Articles

ROSC Measurement and Continuous Improvement: Building a Learning System After Overdose, Relapse, and System Failure
ROSC improvement requires more than outcome reporting—it requires a learning loop that turns overdoses, failed transitions, and relapse patterns into system fixes. This article explains how counties design measurement, review, and improvement mechanisms that produce accountable change. Read more...
ROSC Governance and Accountability: Turning Partnership Language into Enforceable System Performance
ROSC governance fails when roles are vague, data is optional, and partners can opt out of shared standards. This article explains how counties build enforceable accountability across providers, peers, housing, hospitals, and justice partners—so “system design” becomes observable performance. Read more...
Embedding Housing, Employment, and Social Stabilization Inside ROSC Design
Recovery systems fail when clinical care advances but social instability is left untouched. This article explains how counties embed housing, employment, and practical stabilization supports inside ROSC pathways—using governance and workflows that prevent drift into optional referral lists. Read more...
Designing Access, Engagement, and Re-Engagement Pathways in a Recovery-Oriented System of Care
Access in a ROSC is not about intake volume—it is about how quickly and reliably people can enter, disengage, and re-enter care without system friction. This article explains how counties design access and engagement pathways that remain functional under relapse, instability, and fluctuating demand. Read more...
ROSC Data, Measurement, and Continuous Improvement That Survives Real-World Variability
ROSC systems can’t improve what they can’t see—and most county datasets describe transactions, not recovery continuity. This article sets out how counties build measurement frameworks that capture engagement, transitions, equity, and safety, then turn those signals into operational change. Read more...
Building and Governing the Peer Workforce in a Recovery-Oriented System of Care
Peer roles are often added late and funded thinly, which turns “recovery orientation” into branding rather than infrastructure. This article explains how counties design, credential, supervise, and deploy peer workforces inside ROSC—using operational controls that protect quality, safety, and continuity. Read more...
Financing and Commissioning Recovery-Oriented Systems of Care at Scale
ROSC implementation fails when funding mechanisms reward fragmentation. This article explores how counties design financing and commissioning models that sustain recovery-oriented delivery, align incentives, and protect continuity across changing fiscal and policy environments. Read more...
Governance, Accountability, and System Control in Recovery-Oriented Systems of Care
ROSC frameworks fail when governance is symbolic rather than operational. This article explains how counties build real accountability into recovery-oriented systems through commissioning structures, performance oversight, and system controls that survive provider turnover, funding shifts, and political change. Read more...
Building Access, Engagement, and Continuity into Recovery-Oriented Systems of Care
Access failures are one of the most common reasons recovery-oriented systems break down. This article examines how counties design ROSC access pathways that work under real demand, maintain engagement over time, and prevent people from falling out of care during transitions, wait periods, or life instability. Read more...
Designing a Recovery-Oriented System of Care: The Operational Blueprint Counties Actually Need
A ROSC only works when it is built as a connected delivery system, not a concept statement. This article breaks down how counties operationalize recovery orientation across access, service coordination, governance, and outcomes—using workflows and controls that survive real-world volume and volatility. Read more...