The Role of Recovery Housing During Outpatient Substance Use Treatment

Differences between those using and not using recovery housing were tested using Chi-square, Fisher’s exact, and Student’s t tests. If you are interested in your recovery home being included in the recovery residence registry, please email the HCA recovery residence team. Alcohol abstinence and employment varied according recovery residence to the Sober Living Network chapter (i.e., geographic region) that the house belonged to. We transcribed the audio recording of the focus group verbatim according to pre-determined conventions (O’Connell & Kowal, 1999) and redacted information that might identify participants.

Novel harm-reduction approach to alcohol treatment shows promise among individuals experiencing homelessness

The structure of the program and services provided were enhanced by the setting in which they were delivered. Residents talked about being inspired by individuals who had “time in the program” (P003) as well as concrete ways in which residents supported one another. For example, one resident noted that, “I think the way we share with one another about our experiences and what we have learned throughout the day can be really helpful” (P002). This was echoed by another resident who said that, “I sleep well, and we are surrounded by people who care” (P006). Choosing a recovery residence is a pivotal step towards embracing a new chapter in life, one marked by growth, healing, and transformation. Purple Treatment Center’s men’s recovery programs is more than just a place to live; it’s a vibrant community where men are supported on their journey to overcome substance use Substance abuse disorder.

Recovery residences: Which housing characteristics predict positive resident outcomes?

We analyzed transcripts using the framework approach (Ritchie et al., 2003), which is closely related to both thematic (Braun & Clarke, 2006) and qualitative content analysis (Morgan, 1993). The framework approach involves a series of interconnected stages that facilitates constant refinement of themes facilitating the development of robust conceptual frameworks (Gale et al., 2013; Smith & Firth, 2011). Using this process, we developed initial codes from the topic areas addressed in the interview guide, and we created coding subcategories after thorough “familiarization” (Gale et al., 2013) with the content of the focus group and discussions between coders about potential themes. To facilitate retrieval of coded passages, to refine and illustrate common themes, and to tally both how often a particular theme was mentioned by different speakers, we used a spreadsheet to generate a matrix (codes by participants) and catalogue illustrative quotes.

• We also tested differences using logistic regression models to determine how much the factor increased or decreased the odds of using recovery housing.
• Among the diverse strategies and interventions available, the role of a recovery residence stands out as indispensable.
• 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.
• A recovery residence, also known as a sober living home or halfway house, is a supportive living environment designed to provide individuals in recovery from substance abuse with a safe and structured place to reside.

4. Data analyses

Participants were assessed upon entry to 1 of 49 recovery residences, specifically sober living houses located in California, and completed follow-up interviews 6 and 12 months later. All sober living houses were part of the Sober Living Network, a non-profit organization that implements housing standards for recovery residences across the United States. A quarter of the houses were affiliated with a treatment program and 69% of the houses were single-gender facilities. In conclusion, a recovery residence serves as a vital component of the addiction recovery process, offering individuals a supportive and structured environment to rebuild their lives after addiction. 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.

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Placement in either level of care is dependent primarily on illness severity with other factors considered. Individuals enrolled in day treatment or IOP typically transition into the program from a higher level of SUD care (residential or day treatment) or, due to lower SUD severity at the onset, “step in” to the program as the first level of care. Licensed counselors deliver treatment programming based on Twelve Step Facilitation (Nowinski & Baker, 1992). The program includes motivational interviewing techniques, cognitive behavioral approaches, and contingency management methods. The delivery model is group-based, with individual sessions occurring with licensed addiction treatment counselors. Psychology and psychiatry staff, who recognize SUDs as brain diseases that are primary, chronic, and progressive, treat co-occurring mental health disorders, with the goal of treatment being long-term abstinence from alcohol, illicit drugs, and/or misused prescription medications.

Peers

Before delving into why recovery residences are important, it’s essential to understand what they entail. A recovery residence, also known as a sober living home or halfway house, is a supportive living environment designed to provide individuals in recovery from substance abuse with a safe and structured place to reside. 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.

• 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.
• This study examined the relationship between recovery residence characteristics (organizational, operational, and programming characteristics) and recovery outcomes (substance use, criminal justice, and employment outcomes) in 330 recovery residents.
• 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.
• Psychology and psychiatry staff, who recognize SUDs as brain diseases that are primary, chronic, and progressive, treat co-occurring mental health disorders, with the goal of treatment being long-term abstinence from alcohol, illicit drugs, and/or misused prescription medications.

4.1. Administrative data

While concepts of empathy and therapeutic alliance are commonly taught and well-researched aspects of counseling and other allied professions, these factors may not be the same as truly knowing and understanding what clients are experiencing, particularly in their early recovery. It is important to recognize that these data do not speak to the causality of observed relationships. It may be that either these recovery outcomes are a result of specific recovery residence characteristics, or that houses with specific organizational and operating characteristics are more likely to serve particular populations that, in turn, are more likely to obtain employment, remain abstinent, and avoid criminal arrest. Nonetheless, this study provides an important foundation for future work to further investigate these characteristics and their role in recovery facilitation. NARR utilizes evidence-based standards and ethical guidelines to assist dozens of state affiliates in certifying and managing recovery residences across the continuum of care.

Email the HCA Recovery Residence team for information or questions regarding the loan application process.

Building Quality Recovery Housing

Despite a growing evidence base for recovery housing, relatively little research has focused on how recovery housing may benefit individuals accessing outpatient substance use treatment. Findings underscore the importance of safe and supportive housing during outpatient substance use treatment as well as the need for future research on how housing environments may affect engagement, retention, and outcomes among individuals accessing outpatient substance use treatment. 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). Clarifying the benefit of recovery housing as an adjunct to outpatient substance use treatment is critical to supporting the full spectrum of addiction treatment and recovery support, and can help to identify ways to prevent the unethical practices that can undermine the impact and efficacy of such programs. Indeed, individuals attending the focus group acknowledged that they needed additional supports that could be provided in a sober living environment. In addition to providing needed support to residents, staying in recovery housing also provided respite from worry and reassurance to family members.

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. We emphasize the importance of family involvement throughout the recovery process, seeing the impact of a caring and supportive environment. At Purple, we provide a range of services and programs designed to restore men through an active recovery lifestyle, leveraging the power of community and personal growth. =https://ecosoberhouse.com/ Here at B Houses, we offer a comprehensive recovery residence program designed to meet each individual’s unique needs the unique needs of each individual. Recovery residences provide a structured, supportive environment for individuals recovering from addiction, promoting the acquisition and practice of vital recovery skills. With varying levels of support, from peer-driven to medically supervised settings, these residences are pivotal in nurturing the journey to sobriety and wellness.