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Recovery support services are designed to support individuals seeking to overcome substance use disorders across the lifespan. Recovery services exist on a continuum of improved health and wellness and are integral to effective treatment services and prevention.

In 2005, SAMHSA/CSAT convened a National Summit on Recovery with stakeholders, policymakers, advocates, consumers, clinicians and administrators from diverse backgrounds. The Summit represented the first comprehensive effort to reach a common understanding of the guiding principles of recovery, elements of recovery-oriented systems of care, and a definition of recovery.

Participants identified the following 17 elements as what recovery-oriented systems of care should involve.

  • Person-centered
  • Family and other ally involvement
  • Individualized and comprehensive services across the lifespan
  • Systems anchored in the community
  • Continuity of care
  • Partnership-consultant relationships
  • Strength-based
  • Culturally responsive
  • Responsiveness to personal belief systems
  • Commitment to peer recovery support services
  • Inclusion of the voices and experiences of recovering individuals and their families
  • Integrated services
  • System-wide education and training
  • Ongoing monitoring and outreach
  • Outcomes driven
  • Research based
  • Adequately and flexibly financed

RECOVERY SUPPORTS can be any of the following:

• Peer support groups
• Recovery coaching/mentoring
• Transitional housing
• Long-term sober housing
• Substance-free activities
• Recovery-supportive health care, employment, education, and community environments

ANCILLARY RECOVERY SUPPORTS can be any of the following:

• Child care and transportation
• Job training/employment counseling
• Personal finance skill building
• Relationship skill building
• Stable housing & employment
• Volunteer opportunities/giving back

National Summit on Recovery Conference Report, definition of the guiding principles.

SAMHSA White Paper documenting four case studies on Recovery Oriented Systems of Care


Establishing a ROSC in New Hampshire is a primary goal for stakeholders and the New Hampshire Bureau of Drug and Alcohol Services. The Treatment Task Force of the Governor’s Commission on Alcohol and Other Drug Prevention, Intervention and Treatment has prioritized the development of a more robust system of care centered on recovery.

Using the New Hampshire Plan for the State, SAMHSA, and the Center for Substance Abuse Treatment (CSAT) as resources and guidance, New Hampshire is committed to building a ROSC at the community, provider, regional and state levels.

Efforts to develop ROSC are supported by: