OXFORD HOUSE - nadcpconference.org · Draw on social skills honed through Oxford House ... Oxford...

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OXFORD HOUSE Jackson Longan Regional Outreach Manager Peer-Support Recovery with Proven Success

Transcript of OXFORD HOUSE - nadcpconference.org · Draw on social skills honed through Oxford House ... Oxford...

OXFORD HOUSE

Jackson LonganRegional Outreach Manager

Peer-Support Recovery with Proven Success

Three Core Principles

Oxford House Inc. Charter Requirements:

Democratically ran

Financially self-supporting

Immediate expulsion for relapse

Also: Gender specific

Minimum of 6 adult beds

Adherence to Oxford House Model, Traditions & Manual

Origin

The first Oxford House was opened in Silver Spring, MD in 1975. Since then Oxford House has expanded to:

2300+ Houses18,000+ Beds46 States5 Countries

No one ever asked to leave without cause. Houses available to:

MenWomenWomen & ChildrenMen & Children

OPENING HOUSES

Start-up Loan

Large homes

Nice neighborhoods

Long-term leases

Adequate parking

Close to public transportation

Close to employment

Close to 12-step meetings

Oxford House Will Rogers in Claremore, OK

MEMBERSHIP QUALIFICATIONS

Withdrawal-free sobriety

Willingness to work a recovery program

Ability to pay Equal Share Expenses

Adherence of Oxford House Model and house guidelines

BECOMING A MEMBER

Fill out application (found at www.oxfordhouse.org) Call a house to set-up an interview Show up on time for interview Be open and honest during interview Acceptance = 80% yes vote by members If accepted, new member may move in immediately

STRUCTURE

Over 40 years of experience of what works Three core charter requirements Nine traditions to follow House manual Chapter support State Association support Alumni support Outreach support Oxford House World Services Support

STRUCTURE

House Officers: (six month terms) President

Secretary

Treasurer

Comptroller

Chore Coordinator

Housing Services Rep.

STRUCTURE

House Meeting Weekly

Parliamentary Procedure

Democracy in action

Financial decisions

Contracts

Majority Rules

THE OUTREACH WORKER

$80K - $90K Cost FTE

Finds and opens houses

Networking with partners and supporters

Resident training

Quality Control

Conflict Resolution

Liaison with Drug Court Coordinator

RURAL CHALLENGES

Quality homes in favorable locations

Employment

Transportation

Recovery support services

Filling vacancies

BENEFITS

Members Receive: 24/7 peer support Accountability Responsibility Safety Stability Greater chance of success Self Efficacy

STATISTICS

DePaul NIAAA Study: 897 Oxford House residents interviewed every four

months for two years.

13.5% had relapsed

Income increased from $794 to $942 per month

80% employed

Less than 5% incarceration

Jason, Davis, Ferrari, & Anderson (2007)

U.S. SURGEON GENERAL’S REPORT

In the November 2016 U.S. Surgeon General’s Report on alcohol,drugs, and health “Facing Addiction in America,” Oxford House is singled out as:

“A LEADING EXAMPLE OF RECOVERY-SUPPORTIVE HOUSES,”

The report explains that people who lived in Oxford Houses after severe substance use disorder treatment were 2-times more likely to be abstinent and had higher incomes and lower incarceration rates at follow-up after two years than similar individuals assigned to receive standard care.

U.S. SURGEON GENERAL’S REPORT

The report also finds that “THE NET COST BENEFIT to thehealthcare and criminal justice systems from the Oxford Houseassignment relative to standard care was estimated at APPROXIMATELY $29,000 PER PERSON Over the 2-year follow-up period.”

TO SUM IT ALL UP

Oxford House gives alcoholics and addicts from all backgrounds the best chance at long-term recovery.

Oxford House saves millions of tax dollars.

Oxford Houses expansion is possible in any community with the right support in place

Over 42 years of experience and backed by the federal government as a best program and practice.

BUILDING RELATIONSHIP

NAVIGATING THE DRUG COURT WATERS

INTERACTING WITH COUNSELORS AND JUDGES

Anna JonesResource CoordinatorOxford House, Inc.

Outreach Drug CourtLiaison Services

Presentations to Judges, Administrators, Staff, & Participants

Presentations to Oxford Houses

Pre-screening, application, interview, & placement assistance

Conflict resolution

Operational guidance

Opening new Oxford Houses

Establishing a Strong Working Relationship with Drug Court

Draw on social skills honed through Oxford House experience.

Alumni involvement: Both Drug Court & Oxford House

Assist with community issues involving substance abuse

Identify any negative attitudes and their source

Keep Drug Court staff informed on achievements and barriers.

Invite judges and Drug Court staff to workshops.

