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Recovery Housing: Essential to Recovery and Healthy Communities

Learn about the importance of recovery housing in supporting long-term recovery from addiction and its impact on creating healthy communities. Discover how recovery happens, the different levels of support in recovery housing, and the dimensions of recovery. Explore the concept of recovery capital and the essential ingredients for sustained recovery. Find out about the challenges and best practices in recovery housing, and how you can support this vital form of recovery support.

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Recovery Housing: Essential to Recovery and Healthy Communities

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  1. Recovery housing: essential to recovery and healthy communities WVAADC Legislative Advocacy Day January 2019

  2. How did I get here?

  3. Why are we here today?

  4. USA TodayJanuary 15, 2019 Accidental opioid overdoses now the fifth leading cause of death, exceeding auto accidents for the first time. “Any idea that this is just willpower and you ought to be able to get over it is completely contrary to what we know on the basis of strongest medical evidence,” NIH Director Francis Collins

  5. How recovery happens Acute care (ER, detox, hospitalization, residential treatment) High Service intensity Long-term recovery: Independent, meaningful living in the community Low Stabilization Recovery process duration

  6. How recovery happens Acute care (ER, detox, hospitalization, residential treatment) High Service intensity Long-term recovery: Independent, meaningful living in the community Low Stabilization Recovery process duration

  7. How recovery happens Acute care (ER, detox, hospitalization, residential treatment) High Recovery housing: different support levels Service intensity Long-term recovery: Independent, meaningful living in the community Low Stabilization Recovery process duration

  8. Continuum of Addiction Recovery/Stages of Change Recovery Initiation & Stabilization Pre-Recovery Engagement Recovery Maintenance Long-term Recovery Adapted from William White Pre-contemplation  Contemplation  Preparation  Action  Maintenance Prochaska & DiClemente

  9. Recoveryhas several dimensions Health Home Recovery Support Domains (SAMHSA) Purpose Community

  10. Recovery Capital In assisting people to achieve long-term recovery, it is essential to help them assess and build their Recovery Capital. Recovery Capital is the sum of the strengths and supports – both internal and external – that are available to a person to help them initiate and sustain long-term recovery from addiction. (Granfield and Cloud, 1999, 2004; White, 2006)

  11. Creating and Reinforcing Individual Recovery Capital Essential Ingredients for Sustained Recovery: • Safe and affordable place to live • Steady employment and job readiness • Education and vocational skills • Life and recovery skills • Health and wellness • Recovery support networks • Sense of belonging and purpose • Community and civic engagement

  12. Community Recovery Capital Health, Nutrition, & Fitness Recovery Community Center Peer Support Legal Assistance Collegiate Recovery Program Recovery High School Recovery Housing Mutual Aid What this means is that at a systems level, it is meaningful to conceptualize and measure recovery capital as the sum of resources and supports available to people starting recovery journeys. Best & Laudet, 2013

  13. Housing Individuals with substance use disorders Abstinence-based Peer recovery support Operates as a family-like community

  14. Recovery Is it housing? Is it something else? • Sober living homes exist at the intersection of housing and recovery • Housing

  15. Existing capacity not always what it needs to be • Inadequate quality capacity, limited access • Many populations are poorly served • Lack of good information for consumers, public, professionals • Substandard, predatory operators • Unethical conduct, fraud • Community resistance

  16. … producing predictable responses

  17. Excellent recovery housing doesn’t just happen • Standards, ethics • Provider accountability • Provider support, continuing quality improvement • Training, workforce development • Integration into larger systems of care • Local voice, policy advocacy

  18. …and that’s where we come in

  19. NARR at a glance • Discussions began 2010; Founded in 2011 • National Standard and Code of Ethics • Taxonomy covering the spectrum of recovery housing nationally • Affiliate relationships in 30 states, others forming (one per state) • Training, technical assistance • Certification program implemented by state affiliate partners • Operating model for statewide recovery housing support systems • Working relationships with federal, several state agencies; cited in federal publications, legislation

  20. NARR network: October 2018 30 Affiliate organizations, four being formed

  21. Classification: Levels of recovery support

  22. Classification: Levels of recovery support Treatment “Oxford House” “Sober Living Home” Terms vary

  23. Recovery housing policy guide • A joint effort between National Council and NARR with input from other stakeholders, including Oxford House. • Provides state policymakers and advocates strategies, tools, and policy language that support the infrastructure of recovery housing, quality operating standards, and protections for people in recovery. • Highlights three main sections: • Protecting Recovery Housing • Supporting Recovery Housing in Practice • Sample Legislative Language

  24. Our West Virginia partner • State support (Bureau for Behavioral Health) • SAMHSA support • They deserve your support

  25. For your passion For your advocacy For the work you do …

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