Maryland Recovery Net Providers Working Together Transforming and Moving Our System Forward

1. Maryland Recovery Net Providers Working Together Transforming and Moving Our System Forward Organizing with a Purpose: The Role of Supporting Housing in Supporting, Strengthening and Expanding Maryland’s Continuum of Care Presenter Carlos Hardy, MHS Founder & CEO Maryland Recovery Organization Connecting Communities

2. Spare you from hearing all about me and how great I am Will share a little about the organization(s) I recently founded History of Supportive Housing in Maryland Creating a Supportive Housing member organization : Pro/Cons and Lessons Learned Environmental Scan 2013 and Beyond Q & A

5. Recovery Community Organization (RCO) Led and governed by representatives of local communities of recovery An RCO organizesrecovery-focused policy advocacy activities, carries out recovery-focused community education and outreach programs, and/or provides peer-based recovery support services (P-BRSS) Recovery Community - people in long-term recovery, their families, friends and allies, including recovery-focused addiction and recovery professionals – includes organizations whose members reflect and support “many pathways of recovery” – (Ex: religious, spiritual and secular) The sole mission of an RCO is to mobilize resources within and outside of the recovery community to increase the prevalence and quality of long-term recovery from alcohol and other drug addiction. Public education, policy advocacy and peer-based recovery support services are the strategies through which this mission is achieved

8. Vision Realization of a comprehensive and coordinated network of peer-led, person-centered, strength-based, recovery-focused services, supporting access to individuals, families and communities seeking to overcome personal or family challenges related to alcohol and drug use and/or mental illness

9. Services and Supports Community Outreach; Engagement; Education and Recruitment Recovery Oriented System of Care (ROSC) - Technical Assistance, Strategic Planning, Program and Organizational Development, Implementation and Sustainability Pro-recovery Advocacy - Public Policy - Stakeholder Engagement and Education Peer-Recovery Support Specialist (P-RSS) – Training and Supervision Peer-to-Peer Recovery Support Services - Telephonic Recovery Support (TRS), Continuing Care (CC) Recovery Support, Recovery Planning/Recovery Capital (RC)Development , Resource Services/Support Linkages

10. History 101 Show of hands – How many of you believe knowing the history of a particular subject is important? Is there anyone here who considers themselves a student of history What type of history, and why? How many of you would believe me if I told you that this exact moment, this particular point in time, this gathering of professionals, stakeholders, people in recovery has actually been fifty-four (54) years in the making

11. Can You Guess the Year Flynn Christian Fellowship Homes (FCFH) operates two houses for recovering alcoholics Baltimore Sun editorial identifies the program by name in suggesting the City’s Zoning Board was targeting such programs for closure (Controversial) Council Ordinance #1295 introduced – intended to grant City Council exclusive privilege to grant programs such as FCFH permission to operate in the community Council Ordinance # 1295 pitted two city agencies – Planning commission (Pro) and Local Zoning Board (Con) against each other

12. Years 1959-1961 City’s Conditional Ordinance legislation passed in 1961 Planning Director, Philip Darling, is quoted in the June 15 article stating that the proposed legislation was “ the most appropriate “ way to handle the problem In opposing the bill, Gilbert V. Reuben, executive secretary of the Zoning Board, stated that the Zoning Board opposed all attempts to pass the legislation based on the belief that rehabilitation homes for alcoholics’ did not belong in residential areas The action of the Zoning Board in closing our homes in residential neighborhoods has been a crippling financial blow to our work in the city – Arthur D. Pratt Jr., FCFH President

13. In support of his argument and in support of his program Mr. Pratt offered the following statements: FCFH gave an average of four and one-half months of room and board and a program of rehabilitation to approximately 1,250 destitute persons That it is reasonable to assume that lacking these services at least half of that number would have otherwise gone to the city jail or one of “our” mental hospitals Services his program offered resulted in a savings of $200,000 in public dollars Pratt welcomed the investigation of the above statement by any reputable public authority The ordinance permitted any neighborhood to vote whether they (the community) wished to have one of FCFH houses in the community and that the ordinance process gave communities ample enough time to oppose the program locating in the community, if they chose to

14. Forty-nine years later Conditional Ordinance Statute Repealed by Court Decree The absence of any justifiable basis for classifying and treating residential substance abuse treatment programs in a manner so qualitatively different and worse than the City treats other similar uses – notably, group homes for individuals with mental illness and developmental disabilities, which can locate as of right in residential zones of appropriate density – supports only one conclusion: that the City’s Zoning Code discriminates against individuals recovering from substance abuse.  Because such individuals are persons with disabilities under the ADA, the City’s Zoning Code is facially discriminatory

