A special report in the June edition of Journal of Addictions Nursing offers an overview of methodologies for the integrated management of substance use disorders and highlights recovery-oriented systems of care (ROSC) as a promising approach to improvement of care. The 9-article report is edited by Katherine Fornili, MPH, RN, CARN, of University of Maryland School of Nursing, Baltimore, and Mary D. Moller, DNP, ARNP, PMHCNS-BC, CPRP, of Pacific Lutheran University School of Nursing, Tacoma, Washington. With an estimated 7.9 million Americans suffering from both psychiatric and substance use disorder, the need for an integrated treatment approach is urgent, the report contends. Resource limitations in addictions nursing and mental health specialty care place additional burdens on primary care practitioners.
Traditionally, substance use disorders have been treated in acute care settings, with a focus on abstinence and the expectation that the problem will resolve following brief treatment. ROSC, by contrast, endorses a “triple integration” of mental health care, substance use disorder treatment, and somatic health care via a network of acute and chronic care resources to help ensure a sustained recovery. Editors Fornili and Moller comment, “We look forward to the day when all clients with substance use disorders and psychiatric mental health disorders have access to modern, recovery-oriented services and quality of life enhancements.”
A news story, with link to the journal special issue, may be accessed here.