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SAMHSA’s Award-Winning Newsletter
September/October 2009, Volume 17, Number 5 

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.”

At a Glance

Each of the white papers includes background information, a purpose statement, specific case studies, and an extensive bibliography.

They are:

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)

Guiding Principles and Elements of Recovery-Oriented Systems of Care: What do we know from the research?

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.

Approaches to Recovery-Oriented Systems of Care at the State and Local Levels: Three Case Studies

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.

Provider Approaches to Recovery-Oriented Systems of Care: Four Case Studies

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.

Access to Recovery (ATR) Approaches to Recovery-Oriented Systems of Care: Three Case Studies

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.


  Cover Story & Related Articles  
Recovery: A Philosophy of Hope and Resilience

Recovery: A Philosophy of Hope and Resilience




  Treatment Updates  
Treating Alcohol Disorders with Medication

Treating Alcohol Disorders with Medication

A set of guidelines for use of effective medications, such as naltrexone.

Guidance for Change

Guidance for Change

Substance abuse treatment programs: Here’s a way to integrate evidence-based practices into their services.

Treating Opioid Addiction

Treating Opioid Addiction

Three new educational brochures for patients on medication-assisted treatment for opioid addiction are available.


  Suicide Awareness  
Dealing with Suicide Loss

Dealing with Suicide Loss

To help support survivors of suicide loss, a new guide for funeral directors.

National Study on Suicidal Thoughts and Behaviors

National Study on Suicidal Thoughts and Behaviors

Nearly 8.3 million adults had serious thoughts of suicide in the past year.


  Grants  
Recent Awards

Recent Awards

Millions of dollars in SAMHSA funding is heading to state and community programs.

Tips on Writing a Winning Proposal

Tips on Writing a Winning Proposal

Boost your chances of crafting a winning grant proposal by following an expert’s advice.


  Communications  
Highlights of Recent Conference

Highlights of Recent Conference

New ways to engage partners and the public in improving health through an ongoing dialogue.

Strategic Communications Framework

Public health practice aligns with evidence-based communications to help establish “a common language.”


  Recovery Month  
Recovery Month Launched

Recovery Month Launched

20th anniversary events across the country marked this year’s celebrations, which included a march across the Brooklyn Bridge.

Photo Gallery

SAMHSA’s Dr. Westley Clark, Director of the Center for Substance Abuse Treatment, joined other VIPs to celebrate.


  New Survey Data  
National Survey Shows Overall Drug Use Steady at 8 Percent

National Survey Shows Overall Drug Use Steady at 8 Percent

Among 12- to 17-year-olds, a significant decline was reported in past-month illicit drug use.


  Prevention Update  
FASD Awareness Day

FASD Awareness Day

Fetal Alcohol Spectrum Disorders Awareness Day emphasized the message, “If you’re pregnant, don’t drink alcohol.”


  Special Populations  

Hispanics

An annual average of 2.6 million Hispanics age 12 or older needed alcohol use treatment in the past year.

American Indians

A recent report examines the 335 identified facilities serving the American Indian and Alaska Native population in 2007.

Race and Ethnicity

New data focus on the need for treatment for substance use and depression among adults age 18 or older by race/ethnicity.


  Also in this Issue  
Statistics on Mental Health Groups

Statistics on Mental Health Groups

Of the 28.8 million adults who received mental health treatment in the past year, about 5.5 percent also received support from a self-help group.

Science and Service Awards

Science and Service Awards

Categories for this year’s awards to 27 organizations included substance abuse prevention, treatment and recovery support services, and more.

GlassBook Project

GlassBook Project

Trauma awareness through art was the topic of a recent presentation as part of SAMHSA’s Consumer Affairs Seminar Series.



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