15. Supportive Housing Attempts to Mainstream In a letter to Mr. Harry Langmead, Regulations Coordinator for the State of Maryland, Marc Riddell, President Transition Incorporated Proposes an amendment to the State’s COMAR regulations (COMAR 10.47.01) Change in code would institute a new classification Mr. Riddell identifies as “residential community” Riddell suggests gaps exist in the State’s then current continuum of care model. And that programs such as Transition Incorporated, operating as residential communities, possessed the ability to address identified gaps in Maryland’s continuum of care. To further strengthen his case for certification Riddell includes several pieces of documentation including a set of proposed standards for governing residential communities; copies of his organization’s articles of incorporation, by-laws and an organizational flow chart, a copy of a residential agreement and a sample of the resident screening criteria included as part of the operating procedure manual drafted by Transition Incorporated.

16. De ja Vu “Common Ground” Initiative (2003 -2004) Grassroots developed response to NIMBY (Not in My Back Yard) concerns expressed by communities and key decision makers “City Needs a New Approach to Addiction” (Baltimore Sun 2004) The city and state should develop sources of funding and standards for unlicensed group homes. … but they do provide invaluable services that deserve public support and are community assets “Supportive Housing in Baltimore City” http://www.baltimorecitycouncil.com/PDF_Files/2005/SupportiveHousing_Report.pdf “Supportive homes exist in virtually all residential neighborhoods in Baltimore City. They enable individuals who cannot live on their own or with their families to reside in residential communities with other similarly situated people”. Provider Approaches to Recovery Oriented Systems of Care Building Support for Supportive Recovery Housing – The Citizens Planning and Housing Association of Baltimore "http://partnersforrecovery.samhsa.gov/docs/Provider_Approaches.pdf

17. Organizing Works Abell Foundation - Grant submission (2005) Goal To strengthen the ability of supportive housing to fill a critical gap in the continuum of care for vulnerable populations in Baltimore City – safe, stable, drug-free supportive housing where people can maintain their recovery and reintegration into mainstream life Baltimore Area Association for Supportive Housing (BAASH) established as “membership association”

18. Top Ten Impediments

19. Let’s Wrap This Thing Up September 2005 “National Summit on Recovery Conference” - Washington, D.C. Key Outcomes Definition of Recovery Twelve “Guiding Principles of Recovery” and Seventeen “Elements of Recovery-Oriented Systems of Care “ September 14, 2010 Second National Summit on Recovery from Substance Use Disorders convenes in Washington, D.C. Outcome: Call for a National Recovery Agenda

20. Recovery Community Support Program Funding history: In 2005, 2008 and 2009 no new RCSP grants were awarded by SAMHSA/CSAT. The failure to fund new rounds in those years has reduced overall funding for the program from $8 million to $5.236 million Faces & Voices of Recovery (FAVOR) requests $5.236 million in FY 2011 and FY 2012 for this critical program - Over two hundred applications were received for five awards that were made in 2010. RCSP grantees have innovated recovery community centers, peer recovery coaching and mentoring and other peer recovery support services. They have pioneered services delivered by recovery community and faith-based organizations by supporting organizations that in turn mobilize volunteers/peers to deliver them. A number of RCSP peer recovery support service models have been adopted by Access to Recovery (ATR) program providers.

21. Funding Recovery in Maryland 2010 Maryland Alcohol and Drug Abuse Administration (ADAA ) awarded four-year, $13 million Access to Recovery III (ATR) grant The state will receive $3.2 million in each of the four years this grant money is available. 2011 Maryland Recovery Net Launched – approved individuals can now access a variety of services including supportive housing; extended residential treatment in halfway houses; pastoral and family counseling; care coordination; transportation to and from treatment and recovery support services; and job readiness counseling from a menu of eligible community and faith-based providers 2012 - 2013 The growth in recovery support service funding in Maryland has been dramatic The fiscal 2014 budget earmarks an additional $5.1 million for recovery support services, bringing total support for these services to over $14.0 million

22. 2013 Maryland Recovery Organization Connecting Communities (M-ROCC) subsidiary, the “Maryland State Association for Recovery Residences (M-SARR)” awarded three-year grant to organize supportive housing providers in Maryland as a “membership association” Goal Organizing with a Purpose: Supporting, , Strengthening and Expanding Maryland’s Continuum of Care