What Is the R3 Recovery Index?

The R3 Recovery Index is an evidence-based clinical assessment tool designed specifically for Opioid Use Disorder (OUD) treatment teams. It tracks recovery across eight clinical domains, giving counselors and clinicians a structured, repeatable way to measure patient progress over time.

Why a Structured Recovery Assessment?

Recovery from Opioid Use Disorder is multidimensional. A patient may be stable on medication-assisted treatment but struggling with housing instability. Another may have strong social support but significant mental health comorbidities. Standard documentation workflows — progress notes, treatment plans — capture pieces of this picture but often lack a consistent framework for measuring change across domains over time.

The R3 Recovery Index provides that framework.

The Eight Recovery Domains

The R3 assessment covers eight domains of recovery:

1. - Substance use — Current patterns of use and abstinence
2. - Physical health — Medical stability, chronic conditions, MAT adherence
3. - Mental health — Co-occurring psychiatric conditions and symptom management
4. - Housing and environment — Stability of living situation and safety
5. - Family and social supports — Quality of relationships and social network
6. - Recovery supports — Engagement with peer support, mutual aid, and community resources
7. - Legal and financial — Legal involvement and financial stability
8. - Employment and education — Vocational and educational engagement

Each domain is scored systematically, producing a recovery profile that can be tracked longitudinally across multiple assessment points.

Integration with Clinical Workflows

Within Asendio AI, R3 assessments are integrated with the broader documentation workflow. Assessment results can inform treatment plan development and are accessible alongside session notes and transcription summaries — giving the treatment team a connected view of each patient's progress.

Who Uses the R3?

The R3 Recovery Index is used by counselors, clinicians, and care coordinators in substance use treatment organizations. It is particularly suited to Medication-Assisted Treatment programs treating Opioid Use Disorder, where ongoing recovery monitoring is a core part of clinical practice.