As a statewide “membership association” representing - M-ROCC

Transcription

As a statewide “membership association” representing - M-ROCC
Maryland State Association for Recovery Residences
Standards for Recovery Residences
Maryland Association of Recovery Residences (M-SARR) Member Standards
4. Recovery Support Standards
Updated May 2014
4.1. Recovery Residences maintain a staffing plan;
M-SARR serves as the supportive housing affiliate of Maryland Recovery Organization Connecting Communities
ADMINISTATION
LEVEL II LEVEL I Peer-Run
LEVEL III
Monitored
• Democratically run
• Manual or P&P
• Policy and Procedures
• House manager or senior resident
• Organizational hierarchy
Supervised
• Administrative oversight for service providers
•Policy and Procedures
•Licensed, Certified or Accredited
•Clinical and administrative supervision
SERVICES
•Drug screening
•House meetings
•Self help meetings encouraged
•Generally single family residences
•No paid positions within the residence
•House rules provide structure
•Peer run groups
•Drug Screening
•House meetings
•Involvement in self help
and/or treatment services
RESIDENCE
•Primarily single family residences
STAFF
•At least one (1) compensated position
•Perhaps an overseeing officer
•Life skill development emphasis
•Clinical services and programming
provided in house
•Service hours provided in house
• Varies – often a step down phase
treatment center
• May be more insitutional in environment
• Varies – all types of residential
• Clinical services and programming are utilized in the community and/or provided in-house
•Facility manager
•Certified staff or case manager
• Credential staff
Maryland State Association for Recovery Residences
Maryland Association of Recovery Residences (M-SARR) Member Standards
1. Organizational/Administrative Standards
1.1. Recovery Residences are legal business entities as evidenced by business licenses or incorporation documents; 1.2. Recovery Residences have a written mission and vision statement;
1.3. Recovery Residences have a written code of ethics;
Level I
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;
1.6. Recovery Residences clearly identify the responsible person(s) in charge
of the Recovery Residence to all residents;
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;
1.8. Recovery Residences provide drug and alcohol free environments; 1.9. Recovery Residences collect and report accurate process and outcome data for continuous quality improvement;
1.10. Recovery Residences have written permission from the owner of record to operate
a Recovery Residence on their property;
2. Fiscal Management Standards 2.1. Recovery Residences maintain an accounting system that fully documents
all resident financial transactions such as fees, payments and deposits; 3. Operation Standards 3.1. Recovery Residences post emergency procedures and staff phone number
in conspicuous locations;
3.2. Recovery Residences post emergency numbers, protocols and evacuation maps;
Maryland State Association for Recovery Residences
Level II
Strongly Recommend Strongly Recommend
X
X
1.4. Recovery Residences property owners/operators carry general liability insurance;
Maryland State Association for Recovery Residences
Maryland State Association for Recovery Residences
Level III
Level I
Level II
Level III
If Applicable
If Applicable
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
4.3. Recovery Residences adhere to applicable confidentiality laws;
X
X
X
4.4. Recovery Residences keep resident records secure with access limited to authorized staff only;
X
X
X
4.5. Recovery Residences have a grievance policy and procedure for residents;
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
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
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
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
4.10. Recovery Residences encourage each resident to develop and participate in their
own personalized recovery plan;
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
4.12. Recovery Residences provide nonclinical, recovery support and related services;
X
XX
4.13. Recovery Residences encourage residents to attend mutually supportive, self help groups
and/or outside professional services;
X
XX
Promoting universal standards and accountability within our membership
and within the supportive housing field as a whole
4.14. Recovery Residences provide access to scheduled and structured peer-based services
such as didactic presentations;
n/an/a
X
4.15. Recovery Residences provide access to 3rd party clinical services in accordance to State laws;
n/an/a
X
4.16. Recovery Residences offer life skills development services;
n/a
X
4.17. Recovery Residences offer clinical services in accordance to State laws;
n/an/an/a
n/a
W e are committed
Level I
Level II
Level III
XX
5.1. Recovery Residences abide by all local building and fire safety codes;
X
X
X
5.2. Recovery Residences provide each residents with food and personal item storage;
X
X
X
5.3. Recovery Residences place functioning fire extinguishers in plain sight and/or
in clearly marked locations ;
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
5.5. Recovery Residences provide a non smoking internal living environment;
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
XX
X
XX
N/A N/A X
XX
Strongly Recommend Strongly Recommend
X
XX
Level I Level II X
XX
Amplifying the “voice of the supportive housing industry”
locally and across the State
X
5. Property Standards
X
X
X
Level III
Level I Level II Level III
N/A N/A X
X
X
N/A
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
5.8. Recovery Residences have laundry services that are accessible to all residents;
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
X
X
X
X
5.12. Recovery Residences address routine and emergency repairs in a timely fashion;
X
X
X
Level I
Level II
Level III
6.3. Recovery Residences have and enforce parking courtesy rules
where street parking is scarce;
Maryland’s
Behavioral Health continuum of care Administration (ADAA).
