Recovery Oriented Systems of Care
ROSC is a network of organizations and services within the community that provides resources and solutions to those in or seeking recovery, family, friends, and the community.
Addiction affects us all in some way, it can be personally within our families or visible within our communities...it's not just the problem of the person with an addiction.
ROSC was developed to provide a broad range of recovery support by recognizing the impact of addiction on family, friends and communities and inviting them into the process. There are many paths one can take to overcome addiction; and T.E.E.C.H adopted the ROSC model to help participants explore what works for them. It is a community effort designed to reduce the stigma associated with addiction, include those who are invested in the success of the participant, and provide support so the family can rebuild.
There are many paths to recovery. People will choose their pathway based on their cultural values, their socioeconomic status, their psychological and behavioral needs, and the nature of their substance use disorder.
Discover Your Path
TEECH Multiple Pathways Recovery Resource Guide
This Recovery Resource Guide has been developed to promote and explore the varied pathways of recovery. While comprehensive, this Recovery Resource Guide cannot possibly contain all pathways of recovery. This Recovery Resource Guide is intended to show people there are many choices in recovery, how to access them and what is required to become a trained facilitator if possible. This was created for T.E.E.C.H as a resource for individuals, families, and supporters seeking information by outlining and describing different pathways of recovery and demonstrating the diversity of recovery. Multiple pathways of recovery are defined as those practices, programs, rituals, and customs people use to maintain and sustain recovery. In comparison pathways to recovery can range from crisis events like treatment, experience within the criminal justice system, or a personal epiphany.
What Is Recovery?
A voluntarily maintained lifestyle characterized by sobriety, personal health, and citizenship.
- Betty Ford Institute Consensus Panel
The word “recovery” is used to mean a range of different things. For example, members of Alcoholics Anonymous (AA) may say they are “in recovery” or are “recovering alcoholics.” Substance use treatment program directors sometimes speak of their “recovery rate,” meaning the proportion of patients who have graduated and remained abstinent. Some activists describe themselves as being part of a “recovery movement.” Professionally, recovery may be considered, a process of change through which individuals improve their health and wellness, live a self-directed life, and strive to reach their full potential - Substance Abuse and Mental Health Services Administration (SAMHSA). Even individuals with severe and chronic substance use disorders can, with help, overcome their substance use disorder and regain health and social function. This is called remission. When those positive changes and values become part of a voluntarily adopted lifestyle, that is called “being in recovery”. Although abstinence from all substance misuse is a cardinal feature of a recovery lifestyle, it is not the only healthy, pro-social feature.
- Facing Addiction in America: The Surgeon General's Report on Alcohol, Drugs, and Health
Note: The diversity of concepts and definitions associated with recovery, in recent years the term has been increasingly applied to recovery from mental illness. Studies of people with schizophrenia, some of whom have co-occurring substance use disorders, have found that recovery is often characterized by increased hope and optimism, and greater life satisfaction.
Types of Recovery Pathways
Recovery happens naturally all the time. For many people with Substance Use Disorders, remission and recovery is a process that happens naturally and over time. In fact, such individuals may never have thought of themselves as having an addiction at all, much less being in recovery—even though by all medical classifications they would have qualified as having an addiction to a substance.
Medicated Assisted Recovery
Medication-assisted treatment (MAT) is the use of medications in combination with counseling and behavioral therapies for the treatment of substance use disorders. A combination of medication and behavioral therapies is effective in the treatment of substance use disorders, and has been the primary factor in helping many people to sustain recovery.
Mutual Support/Mutual Aid
Often called ‘self-help’ groups or ‘support’ groups, these groups are small scale community-oriented groups where people suffering from Substance Use Disorders meet and provide support to each other. These groups provide a safe space for people to share stories, talk about challenges, or share personal achievements often with an overarching framework guiding the group purpose. Mutual Support Groups are often an initial destination for people hoping to find recovery, and also serve to help people maintain long-term recovery. Most mutual aid groups meet face to face, but there are web-based groups as well.
Alternative Recovery Tools
Amino Acid Therapies, The Artist’s Way, Cognitive Therapy Dance, Music, Art, Journaling/Therapeutic Writing, Equine Therapy, Fitness for Recovery, Holistic Health and Natural Alternatives,, Hypnotherapy MBSR (Mindful-Based Stress Reduction), MBRP (Mindful-Based Relapse Prevention), Meditation Nutrition Therapy for Biochemical Recovery, Wolf Therapy, WRAP - Wellness Recovery Action Plan, Yoga in Recovery.
Online/Digital Recovery Supports
Online recovery meetings can help you keep in touch with your support group so you can safely connect and work together during
Peer Based Recovery Supports
Peer-based recovery support services are a common and often effective means by which individuals have found and sustained long-term recovery. The services are provided by individuals who have suffered from a substance use disorder and then found and sustained long-term recovery.
Family Recovery Supports
Families affect and are influenced by the recovery experiences of children, youth, and adults with mental or substance use disorders. As caregivers, navigators, and allies, family members play diverse roles and may require a variety of supports. Family members train and support other families—sharing lived experiences and insights that instill hope, increase understanding, and contribute to systems transformation.
Multiple Pathways: A History
Most people who define themselves as being “in recovery” have experience with 12-step-oriented mutual aid groups such as AA and Narcotics Anonymous (NA), but many others enter recovery through professional treatment services, non-12-step mutual aid groups, or other routes of support, such as family, friends, or faith-based organizations.
The diversity in pathways to recovery has sometimes provoked debate about the value of some pathways over others. For example, people who achieve recovery with the support of medications (e.g., methadone, buprenorphine, disulfiram, acamprosate, naltrexone, or even antidepressants) have sometimes been denounced by those who do not take medications, based on assumptions that using medication is inconsistent with recovery principles or a form of drug substitutions or replacement. Nonetheless, members of the National Alliance for Medication Assisted Recovery or Methadone Anonymous refer to themselves as practicing medication-assisted recovery.
Finally, some people who have had severe substance use disorders in the past but no longer meet criteria for a substance use disorder do not think of themselves as operating from a recovery perspective or consider themselves part of a recovery movement, even if they endorse some or all of the beliefs and values associated with recovery.