Map Out Continuing Care
Clients do not know that recovery continues beyond the
current level of care.
Introduce a “roadmap to recovery” at regular intervals to
show the treatment choices the client will have to make in
order to continue their recovery.
The Partnership for Advancing Recovery in Kentucky
(PARK) used a Roadmap to Recovery to show clients the
decisions they will face as they move through recovery. The
roadmap is introduced early in treatment to help communicate realistic expectations, including
that treatment will need to continue even after they complete the program they have just begun.
For more information about this change and all of the changes implemented by PARK, see the
PARK Continuum of Care.
Fayette Companies in Peoria, Illinois explains to everyone admitted to detox that continued
treatment is expected even after they leave detox.
- Map out the need for continuing care to clients early in treatment and again just prior to
Percentage of referred clients who were
Data Collection Form
- 1. Select one referral source.
- 2. Create a roadmap of continuing treatment that can be explained to clients
and decide when to present it – e.g., when they are referred to treatment
and/or before they are discharged from treatment and referred to the next
level of care.
- 3. Collect baseline data for the percentage of referred clients who were
- 4. Test use of the roadmap by presenting it to a few clients at the designated
point–e.g., when the referral is made and/or before discharge.
- 5. For the clients who were exposed to the roadmap, track the percentage of
referred clients that are admitted.
- 6. Check the fidelity of the change. Was the change implemented as planned?
- 7. Evaluate the change:
- How did the clients react to learning about the entire roadmap to
- For clients who were exposed to the roadmap, did the percentage of
referred clients who were admitted increase?
- 8. If this change was an improvement:
- Adopt this change or adapt the content and/or timing and frequency
of introducing the roadmap for more improvement and re-test it.
- Expand the use of the roadmap by referrers.
- Document the processes that resulted in an improvement so that you
can continue to use them efficiently.
- Test other, related promising practices that apply to your setting.
If this change was not an improvement and you can’t make it work, abandon this
practice and test other promising practices that might be more successful in your