Pres esen ent er fletchergroup.org TOPIC S S TO DIS S C C - PowerPoint PPT Presentation

DAVE JOHN SON , M SW, ACSW Project Administrator Pres esen ent er fletchergroup.org

TOPIC S S TO DIS S C C US S S S RC RC ORP RP-RC OE C C ore Activ ivit itie ies T H E F L E T C H E R G R O U P 1) Overview of RCOE 2) Recovery Housing and Recovery Ecosystem F O R R E C O V E R Y H O U S IN G 3) Recovery Housing Outcomes 4) Funding Models 5) Providing technical assistance

KENTUCKY ORIGINS Our recovery expertise began in Our H Hist st or y 2004 when Governor Ernie Fletcher launched Recovery Kentucky—18 recovery residences that have helped thousands of people rebuild their lives while saving millions in taxpayer dollars.

Our C C o o-in investig igator Di Director Terry B Bunn, unn, PhD hD KIPRC works to reduce injury through education, policy initiatives, public health programming, surveillance, risk factor analysis, direct interventions, and evaluation.

PARTNER ERS

Dedicated to expanding access to quality Evidence-Based Recovery Housing for all populations, particularly the most vulnerable. ON ONE V VOI OI CE We work hand-in-hand with NARR and other partners to ensure a nationally unified voice for Recovery Residences supporting people in recovery.

To reduce morbidity, mortality, and other adverse outcom es associated HRSA SA with Substance Use Disorders, particularly Opioid Use Disorders in Man andat at e rural c l com m unit it ie ies where guidance is needed to address not only the current opioid crisis, but future crises as well.

EVIDEN CE-BASED TA Field-proven tools and expertise to m axim ize com m unity effectiveness N ATION AL/ TARGETED REACH We're working in rural com m unities in Montana, Idaho, Washington, Our ur F Focus us Oregon, Kentucky, Georgia, West Virginia, Ohio, and other rural com m unities as requested RECO VERY HO USIN G With an em phasis on the hom eless and those with SUDs involved with crim inal justice.

FLEXIBLE We are uniquely agile and purpose- driven. TEAM -ORIEN TED Our ur C Cul ult ur ure We excel at developing partnerships with stakeholders of every kind— federal, state and private sector. COM M UN ITY EM PHASIS No project can succeed without local understanding, buy-in, and support.

N ON -COM PETITIVE Who gets the credit? PARTN ERIN G SAMHSA’s BSS-TACS Colla llaborat io ion NIH HEALing Communities State NARR Affiliates Int egrat in ing S Silo ilos HHS’s Findtreatment.gov IN TEGRATIN G WITH STAKEHOLDERS Integrate with community efforts not rebuild

CHAOS Recovery Housing is an unregulated industry prone to fraud and abuse. Th The CON FUSION Desperate families spend thousands Ch Challenges of dollars with little to show. LACK OF RESOURCES Rural communities, in particular, lack the funds and resources to respond.

RECOVERY RESIDENCES IN THE CONTINUUM OF RECOVERY NARR RR Levels s Of Of Suppo ppor t

RECOVERY RESIDENCES IN THE CONTINUUM OF RECOVERY Fo Four Dis ist in inct Le Levels

THE N E N EED EED F FOR A A HOLISTIC A C APPROACH CH • In 2018 over 68,000 overdose Est abli lishin ing deaths were reported, with 60% resulting from opioid A R Rec ecover er y overdoses. Ecosyst em Ec • Many occurred soon after release from prison. • A holistic approach takes a community view to address individuals impacted by substance use disorders.

Rec ecover er y E Ecosyst em em s Referral Sources: Case Management  Criminal Justice Employment Support  Treatment Peer Support Providers Life Skills  Counselors Development Stable Housing  Community Employment Health--physical and mental Support Groups Transportation  Self-directed Housing Education Social Support Support BUILDING RECOVERY CAPITAL

HI GHER RA R RATES HI HI GHE HER C COSTS Challen enges es of SUD incidence, morbidity, Long-distance travel to overdose occurrence and facilities adds significantly to mortality. already high costs. Uni nique ue To Rura ural FEWER GRE REATER R RE RESOURC RCES STI GM A ST Areas s 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.

VULN LN ERABLE LE DI STRUST ST More Native Americans Of mainstream institutions Unique Un e meet the diagnostic criteria exacerbated by treatment for SUD than any other protocols that may be Cul ult ura ural ethnic or minority group. culturally insensitive. Challen enges es GEOGRAPHY COM PLEXI TY Widely dispersed facilities Areas lacking social services and the technicalities of and education are also more insurance can present likely to interact with the additional problems. criminal justice system.

