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

How did I get here?

Why are we here today?

USA Today January 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

Recovery process duration 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

Recovery process duration 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

Recovery housing: different support levels Recovery process duration 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

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

Recovery has several dimensions Health Home Recovery Support Domains (SAMHSA) Purpose Community

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)

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

Recovery Ecologies Community Recovery Capital Treatment Options Jobs and Job Readiness 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. Recovery Community Center Legal Assistance Recovery Housing Recovery High School Collegiate Recovery Program Mutual Aid Peer Support Health, Nutrition, & Fitness Best & Laudet, 2013

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

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

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

… producing predictable responses

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

…and that’s where we come in

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

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

Classification: Levels of recovery support

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

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

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

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