The Maryland State Association for Recovery Residences (M-SARR)
is a subsidiary of
X
6.2. Recovery Residences have rules regarding noise, smoking, loitering and parking that are responsive to neighbor’s reasonable complaints;
for our membership to realize full access to technical and fiscal resources
expanding
5.10. Recovery Residences have meeting spaces that accommodate all residents;
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;
Advocating
critical to support our goal of supportive housings’ full integration into
5.11. Recovery Residences have appliances that are in working order and furniture
that is in good condition;
6. Good Neighbor Standards
“organized”
“constituency of consequence”
to expanding our membership and promulgating the
supportive housing industry as a
XX
Strongly Recommend Strongly Recommend
As a statewide
“membership association” representing
supportive housing providers across
Maryland, M-SARR and its members are
committed to the following
goals and objectives:
-
X
X
X
Strongly Recommend Strongly
Recommend
X
X
X
X
Maryland Recovery Organization Connecting Communities (M-ROCC)
M-SARR is a registered member of the nationally recognized National Alliance for Recovery Residences (NARR).
M-SARR and our members fully support and adhere to NARR recommended standards that mandate recovery residences
(supportive housing programs) shall maintain, adhere to and enforce a high level of standards
and operating policies and procedures.
M-SARR’s efforts to organize supportive housing providers/programs throughout Maryland as a statewide
“membership association” is made possible through a recent three-year grant award
from Maryland’s Alcohol and Drug Abuse Administration (ADAA).
An Introduction and Membership Invitation to the Maryland State Association of Recovery Residences
Applications and payment can be submitted at our website: www.m-rocc.org. Acceptable methods include: Credit/ Debit Cards or
STEP 2
• Complete Member Application (to include payment) • Complete Site Visit/ Inspection of Facility (to include payment)
• Complete any Required Training or Workshop
• Submit any Requested Documentation
Greetings
nces
Recovery Reside
the Maryland State
ry Residences (M-SA
Association for Recove
RR).
Care
lthcare, the Affordable
h access to affordable hea
wit
rs
nde
ted
ryla
rela
n
Ma
ofte
red
the
and under-insu
ved in shining a light on
thousands of uninsured
s of an
in Maryland has also ser
e
new
her
and
tion
In addition to providing
urb
gra
sub
inte
nd
lth
ryla
hea
l level and behavioral
to gun violence in a Ma
Act (ACA) at the federa
Recent events related
on both issues. It is
science and discourse
ntal illness in Maryland.
con
me
lic
and
pub
use
the
se
ce
rea
stan
inc
to
ved
ser
, similar to other
issues of sub
e
ure
hav
nat
e
in
stat
es)
ate overdoses across the
ned as “chronic” (diseas
opi
defi
in
n
se
bee
rea
e
inc
hav
g
ess
min
illn
alar
and mental
ritis.
