1. Changes in Practice

2.  Recovery Oriented System of Care  Recovery Management  Recovery Support Services

3. Treatment System

4.  Involve stakeholders in planning and evaluating services  Include persons in long term recovery and their families as stakeholders  Aim for a diverse spectrum of services - treatment, alternatives to treatment, and recovery support

6.  Attraction  Outreach  Stigma reduction activities  Access and Engagement  Lowered threshold for admission  Reduce premature disengagement from treatment

7.  Assessment and Treatment Planning  Strengths based  Focus on individual, family and community  Partnership/ Consultant Relationships with Patients  Enhanced choice and self- management

8.  Evidence based  Culturally competent  Gender specific  Integrated with mental health and somatic health services  Family Involvement  Individualized  Length of stay and menu of services

9.  Coordination with Recovery Support Services  Housing  Employment  Recovery community centers  Recovery coaching

10.  Continuing Care  Monitoring, support and re-involvement in treatment  Connected to Community  Active linkage with recovery community  Development of recovery resources  Advocacy

11.  System Management  Planning for multiple services  Coordination of services provided concurrently and sequentially  Integrating a new workforce  Monitoring new outcomes  Engaging diverse stakeholders

12. Prospective patient is screened. Addiction problem? Yes Prospective patient is assessed to determine level of care and other services needed. Preliminary treatment plan is developed. Applications for entitlements are made. Does patient need case manager? Yes Assign case manager to patient. Refer patient to treatment program, recovery support services per treatment plan.

13.  Changing the Treatment Model  Diverse combinations of treatment and support services  Maintaining longer contact with patients  Adopting innovations on a regular basis

14.  Involvement in the Community  Partnering with Prevention  Shared community outcomes, environmental strategies  Collaboration with allied service agencies  Somatic and mental health  Housing, employment, recovery community centers