Title : Engineering recovery-oriented systems of care: Operational models for sustainable peer integration in ASAM settings
Abstract:
Across ASAM levels of care; however, many systems continue to struggle with sustainable implementation due to role confusion, inconsistent supervision structures, workflow fragmentation, documentation challenges, productivity pressures, and peer role dilution within highly clinical environments. While recovery-oriented systems of care are widely supported philosophically, fewer operational models exist demonstrating how peer services can be effectively integrated into interdisciplinary treatment systems while maintaining role fidelity, workforce sustainability, and recovery-oriented values.
This presentation explores research-informed and real-world operational frameworks for integrating Medicaid-billable peer recovery services within residential and outpatient ASAM settings. Drawing from implementation experience within integrated behavioral health environments, presenters will examine practical strategies related to interdisciplinary collaboration, workflow engineering, documentation systems, supervision structures, participant engagement, crisis response integration, and organizational culture development.
Special attention will be given to balancing recovery-oriented principles, emerging peer workforce research, compliance expectations, reimbursement realities, and clinical system demands without compromising the unique identity and effectiveness of peer support services.
The presentation will also explore common implementation barriers including unclear role boundaries, underutilization of peer staff, burnout risk, inconsistent accountability structures, and challenges associated with integrating peer services into traditional treatment models.
Attendees will gain actionable tools and implementation strategies for strengthening interdisciplinary collaboration, improving workflow integration, supporting peer workforce retention, operationalizing sustainable recovery-oriented systems of care, and reducing scope drift within complex behavioral health environments.
This session emphasizes practical application and adaptable operational models that organizations can implement across residential, outpatient, and integrated ASAM treatment settings.