substance use disorder
diabetes, obesity, and arth
import ant to remember
As a
disease, stroke, cancer,
rt
hea
on,
nsi
erte
hyp
s starting in July 2014.
as
mental health) ser vice
chronic diseases such
and
use
e
sing
anc
rea
bst
inc
(su
lth
the
of behavioral hea
g) and ser vices to meet
achieve full integration
reased resources (fundin
side
inc
one
h
wit
just
s
ded
ent
Maryland is poised to
pon
res
res
rep
s
has
it
ser vice
ch to be proud of in how
, increased access and
State, Maryland has mu
oss the State. That said
acr
s
vice
ser
use
ce
lth and substan
demand for mental hea
prepare to resume life in
y.
stor
women across our State
the
of
not thousands of men and
if
ds
efit of hav ing secured
dre
ben
hun
the
ay
t
ryd
hou
eve
nity wit
y real fact is that
nter life in the commu
agree
re-e
ny
Ma
A little publici zed but ver
nt.
me
ove
age
rec ry “. Most will
nt eng
out of their “journey of
ing a successful treatme
ical for someone starting
the community, follow
crit
n
ofte
s
vice
ser
nity supports and
ic human needs.
access to basic commu
k at the ver y top of bas
d has to, or should, ran
ical role, in supporting
hea
’s
one
r
ove
f
roo
a
play a major, often crit
hav ing
ry journey.
s) have and continue to
ove
nce
rec
ide
and
Res
on
ery
iati
cov
init
(Re
overy
e housing” programs
ty
sing as part of their rec
Historically “supportiv
ess safe, affordable hou
as the safety net’s - safe
s seeking access to acc
approach/model exist
ss
ilie
lne
fam
n
wel
eve
and
and
lth
en
hea
e of behavtyp
ry or
e
men/wom
ove
som
rec
a
ing
ow
on
foll
ed
s
bas
vice
grams established
sing and supportive ser
Supportive Housing pro
nd numbers well into the
ll the critical need of hou
in existence in Maryla
e and continue to fulfi
ms
hav
gra
ms
pro
gra
g
pro
sin
the
hou
t
tha
tive
por
net- in
sup
of
e and continue to ser ve
ber
hav
num
ms
gra
the
pro
n. M-SARR believes
ile supportive housing
Wh
m or
t.
por
sup
l
ntia
ioral health interventio
ide
lity to access mainstrea
ls of res
recovery, the field’s abi
, and encompasses all leve
go on from to thr ive in
en
hundreds, if not higher
wom
and
n
me
.
ny
ind
n from which ma
ms continues to lag beh
as the bedrock/foundatio
and even expand progra
s to Recovery
ich to support, sustain
wh
h
wit
g,
din
Administration) “Acces
s
fun
vice
nal
traditio
se and Mental Health Ser
Abu
tive housing
e
por
anc
sup
bst
d)
(Su
’s
fun
d
HSA
(an
te
of funding through SAM
come and fully integra
wel
h
bot
to
ty
and for safe
uni
dem
ort
The pending phase-out
sed
rea
excellent opp
care”. In Maryland, inc
(2014), presents as an
ryland’s “continuum of
programs as
Ma
g
sin
and
(ATR) program in June
hou
exp
to
tive
k
por
see
sup
we
safety net partner as
ver y real, dependence on
portive
as a true and welcomed
atment) undeclared, but
financial support to sup
nt, and the systems (tre
me
eat
vide “incentive-based”
t-tr
pro
pos
g
to
sin
ties
hou
uni
ort
opp
affordable
lore
exp
to
dy
rea
ts Maryland might be
.
a referral source sug ges
t or fee-for-ser vice system
lementing a direct-gran
critical to a program’s
imp
h
oug
thr
ers
vid
pro
e to say funding, while
housing
along and will continu
all
said
e
to grow for programs
hav
es
I
tinu
nity
con
portive housing commu
ile the demand has and
Wh
ry.
ust
ind
an
as
ds
ant respectability.
