NARR Standards
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NARR | Standard for Recovery ResidencesVersion 1.0 September 2011 |
RECOVERY RESIDENCE LEVELS OF SUPPORT |
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LEVELS | LEVEL I Peer-Run |
LEVEL II Monitored |
LEVEL III Supervised |
LEVEL IV Service Provider |
ADMINISTRATION |
· Democratically run · Manual or P& P | · House manager or senior resident · Policy and Procedures |
· Organizational hierarchy · Administrative oversight for service providers · Policy and Procedures · Licensing varies from state to state |
· Overseen organizational hierarchy · Clinical and administrative supervision · Policy and Procedures · Licensing varies from state to state |
SERVICES |
· Drug Screening · House meetings · Self help meetings encouraged |
· House rules provide structure · Peer run groups · Drug Screening · House meetings · Involvement in self help and/or treatment services |
· Life skill development emphasis · Clinical services utilized in outside community · Service hours provided in house |
· Clinical services and programming are provided in house · Life skill development |
RESIDENCE |
· Generally single family residences | · Primarily single family residences · Possibly apartments or other dwelling types |
· Varies – all types of residential settings |
· All types – often a step down phase within care continuum of a treatment center · May be a more institutional in environment |
STAFF |
· No paid positions within the residence · Perhaps an overseeing officer |
· At least 1 compensated position | · Facility manager · Certified staff or case managers |
· Credentialed staff |
National Association of Recovery Residences | Member Standards | |||
1.Organizational & Administrative Standards |
Level I | Level II | Level III | Level IV |
1.1. Recovery Residences are legal business entities as evidenced by business licenses or incorporation documents ; |
Strongly Recommend |
Strongly Recommend |
X | X |
1.2. Recovery Residences have a written mission and vision statement; | X | X | X | X |
1.3. Recovery Residences have a written code of ethics; | X | X | X | X |
1.4. Recovery Residences property owners/operators carry general liability insurance; | Strongly Recommend |
Strongly Recommend |
X | X |
1.5. Recovery Residences comply with state and federal requirements. If required, documents such as licenses and certificates of occupancy are visible for public view; |
X | X | X | X |
1.6. Recovery Residences clearly identify the responsible person(s) in charge of the Recovery Residence to all residents; | X | X | X | X |
1.7. Recovery Residences clearly state the minimum qualifications, duties, and responsibilities of the responsible person(s) in a written job description and/or contract; | n/a | n/a | X | X |
1.8. Recovery Residences provide drug and alcohol free environments; | X | X | X | X |
1.9. Recovery Residences collect and report accurate process and outcome data for continuous quality improvement; | Strongly Recommend |
Strongly Recommend |
X | X |
1.10. Recovery Residences have written permission from the owner of record to operate a Recovery Residence on their property; | X | X | X | x |
2.Fiscal Management Standards | Level I | Level II | Level III | Level IV |
2.1. Recovery Residences maintain an accounting system that fully documents all resident financial transactions such as fees, payments and deposits; | X | X | X | X |
3.Operation Standards | Level I | Level II | Level III | Level IV |
3.1. Recovery Residences post emergency procedures and staff phone number in conspicuous locations; | n/a | n/a | X | X |
3.2. Recovery Residences post emergency numbers, protocols and evacuation maps; | X | X | n/a | n/a |
4. Recovery Support Standards | Level I | Level II | Level III | Level IV |
4.1. Recovery Residences maintain a staffing plan; | If Applicable | If Applicable | X | X |
4.2. Recovery Residences use an applicant screening process that helps maintain a safe and supportive environment for a specific group of persons in recovery; |
X | X | X | X |
4.3. Recovery Residences adhere to applicable confidentiality laws; | X | X | X | X |
4.4. Recovery Residences keep resident records secure with access limited to authorized staff only; | X | X | X | X |
4.5. Recovery Residences have a grievance policy and procedure for residents; |
X | X | X | X |
