1. Recovery Housing and The National Drug Control Strategy David K. Mineta Deputy Director, Demand Reduction Office of National Drug Control Policy (ONDCP) Presented at the Second Annual Ohio Recovery Housing Conference Salt Fork State Park Lore City, Ohio Lore City, Ohio September 24, 2014

2. Component of the Executive Office of the President Component of the Executive Office of the President Coordinates drug-control activities and related funding across the Federal Government Coordinates drug-control activities and related funding across the Federal Government Produces the annual National Drug Control Strategy Produces the annual National Drug Control Strategy Office of National DrugControl Policy Office of National Drug Control Policy

3. National Drug Control Strategy The President’s science-based plan to reform drug policy: The President’s science-based plan to reform drug policy: 1)Prevent drug use before it ever begins through education 2)Expand access to treatment for Americans struggling with addiction 3)Reform our criminal justice system 4)Support Americans in recovery Coordinated Federal effort on 112 action items Coordinated Federal effort on 112 action items Signature initiatives: Signature initiatives: – Prescription Drug Abuse – Prevention – Drugged Driving

4. In 2013, 21.6 million Americans aged 12 or older had a past year substance use disorder. 1 In 2013, 21.6 million Americans aged 12 or older had a past year substance use disorder. 1 More than 1 of 3 (17.3 percent) young adults aged 18 to 25 had a past year substance use disorder. 1 More than 1 of 3 (17.3 percent) young adults aged 18 to 25 had a past year substance use disorder. 1 Long “addiction careers,” multiple episodes of treatment, and a median of nine years from first contact with public treatment system to one year of abstinence. 2 Long “addiction careers,” multiple episodes of treatment, and a median of nine years from first contact with public treatment system to one year of abstinence. 2 Overdose epidemic: More than 38,000 drug overdose deaths in 2010, approximately 22,000 involving RX drugs (76 percent of RX overdoses from opioids). 3 Overdose epidemic: More than 38,000 drug overdose deaths in 2010, approximately 22,000 involving RX drugs (76 percent of RX overdoses from opioids). 3 The Need 1 SAMHSA (2014). Results from the 2013 National Survey on Drug Use and Health: Summary of National Findings. 2 Dennis, M.L. et al. (2007). The duration and correlates of addiction and treatment careers. Journal of Substance Abuse Treatment. 28 Suppl 1:S51-62. 3 CDC, National Center for Health Statistics. Multiple Cause of Death 1999-2010 on CDC WONDER Online Database. Extracted May 1, 2012. 3 CDC, National Center for Health Statistics. Multiple Cause of Death 1999-2010 on CDC WONDER Online Database. Extracted May 1, 2012.

5. Persons Aged 12 or Older Needing Treatment for Illicit Drug or Alcohol Use and Obtaining Specialty Treatment, 2013 22.7 Million Needing Treatment* for Illicit Drug or Alcohol Use *Treatment need is defined as having a substance use disorder or receiving treatment at a specialty facility within the past 12 months. Did Not Receive Treatment (20.2 million) Received Specialty Treatment (2.5 million) 89% Source: SAMHSA, 2013 National Survey on Drug Use and Health (September 2014).

6. SAMHSA Recovery Framework

7. What We Need to Know What recovery housing (RH) models are currently in use? What recovery housing (RH) models are currently in use? What is the best way of classifying models for practical/clinical and research purposes? What is the best way of classifying models for practical/clinical and research purposes? What is the relative effectiveness of various RH models? What is the relative effectiveness of various RH models? Can models be matched with populations? Can models be matched with populations? What is the relative effectiveness and cost-effectiveness of RH offered in conjunction with various other services? What is the relative effectiveness and cost-effectiveness of RH offered in conjunction with various other services? Is there a relationship between how RH is paid for and its effectiveness? Is there a relationship between how RH is paid for and its effectiveness? What our options for creating recovery housing in federally subsidized settings, such as public housing authorities. What our options for creating recovery housing in federally subsidized settings, such as public housing authorities.

8. Challenges Developing local & municipal government partners, communities, and neighborhoods. Developing local & municipal government partners, communities, and neighborhoods. Standards: Standards: – Staffing, physical plant/safety (building code), siting/zoning, owner operator requirements – Cost/reimbursement – NIMBYism Expanding partnerships with CJS, state and local substance abuse and mental health authorities, and segments of health care system. Expanding partnerships with CJS, state and local substance abuse and mental health authorities, and segments of health care system. Developing and evaluating public and private reimbursement mechanisms. Developing and evaluating public and private reimbursement mechanisms. Leveraging Federal housing programs to expand capacity. Leveraging Federal housing programs to expand capacity. Integrating people in medication-assisted treatment. Integrating people in medication-assisted treatment.

9. Q & A / Discussion David K. Mineta Deputy Director, Demand Reduction Office of National Drug Control Policy dmineta@ondcp.eop.govWhiteHouse.gov/ONDCP