To my friends in the sup
erg on our nee
gration, and more import
s just the tip of the iceb
e we are to realize full inte
don
, our impact on
be
sustain ability, represent
lity
to
k
qua
,
wor
ch
ility
mu
tab
ones you offer, there is
ity (standards), accoun
form
uni
to
ted
rela
es
and ser vices such as the
and address issu
st be willing to tackle
As an industry we mu
of supportive…..
ss
housing
ene
ctiv
effe
the
lly
promulgated supportive
communities and especia
established and widely
an
as
l
wel
ituency
as
nst
ms,
“co
a
gra
es as
ds for our pro
and recovery communiti
a universal set of standar
ation for
the supportive housing
oci
of
Ass
ce
te
voi
As a field we are lacking
Sta
ed
nd
plifi
ryla
am
Ma
ral health system. The
missing is the unified and
ms and for the behavio
“Code of Ethics”. Also
programs across the
our residents, our progra
ze supportive housing
for
ani
org
ting
and
oca
t
adv
rui
in
rec
to
ce”
and
ds,
voi
of consequen
se
the
s
res
SARR) was created to add
Recovery Residences (Mociation.
ass
ip
ersh
state as a memb
erest in
Thank you for your int
checklist to help you prepare for your site visit. MSARR membership status is “conditional” until the 3 step process has been
successfully completed.
2. Pay all required dues/fees by established deadlines.
You are invited to join the rapidly evolving movement and add to the unified voice and quality standard for recovery
residences. For additional information, visit: www.m-rocc.org or email Deborah McClung at deborah@m-rocc.org.
and to schedule an on-site inspection to your program. Prior to the inspection, you will receive instructions and an inspection
1. Attend M-SARR quarterly meetings.
• Access to advocacy guidance and response protocols regarding “Not in My Back Yard” issues, zoning challenges
and other potentially discriminatory actions taken by community governments.
Association for
Maryland State
A fter reviewing your application, MSARR will contact you to follow up with any questions related to your application for membership
It is the policy of M-SARR to REQUIRE all providers wishing to join M-SARR comply with the following:
3. Join and actively participate in an M-ROCC Advisory Committee sub-committee group.
• Opportunities to participate in an accrediting association that assists members by sharing their knowledge and expertise
in developing and growing regional associations.
Applications and certified bank checks or money orders can be made payable and mailed to: Maryland Recovery Organization
Application Review
• Staying abreast of current trends and national issues affecting recovery residences along with contributing to the dialogue
on these issues.
• Expanded referral base. Members enjoy widespread recognition via the M-SARR website and through other outreach efforts.
PayPal Accounts Applications can be faxed to: 410-522-2230 (Attention: Deborah McClung)
Connecting Communities (M-ROCC) Attention: Membership 3914 Vero Road, Baltimore, MD 21227
M-SARR Membership Policies
• Access to universally accepted protocols for operating ethical, high quality recovery residences plus a clearinghouse of best
practice materials pertaining to all levels of residential recovery operations.
Deborah McClung, Director of Volunteers/Member Services at deborah@m-rocc.org
Submit Application
and Payment
• The Maryland State Association of Recovery Residences (M-SARR) was formed in January 2014, under a three-year grant award from Maryland’s Alcohol and Drug Abuse Administration (ADAA). Created as a subsidiary of the Maryland Recovery Organization Connecting
Communities (M-ROCC), and a member in good standing with NARR, M-SARR is committed to creating and managing a statewide recovery housing association; to utilizing its newly designed website and various social media strategies as educational, communications,
marketing and public relations tools; and to ensure our members adhere to a “set of standards” developed by M-SARR, intended to promote quality and accountability by our member programs. Affiliation with M-SARR promotes professional legitimacy of supportive
housing, further promulgates the voice of the industry and enhances supportive housing’s role and position as a true “constituency of consequence”.