4.6. Recovery Residences create a safe, structured, and recovery supportive environment through written and enforced residents’ rights and requirements; |
X | X | X | X |
4.7. Recovery Residences have an orientation process that clearly communicates residents’ rights and requirements prior to them signing any agreements; collects demographic and emergency contact information and provides new residents with written instructions on emergency procedures and staff contact information; |
X | X | X | X |
4.8. Recovery Residences foster mutually supportive and recovery-oriented relationships between residents and/or staff through peer-based interactions, house meetings, community gatherings, recreational events, and/or other social activities; |
X | X | X | X |
4.9. Recovery Residences foster recovery-supportive, alcohol and drug-free environments through written and enforced policies and procedures that address: residents who return to alcohol and/or drug use; hazardous item searches; drug-screening and or toxicology protocols; and prescription and non-prescription medications usage and storage; |
X | X | X | X |
4.10. Recovery Residences encourage each resident to develop and participate in their own personalized recovery plan; | X | X | X | X |
4.11. Recovery Residences inform residents on the wide range of local treatment and recovery support services available to them including: 12 step or other mutual support groups, recover community centers, recovery ministries, recovery-focused leisure activities and recovery advocacy opportunities; | X | X | X | X |
4.12. Recovery Residences provide nonclinical, recovery support and related services; | X | X | X | X |
4.13. Recovery Residences encourage residents to attend mutually supportive, self help groups and/or outside professional services; |
X | X | X | X |
4.14. Recovery Residences provide access to scheduled and structured peer-based services such as didactic presentations; | n/a | n/a | X | X |
4.15. Recovery Residences provide access to 3rd party clinical services in accordance to State laws; | n/a | n/a | X | X |
4.16. Recovery Residences offer life skills development services; | n/a | n/a | X | X |
4.17. Recovery Residences offer clinical services in accordance to State laws; | n/a | n/a | n/a | X |
5.Property Standards |
Level I | Level II | Level III | Level IV |
5.1. Recovery Residences abide by all local building and fire safety codes; | X | X | X | X |
5.2. Recovery Residences provide each residents with food and personal item storage; | X | X | X | X |
5.3. Recovery Residences place functioning fire extinguishers in plain sight and/or in clearly marked locations ; |
X | X | X | X |
5.4. Recovery Residences have functioning smoke detectors installed. If the residence has gas appliances, functioning carbon monoxide detectors are installed; |
X | X | X | X |
5.5. Recovery Residences provide a non smoking internal living environment; |
X | X | X | X |
5.6. Recovery Residences have a community room large enough to accommodate house meetings and sleeping rooms that adhere to local and state square footage requirements; |
X | X | X | X |
5.7. Recovery Residences have one sink, toilet and shower per six residents or adhere to local and state requirements; | X | X | X | X |
5.8. Recovery Residences have laundry services that are accessible to all residents; |
X | X | X | X |
5.9. Recovery Residences maintain the interior and exterior of the property in a functional, safe and clean manor that is compatible with the neighborhood; | X | X | X | X |
5.10. Recovery Residences have meeting spaces that accommodate all residents; | X | X | X | X |
5.11. Recovery Residences have appliances that are in working order and furniture that is in good condition; |
X | X | X | X |
5.12. Recovery Residences address routine and emergency repairs in a timely fashion; | X | X | X | X |
6.Good Neighbor Standards |
Level I | Level II | Level III | Level IV |
6.1. Recovery Residences provide neighbors with the responsible person(s) contact information upon request. The responsible person(s) responds to neighbor’s complaints, even if it is not possible to resolve the issue; |
X | X | X | X |
6.2. Recovery Residences have rules regarding noise, smoking, loitering and parking that are responsive to neighbor’s reasonable complaints; |
Strongly Recommend |
Strongly Recommend |
X | X |
6.3. Recovery Residences have and enforce parking courtesy rules where street parking is scarce; |
X | X | X | X |