A relatively new approach in addiction treatment is to emphasize long-term follow-up care. However, little is known about the dissemination of this approach with young adults diagnosed with opioid-related disorders. The Recovery Oriented Community (ROC) is designed for families of and young adults with opioid-related disorders. A total of 1,237 family members and 966 clients participated in the ROC program and 77% engaged in formal or informal treatment 90-days after inpatient. Of these participants, 47% did and 40% did not report practicing recovery management skills. Thirteen-percent of participants also reported an alcohol or drug relapse post 90-days. The ROC shows promise as an effective intervention for preventing relapse.