• Recognition that the recovery residence adheres to the highest level “gold” standard of operations. Affiliates realize increased
credibility resulting from meeting the high level Standard and can proudly display the M-SARR brand on their materials.
Applications can be downloaded or completed online at our website: www.m-rocc.org. Applications can also be requested by emailing:
Complete the
Application
• The National Alliance for of Recovery Residences (NARR) states that, “addiction is a chronic disease, not an acute health problem cured by a single dose of treatment. Recovery residences provide a vital service and support for men and women initiating the often long yet
rewarding journey towards long-term recovery. Many thousands of recovery residences exist in the United States, encompassing all levels of residential housing and support. However, a unified national voice for recovery residences did not exist nor was there a uniform
standard for recovery residences. NARR fills these voids.” Membership in NARR is comprised of regional recovery residence programs/organizations representing all areas of the United States.
Additional benefits of joining M-SARR include:
MEMBERSHIP PROCESS
STEP 1
If a residence does not meet required administrative or organizational standards, applicants will have 30 days to address any issues.
Training/ Technical
Assistance
Training or technical assistance is available to applicants in need. Applicants must pass the residence inspection and provide any
documentation to support outstanding issues have been addressed before moving forward.
A written report will outline best practices, standards met, and any recommendations for operating systems improvements or training
STEP 3
Applicant Notification
5. Recognize the dignity and worth of every human being by demonstrating healthy recovery behaviors to the best of our individual and collective ability.
and technical assistance. Applicants who have successfully met all required standards of the on-site inspection, completed (and/ or
demonstrated content knowledge of) all trainings/ workshops, and agree to maintain and adhere to all MSARR membership standards
6. Promote drug free environments through information dissemination. This is accomplished by having and distributing literature, open discussion and any other medium that fulfills this mission. Maintain drug free environments by ensuring to the best of our individual and collective ability residents agree to and adhere to our facility guidelines for abstinence. We may also employ additional methods for ensuring this compliance, such as drug screens, blood tests or breathalyzers, etc.
will be notified of full membership status.
Each member will receive an MSARR Certificate of Membership and the MSARR (high resolution) logo to display prominently on your
Membership
Certificate/ Renewal
7. Promote quality by agreeing to quality assurance inspections at least once per calendar year, and also agree to random inspections. Members also agree to provide timely interventions and a prompt response to any and all concerns from residents, neighbors or any community/governmental agency.
9. All members agree to submit to random drug screens at the request of the Board. A simple majority vote by the Board can trigger a request for a drug screen from any M-SARR member.
inspection payment is required for all inspections. If a residence(s) does not pass the on-site inspection, applicants will have 30 days
to address any outstanding issues before MSARR conducts a follow up inspection.
4. Agree to accept “Conditional Membership Status” in M-SARR until all of the following conditions are met:
8. Ensure all staff is active in their recovery and remain so. Operators agree to random drug screens to establish and maintain credibility with other M-SARR members and community at large. Operators agree to perform background check to verify references of prospective staff. Operators agree to terminate any staff member returning to active addiction. If Operator is actively using, Operator agrees to cease and desist from daily operations and agrees to install management for a period of one year or until such time as sufficient to return to business. Upon return, Operator agrees to a probation
ary status of membership until membership votes to return them to full status.
During the inspection, MSARR will examine your recovery residence(s) and review administrative and operating systems. On-site
On Site Inspection
organizations website and promotional materials. Memberships and on-site inspections are good for one year and can be renewed
annually at a reduced rate for members in good standing. Members who do not adhere to Standards for Recovery Residences or aquire
a grievance may be cause for membership suspension. Requests for reinstatement and/ or renewal will be determined by MSARR.
For more information contact: Deborah McClung at 443-629-7965 or email deborah@m-rocc.org
MEMBERSHIP COSTS All Application and Inspection costs must be received prior to On- Site Inspection.