Reoccurring Problems, Conflicts & Issues

We versus Them

Having to be there versus Wanting to be there

Time demands unique to Drug Court clients

Oxford House guidelines versus Drug Court Court rules

Drug Court intrusions into Oxford Houses

Differences among various Oxford Houses

Scapegoating – using Oxford House as an excuse for personal troubles

Oxford HouseHawaii

CONTACT US

National website: www.oxfordhouse.org

Vacancy Search: www.oxfordvacancies.com

Whit Holden – [email protected], DC

Jackson Longan – [email protected] Manager, TX

Anna Mable Jones – [email protected] Coordinator, DC

Joe Chavez – [email protected] Coordinator, HI

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VisittheOxfordHousewebsite:www.oxfordhouse.org

OxfordHouseWorldServices•1010WayneAvenue,Suite300,SilverSpring,Maryland•Telephone301-587-2916

The chart below shows Oxford Houses and Oxford House beds by state as o 01/25/18. It alsonoteswhetheror notOxfordHousereceivesanyfinancialsupporttohelpstartandmaintainOxfordHousesinastate.

• ThemostOxford Houses exist in stateswhere the state supports a start-up loan fund and outreach support. Washington,NorthCarolina,TexasandOregonarehometo themostOxfordHousesandeachof thesestates provides start-up loan funds and support for OHI-trained outreachworkers who start newOxford Houses and assist existing Oxford Houses. Agreements with 17 states and localities in FY 201 totaled about $ . million. OxfordHousealsoreceivedvoluntarycontributionsofover$ 00,000inFY201 fromindividualOxfordHouses.

• Both start-up loans and outreach support are critical for expansion. National expansionwas fostered by 1988Anti-DrugAbuseActenactedbythe100thCongressattheendoftheReaganAdministration.ThatActrequiredstatestoestablish$100,000start-uploanfundstomake$4,000start-uploanstogroupsofsixormore recoveringindividuals to rent a house and use the Oxford House model. The loan fund requirement has since becomediscretionary but some states still provide the funds. Oxford House residents themselves pay back the loans(usually$4-6,000)overtwoyears.Minimalsupportforon-siteoutreachandloansmakesallthedifference.

State #Houses #Beds Contract

Alabama 1 8 None

Alaska 4 42 None

Arizona 0 0 None

Arkansas 3 26 None

California 7 52 None

Colorado 39 28

Connecticut 8 73 Price

Delaware 66 528 State

Florida 1 8 None

Georgia 1 8 None

Hawaii 35 296 State

Idaho 2 5 None

Illinois 5 366 State

Indiana 0 0 None

Iowa 7 55 None

Kansas 6 894 State

Kentucky 3 222 State

Louisiana 1 6 854 State

Maine 10 87 None

Maryland 5 4 8 None

Massachusetts 9 85 None

Michigan 3 24 Private

Minnesota 1 8 None

Mississippi 2 137 State

Missouri 38 3 6 State

[Continuedinnextcolumn]

State #Houses #Beds Contract

Montana 0 0 None

Nebraska 42 3 9 State

Nevada 2 20 None

NewHampshire 1 6 None

NewJersey 147 1178 State

NewMexico 17 127 State

NewYork 27 249 Private

NorthCarolina 246 19 3 State

NorthDakota 0 0 None

Ohio 3 21 None

Oklahoma 9 967 State

Oregon 184 1498 State

Pennsylvania 48 363 Counties

RhodeIsland 0 0 None

SouthCarolina 5 346 State

SouthDakota 0 0 None

Tennessee 63 457 State

Texas 233 18 7 State

Utah 6 6 None

Vermont 3 25 None

Virginia 137 1 4 State

Washington 267 2223 State

W.Virginia 23 62 State

Wisconsin 24 82 None

Wyoming 2 4 None

DC 3 269 State

OXFORD HOUSES BY STATE

SCALING UP TO MEET THE NEED Today there are over 2,100 Oxford Houses operating but many more Oxford Houses are needed. The current opioid epidemic illustrates the growing problem of addiction and the need for more and better recovery re-sources. Oxford Houses work for most individuals entering recovery including those reentering society from incarceration. As a society we have begun to recognize that extended incarceration is a very costly and not a very effective way to deal with individuals with alcoholism and drug addiction. When recovering incarcer-ated individuals reenter society, living in an Oxford House increases their odds of staying clean and sober and out of trouble. Experience has shown that Oxford Houses provide the peer support and time needed by individuals to attain long-term sustainable recovery AND that Oxford Houses are fairly easily replicated. Replication of Oxford Houses is not cost-free but it is far cheaper than the costs of incarceration or more traditional fully staffed housing facilities. All Oxford Houses are all self-supporting once established but there are initial start-up costs required for replication. Oxford House, Inc. has found that expansion of the network of Oxford Houses requires the existence of funding for both start-up loans and trained outreach staff. Start-up loans of $4,000–$6,000 are used to cover the first month’s rent, security deposit and basic house furnishings and are repaid monthly into a revolving loan fund by the House residents over 24 months. Out-reach workers teach residents the disciplined system of self-operation and self-support. The outreach workers also help clusters of houses to organize chapters for mutual support and quality control. Experience has shown that start-up loans and technical assistance both are needed to develop strong statewide networks. The box at the right shows typical development costs. Once a house has been established, the recovery group living in it pays all household expenses. Each house not only becomes self-supporting but also repays the original start-up loan to enable more homes to be started. The system of operation and the organization of mu-tually supportive chapters assure quality control. In 1998 Congress included §2036 in the 1988 Anti-Drug Abuse Act [PL 100-690] to encourage states to de-velop self-run, self-supported recovery homes and that provision has been a significant factor in promoting

