GEORGIA This presenta,on is supported by the Health Resources - - PowerPoint PPT Presentation
RECOVERY HOUSING TECHNICAL ASSISTANCE FOR GEORGIA This presenta,on is supported by the Health Resources and Services Administra,on (HRSA) of the U.S. Department of Health and
RECOVERY HOUSING TECHNICAL ASSISTANCE FOR
This ¡presenta,on ¡is ¡supported ¡by ¡the ¡Health ¡Resources ¡and ¡Services ¡Administra,on ¡(HRSA) ¡of ¡the ¡U.S. ¡Department ¡of ¡Health ¡and ¡Human ¡Services ¡(HHS) ¡as ¡part ¡of ¡an ¡award ¡ totaling ¡$10.4 ¡million. ¡The ¡contents ¡are ¡those ¡of ¡the ¡author(s) ¡and ¡do ¡not ¡necessarily ¡represent ¡the ¡official ¡views ¡of, ¡nor ¡an ¡endorsement, ¡by ¡HRSA, ¡HHS ¡or ¡the ¡U.S. ¡Government. ¡ JOHNNA ALLEN
Outreach and Engagement Specialist
fletchergroup.org
TOPICS TO DISCUSS
The Challenge Who We Are HRSA Grant, Mandate and Targets Georgia Challenges Georgia Opportunities The Road Ahead Next Steps
CONFUSION
Desperate families spend thousands of dollars with little to show.
LACK OF RESOURCES
Rural communities in particular lack the funds and resources to respond.
CHAOS
Recovery Housing is an unregulated industry prone to fraud and abuse.
KENTUCKY ORIGINS
Our recovery expertise began in 2004 when Governor Ernie Fletcher launched Recovery Kentucky—18 recovery residences that helped thousands of people rebuild their lives while saving millions in taxpayer dollars.
TEAM-ORIENTED
We excel at developing partnerships with stakeholders of every kind— federal, state, and private sector.
FUNDING SPECIALISTS
We know how to cover start-up and
FLEXIBLE
We are uniquely agile and purpose- driven.
To ¡guide ¡and ¡support ¡an ¡effec,ve ¡ and ¡sustainable ¡na,onwide ¡ recovery ¡housing ¡solu,on ¡that ¡ leverages ¡the ¡resources ¡of ¡federal ¡ agencies ¡and ¡state ¡and ¡local ¡ governments ¡as ¡well ¡as ¡faith-‑based ¡ en,,es ¡and ¡the ¡private ¡sector. ¡
TECHNICAL ASSISTANCE
The Fletcher Group
expertise needed to establish Recovery Housing that's effective, proven, and sustainable.
NATIONAL REACH
We're working in rural communities in Idaho, Montana, Washington, Oregon, Kentucky, Georgia, West Virginia, Ohio, and other rural communities as requested
HOUSING FOCUS
With a particular emphasis on the homeless and those with SUDs within the criminal justice system.
EVIDENCE-BASED TA
Field-proven tools and expertise to maximize your effectiveness.
A Recovery Model Within A Housing Model
HOUSING
Sustainably funded through partnerships with the Department of Corrections, Housing Authorities and many others, including the private sector.
RECOVERY
A complete Continuum of Care from intake to employment, including MAT, Peer-To-Peer Support, Workforce Development and Social Enterprise.
Our Partners
WE'RE DEDICATED TO:
Directory
Portal
Affiliates wherever needed
ONE VOICE
We work hand-in-hand with NARR to ensure a nationally unified voice for Recovery Residences.
A LONG-STANDING PARTNERSHIP WITH FAHE
FAHE is a national leader in facilitating collaboration across sectors to increase health outcomes and reduce healthcare costs.
WHAT OTHERS SAY ABOUT OUR MODEL
“A model that works”
The U.S. Department of Health and Human Services
“A model evidence- based program.”
Substance Abuse and Mental Health Services Administration
“A bright spot in treating prescription drug abuse.”
Louisville Courier-Journal
“A program
United Nations Office On Drugs and Crime
Of a Recovery Kentucky Residence
HOUSING
Transitional housing for up to 24 months.
RECOVERY
Social recovery model with peer-based 12-Step Program.
INDEPENDENCE
Instills accountability and responsibility for stable, independent living.
