WHITE PAPERS: Recovery Research and Case Studies
What Have State and Local Programs Learned?
Advancing recovery-oriented approaches and fostering the development of recovery-oriented systems of care is one of the priorities of SAMHSA’s Center for Substance Abuse Treatment (CSAT).
In support of that goal, CSAT posted online four research-based white papers on recovery-related topics that include case studies and lessons learned from the experiences of cities and states developing recovery-oriented systems of care.
“These white papers serve as an opportunity to spin off some of the recommendations that emerged from CSAT’s 2005 National Summit on Recovery,” said Shannon Taitt, M.S., Project Officer at CSAT’s Office of Program Analysis and Coordination.
Posted to SAMHSA’s Partners for Recovery Web site, the white papers are available for download. “We hope the field will use these white papers as a resource to see what’s out there,” said Ms. Taitt. “It’s a way to start a good conversation among stakeholders across the Nation.”
Each of the white papers includes background information, a purpose statement, specific case studies, and an extensive bibliography.
Guiding Principles and Elements of Recovery-Oriented Systems of Care: What do we know from the research? (PDF 856KB)
Approaches to Recovery-Oriented Systems of Care at the State and Local Levels: Three Case Studies (PDF 317KB)
Provider Approaches to Recovery-Oriented Systems of Care: Four Case Studies (PDF 361KB)
Access to Recovery (ATR) Approaches to Recovery-Oriented Systems of Care: Three Case Studies (PDF 376KB)
More than 500 researchers and their studies are cited in this white paper. They helped develop the working definition of recovery and recovery’s 12 Guiding Principles, as well as the elements of recovery-oriented systems of care.
For instance, research supports the concept that people in recovery are active agents of change in their own lives and not passive recipients of services. So, it makes sense that—with the support of family and peers along with networks of organizations, agencies, and mutual aid societies—the locus of control and decisionmaking is put in the hands of the person in recovery.
When states, local governments, or communities are ready to transform their existing fragmented collection of behavioral health programs and convert to a recovery-oriented system of care, there is no template to follow.
To help, this white paper provides three case studies that offer guidance. Philadelphia is one example. The city’s Department of Behavioral Health and Mental Retardation Services began the conversion to ROSC in 2004. The new approach focused on coordination of services, continuity of care, and making the consumer the center of his or her own recovery.
The four case studies presented in this white paper reflect innovative strategies for developing recovery-oriented systems of care anchored in diverse communities and targeting a range of populations. The case studies feature the Fayette Companies in Peoria, IL, the Behavioral Health Recovery Management Project, and the Sheridan Correctional Center Drug Treatment Prison and Re-entry Program (both also in Illinois); White Bison, Inc., and the Wellbriety Movement based in Denver, CO; and the Citizens Planning and Housing Association, in Baltimore, MD.
Each organization approached systems-change in a different manner, some as a part of a larger coalition, others as the lead organization creating internal change for their agency program.
Intended to offer snapshots of promising approaches, the Access to Recovery white paper presents a brief overview of CSAT’s ATR program and describes the activities in three states—Connecticut, Washington, and Wisconsin. These states are developing a recovery-oriented system of care through an ATR grant.
As examples of the process of continuous services improvement, these case studies highlight the unique features of each of these programs. In turn, their lessons learned might be helpful to other states as they embark on a ROSC plan for their communities.
SAMHSA’s Partners for Recovery Web site also includes many other links related to recovery, including a fact sheet on other recovery-related research.