expansion of Oxford Houses. At the time of passage, there were only 18 Oxford Houses in existence; currently there are over 2,100 Oxford Houses with 16,668 beds. Oxford House, Inc. [OHI] has worked with interested states to de-velop statewide networks of Oxford Houses, with some states par-ticipating more than others. OHI has developed a very efficient system for expansion and development and currently has develop-ment contracts with twenty states. At the end of 2016, there were 2,124 houses in 42 states; nearly two-thirds of the Houses and re-covery beds are located in nine of the states that provide state fund-ing to support replication. The table at the left shows Oxford House concentration in these nine states. Such development is available to

any state but such development requires some funding support for start-up loans and technical assistance. As noted above, the one-time costs to start a new Oxford House are not great but the rewards are many for those who get the opportunity to live in the new Oxford House. Once established houses continue year after year.

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Key Manuals To Keep Oxford Houses On Track

Oxford Houses work because the self-run, self-supported processes and procedures have been time-tested for more than 41 years and they are uniform. There are no residency time limits, but any

resident who relapses is immediately expelled from the house. Every Oxford House™ follows the same practices and policies to assure self-support and self-operation including the election of officers [see box at the left], formal weekly business meetings and selection of new residents. OHI – the umbrella organization – provides a conditional charter to each house. Moreover, individual houses form mutually supportive chapters, state associations and a national advisory council.

Each house has its own FEIN number and bank account. Each resident pays an equal share of household expenses including utilities and rent that the group pays to the landlord. Nationally, the average equal share of expenses is $130 a week with a range from $85 a week to $165 a week. After a house has existed for several months, some of the residents volunteer to form a core group to rent and start another house in an area. Often a trained outreach worker is able to help them do so. The catalyst for expansion from the original small cluster of Oxford Houses into a national network of more than 2,100 houses was the 1988 Anti-Drug Abuse Act [42 USC 300x-25], which encouraged states to provide small start-up loans repayable within 24 months. Scientific studies also helped and as early as 1987 Oxford House residents overcame a tradition of anonymity to encourage such studies. Since 1990, DePaul University researchers in Chicago have published more than 200 articles reporting findings showing the success of Oxford House living. Finally, OHI – the umbrella nonprofit – has been a pace setter in protecting the civil rights for groups of recovering individuals to live in good neighborhoods. The US Supreme Court, in City of Edmonds, WA v. Oxford House, Inc. 514 U.S. 725 (1995) agreed with OHI that residents are a class protected from zoning restrictions. Property insurance discrimination was subsequently overcome also.

House Officers • President • Secretary • Treasurer • Comptroller • Chore Coordinator

While research on AA has been limited by the role of anonymity in recovery, the willingness of Oxford Houses to open their doors to academic research gives us an opportunity to see recovery from addiction in action.

Dr. Jeffrey Roth, M.D. Editor, Journal of Groups in Addiction and Recovery

Chicago, 2010

Oxford House™ Unique • Evidenced-based • Time-tested

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Oxford House • Telephone 301.587-2916 • www.oxfordhouse.org

During fiscal year 2016, for every dollar spent by Oxford House, Inc. to develop new houses and help keep existing houses on track, the residents expended $16.47 themselves to pay for household expenses including rent to a

landlord, utilities and other household expenses. Oxford House, Inc.[OHI] – the national umbrella nonprofit organization – has the sole authority for granting groups charters to establish Oxford Houses. The charter has three specific conditions: (1) the group must be democratically self-run, (2) the group must be financially self-supported, and (3) the group must immediately expel any resident who returns to using drugs or drinking alcohol.

OHI employs, trains and supervises outreach workers to help establish new Oxford Houses and organize chapters and state associations to provide mutual support and quality control. Each Oxford House is self-run and self-supported using the time-tested, disciplined, democratic system of operations used by Oxford Houses for more than 40 years. In 2016, only 16.7% of the more than 35,000 residents in the national network of Oxford Houses were expelled because of relapse. Recovery without relapse is the norm – not the exception – for Oxford House residents.

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Amount spent by Oxford House residents themselves for household expenses versus the amount spent by OHI to start new

houses and keep existing houses on track in FY 2016!

