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Housing A Critical Link to Recovery

Learn the critical role of recovery housing in combating substance use disorders. Understand the need, benefits, and evidence-based practices for this vital support system.

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Housing A Critical Link to Recovery

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  1. HousingA Critical Link to Recovery

  2. Addictions are chronic conditions, like asthma or diabetes, with similar rates of relapse and opportunities for recovery. Vermont Department of Health

  3. What’s the Problem?People are Dying at Alarming Rates!Pay Attention to the Red as I click through the next several slides starting in 2003 to 2017.These are the lives of Americans across our Country who are Dead as a result of Opioid Overdoses.

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  19. MAP SOURCE: National Center for Health Statistics, National Vital Statistics System (http://www.cdc.gov/nchs/deaths.htm).We TRIPLED the number of opioid overdoes annually from 2000 to 2015. From 11,000 lives lost a year to 33,000!If you look at opioid related-deaths, we are on track to loose over 1 million lives from 2000 to 2025.

  20. US Drug overdoses have overtaken car accidents, guns and HIV as cause of death and are leading cause under age 50

  21. Vermont has a serious Substance Use Disorder problem affecting 52,000 residents or 1 in 10 individuals over 12 years of age. Only DC has a higher concentration of substance use disorder. • ¾ of Vermonters in treatment are Medicaid eligible meaning nearly all of them are Extremely Low Income. • The rate of SUD is greatest among Vermonters aged 18-25. Within this cohort, 22.7% have a SUD, a level that is a startling 51% higher than the national rate for this age group.

  22. Drug-Related Fatalities Involving Opioids Source: Vermont Department of Health Vital Statistics System

  23. New England - Any Drug Overdose Deaths

  24. Vermont Department of Health

  25. Integrated TreatmentHub and Spoke

  26. Number of Vermonters Age 18-64 receiving MAT in hubs and spokes and number waiting for services over time Vermont Department of Health Source: SATIS, Provider Waitlist, VPMS

  27. What is Recovery Housing? • – Safe, Alcohol‐ and Drug‐Free Environments: abstinence‐focused living environments cushioned from a world where substance use was the central focus • – Time: an extended period for establishing and practicing healthy routines with a resident‐driven length of stay • – Community: Creating a safe, stable community of peer support in which a person in early sobriety can find a foundation for lifelong recovery among peers

  28. Who is Recovery Housing For? • People actively working to live alcohol and drug free lives • People who desire a safe and structured living environment with others who share the goal of sobriety • People who want to engage in support, services, or treatment opportunities to further their recovery • People at risk of homelessness because they are in exiting treatment, incarceration, military duty or are living in a home or neighborhood that puts them at risk for using.

  29. Evidence-based Practice • A growing body of research is showing that quality recovery housing • Reduces costs • Provides increased financial wellbeing (83% employment) • Enhances sobriety • Creates overall stability (family, emotional and quality of life measures)

  30. Evidence-based Practice • Multiple studies indicate a “tipping point” of 6 months • Peer support provides motivation and responsibility • 12-step programs, social supports and self-efficacy are strong predictors of positive outcomes

  31. Need for Recovery Residences by Community

  32. Themes • About 1200 individuals would benefit from access to a recovery residence. • Currently, there are 212 beds in the state • 73% of these existing beds re reserved for men and 24% for women, despite the fact that women currently make up 42% of all Vermonters receiving treatment for SUD. • 65% of the current RR beds are in Chittenden County though it makes up only 24% of the total person receiving SUD treatment statewide.

  33. Themes • Only one RR provides housing for mothers with independent children. Operators were nearly unanimous in prioritizing women with dependent children as the population in greatest need of a RR option. • Availability varies widely across the State • Stigma plays a role in lack of services

  34. Vermont Alliance for Recovery Residences (VTARR) The Vermont Alliance for Recovery Residences (VTARR) mission is to support those in recovery from Substance Use Disorders (SUD) by improving access to Recovery Residences through established standards, a fair and transparent certification process, community engagement, education, technical assistance, research and advocacy. 

  35. Vermont Alliance for Recovery Residences (VTARR) VTARR is an approved member of the National Alliance for Recovery Residences.

  36. Vermont Alliance for Recovery Residences (VTARR) Quality Ethical Standards Community Building Education and Technical Support Registry of Certified Recovery Housing Options Rental Assistance

  37. Recovery Residence Choices

  38. Downstreet’sStatewide Coordination of Housingfor People & Families Affected by SUD • Comprehensive housing needs study (DONE) • Vermont Alliance of Recovery Residences (VTARR) – ED HIRED • Strong partnership between housing and service providers (on-going), working on reducing evictions – Fall Convening • Housing Developer’s toolkit (DONE) • Rental Assistance fund for certified recovery residences • Family SASH pilot • R4R Initiative

  39. Prepared by Eileen Peltier (epeltier@downstreet.org) VTARR RR Report R4R Initiative RR Toolkit RR technical support RR Scholarship Fund 12 new RR by 12/20

  40. How Can you Help? • Full funding for affordable housing • Support acts relating to residential agreements for substance use recovery homes – H.223 and municipal zoning – H.435 • Create supportive communities Support Advocate Share

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