in the community: Recovery-oriented systems of care will be nested in the community for the purpose of enhancing the availability and support capacities of families, intimate social networks, community-based institutions and other people in recovery. Continuity of care: Recovery-oriented systems of care will offer a continuum of care, including pretreatment, treatment, continuing care and support throughout recovery. Partnership-consultant relationships: Recovery-oriented systems of care will be patterned after a partnership-consultant model that focuses more on collaboration and less on hierarchy. Strength-based: Recovery-oriented systems of care will emphasize individual strengths, assets and resiliencies. Culturally responsive: Recovery-oriented systems of care will be culturally sensitive, competent and responsive. Commitment to peer recovery support services: Recovery-oriented systems of care will include peer recovery support services. Inclusion of the voices and experiences of recovering individuals and their families: The voices and experiences of people in recovery and their family members will contribute to the design and implementation of recovery-oriented systems of care. System-wide education and training: Recovery-oriented systems of care will ensure that concepts of recovery and wellness are foundational elements of curricula, certification, licensure, accreditation and testing mechanisms. Ongoing monitoring and outreach: Recovery-oriented systems of care will provide ongoing monitoring and feedback with assertive outreach efforts to promote continual participation, re-motivation and reengagement. Outcomes-driven: Recovery-oriented systems of care will be guided by recovery-based process and outcome measures. Adequately and flexibly financed: Recovery-oriented systems of care will be adequately financed to permit access to a full continuum of services, ranging from detoxification and treatment to continuing care and recovery support.
Recovery management (RM) is a philosophical framework for organizing addiction treatment services to provide pre-recovery identification and engagement, recovery initiation and stabilization, long-term recovery maintenance, and quality-of-life enhancement for individuals and families affected by severe substance use disorders.
The Recovery Management (RM) model of addiction treatment shifts the focus of care from professional-centered episodes of acute symptom stabilization toward the client-directed management of long-term recovery. 3) Post-treatment recovery support services to enhance the durability and quality of recovery maintenance.


Within the framework of a Recovery-Oriented System of Care (ROSC), recovery management provides treatment and recovery supports to individuals with severe substance use disorders. Recovery management is often described as typifying the shift from an acute care model, which treats medical conditions in an intensive short-term manner, to a chronic care approach reflecting a service commitment to long-term supports and wellness. Recovery management engages individuals with chronic substance use conditions and assists the person in managing efforts to achieve long-term recovery. Empowerment and Self-Direction: Assumption of responsibility by each client for the management of his or her long-term recovery process.
Service Integration: Addiction, mental and physical health problems are often all present, and each may impact the other.
Continual Evaluation: Assessment and evaluation are ongoing activities as opposed to marking the beginning and conclusion of a service or treatment episode. The purpose of this site is to create a single location where such material may be located by those interested in the history of addiction treatment and recovery in the United States.
Great Lakes Addiction Technology Transfer Center (Great Lakes ATTC) is part of the ATTC Network, serving Illinois, Indiana, Michigan, and Ohio. Recovery information and publications found on the Great Lakes ATTC website can be found here. Hope is internalized and can be fostered by peers, families, providers, allies, and others. Individuals optimize their autonomy and independence to the greatest extent possible by leading, controlling, and exercising choice over the services and supports that assist their recovery and resilience. Recovery is built on the multiple capacities, strengths, talents, coping abilities, resources, and inherent value of each individual. Recovery is non-linear, characterized by continual growth and improved functioning that may involve setbacks. This includes addressing: self-care practices, family, housing, employment, transportation, education, clinical treatment for mental disorders and substance use disorders, services and supports, primary healthcare, dental care, complementary and alternative services, faith, spirituality, creativity, social networks, and community participation.
Peers encourage and engage other peers and provide each other with a vital sense of belonging, supportive relationships, valued roles, and community.
Family members, peers, providers, faith groups, community members, and other allies form vital support networks. Services should be culturally grounded, attuned, sensitive, congruent, and competent, as well as personalized to meet each individual’s unique needs. Services and supports should be trauma-informed to foster safety (physical and emotional) and trust, as well as promote choice, empowerment, and collaboration. In addition, individuals have a personal responsibility for their own self-care and journeys of recovery. There is a need to acknowledge that taking steps towards recovery may require great courage. These strategies were developed by people who experience emotional or psychiatric symptoms. ROSCs offer a comprehensive menu of services and supports that can be combined and readily adjusted to meet the individual's needs and chosen pathway to recovery.
Education also raises awareness about the disease, dispels myths that foster stigma and discrimination, and provides early intervention for those at risk of developing substance use conditions.
Individuals will have a menu of stage-appropriate choices that fit their needs throughout the recovery process.
Family and other allies will be incorporated, when appropriate, in the recovery planning and support process. Systems will adapt to the needs of individuals, rather than requiring individuals to adapt to them.
Individuals will have a full range of stage-appropriate services from which to choose at any point in the recovery process. There will be recognition that beliefs and customs are diverse and can impact the outcomes of recovery efforts. People in recovery and their family members will be included among decision-makers and have oversight responsibilities for service provision. The workforce also requires continual training, at every level, to reinforce the tenets of recovery-oriented systems of care. Additional research on individuals in recovery, recovery venues and the processes of recovery, including cultural and spiritual aspects, is essential.
In addition, funding will be sufficiently flexible to permit unbundling of services, enabling the establishment of a customized array of services that can evolve over time in support of an individual’s recovery.
This targeted approach to a specific population differs from the overarching role of a ROSC.