The outreach worker is trained by Oxford House World Services for the following tasks:

! Finding a suitable house to rent ! Getting a charter from OHI ! Getting an FEIN number from IRS ! Recruiting initial residents ! Teaching residents the system of operations ! Building mutually supportive chapters ! Balancing supply of houses to demand ! Developing linkages to providers ! Developing employment linkages ! Documenting success/failure

Oxford Houses and Drug Courts

Oxford Houses are self-run, self-supported recovery homes for individuals recovering from alcoholism and drug addiction. Many residents also have co-occurring mental illness. There are currently over 2,100 individual Oxford Houses around the country. While the majority of Oxford House residents come to Oxford House directly following completion of a 28-day treatment program, others come directly from incarceration or as a condition of probation. In many states, residents are referred by drug court judges. The Oxford House program works and most residents achieve long-term sobriety. The Oxford House program focuses on achieving the behavior change that supports long-term recovery without relapse. There are generally considered to be four stages of recovery: (1) Intervention. (2) Detoxification, (3) Treatment, and (4) long-term behavior change. The weak link in the process is the failure to support environments that foster long-term behavior change. Many individuals complete the treatment stage but relapse shortly thereafter. Ultimately, they may end up either back in treatment or in jail – at considerable cost to themselves, insurers and society. Significant third party academic evidence suggests that the Oxford House program addresses this problem, fosters recovery without relapse, and does so at a cost that society can afford. With peer support, a no relapse policy, proper adherence to necessary prescribed medication and no residency time limits, Oxford Houses provide the time and environment needed for the development of long-term recovery without relapse. Despite the fact that Oxford House residents come from very diverse backgrounds, Oxford House living works for almost all of them. Some residents are highly educated; others are not. Some residents are old; others are young. Some residents have done substantial jail time; others have none. Some residents are veterans; others have never held any legal employment. Some residents have bi-polar disorder or PTSD; others have physical limitations. All of these individuals do well living in Oxford Houses. The Basics of How Oxford Houses Work The Oxford House Manual© lays out the disciplined system of operations and the House charter defines the basic requirements for the group. To be an Oxford house, a group must obtain a charter from Oxford House, Inc. There is no charge for the charter. Charter conditions require that the residents: [1] democratically run the house themselves following time-tested procedures and processes; [2] pay all the bills on time; and [3] expel any resident who returns to using alcohol or illicit drugs. The residents of the House all have a role to play in the governance of the Oxford House. They each pay an equal share of the household expenses and they each have an equal vote on all House decisions, including deciding which applicants should be accepted to fill residency vacancies. There are weekly house meetings and officers are elected from among the residents. To ensure that no one becomes a ‘big boss’, no one can hold the same office for more than six months at a time. Residents also immediately expel any resident who relapses. The reliance on residents to govern themselves tends to enable them to develop new skills, new leadership ability and new confidence in themselves. They get jobs, socialize with each other and develop the skills to give back to society as responsible, sober citizens. They accept their responsibilities; they recognize that continued sobriety is a choice and that living in Oxford House provides the tools for making the right choice.

The fact that there is no time limit on residency means that no one feels pressure to move out on a date certain. Unlike programs that limit residency to 28 days, 90 days or some other limit, residents in an Oxford House can stay as long as they want so long as they abide by the basic House rules. Some people can become comfortable in sobriety almost immediately; other people may need many months or even years. Oxford Houses permit residents the luxury of determining for themselves how long they need to stay. This fact alone contributes heavily to the success of Oxford House in fostering recovery without relapse. Of course, there are checks and balances built into the organization to keep everything on track. When there are enough Oxford Houses within a geographic area, groups of three to twelve houses form a mutually-supportive chapter. Once a month the officers of each house get together in a chapter meeting and, when a chapter exceeds 12 or more houses, it subdivides into two chapters to keep the group from becoming unwieldy. Within a state, chapters usually form a state association to further outreach and mutual support. Most state associations hold a statewide convention to extend the personal networking and socialization. All residents and alumni are also encouraged to attend the annual Oxford House convention. At the convention they hear keynote speakers, attend breakout sessions, and elect resident and alumni representatives to the Oxford House World Council, an advisory committee. Most Oxford House residents, whoever they are, thrive in Oxford House. By following the Charter conditions and the Oxford House Manual©, most residents get on the path to long-term recovery and don’t relapse. More Than Formal Treatment is Needed to Support Long-term Recovery The first stage of treatment – intervention – is usually necessary because few individuals stop using and seek treatment voluntarily. Some forceful action like being fired from a job arrested or separated from a spouse are the sorts of things that provide effective intervention. Usually, intervention is the only key to open the door to detoxification, treatment and eventually long-term recovery. The most successful workplace interventions involve professionals such as medical doctors, lawyers or airline pilots. In each of these professions, interventions tend to be highly successful because professional licensing is conditioned on immediate detoxification, treatment and recovery without relapse. Addiction intervention by drug courts has the same benefit of being able to condition behavior along the path necessary for long-term recovery. Physical detoxification lasts only three to seven days and the addicted individual in withdrawal needs to be put in a situation where the drug of choice is not easily obtained.

