Creative Solutions in Lean Budget Times National Rx Drug Abuse Summit 4-11-12

1. Creative Solutions in Lean
Budget Times
April 10-12, 2012
Walt Disney World Swan Resort

2. 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.

3. Disclosure Statement
• All presenters for this session, Leslie
Balonick and Mike Townsend, have
disclosed no relevant, real or apparent
personal or professional financial
relationships.

5. 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.

6. Who Will Be Served?
• Homeless
• At risk of homelessness
• Referrals from judicial
system

7. Housing Recovery Centers Geographic
Distribution
• Geographically distributed to
ensure access to facilities for all
Kentuckians

8. Locations

9. 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

10. Owensboro Reg. Recovery

11. Harlan facility

12. Campbellsville entrance

13. Lexington men’s facility

14. Paducah admissions - lobby

15. Owensboro Lobby

16. Owensboro Kitchen

17. Owensboro Kitchen

18. Harlan dining room

19. Paducah- Safe off the Streets

20. Hopkinsville –”trudging”

21. Harlan bedroom

22. Liberty Place entrance

23. Financial Model
Development of facility funded by:
• Low Income Housing Tax
Credits (Housing Credits)
• HOME Investment
Partnerships Program
• Federal Home Loan Bank

24. Operation of Recovery Program
Operation of facility funded by:
• Project-Based Section 8
• Community Development Block
Grant (CDBG)
• Department of Corrections
• Food Stamps

25. 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

27. Sober Living, Supportive
Housing Model
• Self-help
• Education
• Personal accountability
• Community accountability
• Vocational support
• Positive behavior change

28. Recovery Kentucky Model
• Twelve Steps of Alcoholics
Anonymous
• Recovery Dynamics
• Residents may live up to 24 months
in supportive housing recovery
program

29. 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)

30. Principles of a Social Model
Program
• Alcoholics Anonymous based:
• Program and staff’s basis of authority is
experiential:
• Participation is not coerced:

31. 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.

32. 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

33. 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

34. Critical Elements
• 13. Sharing experience, strength, &
hope

35. Critical Elements
• 14. Zero tolerance:
– A. Drug/alcohol use
– B. Violence or threats of violence
– C. Racism
– D. Sexual acting out
– E. Stealing

36. 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

37. 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.

38. Recovery Kentucky
• Recovery Kentucky Program will help
residents identify:
– The problem
– The solution
– The action steps
Clients learn lifetime solutions
to their problem.