St a t e e ffo r t s Br in g d o w n s ilo s a n d s t r a t e gy a n d in fo r m RH s t r a t e gie s Top Down Versus Ve Local In t e gr a t e w it h co m m u n it y Bot ot t om om U Up e xis t in g e ffo r t s e ffo r t s “All politics are local.” Tip O’Neill, Speaker, House of US Representatives, 1977-1987

HRS RSA TARG RGETS HOUSIN G • Recovery Housing SURVEILLAN CE NARR Levels 1-4 • SUD/OUD screening • National Recovery IN TERVEN TION and diagnosis Housing Directory • Fatal and nonfatal • Prevention programs • Training Portal overdoses • Early intervention, • Outcomes Portal • Service availability, especially SBIRT including MAT

KI PRC RC Developing a portal and mobile app to DATA TA collect data from RH and patients. Out co com es Core Activity: 1) Science-based interventions

KI PRC C & N ARR RR Ed Educat ion Developing an educational portal for Train inin ing access to educational models in best practices in RH Core Activities: 2) Dissemination of best practices in rural communities 3) Providing scientific and technical assistance

KI PRC RC FindTreatment.gov N ARR RR SAFE P SA Pr o j ect Integrate state and RH D RH Direct or y national data to create a national registry of RH for consumer access to quality and value. Core Activities: 2) Dissemination of best practices in rural communities 3) Providing scientific and technical assistance

FLETCHER ER GRO ROUP TECHN I CAL ASSI SSI STAN CE TA TA Our goal is to provide “Sou oup To o Nut s" all the expertise needed to establish Recovery Housing that's effective, proven, and Core Activities: sustainable. 2) Dissemination of best practices in rural communities 3) Providing scientific and technical assistance

S S T T A T E -B B Y Y -S S T T A T E OPPO PPORTUN I TI ES

“Boot oot s Help in g “Face Becom in g p ar t t o Face” of t h e on on com m u n it y t he e Gro round und” Un d er st an d in g Wor kin g t o t h e cu lt u r al b r in g d ow n n u an ces st at e an d local silos

T H E F L E T C H E R G R O U P F O R R E C O V E R Y H O U S ING What are the local ne eds? All politics are local – Tip O’Neill, Speaker, House of US Representatives, 1977-1987

IDAH AHO T TAR ARGET COUNTIES ES Bonner (44,727) Payette (23,551) Washington (10,161) TOTAL 368, 368,977

Oregon TARGET C COUNTIES ES Baker (16,006) Grant (7,176) Harney (7,329) Malheur (30,725) Umatilla (77,516) Union (26,461) Wallowa (7,081) TOTAL 171, 171,271

WASH SHINGTON TARGET C COUNTIES ES Clallam (76,737) Grays Harbor (73,901) J efferson (31,729) Pacific (22,036) TOTAL 204, 204,403

MONTAN ANA A TARGET C COUNTIES ES Flathead (102,106) Gallatin (111,876) Lake (30,250) Lewis and Clark (68,700) Mineral (4,316) Park (16,736) Silver Bow (34,993) TOTAL 368, 368,977

KENTUCKY Laurel (60,669) TARGET ET Lawrence (15,571) Lee (7,033) COUNTIES CO Leslie (10,143) Letcher (21,899) Adair (19,215) Lewis (13,257) Bath (12,383) Lincoln (24,644) Bell (26,569) McCreary (17,408) Boyle (30,100) Magoffin (12,362) Breathitt (12,726) Martin (11,323) Carroll (10,737) Menifee (6,451) Carter (27,004) Mercer (21,774) Casey (15,888) Monroe (10,718) Clay (20,105) Owsley (4,472) Clinton (10,206) Perry (26,092) Cumberland (6,659) Pike (58,402) Elliott (7,508) Powell (12,442) Estill (14,198) Robertson (2,135) Floyd (35,845) Rockcastle (16,750) Garrard (17,560) Russell (17,821) Grayson (26,321) Taylor (25,549) Green (11,049) Wayne (20,468) Harlan (26,409) Wolfe (7,177) Hickman (4,421) •TOTA TAL J ohnson (22,386) Knott (15,126) 88 884,909 4,909 Knox (31,304)

OH OHIO T O TARGET COUNTIES ES Adams (27,724) Athens (65,818) Clinton (42,057) Galia (29,979) Highland (43,058) J ackson (32,384) Meigs (23,106) Pike (28,067) Scioto (75,502) Vinton (13,139) TOTAL 380, 380,834

WEST V VIR IRGIN INIA IA TARGET ET CO COUNTIES Braxton (14, 089) Calhoun (7,254) Greenbrier (34,786) J ackson (28,706) Logan (32,607) McDowell (18,223) Mason (26,718) Mercer (59,131) Mingo (23,785) Monroe (13,280) Nicholas (24, 842) Roane (13, 932) Summer (12,760) TOTAL 368, 368,977

GE GEORGI GIA T TARGE GET COUNTIES ES Chattooga (24,790) Elbert (19,120) Fannin (25,964) Franklin (23,023) Gordon (57,685) Hart (265,099) Polk (26,099) Raburn (42,470) TOTAL 235, 235,018