The third stage of the process is usually what is commonly referred to as “treatment.” This generally consists of isolation from the broader society – and availability of alcohol and illicit drugs, education about the staying clean and sober and behavior modification techniques to help the process – and may include medically-assisted treatment (MAT). Treatment counselors themselves may inadvertently make long-term recovery more unlikely by emphasizing: “relapse is part of the disease.” While this mantra is intended to underscore the chronic nature of alcoholism, drug addiction and co-occurring mental illness, it is too often perceived by the individual being treated as license to relapse. Too often that notion becomes a self-fulfilling prophecy and the cycle begins anew. The traditional 28-day residential program is based on an arbitrary length of time and dictated more by an insurer’s willingness to pay for the length of service rather than the time needed to do the job. Today, a majority of individuals having such treatment will relapse following traditional treatment protocols. The Federal Treatment Episode Data Set [TEDS] shows that about 15% of those in treatment at any given time will be on their fifth attempt. About 60% will have been through formal treatment at least twice before. When one considers that only about 1.7 million addicts out of about 25 million are getting any treatment, the cycling of the same individual through the limited treatment slots is not an efficient use of scarce resources. Therapeutic communities tend to have longer residency periods but also fail to accommodate the different learning curves applicable to different individuals. Again the artificial living environment of a therapeutic community makes transition to the real world difficult and a substantial number of participants will relapse. While outpatient treatment is less costly, it has an inherent weakness of only occupying a portion of the patient’s time while a majority of time is spent in the same environment where addiction was a way of life. Role of Oxford House in Supporting Long-term Recovery for Drug Court Clients Oxford Houses provide the time needed to develop long-term recovery without relapse. As long as an Oxford House resident stays clean and sober and pays his or her equal share of household expenses Oxford House provides the time, peer support and self-confidence building structure needed for long-term recovery without relapse.

Drug courts and Oxford Houses working together are able to enhance outcomes. The Drug Court is the agent of intervention. The choice of treatment or incarceration is a stark one. Detoxification will happen either way, but most individuals will prefer detoxification as part of a treatment plan

rather than withdrawal in a jail cell. Following detoxification and perhaps formal treatment, the authority of a drug court and the safe living environment of an Oxford House opens a new and effective path for long-term recovery without relapse. The authority of the drug court is unquestioned. The first recognized drug court was started in Miami in 1989. Today there are more than 3,000 drug courts around the county. The expansion was promoted and refined by the National Association of Drug

Court Professionals [NADCP] was founded in 1994 by the first twelve drug courts in the nation. It organized and catalogued the best practices for moving addicts from active addiction to long-term recovery. Paul Molloy, a recovering alcoholic and co-founder of Oxford House™ in 1975, was an early member of the NADCP Board of Directors [1994-1999]. As both drug courts and Oxford House™ expanded around the country, many drug court judges found that encouraging drug court clients to live in Oxford House provided added value. The primary purpose of drug courts is to get the client to change behavior. Changing behavior is difficult under any circumstances but particularly difficult if the person is living in an environment associated with past behavior that contributed to the illegal offense. It is sometimes also difficult to send a client to a residential treatment facility. Often Oxford House becomes the most practical way to get the benefits of residential change plus the direct management of the drug court to promote effective behavior change. Getting a balance between judicial direction and Oxford House living is not easy but is essential if a drug court wants to enjoy positive outcomes. When the client has been living with others where alcohol and drug use is part of the living culture it increases the difficulties the client is likely to face when he or she tries to get clean and sober and stay clean and sober. The availability of Oxford House living can be made known to the client early in the drug court process. Getting started on the right path early in the process makes sense. However, in many drug courts, the Oxford House option is mentioned only in the context of a sanction for failure to follow a condition established by the judge; for example, if a client fails to attend a session with a counselor, fails to attend a 12-Step meeting or fails a urine test, the judge may tell the client it is time to apply for admission to a local Oxford House. It is important to understand the process for getting accepted into an Oxford House. A drug court client cannot automatically get into an Oxford House. There are Oxford House procedures to be followed to be admitted to an Oxford House and to live in one. Each Oxford House has a uniform and specific procedure for applying for admission as a resident. An application must be completed, an interview held and then the house residents as a group must vote on whether or not to accept that the applicant. Approval requires that 80% of the existing Oxford House residents vote affirmatively. The “voting in” process has two distinct benefits: [1] it makes the existing house members more ready to accept and support the new person coming into the house, and [2] it gives the new person the satisfaction of knowing that he or she got an overwhelming vote of approval. Moreover, the approval is directly associated with current recovery, not the past misuse of alcohol or drugs. This starts the client’s new path off on a positive note and a good start right from the beginning. Once becoming part of an Oxford House, its entire system of operation tends to enhance long-term recovery. The drug court client immediately is given full voting rights within the house and understands that his or her vote has a weight equal to anyone else living in the house no matter for how long.