EMPLOYMENT
Provides life skills, meaningful employment, and a safe, supportive environment.
DOCUMENTED
Documented outcomes equal to or exceeding the most effective programs.
EFFECTIVE
Successfully halts the cycle of substance use disorders, dependency, poverty, and criminality.
At 18 centers caring for over 2,000 residents
38%
reported homelessness
72.7%
referred from criminal justice
33 Years
average client age (ranging from 18 to 68)
52%
are males 48% are females
7.6 Months
average stay (shorter stays associated with higher recidivism)
2-3 Months
typical waiting list time
FACILITIES
TESTIMONIALS
What Clients Say
“The program changed me and I’m now a peer mentor. I know about this disease better and have the tools to stay sober.” “They truly, honestly care about me and want me to have a fruitful and productive future.”
“It changed my life. I learned from
“They’re personal and really care about you while you’re there and when you go home.“
“I really liked the recovery dynamics. They explained the disease. They show a lot of love and teach you how to love yourself and others.” “The program deals with my addiction in a productive way. It gives me structure and the tools I need to stay sober.”
“It’s a good program and helps you get ready for the real world. And I am still sober today.” “I liked everything. It taught me a lot about myself and to be more open to
“I grew a lot there as a person and I learned a lot of education about addiction.” “This is the first program I completed. It saved my life. It’s totally life changing.”
“It changed my life. I had a negative outlook on life and was headed down the wrong
The counselors and directors were great.” “It’s not a cookie cutter program. They work with you one on one and teach you to live
“It’s a great place. It teaches you things I’ve never learned before. It taught me how to be more responsible.” “There was nothing I disliked. It saved my
a job now and I get to see my child.”
HOUSING FOCUS
Alone among the three recipients, our Center Of Excellence is laser-focused
FEDERAL FUNDING
We recently became one of three recipients to receive $6.6 million over the next three years.
To reduce morbidity, mortality, and
with Substance Use Disorders, particularly Opioid Use Disorders in rural communities where guidance is needed to address not only the current opioid crisis, but future crises as well.
We’re extremely honored. The HRSA grant provides the resources to expand the full spectrum of evidenced-based Recovery Housing—including the highly successful Recovery Kentucky model—across rural America. FLETCHER GROUP FOUNDER ERNIE FLETCHER
OUR RESPONSE: GRATITUDE AND RENEWED DEDICATION
INTERVENTION
especially SBIRT
SURVEILLANCE
and diagnosis
including MAT
HOUSING
NARR Levels 1-4
Housing Directory
SUPPORT ALL THE WAY THROUGH DELIVERY FOR NEONATAL ABSTINENCE SYNDROME (NAS)
CHALLENGES
OPIOID PRESCRIPTIONS FOR EVERY 100 PEOPLE
Source: NIH National Institute on Drug Abuse, 2017
AVERAGE DEATHS PER YEAR FROM DRUG USE
Source: Georgia Department of Corrections/past 10 years
INCREASE IN OPIOID OVERDOSE HOSPITAL ADMISSIONS
Source: Georgia Department of Corrections (Over the past ten years)
ADOLESCENTS REPORTING ILLICIT DRUG USE LAST YEAR
(9% of all Georgia adolescents) Source: NIH National Institute on Drug Abuse, 2017
TO TAXPAYERS
COST OF INCARCERATING ONE PERSON FOR ONE YEAR
Source: Georgia Center for Opportunity (twice the cost of educating a public school student)
2010 GEORGIA CORRECTIONS BUDGET
Source: Georgia Center for Opportunity, 2019 (double what it was in 1990)
HIGHER COSTS
Long-distance travel to facilities adds significantly to already high costs.
HIGHER RATES
mortality.
FEWER RESOURCES
Doctors diagnosing SUDs are less likely to have the resources and training for follow-up care.
GREATER STIGMA
Smaller rural communities may experience less privacy and, as a result, more social stigma.
REMIND OBJECTORS WHO ADDICTED PEOPLE ARE— YOUR NEIGHBORS, YOUR FRIENDS, YOUR FAMILY.
OPPORTUNITIES
OUR GOAL Support, advocate and build partnerships that increase resources and services, resulting in one or more new Recovery Centers.
