10.2190/SH.7.1.g Y614864P6H6057G7 7 Factors Affecting the Sustainability of Self-Run Recovery Homes in the United States 99 109 20130114 20130114 20130114 20130114 Y614864P6H6057G7.pdf http://baywood.metapress.com/link.asp?target=contribution&id=Y614864P6H6057G7 1 Ronald Harvey Jennifer Mortensen Darrin Aase Leonard Jason Joseph R. Ferrari DePaul University, Chicago, Illinois Michigan State University, Lansing Governors State University, University Park, Illinois This study examined the sustainability rates of 214 self-run substance abuse recovery homes called Oxford Houses (OHs) over a 6-year period. We list five factors needed to sustain an OH: affordable housing, residents following OH principles, resident income, institutional support, and community support. Results indicated a high sustainability rate (86.9%) in which 186 OHs remained open and 28 OHs closed. Reasons for houses closing (N = 14) included lack of affordable housing, residents who were unable to adhere to OH rules, and insufficient income of residents. No house-level differences for income, sense of community, average lengths of stay, house age, or neighborhood characteristics were found between open and closed houses. Because the OH system relies on residents to sustain individual houses located in ordinary residential neighborhoods, these findings suggest that OH sustainability depends on locale, primarily access to affordable housing, and adequate job opportunities for residents.

Amburgey, T. L., Kelly, D., & Barnett, W. P. (1993). Resetting the clock: The dynamics of organizational change and failure. Administrative Science Quarterly, 38(1), 51-73. doi: 10.2307/2393254

Archibald, M. (2007). The evolution of self-help. New York: Palgrave Macmillan.

Bishop, P. D., Chertok, F., & Jason, L. A. (1997). Measuring sense of community: Beyond local boundaries. The Journal of Primary Prevention, 18(2), 193-212. doi: 10.1023/a:1024690424655

Borkman, T., Kaskutas, L. A., & Owen, P. (2007). Contrasting and converging philosophies of three models of alcohol/other drugs treatment: Minnesota model, social model, and addiction therapeutic communities. Alcoholism Treatment Quarterly, 25(3), 21-38.

Davis, M. I., & Jason, L. A. (2005). Sex differences in social support and self-efficacy within a recovery community. American Journal of Community Psychology, 36(3), 259-274.

De Leon, G. (2004). Commentary on "Self-help organizations for alcohol and drug problems: Toward evidence-based practice and policy." Journal of Substance Abuse Treatment, 26(3), 163-165.

Ferrari, J. R., Jason, L. A., Olson, B. D., Davis, M. I., & Alvarez, J. (2002). Sense of community among Oxford House residents recovering from substance abuse: Making a house a home. In A. T. Fisher, C. C. Sonn, & B. J. Bishop (Eds.), Psychological sense of community: Research, applications, and implications (pp. 109-122). New York, NY: Kluwer Academic/Plenum Publishers.

Ferrari, J. R., Jason, L. A., Sasser, K. C., Davis, M. I., & Olson, B. D. (2006). Creating a home to promote recovery: The physical environments of Oxford House. Journal of Prevention & Intervention in the Community, 31(1/2), 27-39.

Graham, B. C., Jason, L. A., Ferrari, J. R., & Davis, M. I. (2009). Sense of community within Oxford House Recovery Housing: Impact of resident age and income. Journal of Groups in Addiction & Recovery, 4(1/2), 62. doi: 10.1080/15560350802712405

Groh, D. R., Jason, L. A., Ferrari, J. R., & Davis, M. I. (2009). Oxford House and Alcoholics Anonymous: The impact of two mutual-help models on abstinence. Journal of Groups in Addiction & Recovery, 4(1/2), 23. doi: 10.1080/15560350802712363

Harvey, R., & Jason, L. (2011). Contrasting social climates of small peer-run versus a larger staff-run substance abuse recovery setting. American Journal of Community Psychology, 48(3/4), 365-372. doi: 10.1007/s10464-011-9432-3

Humphreys, K. (2004). Circles of recovery: Self-help organizations for addictions. New York, NY: Cambridge University Press.