The weekly business meeting is a venue for putting the right and obligation to vote on issues facing the house to work. Housemates will remind the newcomer that every vote counts and everyone has an obligation to vote whether the issue is to buy a new television or vote a new member into the house or vote to expel a member who has returned to drinking or using drugs. In a matter of weeks, the newcomer will be elected to one of the five Houses offices. In that new job, the newcomer is taught the duties and responsibilities of the office. Each officer is term-limited to six-months so that bossism is avoided and everyone in the Oxford House is given an opportunity to fully participate. Both the National Institute on Alcoholism and Alcohol Abuse [NIAAA] and the National Institute on Drug Addiction [NIDA] have funded third-party research to verify the effectiveness of the Oxford House Model. Oxford House is listed as a best practice on the National Registry of Evidence-based Programs and Practices [NREPP] http://legacy.nreppadmin.net/ViewIntervention.aspx?id=223. DePaul University in Chicago has published numerous articles on how Oxford House living supports long-term recovery http://condor.depaul.edu/ljason/oxford/index.html. One study followed 897 Oxford House residents in 219 Oxford Houses across the county for 27 months; a remarkable 87% of the Oxford House residents stayed clean and sober http://www.oxfordhouse.org/userfiles/file/doc/nida_after.pdf. Without much publicity, Oxford Houses have provided an important tool for successful long-term recovery from addiction and co-occurring mental illness. While the availability of Oxford Houses close to drug courts depends upon the particular state, many states have learned its cost-effectiveness and support the development of statewide networks of houses. In the District of Columbia there are 32 Oxford Houses with 277 recovery beds. In Hawaii, with 34 Oxford Houses and 292 recovery beds, more than half the residents are drug court clients. In 2016, New Jersey had 142 Oxford Houses and 1,146 recovery beds; 78 of the residents were in drug court programs. Within each Oxford House there is a mixture of individuals from different backgrounds and situations. All of the residents have a common bond of being in recovery from addiction. This, coupled with participatory democracy and the self-support underlying the operation of Oxford House, helps the individual addict develop behavior change associated with recovery without relapse

The development of Oxford Houses is an on-going process. Last year Oxford House, Inc. [OHI], the nonprofit national umbrella organization, established over 200 new Oxford Houses and monitored the charter conditions of the entire network of Oxford Houses. It operated on a budget of $6.5 million, while the men and women living in its more than 2,200 Oxford Houses paid landlords and other household expenses more than $112 million. Download the latest Annual Report at: http://www.oxfordhouse.org/userfiles/file/doc/AR_FY_2016-Final.pdf

Visit the Oxford House™ website: www.oxfordhouse.org

Oxford House and Drug Court As a part of your participant in the Montgomery County Circuit Court Adult Drug Court program, you have been directed to apply for residency in one of the Oxford Houses located in Montgomery County. The following information supplements the information about Oxford House contained in your Participant Handbook. Please read it carefully so that you fully understand what you should expect, and what will be expected of you, should you be accepted into an Oxford House. Hopefully, you will find that your experience in Oxford House will have been of benefit to you on your way to long-term recovery from alcohol and/or drug abuse. What is an Oxford House? An Oxford House is an affordable, alcohol and drug-free living environment for individuals in recovery from alcoholism and/or drug addiction. All Oxford Houses have common characteristics.

● Each house is democratically self-run by the members ● Each house is financially self-supporting, responsible for all household expenses ● Each house must expel any member who returns to using drugs or alcohol

Are there any requirements to live in an Oxford House?

1) No drinking or using 2) Pay your EES[Equal Expense Shared] 3) No disruptive behavior Past experience with the first Oxford House proved that expelling the member that returned to alcohol or drugs no matter how briefly protects the house for the other members. If a member relapses on drugs and/or alcohol he/she will be asked to leave immediately. The individual can make arrangements with the house to get his/her personal belongings within a reasonable time frame. The house will to notify the Drug Court that the individual no longer lives at the house and state the reason why. You will be required to pay the house a $100 Non-refundable fee before move-in. EES varies with each house but the average is about $100.00 per week with a non-refundable $100 move-in fee. Each house will be different, the $200.00 is a state wide general payment and will be applied according to that particular house’s guidelines. If and when you are accepted into a house, you will be notified how much that house’s EES and move-in costs are. EES covers all utilities and phone. (Again each house varies but most houses include cable TV, laundry soap, paper towels, toilet paper, coffee and so on) Disruptive behavior can encompass many things but the bottom line is if an individual’s behavior is a disruption to the normal flow of house operations, then that will be considered disruptive. Violence and threat of violence will be dealt with by the house and treated as a relapse and the person involved will be asked to leave, in most cases immediately. Things to do: Oxford Houses’ main goal is to provide self-sufficient affordable housing for individuals recovering from alcohol and/or drug addiction. Oxford House is not a treatment facility. Therefore, Oxford House recognizes most forms of abuse treatment, and the 12 step programs of Alcoholics Anonymous, Narcotics Anonymous and other 12 step groups. We receive too many applications to process and accept all who apply; it is those individuals who are currently working on their recovery from addictions that will receive the higher priority to get into an Oxford House. More hoops to jump: There are special requirements to be an Oxford house member when using this screening process. Due to past experiences we ask that you try to pay your EES before move-in. This accomplishes two things. One, your placement in an Oxford House is guaranteed and two, it protects the house financially. If you do not show up on the day and time designated, if you move on from Oxford House within the first month, relapse or pose any threat to the house, you will forfeit any and all money paid to the house for that first month. You will be on a restrictive probationary period. (Usually 30 days - Depending upon the house). This would include going to a predetermined number of 12 step meetings, getting a sponsor and possibly a lowered curfew time. This probation will differ from house to house but expect to be on a limited probation period until the house gets comfortable with you and you get comfortable with the house. After the initial month, you will have all privileges granted the other house members.

