What is the concept of recovery-oriented systems of care (ROSC) in SUD treatment?

• A. A holistic, person-centered approach emphasizing long-term recovery, peer support, community resources, and integrated services
• B. A model focused solely on detoxification
• C. Short-term hospital-based crisis management only
• D. Pharmacotherapy-centric without community resources.

Answer: (A)

Recovery-oriented systems of care centers on supporting long-term recovery as an ongoing, holistic process. It puts the person and their goals at the center, rather than focusing on a single treatment episode. Key elements include peer support from people with lived experience, strong links to community resources (housing, employment, education, social supports), and coordinated, integrated services across medical, mental health, addiction treatment, and social service systems. The aim is to create a seamless continuum of care that is accessible, person-directed, trauma-informed, and culturally responsive, helping individuals navigate multiple life domains as they maintain recovery over time.

This approach contrasts with narrower models that focus only on detoxification, or only on crisis management, or on pharmacotherapy without connecting to community supports. ROSC recognizes that lasting recovery typically requires ongoing support, collaboration across systems, and resources beyond treatment facilities.