Individuals and their families are empowered to seek supports specific to meet the needs of the person. Emphasis on client involvement in the design and evaluation of their own services and systems of supports to ensure they are matched to their individual needs as they evolve through the stages of recovery. Recovery Management and Recovery-oriented Systems of Care: Scientific Rationale and Promising Practices. In support of this priority, regional meetings were held across the country to assist States and communities in developing, strengthening, and implementing Recovery-Oriented Systems of Care. Those papers selected for inclusion contain all of the articles and monographs authored by William White on the new recovery advocacy movement, recovery management and recovery-oriented systems of care. The Network is funded by the Substance Abuse and Mental Health Services Administration’s Center for Substance Abuse Treatment, with special funding from the National Institute on Drug Abuse. In so doing, they are empowered and provided the resources to make informed decisions, initiate recovery, build on their strengths, and gain or regain control over their lives.
Because setbacks are a natural, though not inevitable, part of the recovery process, it is essential to foster resilience for all individuals and families. Self-acceptance, developing a positive and meaningful sense of identity, and regaining belief in one’s self are particularly important. 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.
Choices can include spiritual supports that fit with the individual’s recovery needs. They can constitute a source of support to assist individuals in entering and maintaining recovery. In addition, the cultures of those who support the recovering individual affect the recovery process.
Recovering individuals and family members will be prominently and authentically represented on advisory councils, boards, task forces and committees at the Federal, State and local levels.
Outcome measures will reflect the long-term global effects of the recovery process on the individual, family and community, not just remission of biomedical symptoms. Department of Health and Human Services, Substance Abuse and Mental Health Services Administration and Partners for Recovery (September 2010). Several resources, available via this website, were developed and disseminated through the regional process to advance recovery-oriented approaches and provide information on Recovery-Oriented Systems of Care. Abstinence from the use of alcohol, illicit drugs, and non-prescribed medications is the goal for those with addictions.
Families and significant others have responsibilities to support their loved ones, especially for children and youth in recovery. A ROSC supports the premise that there are many pathways to recovery and encompasses a menu of individualized, person-centered, and strength-based services within a self-defined network.
Additionally, systems need to address the treatment, recovery and other support needs of families and other allies. The approach to substance use disorders will change from an acute-based model to one that manages chronic disorders over a lifetime. 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.
Communities have responsibilities to provide opportunities and resources to address discrimination and to foster social inclusion and recovery. By design, a ROSC provides individuals and families with more options with which to make informed decisions regarding their care. It is the role of recovery management to coordinate access to resources and foster engagement. Individuals in recovery also have a social responsibility and should have the ability to join with peers to speak collectively about their strengths, needs, wants, desires, and aspirations. Rockville, MD: Center for Substance Abuse Treatment, Substance Abuse and Mental Health Services Administration, 2009. This is especially true for children, who may not have the legal or developmental capacity to set their own course. Peer supports for families are very important for children with behavioral health problems and can also play a supportive role for youth in recovery.



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