Articles

Financing and Contracting for ROSC: Building Payment, Procurement, and Accountability That Sustain Recovery Continuity
ROSC models often struggle because funding and contracting reinforce fragmentation: separate payments for separate episodes, weak continuity incentives, and unclear accountability. This article explains how counties design procurement, braided funding, and performance controls that pay for continuity, re-engagement, and stabilization. Read more...
Peer Recovery Support in ROSC: Operational Models, Boundaries, and Supervision That Make Engagement Reliable
Peer support is often treated as an add-on, but in a mature ROSC it is a core engagement and continuity function. This article explains how counties operationalize peer roles, boundaries, supervision, and measurement so peer services improve retention without drifting into enforcement or unsafe practice. Read more...
Data Governance in ROSC: Designing Dashboards and Review Cycles That Drive Real Recovery Outcomes
Recovery-Oriented Systems of Care require disciplined data governance to prevent drift and fragmentation. This article explains how counties design performance dashboards, case-review cycles, and corrective-action workflows that turn recovery metrics into operational change. Read more...
Workforce Architecture in ROSC: Staffing Models, Caseload Controls, and Supervision That Prevent Burnout and Drift
Recovery-Oriented Systems of Care collapse when workforce design is left to individual providers. This article explains how counties structure caseload controls, supervision architecture, and cross-role workflows that protect quality, reduce burnout, and maintain recovery continuity. Read more...
Family and Natural Supports in ROSC: Consent, Safety, and Operational Workflows That Strengthen Recovery Continuity
Family and natural supports can stabilize recovery, but only when counties operationalize consent, boundaries, and safe involvement. This article explains how ROSC systems design family-inclusive workflows, escalation routes, and governance controls that protect rights while improving continuity. Read more...
Integrating Primary Care and Infectious Disease Services Into ROSC: Operational Workflows That Prevent Medical Drop-Off
ROSC stability improves when primary care and infectious disease services are operationally embedded, not loosely connected by referrals. This article explains how counties build integrated workflows for screening, treatment initiation, follow-up, and shared accountability across SUD and medical providers. Read more...
Embedding Housing and Social Stabilization Into Recovery-Oriented Systems of Care
Recovery stability collapses when housing and social supports are treated as optional referrals. This article explains how counties operationalize housing integration, stabilization workflows, and governance controls so social determinants are embedded within ROSC infrastructure. Read more...
Building a ROSC Access and Navigation Infrastructure That Survives Real-World Demand
Access is where many Recovery-Oriented Systems of Care quietly fail. This article explains how counties operationalize centralized access, navigation ownership, and demand management controls so people can enter, move through, and re-enter care without fragmentation or delay. Read more...
Designing Medication Continuity and MAT Governance Inside a Recovery-Oriented System of Care
Medication continuity is a core stability driver in recovery-oriented systems. This article explains how counties operationalize MAT governance, prescribing workflows, cross-provider data sharing, and performance oversight to prevent relapse and protect continuity. Read more...
Operationalizing Crisis-to-Recovery Transitions in a Recovery-Oriented System of Care
Crisis response is often treated as separate from recovery systems, creating fragmentation and relapse risk. This article explains how counties operationalize crisis-to-recovery transitions inside a Recovery-Oriented System of Care (ROSC) using structured workflows, clinical governance, and accountable follow-up. Read more...
Medication Continuity in ROSC: MOUD, Pharmacy Operations, and Controls That Prevent Gaps and Medication Harm
Medication continuity is where many ROSC pathways quietly fail—through pharmacy friction, coverage lapses, missed refills, and inconsistent follow-up after relapse or missed appointments. This article explains how counties operationalize MOUD continuity workflows, pharmacy coordination, and governance controls that keep people stable without punitive discharge. Read more...
Hospital and ED Interfaces in ROSC: Turning Overdose and Acute Episodes Into Reliable Recovery Continuity
ROSC models fail when emergency and inpatient episodes become “reset points” that break continuity and push people back into crisis. This article explains how counties operationalize ED and hospital interfaces—handoffs, discharge bundles, and accountable follow-up—so overdose and acute withdrawal encounters convert into sustained recovery engagement. Read more...