Although the majority of the current review has focused on manual-guided and single-episode treatment approaches, it is widely recognized that more integrated and sustainable resources often are warranted to initiate and maintain AUD recovery across populations. During the last two decades, research focused on recovery-oriented systems of care (ROSC) has demonstrated positive findings.65–69 ROSC is defined as “networks of organizations, agencies, and community members that coordinate a wide spectrum of services to prevent, intervene in, and treat substance use problems and disorder.”65 Identifying pathways to integrate partners and family members, where appropriate, into ROSC models holds promise, but has not been investigated thoroughly. Future research directed at examining facilitators and barriers—at the patient, provider, and system levels—to inviting family members into AUD treatment under this model is necessary. For example, some individuals engaged in ROSC might be facing obstacles such as homelessness or incarceration that might make it more challenging to identify and engage a supportive peer, partner, or family member. Under these circumstances, an adjunctive approach to developing or strengthening nonfamilial social support relationships could be explored. It also
