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The opioid crisis has affected families across the nation. Approximately 10.3 million people live with an opioid use disorder and there were more than 46,000 opioid-related overdose deaths in 2018.

Trauma-informed, recovery-oriented systems of care (TI-ROSC) has effectively supported counties tackling this issue. This model combines two evidence-based frameworks with overlapping shared values and principles that can lead to improved health and wellness for individuals with substance use disorders (SUDs).

How can you create sustainable system-wide change that addresses trauma and fosters recovery for those you serve?

Trauma-informed, Recovery-oriented Systems of CareThe TI-ROSC Toolkit, supported by the Indiana Family and Social Service Administration and piloted in 14 Indiana counties, is a field-informed resource developed by the National Council’s foremost experts in shaping recovery-oriented and trauma-informed approaches.

Whether you’re looking to understand potential paths for recovery or you want to implement and sustain these approaches, we’ve compiled evidence-based tools, trainings and coaching to help create a more unified and cohesive system of behavioral health care that is available for any Indiana county.

This page will be frequently updated as new information becomes available to better serve residents across the state of Indiana.

Access the Toolkit

Need Support? Request Free Technical Assistance

Counties across the state of Indiana are eligible to receive five free coaching calls with National Council for Behavioral Health experts to support implementation, sustainability and fidelity of TI-ROSC in their communities.

For more information and to request technical assistance, contact us today.

Webinars and Upcoming Events

Recordings and Presentations

Gain guidance to implement trauma-informed and recovery-focused initiatives, along with scripts, tools, concrete strategies and recommendations for your community. Recordings for all webinars will be available after the live presentation occurs on this page:

Archived Webinars

  • Combating the Opioid Crisis – View recording
  • Implementation, County Change Team, Continuous Quality Improvement, and Maintaining Momentum – View recording and presentation
  • Recovery Supports, Peers, and Boosting TI-ROSC Awareness and Reducing Stigma – View recording and presentation

Upcoming Webinars

  • April 13, 11:30 a.m.-1 p.m. ET: Trauma-informed, Resilience-oriented Engagement – Register today
  • May 11, 11:30 a.m.-1 p.m. ET: Early Intervention, SBIRT and Harm Reduction – Register today
  • June 8, 11:30 a.m.-1 p.m. ET: Medication-assisted Treatment, Diversity, Equity and Engagement and Provider Bias – Register today
  • July 13, 11:30 a.m.- 1 p.m. ET: Diversity, Equity and Engagement in TI-ROSC – Register today
  • August 1, 2021: Introduction to Team-based Care
  • August 1, 2021: Integration 101
  • September 1, 2021: Trauma-informed Collaborative Documentation
  • September 2021: Stress, Chaos, Self-care, and Wellness

Affinity Group Calls

Affinity group calls available for anyone in the state of Indiana, belonging to the following cohorts, working on TI-ROSC implementation. Learn from peers across the state and from experts on issues specific to this cohort.

Indiana Peer Support Specialists

  • March 25, 2021: 11:30 a.m.-1 p.m. ETRegister

Indiana Policy Makers

  • April 15, 2021: 11:30 a.m.-1 p.m. ETRegister
  • April 29, 2021: 11:30 a.m.-1 p.m. ETRegister

Indiana Criminal Justice (including sheriff, police, prosecutors, defense attorneys, and judges)

  • May 13, 2021: 11:30 a.m.-1 p.m. ETRegister
  • May 27, 2021: 11:30 a.m.-1 p.m. ETRegister

Indiana Treatment Professionals

  • June 10, 2021: 11:30 a.m.-1 p.m. ETRegister
  • June 24, 2021: 12 p.m.-1:30 p.m. ETRegister

Indiana Faith-based Community (all faiths)

  • July 15, 2021: 11:30 a.m.-1 p.m. ETRegister
  •  July 29, 2021: 11:30 a.m.-1 p.m. ETRegister

Supplemental Trainings

For all trainings, registration is reserved for Indiana residents only, and is first-come, first-served. As trainings fill, wait lists will be developed.

Trauma-informed Motivational Interviewing – Register today

  • May 27, 2021 at 9 a.m.-4 p.m. ET
  • Audience: Health care providers, nurses, case managers, peer support specialists, behavioral health clinicians
  • Training cap: 35 participants
  • Content and discussion will be in the context of helping people who have had adverse childhood experiences (ACEs) manage their health conditions or substance use by applying motivational interviewing (MI) strategies and trauma-informed principles to come alongside to seek to understand the client experience and identifying barriers to change.

Adult Case to Care Management – Register today

  • July 12-13, 2021 at 9 a.m.-12 p.m. ET
    Must attend both days to receive certificate
  • Audience: Case managers
  • Training cap: 49 participants
  • The changing health care marketplace requires case managers to move from their traditional role to one of care manager. In that role, they work in health navigation, care coordination, play an active role in collecting data and work with the whole person – encompassing their physical and behavioral health. Moving to a care management model gives behavioral health organizations a competitive edge in promoting services across the health care system.

Screening, Brief Intervention, Referral to Treatment (SBIRT) – Register today

  • September 16, 2021 at 9 a.m.-4 p.m. ET
  • Audience: Health care providers, nurses, case managers, peer support specialists
  • Training cap: 35 participants
  • Screening, Brief Intervention and Referral to Treatment (SBIRT) is an evidence-based practice used to identify, reduce and prevent risky substance use. Health care and social service organizations have found that SBIRT can bolster an organization’s capabilities to address co-occurring disorders and implement integrated care. Through our training and coaching, participants learn how to use evidence-based screening tools to determine alcohol and drug use risk levels, respond with a brief intervention and operationalize referral to treatment.

Resources and Tools

Assessment Tools

Strategic Planning

  • Key Stakeholders List – Mandatory and recommended members of the County Change Team.
  • My Commitment to My County Change Team Creation Tool – Rubric to identify safety and accountability measures.
  • Communication Planning Tool – Resource to understand the needs of stakeholders and messaging for leadership buy-in.
  • Goal Setting Tool – Rubric to identify and prioritize short-term and long-term objectives.
  • Action Planning Tool – Facilitate the identification of SMART objectives for each step in the recovery continuum and across service components.
  • SWOT Tool – Tool provides counties and organizations with a detailed assessment instrument to guide a SWOT analysis across the continuum of care.
  • Strategic Planning Tracking Tool – Tracking tool for quality improvement to stay organized and timely in implementation and assessment of project objectives.
  • Sustainability and Fidelity Assessment – To come
  • Sustainability and Fidelity Action Planning Tool – To come



  • Stigma Reduction Tool – Designed to assist County Change Teams in exploring the beliefs, barriers and strategies to combat the stigma in their community.
  • Advocacy Handbook – Guide to advance the changes needed for TI-ROSC to be successful in public policies and programs.
  • Crafting a Compelling Story – Useful tips to tell the story of recovery.