Mike Townsend

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.