Oxford House and Drug Court What happens if I can’t get the move in costs? There are cases in which an person simply cannot come up with the money before they moves in. Then most houses work with the individual and give him an adequate time to find employment and start getting a pay check. In this case, you are required to pay 75% of your weekly income until you become current in your rent. There are many resources out there and we have found that if an individual really wants to get into an Oxford House, he/she will use whatever resource to come up with funds. If you do not have any family or friends to ask, we suggest you try churches or other non-profit organizations. We have seen many inmates get funding through these types of resources.

Oxford House and Drug Court What if I don’t get accepted using the screening process: If for whatever reason you don’t make it through this process, it is easier to get into a house when you are released. Some houses will allow you to move in before you have the full amount of the move in costs. If you find you are unable to get funding for Oxford House while in prison, Be sure to contact us once you are released because you will find it is simpler to get accepted into one of the houses and your chances of staying clean and sober are much greater with the peer support of an Oxford House. Contact Information: Whit Holden for men @ 301-512-7654

[email protected]

Anna Jones for women @ 240-855-9703 [email protected]

FILL OUT YOUR APPLICATION IN FULL OR IT WILL NOT BE PROCESSED

Oxford House and Drug Court Application for Membership in Oxford House Page 1 of

5To be accepted in an Oxford House an applicant must complete both sides of this application and be interviewed by the residents of the particular Oxford House to which the applicant is applying. The residents of the house then vote on acceptance. An 80% affirmative vote is needed to be accepted. Carefully read the application and honestly answer the questions. Living in an Oxford House is special and if you understand its value it can help you achieve comfortable sobriety without relapse. 1. Print Name (Last, First, Middle)

3. Date of Birth Month Day Year

2. Present address (Street) Check if treatment facility 4. Phone Where You Can Be Reached

Home( )

City

State

Zip Work ( )

5. Are you an Alcoholic? (recovering) Yes No

6. Date of Your Last Drink?

9. List drugs you used addictively:

7. Are you addicted to drugs? (recovering) Yes No

8 Date of last drug use ?

10. When did you attend your first AA or NA meeting? 11. How many AA/NA meeting do you now attendeach?

12. Do you want to stop drinking alcohol and using addictive drugs? Yes No

13. Are you employed? If “yes” who is your employer? Yes No

14. Are you getting welfare or other non-job related income? Yes No If “yes” what?

15. If you do not have a job will you get one? Yes No If “yes” what job plans do you have?

16. What is your monthly income right now? $___________________

17. What do you expect your monthly income to be next month $ ________________

18. Marital status [Check One]

Married Never Married Separated Divorced

19. Do you have a medical doctor?If “yes” list the doctor’s name and phone number:

Yes No

20. Have you ever been to a treatment facility for alcoholism and/or drug addiction? Yes No If “yes” list the treatment provider, phone number and primary counselor, if any.

21. Do you take prescription drugs? Yes No If “yes” list drugs and reason the drug has been prescribed.

N

DS

Oxford House and Drug Court

Oxford House and Drug Court Page 2 of 5 22. Date of move in ? Immediately Other -- If “other” list the date you would want to move in, if accepted, andwhy the date is in the future rather than immediately. Date: ______ Reason:

23. Have you ever lived in an Oxford House before? Yes No If “yes,” provide the name and location of the Oxford House below and answer question 24. 24. [Answer this question if the answer to question 23 was “yes.”] I left the previous Oxford House for the following reason: [check one]

relapse, voluntarily, other reason(s)________________________________________________________________ I, did or do not owe money to the Oxford House I left. If I did owe money to the Oxford House I left, I will agree to repay the money I owed to my former Oxford House. Yes No 25. Emergency Telephone Numbers. [List family doctor, if you have one, + two family members or friends]

Name and Address

1.

2.

3.

Relationship Telephone

26. I realize that the Oxford House to which I am applying for residency has been established in compliance with the conditions of § 2036 of the Federal Anti-Drug Abuse Act of 1988, P.L. 100-690, as amended, which provides that federal money loaned to start the house requires the house residents to (A) prohibit all residents from using any alcohol or illegal drugs, (B) expel any resident who violates such prohibition, (C) equally share household expenses including the monthly lease payment, among all residents, and (D) utilize democratic decision making within the group including inclusion in and expulsion from the group. In accepting these terms, the applicant excludes himself or herself from the normal due process afforded by local landlord-tenant laws. 27. Use this space for additional relevant information: 28. I have read all of the material on this application form including the limitations set forth in item 26. I have also answered each question honestly and want to achieve comfortable recovery from alcoholism and/or drug addiction without relapse.

