We’re glad that you are here!

WELCOME

NARR BoardMichelle Adams Byrne Texas Recovery InnSusan Binns Tennessee YANA, AHHAPGeorge Braucht Georgia Board of Pardons and ParolesChris Edrington Minnesota, Colorado St. Paul Sober LivingBeth Fisher Georgia, North Carolina, South Carolina

Hope HomesTom Hill Washington, D.C. FAVORJason Howell Texas SoberhoodCassandra Jackson Georgia Centers for Disease ControlCurtiss Kolodney Connecticut CCARTed McAllister Georgia Haven HomesKevin O’Hare Michigan Touchstone RecoveryDave Sheridan California Sober Living NetworkSusan Smith Michigan Network 180Nancy Steiner Florida SanctuaryFred Way Pennsylvania PARR

NARR: May 2012

•People in early recovery often return from institutions or programs to environments that support alcohol and/or drug addictive lifestyles.

•Recovery residences provide a safe, healthy, community-based alternative for facilitating recovery at all stages of the recovery process.

•Outcome studies show, the longer an individual remains in a recovery/treatment environment, the greater are her or his chances of sustaining recovery.

Consider the fact that…

Existing Challenges

•Recovery housing options are limited in most places in the country.

•Much of the existing capacity is of poor quality and provides limited recovery support.

•Standards and technical assistance limited in most places.

•These are not inevitable outcomes.

NARR Addresses the Challenges

•Rigorous standards based on best practices.

•Research: outcomes studies, strength and needs assessments, under-served populations.

•Promotes a long-term, sustainable recovery model.

•Promotes legitimacy for recovery residences through research, and advocacy.

•Addresses ongoing housing discrimination issues and is a voice for those that have none.

•Facilitates creative partnerships and advocacy.

•Supports multiple pathways to recovery.

•Provides constructive, rehabilitative alternatives to incarceration.

Recovery Residence Study24 months following Residential

Treatment

Criterion “Usual aftercare”Recovery Residence

Substance Use 64.8% 31.3%

Monthly Income $440 $989

Incarceration 9% 3%

Jason et. al., 2006

•Recovery is a process that takes time.

•Positive recovery outcomes are strongly associated with duration of recovery support.

Recovery Residences =Housing as Recovery

Support

•Addiction is a chronic disease often treated as an acute condition.

Recovery Residencesin the Continuum of

Recovery

Long-term recovery:Independent, meaningful living in the community

Service intensity

Recovery process duration

High

LowStabilization

Acute care (inpatient, medical, psychiatric)

Level 4

Level 3

Level 2

Level 1

Recovery residences: Enter at any

level

Levels of Support

• Peer recovery support in a democratically run living environment.

Level IPeer Run

• Peer recovery support and structure implemented by house rules with an emphasis on community and accountability.

Level IIMonitored

• Peer recovery support plus extended-care programming with an emphasis on (re)habilitative life skill development.

Level IIISupervised

• Peer recovery support plus life skills and clinical programming.

Level IVService

Provider

• Human resource policies and plans that provide appropriate levels of support.

Staff

Standards Criteria• Organizational structures that create and

maintain safe, supportive living environments.Administrativ

e

• Elements that cultivate community culture and individual recovery.

Services

• Dwellings that are safe and recovery conducive.

Environmental

People in Recovery“disabled”

a protected class(ADA, FHA)

Home of Choice (FHA)

Community Integration (Olmstead)

Dignity, Free of Stigma (WHO)

Safe, Stable Home (SAMHSA)

Housing Rights

Fair Housing Protection

Equal access to appropriate housing.

Equally enforced neighborhood restrictions.

Local governments must make “reasonable accommodation” for persons with disabilities.

Local governments to remove barriers to disabled housing access.

Not Protected

Higher occupancy than natural families in the same neighborhood.

Unsafe conditions, poorly maintained property.

Illicit substance use; criminal activity; and threats to health, safety & property.

Discrimination on the Rise

Nationwide Problem

Not In My Back Yard(NIMBY) politics

Local Governments Actively discriminate, undermine protection

State governments Undermine protection

Government Discrimination

Zoning restrictions.

Low occupancy limits.

Conditional use permits, high fees.

Moratoria.

Unreasonable safety, inspection requirements.

Unreasonable “reasonable accommodation”.

NIMBY Myths and Fears

American Planning Association finds these statements about Recovery Residences to be FALSE.

Decrease property values Increase crime Increase drug/alcohol usage Are bad neighbors Undermine neighborhood

character Overburden infrastructure

Real Costs ofHousing Discrimination

Displaces residents, destabilizes recovery.

Decreases number of recovery-supportive environments, opportunities.

Creates barriers to open new homes. Increases operating costs, financial

burdens on residents.

Real Costs ofHousing Discrimination (cont’d)

Undermines many social services programs

Increases cost of addiction:homelessness, criminal justice, healthcare, family impacts …

Jeopardizes HUD funding Wastes precious resources on

expensive battles Polarizes communities, fuels stigma

NARR’s Housing Rights Solution

Unified voice & advocacy training Locally, statewide & nationally

Gain clarity from DOJ/HUD Create information/resources

clearinghouse Build alliances

Recovery, mental health & fair housing Encourage public-private partnerships

- Legal, cost effective oversight- Streamline reasonable accommodation- Build quality capacity

NARR at Year 1

•The Standard for Recovery Residences.

•Levels of Recovery Support.

•Standards for regional affiliate organizations.

•First summary of recovery residences is underway with William White, Doug Polcin, Leonard Jason, & Amy Mericle .

•Participation from highest-quality recovery housing organizations nationally.

NARR at Year 1

•1,800 recovery residences.

•Capacity to serve 24,000 residents.

•13 regional recovery residence provider organizations.

•Three additional regional organizations in process of affiliation.

•Five regional organizations in formation with NARR technical assistance.

NARR: May 2012

Collaborative Possibilities“How can you help?”

NARR Supporting You You Supporting NARR

Organization Liaison

In-kind Support

Subject matter expertise

Letters of support or endorsement

In-kind Support

Funding Opportunities

Develop Affiliates Technical assistance