Addiction Recovery

Best Practices for Recovery Housing

According to SAMHSA, recovery is a transformative process where individuals improve their overall health and wellness, lead self-directed lives, and strive to reach their full potential.

Valor Lakes

June 1, 2024

Recovery housing that truly supports individuals in their journey should align with the comprehensive definition of recovery established by SAMHSA (Substance Abuse and Mental Health Services Administration).

According to SAMHSA, recovery is a transformative process where individuals improve their overall health and wellness, lead self-directed lives, and strive to reach their full potential. (See more here.) This approach necessitates addressing a wide range of needs, from medical and mental health to occupational, familial, legal, and social aspects, including providing safe and stable housing.

Recovery housing, therefore, must be more than just a place to stay. It must actively promote and support the four major dimensions that underpin a life in recovery. The first dimension, health, emphasizes the importance of teaching residents to manage or overcome their substance use. This involves abstaining from alcohol, illicit drugs, and non-prescribed medications and making informed decisions that foster physical and emotional well-being. The significance of health in recovery housing is underscored by research from Jason and Ferrari (2010), who studied over 900 residents of Oxford House, a recovery housing model.

Their findings revealed that 81.5% of participants remained abstinent from substance use the following year, highlighting the critical role of a supportive, abstinence-specific environment in achieving long-term recovery.

This health-centric approach in recovery housing creates an environment where individuals can develop the skills and habits necessary for lasting sobriety. It ensures that residents are not merely surviving but are actively engaged in building a healthier, more fulfilling life. By providing a structured, supportive setting that promotes informed choices and healthy lifestyles, recovery housing can significantly enhance the chances of sustained recovery. This recovery-centered model is particularly helpful for veterans, who often face unique challenges related to their service, including trauma and mental health issues. By comprehensively addressing these needs, recovery housing can help veterans and others achieve their full potential and lead self-directed, meaningful lives.

Secure and stable housing is a fundamental pillar in the recovery process, providing a haven where individuals can rebuild their lives away from the environments that previously enabled their addictive behaviors. Research by Lo Sasso et al. (2012) identifies the importance of stable housing, demonstrating that it significantly promotes successful recovery outcomes. This stability allows individuals to focus on their healing and growth without the constant threat of returning to a potentially harmful living situation. Recovery homes are designed to encourage meaningful daily activities, which are vital for restoring individuals' sense of direction and self-worth. Residents are often required to engage in work, education, or volunteer activities, which help them develop a routine and a sense of accomplishment. Longitudinal studies, such as those by Reif et al. (2014), indicate that individuals living in recovery housing tend to have higher monthly incomes and better employment rates. This engagement in purposeful activities supports financial stability and contributes to a sense of personal achievement and responsibility.

Recovery housing is a surrogate family environment where residents form a close-knit community characterized by mutual aid and shared responsibilities.

This environment creates a culture of reciprocal support, where residents take on chores and leadership roles, enabling a sense of belonging and accountability. By creating a functionally equivalent family, recovery homes provide a supportive network that is key for emotional and psychological stability. This sense of community is especially beneficial for veterans, who may find the camaraderie and structured environment similar to their experiences in service, thereby aiding their transition to civilian life. The elements of home and purpose in recovery housing are interdependent and collectively contribute to the recovery of individuals. Stable housing provides the foundation for a secure and supportive environment, while purposeful activities and community engagement build the structure of a meaningful and directed life. Together, these components create a comprehensive support system that significantly enhances the chances of lasting recovery and personal growth.

Community networks provide much-needed support, friendship, and hope, indispensable in achieving and sustaining recovery. The community support system encompasses friends, family, peers with lived experience, trained recovery housing staff, and access to community resources, creating a comprehensive support network essential for helping individuals maintain long-term recovery. The sense of community facilitates camaraderie, empathy, and guidance—important elements that help individuals stay on track as they adopt a healthier lifestyle. These communities' shared experiences and mutual support empower individuals to develop healthy coping skills and a strong sense of self-efficacy, which is vital for sustaining recovery. Research by Jason et al. (2006) highlights that the guidance and support provided by a recovery community are instrumental in helping individuals cultivate these essential skills, which are vital for long-term success.

Recovery residences are beneficial for individuals who have recently been released from residential inpatient treatment programs or criminal justice custody.

These environments offer a safe, substance-free living space conducive to recovery. The structured, supportive atmosphere of recovery residences is uniquely tailored to assist individuals at all stages of recovery, with a special focus on those in the early phases. By building on social capital and recovery supports, these residences provide a person-centered approach that addresses the care needs of individuals, including employment, social support, and housing. The communal aspect of recovery housing ensures that individuals are not isolated in their journey but are surrounded by a supportive network that understands their challenges and celebrates their successes. By leveraging the power of community, recovery housing helps individuals build a solid foundation for lasting recovery, encouraging sobriety and a comprehensive, healthy lifestyle. The community aspect of recovery housing helps provide the necessary support, empathy, and guidance individuals need to navigate their recovery journey. By cultivating strong social networks and family-like relationships, recovery housing creates an environment where individuals can develop the skills and self-efficacy needed for sustained recovery.

Adopting a person-centered, individualized, and strengths-based approach in recovery housing is not just a best practice—it's at the center of meaningful and lasting recovery. This approach ensures that each individual's unique strengths, needs, preferences, and goals are placed at the forefront of decision-making processes. It starts with the placement process, where prospective residents apply and undergo an interview. This two-way dialogue allows the individual and the recovery home to assess whether the living arrangement is suitable, providing that the environment will be conducive to their recovery journey. A vital aspect of this individualized approach is respecting and accommodating the gender identity of residents. This means providing housing options that align with each individual's gender identity, as SAMHSA recommends. Decisions regarding housing placements are based on the individual's specific needs and the level of support required, always balancing personal choice and person-centered recovery goals. This method emphasizes the importance of individual autonomy and the recognition that each person’s recovery journey is unique.

Recovery housing should employ formal person-centered planning approaches to evaluate each resident's unique situation thoroughly. This involves considering their strengths, preferences, challenges, and both internal and external resources that can support their recovery.

By doing so, recovery homes can tailor their support to align with each individual’s needs and goals, creating a more effective and personalized recovery plan. Resident placement should always prioritize individual needs and choices, ensuring that each person feels empowered and supported in their recovery journey. This strengths-based approach leverages each resident's inherent capabilities and resources, facilitating a sense of agency and confidence. By focusing on what individuals can do and what they aspire to achieve, rather than just their deficits, recovery housing can create a positive and empowering environment that significantly enhances the prospects for sustained recovery.

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