ERNIE FLETCHER Co-Founder Presenters DAVE JOHNSON fletchergroup.org CEO 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. ¡
2019 BEST PRACTICES Host SUMMIT October 14–16 St. Louis , Missouri narronline.org
THE FLETCHER GROUP IS DEDICATED TO: • The NARR Training Portal • The NARR National Directory • The NARR Outcomes Portal • Creating new NARR Affiliates wherever needed ONE VOICE The Fletcher Group works hand-in-hand with NARR to ensure a nationally unified voice for Recovery Residences.
PARTNERS
A MODEL A MODEL THAT WORKS EVIDENCE- BASED HHS PROGRAM SAMHSA ENDORSEMENTS A BRIGHT SPOT A PROGRAM OF IN TREATING EXCELLENCE PRESCRIPTION- United Nations Office DRUG ABUSE On Drugs and Crime Louisville Courier-Journal
TOPICS TO DISCUSS THE FLETCHER • The Challenge • Who We Are GROUP • Our Facilities • Testimonials • The Role Of Our HRSA Grant FOR RECOVERY • Target States and Counties • The Road Ahead HOUSING
CHAOS Recovery Housing is an unregulated industry prone to fraud and abuse. The CONFUSION Desperate families spend thousands of Challenge dollars with little to show. LACK OF RESOURCES Rural communities in particular lack the funds and resources to respond.
Challenges HIGHER RATES HIGHER COSTS Unique of SUD incidence, morbidity, Long-distance travel to overdose occurrence and facilities adds significantly to To Rural mortality. already high costs. Areas 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.
Unique VULNERABLE DISTRUST Cultural More Native Americans meet Of mainstream institutions the diagnostic criteria Challenges exacerbated by treatment for SUD than any other ethnic protocols that may be or minority group. culturally insensitive. GEOGRAPHY COMPLEXITY Widely dispersed facilities and Areas lacking social services the technicalities of insurance and education are also more can present additional likely to interact with the problems. criminal justice system.
Our Purpose To provide the standardized model and technical resource center needed to guide, support, and build a nation-wide recovery housing program in collaboration with federal, state and local governments, faith-based entities, and the private sector.
EVIDENCE-BASED TA Field-proven tools and expertise to maximize your effectiveness. NATIONAL REACH We're working in rural communities in Montana, Idaho, Washington, Oregon, Our Focus Kentucky, Georgia, West Virginia, Ohio, and other rural communites as requested RECOVERY HOUSING With a particular emphasis on the homeless and those with SUDs involved with criminal justice.
FLETCHER GROUP TECHNICAL ASSISTANCE "From Soup To Our goal is to provide Nuts" all the expertise needed to establish Recovery Housing that's effective, proven, and sustainable.
FLEXIBLE We are uniquely agile and purpose- driven. TEAM-ORIENTED Our Unique We excel at developing partnerships with stakeholders of every kind— Attributes federal, state and private sector. COMMUNITY EMPHASIS No project can succeed without local understanding, buy-in, and support.
A Recovery Our Unique Approach Model Within A Housing Model HOUSING RECOVERY Sustainably funded through A complete Continuum of Care partnerships with the Department of from intake to employment, Corrections, Housing Authorities including MAT, Peer-To-Peer and many others, including the Support, Workforce Development private sector. and Social Enterprise.
Two Key Pieces PEER-DRIVEN SUPPORT MEANINGFUL EMPLOYMENT Fifty peers asking you to account for Recovery is incomplete without effective yourself is powerful. training and Social Enterprise.
KENTUCKY ORIGINS Our History Our recovery expertise began in 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.
Kentucky DEPARTMENT STATE OF HOUSING Partners CORRECTIONS CORPORATION (HUD) STATE CABINET FOR DEPARTMENT FAMILIES AND FOR LOCAL CHILDREN GOVERNMENT (USA)
KentuckyH HOUSING RECOVERY Transitional Housing up to 24 Social recovery model with ighlights months peer-based 12-step program EFFECTIVE DOCUMENTED Successfully halts the cycle of Documented outcomes equal substance use disorders, to or exceeding the most dependency, poverty, and effective programs criminality INDEPENDENCE EMPLOYMENT Instills accountability and Provides life skills, meaningful responsibility for stable, employment, & supportive, independent living sober housing
Data 72.7% 38% Upon are referred from criminal reported homelessness justice Entry 33 YEARS 51.6% average age of clients are males (ranging from 18 to 68) 48.3 percent are females At 18 Recovery Kentucky 2-3 MONTHS 7.6 MONTHS Centers caring typical waiting list time average stay (shorter stays associated with for over 2,000 higher recidivism) residents
OUR FACILITIES
TESTIMONIALS What Our 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
Our Substance Abuse Outcomes
Our Opiod Abuse Outcomes
Our Mental Health Outcomes
Our Community Living Outcomes
Our Economic Indicator Outcomes
Our Recidivism Outcomes
Our Arrest Outcomes
Our Return On Investment
Your Tax Savings
THE VALUE OF DOCUMENTATION Eight years of detailed outcome documentation earns the trust of stakeholders and plays a key role in winning tax credits and other governmental assistance.
FEDERAL FUNDING We recently became one of three recipients to receive $6.6 million over the next three years. HRSA Grant HOUSING FOCUS Alone among the three recipients, our Center Of Excellences 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.
HRSA TARGETS SURVEILLANCE HOUSING • SUD/OUD screening • Recovery Housing and diagnosis NARR Levels 1-4 INTERVENTION • Fatal and nonfatal • National Recovery • Prevention programs overdoses Housing Directory • Early intervention, • Training Portal • Service availability, especially SBIRT including MAT • Outcomes Portal
INCLUDING OB/ GYN SUPPORT ALL THE WAY THROUGH DELIVERY FOR NEONATAL ABSTINENCE SYNDROME (NAS)
STAFFING OPTIMIZED COMMUNITY THE POWER OF ASSETS APPROACH PASSION Only three or four staff We use a Therapeutic Many residents want to members per facility are Community Model to work in recovery. We help licensed and paid a full- address staffing issues. them get certified. time salary.
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