New- Member....................................................................................................................................................................................$100
Membership
Application
Annual Renewal- Member.................................................................................................................................................................. $75
10. Any act of violence or reported act of violence, physical contact with a resident or with an outside party is deemed unacceptable and Operator shall lose their membership.
Reinstatement- Member . ..................................................................................................................................................................$150
Single Family Residence
11. No Operator or staff person of that Operator shall engage in any romantic or sexual relationship with a resident or be subject to loss of membership.
12. No Operator shall co-mingle resident’s money or enter into any dual relationship with any resident for the purpose of financial gain. It is suggested Op
erators refer residents to outside sources for case management, legal, financial, and therapeutic issues. If Operator is found to be in violation, the Opera
tor shall forfeit membership in M-SARR.
• Up to 10 Beds . .......................................................................................................................................................... $25 per residence
On Site
Inspections
• More than 10 Beds .................................................................................................................................................... $50 per residence
Multi- Family Residence
• Up to 2 Units/ Apartments . ........................................................................................................................................ $25 per unit/apt
13. All Operators shall assist current and discharging residents with linkage upon request to other levels of care as needed.
Maryland State Association for Recovery Residences (M-SARR)
• More than 2 Units/ Apartments ...................................................................................................................................$50 per unit/apt
If a residence(s) does not pass inspection, M-SARR will conduct a follow up inspection within 45 days. Should a third (3rd) inspection
Follow Up Inspections
be required, applicants will be assessed 50% of the on-site inspection cost (per residence, unit/ apt).
Code of Ethics
Adherence to membership established “Code of Ethics” is required as a condition of membership in M-SARR membership association. This signed statement
commits the signee, and his/her recovery residence program to adhere to this code of ethics and to maintain a vital concern for the lives and well being
of all persons.
1. Dedicated to recognizing the dignity and worth of all human beings
2. Promote and maintain an alcohol and illicit drug free environment
3. Promote and maintain quality housing that is consistent with the nature of the immediate neighborhood, which address
the concerns of the community
4. Owners, Managers, and all other staff (if in recovery), maintain it and will only employ other recovering persons who have been
in recovery for at least one year and remain totally abstinent. If not alcoholic or addict, all management staff must be alcohol and drug free during performance work hours
5. Submit to alcohol and drug testing at the request of SCRRA authorized person, upon the majority approval of the association member
ship. Refusal by any member will result disciplinary action by the association and may be subject to dismissal from the association
6. Zero Tolerance toward physical violence or threats of violence in the recovery residences
7. Owners, Managers or other staff will never become romantically or sexually involved with any residents or anyone the recovery residence is assisting
8. Owners, Managers or other staff never become personally involved with a resident’s financial affairs. This covers borrowing or lending money, buying or selling property or any other financial transactions
9. Owners, Managers or other staff respects the privacy and personal rights of all residents. Operators will provide appropriate linkage for housing and other needs, upon an individual residents relapse
Maryland State Association for Recovery Residences
M-SARR TRAINING CURRICULUM
Training
Overview Cost /Fees
Member •Overview of National Trends in Recovery and Housing Communities MSARR Certification
• Proposed Solutions- Federal and State Perspective
Standards for
• Overview NARR
Recovery Residences
• Overview/ Orientation to M-SARR
• Certification Standards for M-SARR Recovery Residences
Developing a Recovery Program
Budget and Grants Managemen
t
Staff Training and Development
Non-Member
FREE $100-200
• For Profit/ Non Profit • Licensed/ Certified • Staff/ Referral
FREE
$100-200
• Budget Analysis/ Forecasting • Grant Research/ Writing and Fundraising
FREE
$100-200
• House Managers, CPR- First Aid, Training and Technical Assistance
FREE
$100-200
Program Sustainability
• Advocacy, Building Collaborative Partnerships, Community Engagement
FREE
Technical Assistance
• Based on Individual Needs $100-200
Cost Varies