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NARR Board Michelle Adams ByrneTexas Recovery Inn Susan BinnsTennessee YANA, AHHAP George BrauchtGeorgia Board of Pardons and Paroles Chris EdringtonMinnesota, Colorado St. Paul Sober Living Beth FisherGeorgia, North Carolina, South Carolina Hope Homes Tom HillWashington, D.C. FAVOR Jason HowellTexas Soberhood Cassandra JacksonGeorgia Centers for Disease Control Curtiss KolodneyConnecticut CCAR Ted McAllisterGeorgia Haven Homes Kevin O’HareMichigan Touchstone Recovery Dave SheridanCalifornia Sober Living Network Susan SmithMichigan Network 180 Nancy SteinerFlorida Sanctuary Fred WayPennsylvania 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.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 Study 24 months following Residential Treatment Criterion“Usual aftercare”Recovery Residence Substance Use64.8%31.3% Monthly Income$440$989 Incarceration9%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 Residences in the Continuum of Recovery Long-term recovery: Independent, meaningful living in the community Service intensity Recovery process duration High Low Stabilization 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 I Peer Run Peer recovery support and structure implemented by house rules with an emphasis on community and accountability. Level II Monitored Peer recovery support plus extended-care programming with an emphasis on (re)habilitative life skill development. Level III Supervised Peer recovery support plus life skills and clinical programming. Level IV Service 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. Administrative 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 of Housing 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 of Housing 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 YouYou Supporting NARR  Organization Liaison  In-kind Support  Subject matter expertise  Letters of support or endorsement  In-kind Support  Funding Opportunities  Develop Affiliates  Technical assistance