NARR Standards Levels and Nomenclature Beth Fisher President

NARR : Standards, Levels and Nomenclature Beth Fisher, President of NARR Wednesday, August 1, 2012 Baltimore, MD SSDP 2012 State System Development Program Conference Presentation Designed by Julia E. Millsaps

therethe is afirst national For time Redefining the unified voice for all in the history of levels of recovery industry… recovery housing… services, Why NARR?

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What Does NARR Offer? RR s A N ard nd a t S

NARR Addresses the Challenges • Rigorous standards based on best practices. • Supports multiple pathways to recovery. • Promotes a long-term, sustainable recovery model. • Research: outcomes studies, strength and needs assessments, under-served populations. • Addresses ongoing housing discrimination issues and is a voice for those that have none. • Facilitates creative partnerships and advocacy. • Promotes legitimacy for recovery residences through research, and advocacy. • Provides constructive, rehabilitative alternatives to incarceration.

Recovery Residences = Housing as Recovery Support • Addiction is a chronic disease often treated as an acute condition. • Recovery is a process that takes time. • Positive recovery outcomes are strongly associated with duration of recovery support.

Levels of Support Level I • Peer recovery support in a democratically run living environment. Level II • Peer recovery support and structure implemented by house rules with an emphasis on community and accountability. Level III • Peer recovery support plus extended-care programming with an emphasis on (re)habilitative life skill development. Peer Run Monitored Supervised Level IV Service Provider • Peer recovery support plus life skills and clinical programming.

Standards Criteria Administrative Services Environmental Staff • Organizational structures that create and maintain safe, supportive living environments. • Elements that cultivate community culture and individual recovery. • Dwellings that are safe and recovery conducive. • Human resource policies and plans that provide appropriate levels of support.

Recovery Residences in the Continuum of Recovery High Acute care (inpatient, medical, psychiatric) Recovery residences: Enter at any level Level 4 Level 3 Service intensity Level 2 Level 1 Low Stabilization Recovery process duration Long-term recovery: Independent, meaningful living in the community

NARR: August 2012 Eddie Bryant Chris Edrington Lori Chriss Touchdown Recovery; MI St. Paul Sober Living CO; MN Susan Smith Network 180; MI The Ohio Council; OH Kevin O’Hare Touchstone Recovery; MI Curtiss Kolodney CCAR; CT Fred Way PARR; PA Tom Hill FAVOR Washington, D. C. Susan Blacksher CAARR; CA Beth Fisher Dave Sheridan NARR President Hope Homes; GA, NC, SC Sober Living Network; CA Nathan Tate Pavilion; SC Ted Mc. Allister Haven Homes; GA Jason Howell Soberhood; TX George Braucht Trina Frierson Michelle Adams Byrne Recovery Inn; TX Tom Bennett The Ranch at Dovetree; TN Board of Pardons and Paroles; GA Mending Hearts Inc. ; TN Susan Binns YANA, AHHAP; TN Cassandra Jackson Nancy Steiner Sanctuary; FL CDC; GA

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.

Collaborative Possibilities “How can you help? ” NARR Supporting You Supporting NARR Organization Liaison Letters of support or endorsement In-kind Support Subject matter expertise Funding Opportunities Technical assistance Develop Affiliates

EXPERIENCE Housing rights – Criminal Justicemodel – • comprehensive Training towith many individuals NARR will address ongoing NARR promotes a NARR ACreative constructive, rehabilitative partnerships define residences • appropriately Research – data and outcomes & housing discrimination long term (non-acute) services provided (multiple and advocacy. HOPE • and Funding advocacy alternative issues – be arecovery voice for model. those sustained STRENGTH VISION • pathways Public Relations and outreach to incarceration. of Recovery. that have none. Legitimacy –Provides NARR provides a Housing rights – to recovery). VOICE Shared with NARR Colleagues. . .