Humphreys, K., Wing, S., McCarty, D., Chappel, J., Gallant, L., Haberle, B., et al. (2004). Self-help organizations for alcohol and drug problems: Toward evidence-based practice and policy. Journal of Substance Abuse Treatment, 26(3), 151-158. doi: 10.1016/s0740-5472(03)00212-5

Jason, L. A., Braciszewski, J., Olson, B. D., & Ferrari, J. R. (2005). Increasing the number of mutual help recovery homes for substance abusers: Effects of government policy and funding assistance. Behavior and Social Issues, 14(1), 71-79.

Jason, L. A., Davis, M. I., & Ferrari, J. R. (2007). The need for substance abuse after-care: A longitudinal analysis of Oxford House. Addictive Behaviors, 32, 803-818.

Jason, L. A., Davis, M. I., Ferrari, J. R., & Bishop, P. D. (2001). Oxford House: A review of research and implications for substance abuse recovery and community research. Journal of Drug Education, 31(1), 1-27.

Jason, L. A., Ferrari, J. R., Dvorchak, P. A., & Groessl, E. J. (1997). The characteristics of alcoholics in self-help residential treatment settings: A multi-site study of Oxford House. Alcoholism Treatment Quarterly, 15(1), 53-63. doi: 10.1300/J020v15n01_05

Jason, L. A., Groh, D. R., Durocher, M., Alvarez, J., Aase, D. M., & Ferrari, J. R. (2008). Counteracting "Not in My Backyard": The positive effects of greater occupancy within mutual-help recovery homes. Journal of Community Psychology, 36(7), 947-958. doi: 10.1002/jcop.20259

Jason, L. A., Olson, B. D., Ferrari, J. R., Layne, A., Davis, M. I., & Alvarez, J. (2003). A case study of self-governance in a drug abuse recovery home. North American Journal of Psychology, 5(3), 499-514.

Jason, L. A., Olson, B. D., Ferrari, J. R., & Lo Sasso, A. T. (2006). Communal housing settings enhance substance abuse recovery. American Journal of Public Health, 96(10), 1727-1729.

Kirby, M. W. (2004). Commentary on "Self-help organizations for alcohol and drug problems: Toward evidence-based practice and policy." Journal of Substance Abuse Treatment, 26(3), 161-162. doi: 10.1016/s0740-5472(04)00013-3

McLellan, A. T., Kushner, H., Metzger, D., & Peters, R. (1992). The fifth edition of the Addiction Severity Index. Journal of Substance Abuse Treatment, 9(3), 199-213.

Miller, D. E. (1995). The Fair Housing Act, Oxford House, and the limits of local control over the regulation of group. William & Mary Law Review, 36(4), 1467.

Moos, R. H. (2008). Active ingredients of substance use-focused self-help groups. Addiction, 103(3), 387-396.

Oxford House Inc. (2004). Oxford House Manual: An idea based on a sound system for recovering alcoholics and drug addicts to help themselves. Silver Spring, MD: Oxford House World Services, Inc.

Oxford House Inc. (2009). Oxford House, Inc. Annual Report Fiscal Year 2009. Silver Spring, MD: Oxford House World Services, Inc.

Polcin, D. L. (2009). Communal-living settings for adults recovering from substance abuse. Journal of Groups in Addiction & Recovery, 4(1/2), 7-22.

SAMHSA. (2011). NREPP: SAMHSA's National Registry of Evidence-based Programs and Practices: Interventions. Retrieved from <a target="_blank" href='http://www.nrepp.samhsa.gov/ViewIntervention.aspx?id=223'>http://www.nrepp.samhsa.gov/ViewIntervention.aspx?id=223</a>

Sarason, S. B. (1974). The psychological sense of community: Prospects for community psychology. San Francisco, CA: Jossey Bass.

Shediac-Rizkallah, M. C., & Bone, L. R. (1998). Planning for the sustainability of community-based health programs: Conceptual frameworks and future directions for research, practice and policy. Health Education Research, 13(1), 87-108.

Zippay, A. L. (2007). Psychiatric residences: Notification, NIMBY, and neighborhood relations. Psychiatric Services, 58(1), 109-113.

Zuffoletto, J. M. (1992). New federal regulations protect disabled employees … Americans with Disabilities Act of 1990 (ADA). AORN Journal, 55(5), 1274.