On average, participants were 39 years old and about one-third had at least some college education. The authors looked at 6- and 12-month recovery outcomes simultaneously to obtain a broad snapshot of how residents do across the first year of recovery housing. These data were collected as part of a larger randomized controlled trial looking at the effectiveness of brief motivational interviewing and case management on service use and recovery progress. Substance use outcomes were measured via self-reported abstinence in the past 6 months (i.e., abstinence from alcohol, abstinence from other drugs, and overall abstinence from all substances). Criminal justice involvement was defined as any self-reported arrest over the past 6 months and employment was derived from self-reported number of days worked over the same period of time. Purple Treatment Center offers a complete and personal approach to recovery within our recovery residence, focusing on creating a supportive community and personal challenge to foster long-term recovery.

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These continuing care facilities are shown to facilitate positive recovery outcomes (e.g., higher rates of employment, reduced substance use, lower criminal activity) that are maintained as far out as 18 months. However, few studies have looked at the individual contributions of specific recovery residence characteristics to these recovery outcomes. Given that recovery residence models vary greatly, a more detailed understanding of facility characteristics and their relationship to recovery outcomes can ultimately help to inform best practices and streamline recommendations and referrals.

Recovery residences

In this sense, there is an economy of exchange, but this may not fit within the definition of “token economy.” Other kinds of rewards include more relaxed house rules as residents progress in their recoveries. High start-up, operating, and capital expenses can be a significant barrier to creating and sustaining quality https://ecosoberhouse.com/ recovery residences. There are numerous approaches to addressing these issues; a sustainability plan is crucial to providing a stable and supportive living environment. To lower capital outlay, many providers choose to rent property from a landlord, who values long-term tenants and/or values supporting recovery.

Somerville honors lives lost, looks forward during National Recovery Month

• Recovery residences are important assets within a community and among recovery-oriented systems of services.
• The delineation of a recovery residence continuum model offers an unprecedented degree of professionalism to a portion of the field of addiction recovery that has heretofore been laden with stigma.
• Most often residents share in some, if not all, of the cost by paying monthly fees (e.g. rent).
• Like level 1, this setting often proves to be quite cost-effective; the length of stay varies and is open-ended.

Recovery residences are safe, healthy, family-like, substance-free living environments that support individuals in recovery from substance use disorder (SUD). Note, the recovery residence movement has largely been a peer recovery movement. Recovery residences generally do not discriminate against residents with felony convictions, given the prevalence of addiction amongst individuals convicted of nonviolent drug offences.

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Residences that meet and maintain the NARR Standard ensure that this resource continues as a viable asset for the people who need it. Further, certified residences promote a level of consistency across houses that has not been previously seen or understood by communities, decision-makers, funders, and researchers. The consistency of core elements across certified residences can provide peace of mind to residents, families, neighbors, legislators, and funders, without additional oversight. Staff are supervised, trained, or credentialed and are often graduates of a recovery residence. Level III’s are designed to support populations who need more intense support in developing recovery capital than provided by Level I or Level II.

The approach for the level 2 residence can best be summarized as a community-based model. This level is appropriate for the individual with some intrinsic motivation who would benefit from a nominal level of structure and support. The model is desirable in that it allows for an increased ability to access services over a longer period of time due to the affordability of the service models.

A growing number of voucher programs and insurance benefit packages are looking at the cost effective nature of recovery housing. California’s Medicaid waiver permits the state to include recovery residence stays in its Medicaid program (although subject to existing prohibitions on using Medicaid funds for room and board.) Other states are exploring that model for their own Medicaid systems. The delineation of a recovery residence continuum model offers an unprecedented degree of professionalism to a portion of the field of addiction recovery that has heretofore been laden with stigma.

• The residential facility is typically part of the continuum of care for an overseeing rehab institution.
• Substance use outcomes were measured via self-reported abstinence in the past 6 months (i.e., abstinence from alcohol, abstinence from other drugs, and overall abstinence from all substances).
• Rather than using such a tool as a predictor of long-term recovery outcomes, a recovery capital assessment may be better used as barometer as to the progress of an individual in their recovery.
• We emphasize the importance of family involvement throughout the recovery process, seeing the impact of a caring and supportive environment.

Oversight of residents is peer-based within the home; residents are self-monitoring and accountable to each other. The primary criterion for this living environment is a willingness to be abstinent from mood-altering substances. Self-help (e.g., 12-step) meetings and outside recovery support services are encouraged recovery residence or required. Weekly house meetings are a standard component, where chores and overall house functioning are processed within the community. The NARR Standard provides guidance for certifying effective recovery residences and incorporates the collaborative values of acute care and social models of recovery.

• A small association fee is often required to maintain membership in the affiliate’s network.
• Assuming “token economy” is referring to direct monetary rewards, there is nothing in the NARR standard that would preclude the use of such a mechanism, as long it was done in a legal and ethical manner.
• The consistency of core elements across certified residences can provide peace of mind to residents, families, neighbors, legislators, and funders, without additional oversight.
• TROHN, NARR’s Texas affiliate, maintains a list of residences complying with NARR standards, and which are subject to TROHN’s oversight.
• If you are interested in your recovery home being included in the recovery residence registry, please email the HCA recovery residence team.
• Over the next year HCA will be working on determining the logistics and providing technical assistance regarding the new law.