Recovery Oriented System of Care

A Recovery Oriented System of Care (ROSC) community coalition is a coordinated, interconnected group of people and organizations that promote and nurture community-based services and supports to improve health, wellness, and quality of life in the local community.

A ROSC community coalition is person-centered and builds on the strengths and resiliencies of people, families, and communities. Its foundation is the Recovery Oriented System of Care Framework (Evans and White, 2013), which encompasses psychological, biological, and social systems that create and sustain overall health. (Bitting, Nash, & Ochoa, 2016).

There Are 15 Active ROSCs in Texas

Contact Your Local ROSC

Find your local ROSC in our directory.

View ROSC Directory PDF

Directory updated every first Tuesday

ROSC Counties by Region

Region 1

Plainview – Llano Estacado Alliance for Families (LEAF): Hale, Bailey, Briscoe, Castro, Floyd, Lamb, Motley, Swisher & Parmer

Region 2

Big County ROSC: Taylor, Fisher, Jones, Shackelford, Callahan, Coleman, Coke, and Nolan

Region 3

North Texas Coalition on Wellness: Dallas, Tarrant, Collin, Cooke, Denton, Ellis, Erath, Fannin, Grayson, Hood, Hunt, Johnson, Kaufman, Navarro, Palo Pinto, Parker, Somervell, Wise, Rockwall

Region 4

East Texas Recovery Initiative (ETRI): Gregg, Harrison, Rusk

Heal & Recovery: Morris, Franklin, Titus

Tyler ROSC: Anderson, Bowie, Camp, Cass, Cherokee, Delta, Franklin, Gregg, Harrison, Henderson, Hopkins, Lamar, Marion, Morris, Panola, Rains, Red River, Rusk, Smith, Titus, Upshur, Van Zandt, Wood

Region 5

ROSC of Deep East Texas: Angelina

Region 6

Austin: Travis

Heart of Texas/ Central Texas ROSC: McLennan, Bell

Williamson: Williamson

Region 7

Galveston County ROSC: Galveston

Houston ROSC: Harris

Region 8

Alamo ROSC: Atascosa, Bandera, Bexar, Calhoun, Comal, DeWitt, Dimmit, Edwards, Frio, Gillespie, Goliad, Gonzales, Guadalupe, Jackson, Karnes, Kendall, Kerr, Kinney, La Salle, Lavaca, Maverick, Medina, Real, Uvalde, Val Verde, Victoria, Wilson, Zavala

Victoria: Calhoun, Dewitt, Gonzales, Goliad, Jackson, Lavaca

Region 10

El Paso: El Paso

Region 11

Rio Grande Valley: Aransas, Bee, Brooks, Cameron, Duval, Hidalgo, Jim Hogg, Jim Wells, Kennedy, Kleberg, Live Oak, McMullen, Nueces, Refugio, San Patricio, Starr, Webb, Willacy, Zapata

Helpful ROSC Resources

Recovery-Oriented Systems of Care: A Perspective on the Past, Present, and Future (PDF)
A perspective on the recent concept of recovery-oriented systems of care with respect to its origins in the past and its status in the present.
Houston Recovery Initiative (PDF)
A Rich Case Study of Building Recovery Communities One Voice at a Time

Examples of Recovery-Oriented Activities

Source: Recovery-Oriented Systems of Care (ROSC) Resource Guide

To learn more about ROSC, please visit the Texas Health and Human Services Website.

When I heard what other community coalitions were doing in their communities, I knew I wanted that for my community.

Beverly Austin

Through the process, I learned that my job is to create the space for people to come together, share their voice, and I listen and track their ideas and recommendations. I mainly listen.

Alexis Villarreal

History of the ROSC Community Coalitions in Texas

2007

The original statewide Texas Recovery Oriented System of Care community coalition was organized by Philander Moore Sr., Substance Use Treatment Director at Texas Department of State Health Services (now Texas Health and Human Services). By 2010 there were regular meetings in Austin attended by representatives of recovery community organizations like APAA, Communities for Recovery and the Recovery Alliance.

2010

Twenty-three representatives committed to expanding recovery supports in Houston convened together to discuss community needs and plan for a ROSC community coalition in Houston. This meeting was hosted by Council on Alcohol and Drugs Houston, now the Council on Recovery, collaborating with Santa Maria Hostel, the Coalition of Behavioral Health Services, the Addiction Research Institute at The University of Texas at Austin and the Texas Department of State Health Services. This meeting served as the beginning of the very first local ROSC community coalition in Texas, the Houston Recovery Initiative.

Five workgroups were formed at the initial meeting: Treatment, Recovery Support Services, Peer Recovery Coaches, Customer Voice, and Public Policy. In the subsequent few months, the overall group and individual workgroups met regularly to decide on new directions to take with their ROSC community coalition.

As membership in the Houston Recovery Initiative grew throughout 2010, a conference, ‘‘Planning a ROSC Model for our Community,’’ took place with more than 100 active participants.

2011-2014

Texas Department of State Health Services conducted trainings and facilitated regional stakeholder meetings to support local organization of ROSC community coalitions throughout Texas. By 2014, twenty-eight ROSC community coalitions had been established in Texas.

Citations:

Bitting, S. , Nash, A. & Ochoa, A. (2016). Houston Recovery Initiative. Journal of Addictions Nursing, 27 (2), 120-126. doi: 10.1097/JAN.0000000000000123.
Evans, A. C., & White, W. L. (2013). Recovery-oriented systems of care:
Reflections on the meaning of a widely used phrase.

Once we did our focus groups - other organizations asked us to do focus groups! Members of ROSCs are now doing regular focus groups with their constituents.

Jacqueline Martinez

The ROSC is for everyone - it is not contingent on any one organization. This is for everyone for the entire community.

Barbara Hood

History of the Big Texas Rally for Recovery

In 2010 the Texas ROSC received a donation from a private donor and Texas ROSC members decided to use it to create the very first Big Texas Rally for Recovery on Saturday October 1, 2011 at front steps of the Texas Capital in Austin, TX.

The Texas ROSC came together to put on a great community event that later expanded into the multiple local rallies that take place today.

The Big Texas Rally for Recovery ignited the Tyler ROSC to form and move forward to grow.

Jason McLemore