Why is a Recovery Residence Important?

English-speaking residents age 18 or older who are able to provide informed consent (i.e., are not expressing symptoms of cognitive impairment) were eligible to participate. Seven of the fourteen residents living at the residence at the time participated in the focus group (all non-Hispanic White; five males and two females); all those who came to learn more about the focus group agreed to participate. The demographic breakdown (gender or race/ethnicity) of the focus group was representative of those who were living in the house at the time.

3.1. Needing a safe and supportive living environment

• Although examining client-level factors may help clinicians to identify and support clients who may be at-risk for dropout, studies must also identify what programs can do that may help to reduce dropout.
• Residents engage in daily activities such as morning reflections, life skills development, and intensive group sessions, alongside regular attendance at 12-step meetings to build a solid foundation for ongoing recovery.
• This was echoed by another resident who said that, “I sleep well, and we are surrounded by people who care” (P006).
• Individuals build resources while living in a recovery residence that will continue to support their recovery as they transition to living independently and productively in the community.
• Analyses included only variables missing less than 30% of cases, with all but one variable missing less than 10% of cases.
• Licensed counselors deliver treatment programming based on Twelve Step Facilitation (Nowinski & Baker, 1992).

In addition to being tested separately, we entered factors significant at the bivariate level into a simultaneous logistic regression model to determine whether they were still significant when adjusting for all other factors. We used logistic and linear regressions to test the relationships between recovery housing status and outpatient discharge status and length of stay. After testing the independent relationship between recovery housing status and these variables, we added variables related to recovery housing in the prior multivariate analysis to test the robustness of these relationships.

• Non-medical settings designed to support recovery from substance use disorders, providing a substance-free living environment commonly used to help individuals transition from highly structured residential treatment programs back into their day-to-day lives (e.g., obtaining employment and establishing more permanent residence).
• By providing structured support, fostering peer connections, promoting accountability, and offering access to resources, recovery residences empower individuals to embark on sustained sobriety and personal growth.
• As a service delivery modality, recovery support services, which both substance use disorder treatment programs and community organizations can provide, help to engage and support individuals in treatment, and provide ongoing support after treatment (U.S. Department of Health and Human Services & Office of the Surgeon General, 2016).

CCAPP Recovery Residences

• Houses serving fewer residents on parole/probation increased the likelihood of drug abstinence and total abstinence.
• These residences offer a supportive community of peers also committed to sobriety, as well as access to resources and services aimed at promoting long-term recovery.
• However, recent attention to unethical practices, such as patient brokering (i.e., entities receiving a fee for referring clients to treatment programs), has discouraged the otherwise beneficial practice of establishing organizational linkages (formal or informal) between recovery housing and treatment providers (Mericle et al., 2019).
• Recovery housing generally refers to alcohol- and drug-free living environments that provide peer support for those wanting to initiate and sustain recovery from alcohol and other drug (AOD) disorders.

Although examining client-level factors may help clinicians to identify and support clients who may be at-risk for dropout, studies must also identify what programs can do that may help to reduce dropout. The structured living and accountability enforced within the residence help residents stay committed to their recovery goals, while the peer support and communal living foster a sense of belonging and connection, reducing feelings of isolation and loneliness that can contribute to relapse. An addiction treatment program located in a large metropolitan area in the upper Midwest provided outpatient treatment and recovery housing. Day treatment (otherwise known as “partial hospitalization”) and intensive outpatient (IOP) are offered onsite with recovery housing available as an additional option to participants in either of these two levels of care. Levels of care differ in program intensity with day treatment scheduled for approximately six hours per day, Monday through Friday, and IOP scheduled for three hours per day, Monday through Thursday. IOP sessions are scheduled at a variety of times to accommodate busy schedules and allow participants to continue with work, attend school, or take care of responsibilities at home.

Building Quality Recovery Housing

According to recent guidelines that SAMHSA developed, recovery housing is an intervention that is specifically designed to address the recovering person’s need for a safe and healthy living environment while supplying the requisite recovery and peer supports (Substance Abuse and Mental Health Services Administration, 2019). Recognizing that a variety of different types of residences could meet this definition, the National Alliance for Recovery Residences (NARR) has developed categories demarcating four levels of support provided by different types of recovery residences (National Association of Recovery Residences, drug addiction 2011). At one end of the spectrum are Level I residences, which are characterized as being “peer-run.” An example of this type of residence is the Oxford House model (Jason & Ferrari, 2010; Jason et al., 2008). Level IV residences, which are characterized as “treatment providers”, are at the other end of the spectrum. Regardless of organizational structure and services provided, fundamental to all types of recovery housing is implementation of the social model principles of recovery. Unlike inpatient treatment settings, recovery residences offer a less restrictive environment while still providing essential support and resources for maintaining sobriety.