GEORGIA TARGET COUNTIES
Chattooga (24,790) Elbert (19,120) Fannin (25,964) Franklin (23,023) Gordon (57,685) Hart (265,099) Polk (26,099) Rayburn (42,470) TOTAL 236,018
Regional Men’s Recovery Center Owensboro, Kentucky Construction Cost $5.9 Million
How Debt-Free Construction Works
How $5.9 million in construction costs were covered at the Regional Men's Recovery Center in Owensboro, Kentucky
$5,000,000
LIHTC (OVER 10 YEARS)
$250,000 $150,000 $500,000
1
HOME FUNDS
2
AFFORDABLE HOUSING TRUST
3
FEDERAL HOME BANK LOAN
4
WHAT'S AN LIHTC?
The Low-Income Housing Tax Credit is the key to debt-free construction. INVESTOR
Investors who make a lot of money have to pay a lot of taxes (investors can include banks)
FEDERAL GOVERNMENT
Wants to help low-income residents live in a decent home
STATE HOUSING AUTHORITY
Administers program by issuing annual tax credits for ten years to developers of worthy projects
DEVELOPER
Can cover most construction costs by passing annual tax credits to the investor
COMMUNITY
Win-win for the project, the residents, the investor, construction workers and the local economy
Men's Addiction Recovery Center Bowling Green, Kentucky Annual Operating Costs: $1.3 Million
How Operational Day-To-Day Sustainability Works
How $1.3 million in annual day-to-day operating costs are covered at the Men's Addiction Recovery Center in Bowling Green, Kentucky.
$550,000
DEPARTMENT OF CORRECTIONS
$200,000 $300,000 $150,000 $100,000
1
HOUSING CHOICE VOUCHERS
2
COMMUNITY DEVELOPMENT BLOCK GRANTS
3
FOOD STAMPS (SNAP)
4
LOCAL
5
Mexico, and Tennessee
Corrections Corporation of America
Agencies and University Researchers To Enhance Substance Abuse Treatment Initiatives"
Career in Corrections"
OUR CRIMINAL JUSTICE SPECIALIST
THE VALUE OF DOCUMENTATION
Eight years of detailed
earns the trust of stakeholders and plays a key role in winning tax credits and other governmental assistance.
OUR RESEARCH SPECIALIST JENNIFER MILES
treatment systems
treatments
State Policymakers Can Enhance and Expand Capacity To Adequately Support Medication-Assisted Recovery”
CAPACITY
increased capacity to provide services addressing SUDs.
HOUSING
At least one new Recovery Residence.
PRIDE
A community-wide sense of progress in meeting the challenges posed by the
SUGGESTED DAILY ROUTINE
A L L C E N T E R S A R E R E Q U I R E D T O H AV E K E Y E M P L O Y E E S T R A I N E D I N R E C O V E R Y D Y N A M I C S A S TA U G H T B Y T H E K E L LY F O U N D AT I O N
COMMUNITY APPROACH
We use a Therapeutic Community Model to address staffing issues.
THE POWER OF PASSION
Many residents want to work in recovery. We help them get certified.
OPTIMIZED ASSETS
Only three or four staff members per facility are licensed and paid a full- time salary.
THE BEST QUALITIES OF A FACILITY DIRECTOR? Passion, strong work ethic, and smarts. With that you can do everything.
YES, WE DO HOLD YOUR FEET TO THE FIRE.
Potential Partners
WE'RE IN THIS TOGETHER
Development Disabilities
STEP 1
Engage and collaborate with existing stakeholders.
STEP 2
Identify needs and tailor efforts to each community.
STEP 3
Engage sponsors, including not-for-profits, provider groups and faith-based
STEP 4
Obtain the support of the Governor, the governor’s administration and state housing authorities.
STEP 5
Select a site for the first Recovery Residence.
STEP 6
Apply the Fletcher Group’s expertise in prevention, intervention, MAT, and Recovery Housing.
FIND A PROJECT AND MAKE IT REAL SO YOU CAN SAY:
”Here’s the project. Here are the partners. It’s real!"
Don't think small. And don't be shy. Go with a "big ask" and inspire! Remember: It's easier to downsize after "asking big" than it is to ask for more later.
Thank you! Questions? Thoughts? Suggestions?
EMAIL ADDRESS
jallen@fletchergroup.org
PHONE NUMBER
(828) 508-6327
JOHNNA ALLEN
Fletcher Group Outreach and Engagement Specialist