This monograph contains a synthesis of findings from scientific studies and recommendations from new grassroots recovery advocacy and support organizations that are collectively pushing a fundamental redesign of addiction treatment in the United States.

This document explains that, based on growing evidence of the chronicity and complexity of severe substance use disorders, we are faced with an increasing need to shift the current acute care model of treatment toward a model of assertive and sustained recovery management.

This monograph emphasizes that the addictions treatment field is reaching a tipping point that is revolutionizing the ways in which behavioral health leaders think about people with alcohol and other drug problems, and consequently how services and systems are developed.

At its core, this movement represents a shift away from a crisis-oriented, professionally directed, acute-care approach with its emphasis on isolated treatment episodes, to a recovery management approach that provides long-term supports and recognizes the many pathways to healing.

This monograph presents a systematic review of the literature to support this transition and the concrete strategies that will help make the vision of recovery-oriented service systems a reality.

The Recovery Research Institute is a leading nonprofit research institute of Massachusetts General Hospital, an affiliate of Harvard Medical School, dedicated to the advancement of addiction treatment and recovery through conducting and disseminating research and providing education and outreach. They feature a 'research' section that provides easy-to-read summaries of the latest research. 

This resource guide from SAMHSA explains that the central focus of a recovery-oriented systems of care (ROSC) is to create an infrastructure or system of care with the resources to effectively address the full range of substance use problems within communities. Recovery-oriented activities include providing a menu of traditional treatment services and alternative therapies, including peer recovery coaching, acupuncture, meditation, and music and art therapy.

According to this document, recovery support services, including employment assistance, child care, care management, and housing support, may enhance the engagement of individuals and their families in achieving and sustaining recovery.

A website from the U.S. Department of Labor that informs employers on policies that can be adopted to support employees in recovery or struggling with substance use problems. 

This brief summarizes Second Chance Act (SCA) programs and highlights areas vital to successful reentry and offers examples of how SCA grantees have addressed these issues among the people they serve. Tailoring interventions to high-risk populations is discussed in this document. 

This is a website from Abt Associates highlighting a series of reports that provide a scoping review of first responder-led programs designed to maximize diversion from the justice and emergency systems to treatment and community-based services, then presents a framework for considering the different types of programs for preventing crises or improving emergency responses for individuals with substance use disorder, severe mental illness, or those experiencing homelessness. 

This is a meeting summary from the California Health Care Foundation (CHCF), which convened a gathering of rural health leaders, addiction specialists, and policy experts to understand the challenges in rural Northern California and to identify potential solutions.

There is a focus of providing medications for opioid use disorder (MOUD) in primary care and addressing barriers to improve the implementation of this response approach. Existing program models that hold promise in integrating MOUD into primary care are highlighted in this document. 

This is a report from the National League of Cities and Policy Research, Inc. that details the various co-responder models available to city and county leaders to respond to behavioral health crises. These innovate models are cost-effective options to divert individuals away from the criminal justice system. Specific models implemented across the United States are highlighted. 

This is an academic paper that proposes an innovative model to increase initiation of medications in those with opioid use disorder (OUD). Medication treatment would be initiated in recovery community organizations (RCOs), which typically deliver recovery support services. Treatment could begin in two scenarios: after an overdose or through peer outreach or walk-ins to the RCOs. Those initiated on medications would continue to get treatment through the RCO. This is a theoretical model and has yet to be implemented. 

This is a policy brief from the National Congress of American Indians Policy Research Center that highlights that the opioid crisis has impacted American Indians and Alaska Natives (AI/AN) more than other groups. Causes mentioned are overprescribing and a high prevalence of trauma in AI/AN. The brief calls for tribes to respond with a multifaceted, collaborative approach to address this complex problem. 

This is a report from the Arnold Foundation intended to support state Medicaid agencies and payers in improving access to substance use disorder (SUD) treatment, quality, and capacity, with a special focus on medications for opioid use disorder (MOUD).