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 [email protected]. 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 [email protected] 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 [email protected] 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