Peer Recovery Indiana is a part of a national movement to promote peer recovery support services. The multi-tiered effort is part of a national trend in health care over the last 10-15 years known as Recovery-Oriented Systems of Care (ROSC). A fundamental value of a ROSC is the involvement of people in recovery, their families, and the community to continually improve access to and quality of services.
Peer Recovery Indiana is a state-wide community outreach of Indiana Addictions Issues Coalition.
Recovery-Oriented Systems of Care
“A ROSC is a coordinated network of community-based services and supports that is person-centered and builds on the strengths and resiliencies of individuals, families, and communities to achieve abstinence and improved health, wellness, and quality of life for those with or at risk of alcohol and drug problems.” 
On one level, ROSC reflects a shift in how we think of addiction, particularly alcohol and drug abuse. We’ve typically seen and treated this as an individual disease requiring supervised, medical treatment. But, we are beginning to see this more broadly as a health care need that requires “the full continuum of care (prevention, early intervention, treatment, continuing care and recovery) in partnership with other disciplines, such as mental health and primary care, in a ROSC.” 
The central focus of a 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.
A ROSC encompasses a menu of individualized, person-centered, and strength-based services within a self-defined network. By design, a ROSC provides individuals and families with more options with which to make informed decisions regarding their care. Services are designed to be accessible, welcoming, and easy to navigate.
 Source: Recovery-Oriented Systems of Care (ROSC) Resource Guide – Working Draft, published by SAMHSA, September 2010.
SAMHSA Program Funding
The Substance Abuse and Mental Health Services Administration (SAMHSA), Center for Substance Abuse Treatment (CSAT) has been investing in ROSC and community-based services through its Recovery Community Services Programs (RCSP) for more than a decade.
SAMHSA recognizes the value of addiction recovery community organizations (RCOs), peer recovery supports and services, and the need for the peer voice to be represented in state-level policy planning and implementation. With early success in states like California, North Carolina and Vermont, SAMHSA’s focus has expanded to include additional capacity and strengthening statewide networks.
Indiana’s Statewide Coalition
& Project Funding
Work on Indiana’s statewide network of peer-based continuum of care for addiction recovery is being led by a statewide coalition, Indiana Addictions Issues Coalition (IAIC).
IAIC received initial SAMHSA funding for two key programs from 2014-2017 – PEERS and WTW. Wave 1 of this multi-year grant funding is outlined below.
As funding for these programs came to a close in late 2017, SAMSHA assessed the relative success of the various community-based services funded by their first wave of program grants. This assessment included IAIC’s PEERS and WTW projects.
IAIC received additional SAMHSA funding for a new project starting in December 2017, which builds on the foundational success of PEERS and WTW. So let’s talk about Wave 2 of this multi-year grant funding.
Wave 2: Grow the Foundation (2018-2020)
IAIC was one of a handful of community-based organizations that were invited back to bid on a second wave of SAMSHA funding in late 2017. IAIC was awarded funding to address the ongoing need for a dedicated, self-sustaining addiction recovery statewide network and enhanced addiction peer recovery support services (PRSS) through the following broad activities:
1) Continuing to train and certify Peer Recovery Coaches.
2) Developing and/or connecting with and supporting 5 regional recovery networks that advise and serve a statewide recovery network.
3) Developing a statewide recovery network, Indiana Recovery Network, as a statewide infrastructure for PRSS, assist RCOs with organizational capacity-building, and formulate sustainability strategies to ensure the continuation of the network beyond the funding period.
4) Supporting project partner Indiana Counselors Association on Alcohol and Drug Abuse (ICAADA) in its effort to develop a recovery coach membership organization, the Indiana Association of Peer Recovery Support Services (IAAPRSS), to expand the scope and reach of recovery coaching through the state.
Wave 1: Lay the Foundation (2014-2017)
IAIC received initial SAMHSA funding for two key programs from 2014-2017 – PEERS and WTW.
PEERS – (PEERS Empowerment Effects Recovery Services)
IAIC & Project PEERS developed an infrastructure for peer recovery support services in Indiana. Project PEERS is focused on:
1. Development of a state-accepted credential for Peer Recovery Specialists
2. Training of 150 Peer Recovery Coaches
3. Development activities for 30 Recovery Community Organizations (RCO) to increase their use of Peer Recovery Support Services (PRSS)
The peer recovery support infrastructure that was established with Project PEERS is made up of a network of public and private behavioral health agencies, faith-based organizations, and community and privately-funded support organizations.
The end goal of this wave was to develop & implement sustainability strategies to ensure the continuation of the project beyond the funding period.
Through an ongoing advisory board, the organization established by IAIC and funded by SAMSHA coordinates and deploys training and coaching services, develops and manages ongoing regional trainings, and assists RCOs with organizational capacity-building.
WTW – (Working Together Works)
The goal of WTW is to increase the capacity to affect change to the behavioral health systems while improving behavioral health outcomes for persons in recovery from serious mental health illness, substance use, and families with children or young adults with serious emotional disturbances.
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