Ohio’s Alcohol, Drug Addiction, and Mental Health (ADAMH) Boards are continuing their efforts to implement Recovery-Oriented Systems of Care in their communities. A Recovery-Oriented System of Care places its primary focus on the individuals in need of recovery services and their families, building on their strengths, and incorporating a coordinated and collaborative approach across the community. The foundation of Ohio’s Recovery-Oriented Systems of Care is locally managed continuums of care designed to provide person-centered prevention, treatment, and support services to help individuals and families impacted by mental illness and addiction achieve and sustain long-term recovery.
The Recovery Is Beautiful BluePrint sets out a Recovery-Oriented System of Care framework in which Boards are the “hub” for their local communities that coordinate across systems to ensure that local entities are prepared to identify and address local emerging and standing issues related to mental illness and/or addiction. Local communities do this by offering community-based mental health and addiction prevention and wellness services; crisis care and acute care treatment services; as well as an array of recovery supports that are person-centered, trauma-informed, culturally competent, and designed to meet the needs of individuals working toward or in recovery.
Healthcare is best delivered locally, and individuals and communities are best served when the healthcare system is designed and managed locally. Innovation driven at the community level will lead to the implementation of improved mental health and addiction service delivery solutions. By planning for, designing, managing, and advocating for adequate financing, Boards, working with their local partners, are able to determine what works best in their communities. This type of planning and coordinating requires a systems approach and effective collaboration among local stakeholders, including schools, law enforcement, child welfare, the courts, human services, healthcare, businesses, and employment services. In a report about their local efforts, the City of Philadelphia, a nationally recognized leader in this area, outlines the philosophy that underpins the development of a local Recovery-Oriented System of Care stating the following:
“A recovery-oriented system of behavioral healthcare will offer citizens an array of accessible services and supports from which they will be able to choose those which are most effective and responsive in addressing their particular behavioral health condition or combination of conditions. These services and supports will be culturally appropriate, build on individual, family, and community strengths, and have as their primary and explicit aim promotion of the person’s/family’s resilience, recovery, and inclusion in community life. Services and supports will be provided in an integrated and coordinated fashion within the context of a locally managed system of care developed in collaboration with the surrounding community – thereby ensuring continuity of care both over time (e.g., across episodes) and across agency boundaries, and maximizing the person’s opportunities for establishing, or reestablishing, a safe, dignified, and meaningful life in the communities of his or her choice.”