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 ¡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 Presenter 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
CHAOS Recovery Housing is an unregulated industry prone to fraud and abuse. CONFUSION The Challenge Desperate families spend thousands of dollars with little to show. LACK OF RESOURCES Rural communities in particular lack the funds and resources to respond.
KENTUCKY ORIGINS Who We Are 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.
FLEXIBLE We are uniquely agile and purpose- driven. TEAM-ORIENTED Our Unique We excel at developing partnerships Attributes with stakeholders of every kind— federal, state, and private sector. FUNDING SPECIALISTS We know how to cover start-up and operating costs without a mortgage.
To ¡guide ¡and ¡support ¡an ¡effec,ve ¡ and ¡sustainable ¡na,onwide ¡ recovery ¡housing ¡solu,on ¡that ¡ Our Purpose leverages ¡the ¡resources ¡of ¡federal ¡ agencies ¡and ¡state ¡and ¡local ¡ governments ¡as ¡well ¡as ¡faith-‑based ¡ en,,es ¡and ¡the ¡private ¡sector. ¡
TECHNICAL ASSISTANCE From Soup The Fletcher Group To Nuts offers all the expertise needed to establish Recovery Housing that's effective, proven, and sustainable.
EVIDENCE-BASED TA Field-proven tools and expertise to maximize your effectiveness. NATIONAL REACH We're working in rural communities in Idaho, Montana, Washington, Oregon, Our Focus 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.
A Recovery Our Unique Approach Model Within A Housing Model HOUSING RECOVERY Sustainably funded through A complete Continuum of Care from partnerships with the Department of intake to employment, Corrections, Housing Authorities including MAT, Peer-To-Peer and many others, including the Support, Workforce Development private sector. and Social Enterprise.
Our Partners
ONE VOICE We work hand-in-hand with NARR to ensure a nationally unified voice for Recovery Residences. WE'RE DEDICATED TO: • The NARR Training Portal • The NARR National Directory • The NARR Outcomes Portal • Creating new NARR Affiliates wherever needed
Community Development A LONG-STANDING Funding 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 “A model evidence- “A bright spot in treating “A program that works” based program.” prescription drug abuse.” of excellence.” The U.S. Department of Substance Abuse and Mental United Nations Office Louisville Health and Human Services Health Services Administration On Drugs and Crime Courier-Journal
HOUSING RECOVERY Transitional housing for up to Social recovery model with Highlights 24 months. peer-based 12-Step Program. EFFECTIVE DOCUMENTED Successfully halts the cycle of Documented outcomes equal Of a Recovery substance use disorders, to or exceeding the most dependency, poverty, and effective programs. Kentucky criminality. Residence INDEPENDENCE EMPLOYMENT Instills accountability and Provides life skills, meaningful responsibility for stable, employment, and a safe, independent living. supportive environment.
72.7% 38% Upon Entry referred from criminal justice reported homelessness 33 Years 52% average client age are males At 18 centers (ranging from 18 to 68) 48% are females caring for over 2-3 Months 7.6 Months 2,000 residents typical waiting list time average stay (shorter stays associated with higher recidivism)
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 others and got a lot out of the program.” “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 others. I’m more accountable.”
“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’s not a cookie cutter program. They work with you one on one and teach you to live life. It showed me how to be a mom.” “It changed my life. I had a negative outlook on life and was headed down the wrong directions. The program changed all of that. The counselors and directors were great.”
“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 life. I’ve been 16 months sober and I have a job now and I get to see my child.”
Program Flow and Evaluation
Substance Abuse Outcomes
Opioid Abuse Outcomes
Mental Health Outcomes
Community Living Outcomes
Economic Indicator Outcomes
Recidivism Outcomes
Arrest Outcomes
Return On Investment
Tax Savings
FEDERAL FUNDING We recently became one of three recipients to receive $6.6 million over HRSA Grant the next three years. HOUSING FOCUS Alone among the three recipients, our Center Of Excellence is laser-focused on Recovery Housing.
To reduce morbidity, mortality, and other adverse outcomes associated HRSA with Substance Use Disorders, particularly Opioid Use Disorders in Mandate rural communities where guidance is needed to address not only the current opioid crisis, but future crises as well.
OUR RESPONSE: GRATITUDE AND RENEWED DEDICATION 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
HRSA GOALS SURVEILLANCE HOUSING • Recovery Housing • SUD/OUD screening NARR Levels 1-4 and diagnosis INTERVENTION • National Recovery • Fatal and nonfatal • Prevention programs Housing Directory overdoses • Early intervention, • Training Portal • Service availability, especially SBIRT • Outcomes Portal including MAT
INCLUDING OB/GYN SUPPORT ALL THE WAY THROUGH DELIVERY FOR NEONATAL ABSTINENCE SYNDROME (NAS)
GEORGIA CHALLENGES
71 OPIOID PRESCRIPTIONS FOR EVERY 100 PEOPLE Source: NIH National Institute on Drug Abuse, 2017
Over 1,000 AVERAGE DEATHS PER YEAR FROM DRUG USE Source: Georgia Department of Corrections/past 10 years
1,000% INCREASE IN OPIOID OVERDOSE HOSPITAL ADMISSIONS Source: Georgia Department of Corrections (Over the past ten years)
70,000 ADOLESCENTS REPORTING ILLICIT DRUG USE LAST YEAR (9% of all Georgia adolescents) Source: NIH National Institute on Drug Abuse, 2017
THE COST TO TAXPAYERS
$21,000 COST OF INCARCERATING ONE PERSON FOR ONE YEAR (twice the cost of educating a public school student) Source: Georgia Center for Opportunity
$1 BILLION 2010 GEORGIA CORRECTIONS BUDGET (double what it was in 1990) Source: Georgia Center for Opportunity, 2019
Unique HIGHER RATES HIGHER COSTS Rural of SUD incidence, morbidity, Long-distance travel to overdose occurrence and facilities adds significantly to mortality. already high costs. Challenges FEWER GREATER RESOURCES STIGMA Doctors diagnosing SUDs are Smaller rural communities less likely to have the may experience less privacy resources and training for and, as a result, more social follow-up care. stigma.
NOT IN MY BACKYARD? REMIND OBJECTORS WHO ADDICTED PEOPLE ARE— YOUR NEIGHBORS, YOUR FRIENDS, YOUR FAMILY.
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