Creative Solutions in Lean Budget Times
April 10-12, 2012 Walt Disney World Swan Resort
Accepted Learning Objectives:
1. Describe the successful Recovery Kentucky program as a means to provide additional recovery centers. 2. Describe the primary outcome of the Sheridan Program – reduced recidivism – and how this outcome is affected by intermediate program outcomes such as completion of the therapeutic community, admission and retention in community treatment, and completion of case management requirements. 3. Evaluate the cost of incarceration versus the cost of providing treatment/recovery services.
Disclosure Statement
• All presenters for this session, Leslie Balonick and Mike Townsend, have disclosed no relevant, real or apparent personal or professional financial relationships.
What is Recovery Kentucky?
• Initiative to help Kentuckians recover from substance abuse that often leads to chronic homelessness.
• Studies indicate that substance addiction is one of the leading causes of homelessness in the Commonwealth.
Who Will Be Served?
• Homeless
• At risk of homelessness
• Referrals from judicial system
Housing Recovery Centers Geographic Distribution
• Geographically distributed to ensure access to facilities for all Kentuckians
Locations
Facility Model
• Serves up to 100 individuals at a time
• Model corresponds to program. Encompasses space for: – Safe off the Streets 15 beds (SOS) – Motivational Tracts 15 beds (MT) – 70 single room housing units
Owensboro Reg. Recovery
Harlan facility
Campbellsville entrance
Lexington men’s facility
Paducah admissions - lobby
Owensboro Lobby
Owensboro Kitchen
Owensboro Kitchen
Harlan dining room
Paducah- Safe off the Streets
Hopkinsville –”trudging”
Harlan bedroom
Liberty Place entrance
Financial Model
Development of facility funded by:
• Low Income Housing Tax Credits (Housing Credits) • HOME Investment
Partnerships Program • Federal Home Loan Bank
Operation of Recovery Program
Operation of facility funded by:
• Project-Based Section 8 • Community Development Block
Grant (CDBG) • Department of Corrections • Food Stamps
Program Success
• Success defined as maintaining sobriety for 12 months or longer.
• In recent U. of K. CDAR follow-up survey
• 75% were abstinent one year later • 84% decrease in arrests. • 85% decrease in jail time • $1 invested $3 saved in societal costs
due to substance abuse
Sober Living, Supportive Housing Model
• Self-help • Education • Personal accountability • Community accountability • Vocational support • Positive behavior change
Recovery Kentucky Model
• Twelve Steps of Alcoholics Anonymous
• Recovery Dynamics • Residents may live up to 24 months
in supportive housing recovery program
Phases of the Recovery Kentucky Model
• Safe off the Streets (Intake) • Motivational Tracks I & II (Trudging) • Phase I (Recovery Program) • Phase II (Peer Mentor/Transitional)
Principles of a Social Model Program
• Alcoholics Anonymous based: • Program and staff’s basis of authority is
experiential: • Participation is not coerced:
Principles of a Social Model Program
• Peer Mentors and program participants help run the program with professional staff support
• Physical environment is home-like, not institutional.
Critical Elements of the Model
• 1. Guide & direct client through the 12 Steps
• 2.Teach “Recovery Dynamics” • 3. Hybrid therapeutic community • 4. Role model social skills & positive
change • 5. Accountability 24/7 self & others
Critical Elements
• 6. Keep focus on recovery first • 7. Ownership of the disease • 8. Empowerment/self-determination • 9. Attraction • 10. Self-governance • 11. Peer teaching • 12. Working with others
Critical Elements
• 13. Sharing experience, strength, & hope
Critical Elements
• 14. Zero tolerance: – A. Drug/alcohol use – B. Violence or threats of violence – C. Racism – D. Sexual acting out – E. Stealing
Critical Elements
• 15. Meeting people where they are • 16. “Loving people to life” • 17. “I am my brother’s/sister’s keeper” • 18. Unconditional love for the
individual – confront behavior
Recovery Kentucky
• Peer driven but supervised by professional staff.
• Education and self-help programs helps resident focus on internal changes in attitude, errors in thinking and ultimately behavioral change that supports a drug-free life.
Recovery Kentucky
• Recovery Kentucky Program will help residents identify: – The problem – The solution – The action steps
Clients learn lifetime solutions to their problem.