SIGNATURE: DATE:

______________________________________ __________________

Ot -- I

No f “

Oxford House and Drug Court

Oxford House and Drug Court Oxford House Questionnaire Page 3 of 5

Data: The following pages must be filled in completely. Failure to completely fill out the application may result in denial without notification. Full Name DOC Number

Age

DOC Facility

Sex DOC Address

Which City or County are you releasing to:

Release Date:

Case Manager: Phone

Questionnaire Are you a recovering Alcoholic and/or Addict? ☐ Yes ☐ No Drug (s) of choice What is the background of your current crime? Please explain in detail use another sheet of paper if necessary Do you have any other legal issues Court dates.. Warrants ☐ Yes ☐ No If Yes Please Explain Have you ever been arrested for any sex crimes? ☐ Yes ☐ No If yes please explain. What is your plan for recovery? Do you have a sponsor? ☐ Yes ☐ No If you currently do not have a sponsor will you get one? ☐ Yes ☐ No How many 12 step meetings do you attend per week How many 12 step meetings will you attend when released What step are you on now Have you identified your relapse triggers ☐ Yes ☐ No if yes what are they? Tell us what your behavior might be like when your headed towards a relapse

Oxford House and Drug Court

Oxford House and Drug Court Page 4 of 5 How do you plan on paying your share of living expenses? please note that your EES needs to be paid before you show up at the house How do you feel about sharing a bedroom / group living How do you handle confrontation? Can you confront others in a constructive manner? How? ☐ Yes ☐ No How? Have you ever attended anger management ☐ Yes ☐ No Do you have an anger problem ☐ Yes ☐ No if yes, please explain Are you involved in a relationship? ☐ Yes ☐ No Do you have children? ☐ Yes ☐ No If yes, will they be visiting you on weekends or holidays ? ☐ Yes ☐ No Do you have any medical problems or mental disorders? ☐ Yes ☐ No if yes, please explain Do you take any medication ☐ Yes ☐ No if yes please list medication and explanation of what it’s for What do you feel you can contribute to Oxford House? What do you hope to achieve by living in an Oxford House

Oxford House and Drug Court Page 5 of 5 Do you have any prejudices? Race / Sex / Religion? ☐ Yes ☐ No if yes please explain Do you have any problems performing house chores?

☐ Yes ☐ No

if yes please explain Use this area to tell use anything you might think we should know about

Oxford House and Drug Court

Development and Expansion of Oxford Houses There are two components necessary for effective expansion of Oxford Houses – the availability of small start-up loans and the availability of technical assistance funding to pay outreach workers [supervised field workers] to teach new residents the time-tested system of operations. Almost all of the states that have developed a statewide network of Oxford Houses have used both the start-up loans and trained outreach workers to develop strong networks of Oxford Houses. As of April 2018, twenty-two of the fifty states have contracts with Oxford House, Inc. – the nonprofit national umbrella organization – to administer start-up loan funding and to provide trained and supervised outreach workers. In addition to the tasks that the trained, supervised outreach workers perform, the central office of Oxford House, Inc. [OHI] provides quality control and assures civil rights for individual Oxford Houses. Quality control is assured by a combination of having strict charter conditions for using the Oxford House model and implementation of chapters and workshops to assure charter compliance. Civil rights are assured by making sure that the residents of a particular Oxford House are treated just like an ordinary family under the 1988 Amendments to the Federal Fair Housing Act. That law prohibits local governments from discriminating against the particular Oxford House by using zoning or fire safety laws that are different from those applied to ordinary families. What this means is that Oxford House residents are able to live in good houses in good neighborhoods. This not only provides for safe living environments but also encourages upper and middle class recovering individuals to live in the house raising expectations for all the residents in recovery. At the same time, state and local officials are provided a buffer between Not-In-My-Back-Yard opponents of Oxford Houses by OHI taking full responsibility for making certain that all the protections of the Federal Fair Housing Act and the American with Disabilities Act are fully enforced. In this regard, OHI has also prevailed in litigation to assure that landlords do not have to pay more for comprehensive insurance that if they had rented their dwelling to an ordinary family. Likewise, OHI has prevailed in litigation that makes certain that individual Oxford Houses have no greater burden for fire-safety requirements than an ordinary family renting a dwelling would have. Normally these barriers thwart the location of group homes and stop government officials from moving forward to successfully integrate recovering individuals into the community. Because Oxford Houses are located in good neighborhoods they attract residents from all strata of society and fully reflect the egalitarian nature of addiction and recovery.

Tasks of an Outreach Worker

♦ Finding a suitable house to rent ♦ Getting a charter from OHI ♦ Getting an FEIN number from IRS ♦ Recruiting initial residents ♦ Teaching residents the system of

operations ♦ Building mutually supportive

chapters ♦ Balancing supply of houses to

demand ♦ Developing linkages to providers ♦ Working with drug courts ♦ Working with parole officers ♦ Working with veterans organizations ♦ Developing employment linkages ♦ Documenting success/failure ♦ Trouble shooting problems ♦ Coordinating with state and local

agencies