Jobs, Friends & Houses: A Community Organization Challenge Addiction-related Stigma

While recovery housing research has increasingly used these measures (Cano et al., 2017; Mericle, Carrico, et al., 2019), whether clinicians are using such tools in treatment settings to establish care plans and identify individuals who may need additional support during their recovery is unclear. Greater use of these measures could also aid in refinement of cut-points for these measures in order to further enhance their clinical utility. Secure housing is an important component of recovery, yet about 1/3rd of individuals entering addiction treatment report unstable living situations. Recovery residences offer a safe and supportive living environment and continuing care that can promote successful recovery outcomes.

• Placement in either level of care is dependent primarily on illness severity with other factors considered.
• On average, facilities required 41 days of abstinence prior to intake and most operated on a 12-step based program.
• Ensuring that the residence meets specific standards of care and aligns with your recovery goals can help set you up for success in your recovery journey.
• This supportive setting provides a crucial buffer during the early stages of recovery when individuals may be most vulnerable to relapse.
• Having a manager living on-site, providing meals to residents, requiring drug testing at intake, and the extent to which programs followed a social model approach (peer-oriented recovery approach guided by the principals of mutual help) to recovery housing did not significantly predict recovery outcomes.

Analyses included only variables missing less than 30% of cases, with all but one variable missing less than 10% of cases. We used Little’s test of missing completely at random (MCAR) and its extension for testing the covariate-dependent missingness (CDM) to ensure the appropriateness of using variables with partially observed data (Li, 2013; Little, 1988). The CDM test including recovery housing status was non-significant, meaning that the missing-data mechanism could be reasonably viewed as CDM given this variable. The study tested differences between those using and not using recovery housing using Chi-square, Fisher’s exact, and Student’s t tests. We also tested differences using logistic regression models to determine how much the factor increased or decreased the odds of using recovery housing.

Your support directly contributes to the expansion of safe, quality recovery residences nationwide, making a lasting impact on recovery residence individuals and families on their journey to healing. Bivariate and multivariable simultaneous logistic and linear regression models examining the association between recovery housing and outpatient discharge status and length of stay. As you consider taking this journey with Purple Treatment Center, know that you are not just joining a program; you are becoming part of a community committed to supporting you every step of the way. It’s about taking that brave step towards a life of recovery, surrounded by a network of men who share your goal of a healthier, substance-free future. Moreover, recovery residences typically enforce house rules and guidelines to promote sobriety and personal responsibility.

Given that recovery residences do not provide treatment, state regulations applicable to addiction treatment do not apply to them. That said, there are some umbrella organizations (see below) that promote quality assurance and oversight at recovery residences; they may even offer formal certification for residences that meet and adhere to these guidelines. Individuals considering recovery residences for themselves or their loved ones are strongly encouraged to inquire =https://ecosoberhouse.com/ about any regulatory organizations with which a potential residence is affiliated and whether or not it is certified in states where certification is available. Recovery residences support individuals by providing a safe living environment and readily available community of recovery-related social support. Our intensive, six-month residential program is specialized to promote successful, long-term recovery, with a step-down in intensity that prepares residents for independent living. Residents engage in daily activities such as morning reflections, life skills development, and intensive group sessions, alongside regular attendance at 12-step meetings to build a solid foundation for ongoing recovery.

Outpatient Treatment & Recovery Residences: How Do Clients Do Over Time When The Services Are Offered Together?

These residences are important because they help people live a substance-free life and find friends and support groups that understand what they’re going through, which is important for staying sober in the long run. With a variety of living environments specialized to meet the needs of those at different stages of their recovery, from intensive residential programs to more independent living arrangements. The focus is on personal responsibility, community support, and the development of life skills that are essential for long-term success. A series of studies on Oxford Houses suggest they promote a host of positive outcomes at substantially lower costs compared to standard continuing care after residential treatment.