1.A.4.a. Resident information

Rule

Policies and procedures regarding collection of resident’s information. At a minimum data collection will:

Protect individual’s identity,
Be used for continuous quality improvement, and
Be part of day-to-day operations and regularly reviewed by staff and residents (where appropriate).

Levels

I	II	III	IV
✔	✔	✔	✔

This standard rule applies to all recovery residence levels of support.

Guidance

What type of “resident’s information” is this standard referencing? NARR does not prescribe what types of information that is collected or how it is used. This standard is meant to ensure that providers collect data (information) that is used to improve the outcomes for the residents they serve. This can look different across levels of support and from recovery residence to recovery residence. Affiliates may offer guidance and coordinate aggregated data collection across providers to establish the value of recovery residences to policy makers and funders.
What type of “outcomes” is this standard referencing? Outcome measures refer to outcomes related to the residents. NARR does not prescribe what outcomes measures are collected. This can look different across levels of support and from recovery residence to recovery residence. Examples include abstinence, social determinants of health, mental health improvement, employment, monthly income, criminal justice engagement, recovery capital scale scores, quality of life measurement scores…
What types of information protection is this standard referencing? While most recovery residences may not be legally required to adhere to privacy laws, NARR’s position is that ethically, recovery residence must protect personally identifiable information (PII), which is any data that could potentially identify a specific individual.
What types of performance data do NARR Affiliates collect? NARR Affiliates often collect aggregated data, which is high-level data collected by combining individual data. For example, occupancy and vacancy rates, average length of stay, the gender, age and race of those moving in or moving out, or number of residents utilizing rental assistance.

Evaluation

Does the recovery residence have a policy and procedure regarding the collection of resident’s information?
- If yes, does it describe how the information is:
  - protected?
  - used for continuous quality improvement?
  - guides day-to-day operations?
  - regularly reviewed or evaluated and by whom?

Evidence

Policy and procedures
Interview questions – How has the recovery residence collected and used data to inform change? Who sees the data, and how can they share change?
Aggregated performance data submitted to TROHN

Resources

Below are several resources around implementing quality improvement protocols:

Course Syllabus

Not Enrolled

Measure Up: A Guide to the NARR Standard and Code of Ethics

	1. 1. ADMINISTRATIVE AND OPERATIONAL
	2. 1.A. Operate with Integrity
	2.1. 1.A.1. Use mission and vision as guides for decision making
	2.1.1. 1.A.1.a. Mission
	2.1.2. 1.A.1.b. Vision
	2.2. 1.A.2. Adhere to legal and ethical codes and use best business practices
	2.2.1. 1.A.2.a. Business entity
	2.2.2. 1.A.2.b. Insurance
	2.2.3. 1.A.2.c. Property permission
	2.2.4. 1.A.2.d. Legal compliance
	2.2.5. 1.A.2.e. Ethical marketing
	2.2.6. 1.A.2.f. Background checks
	2.2.7. 1.A.2.g. Paying residents
	2.2.8. 1.A.2.h. Financial boundaries
	2.2.9. 1.A.2.i. Code of Ethics
	2.3. 1.A.3. Financial accounting
	2.3.1. 1.A.3.a. Fee transparency
	2.3.2. 1.A.3.b. Accounting system
	2.3.3. 1.A.3.c. Refund policies
	2.3.4. 1.A.3.d. 3rd party payments
	2.4. 1.A.4. Data collection
	2.4.1. 1.A.4.a. Resident information
	3. 1.B. Uphold Residents’ Rights
	3.1. 1.B.5. Rights and Requirements
	3.1.1. 1.B.5.a. Applicant orientation
	3.2. 1.B.6. Resident information
	3.2.1. 1.B.6.a. Secured records
	3.2.2. 1.B.6.b. Confidentiality
	3.2.3. 1.B.6.c. Social media policy
	4. 1.C. Culture of Empowerment
	4.1. 1.C.7. Peer governance
	4.1.1. 1.C.7.a. Resident driven
	4.1.2. 1.C.7.b. Grievance policy
	4.1.3. 1.C.7.c. Community posts
	4.1.4. 1.C.7.d. Length of stay
	4.1.5. 1.C.7.e. Resident voice
	4.2. 1.C.8. Resident involvement
	4.2.1. 1.C.8.a. Reciprocal responsibility
	4.2.2. 1.C.8.b. Leadership roles
	4.2.3. 1.C.8.c. Recovery process
	5. 1.D. Develop Staff Abilities
	5.1. 1.D.9. Role modeling
	5.1.1. 1.D.9.a. Self-care
	5.1.2. 1.D.9.b. Boundaries
	5.1.3. 1.D.9.c. Staff support
	5.1.4. 1.D.9.d. Positive regard
	5.2. 1.D.10. Staff qualifications
	5.2.1. 1.D.10.a. Social model skills
	5.2.2. 1.D.10.b. Credentials
	5.2.3. 1.D.10.c. Staff development
	5.3. 1.D.11. Culturally responsive
	5.3.1. 1.D.11.a. Priority population
	5.3.2. 1.D.11.b. Cultural training
	5.4. 1.D.12. Job descriptions
	5.4.1. 1.D.12.a. Roles and qualifications
	5.4.2. 1.D.12.b. Resource linkage
	5.4.3. 1.D.12.c. KSA
	5.5. 1.D.13. Staff supervision
	5.5.1. 1.D.13.a. Performance development
	5.5.2. 1.D.13.b. Acknowledgements
	5.5.3. 1.D.13.c. Work environment
	6. 2. PHYSICAL ENVIRONMENT
	7. 2.E. Home-like Environment
	7.1. 2.E.14. Individual needs
	7.1.1. 2.E.14.a. Clean and maintained
	7.1.2. 2.E.14.b. Home-like furnishings
	7.1.3. 2.E.14.c. Entrances and exits
	7.1.4. 2.E.14.d. 50+ sq. ft. per bed
	7.1.5. 2.E.14.e. Sink-toilet-shower
	7.1.6. 2.E.14.f. Personal storage
	7.1.7. 2.E.14.g. Food Storage
	7.1.8. 2.E.14.h. Laundry
	7.1.9. 2.E.14.i. Appliances
	7.2. 2.E.15. Community building
	7.2.1. 2.E.15.a. Meeting space
	7.2.2. 2.E.15.b. Group space
	7.2.3. 2.E.15.c. Dining area
	7.2.4. 2.E.15.d. Recreational area
	8. 2.F. Safe Healthy Environment
	8.1. 2.F.16. Sober living
	8.1.1. 2.F.16.a. Prohibited substances
	8.1.2. 2.F.16.b. Prohibited items
	8.1.3. 2.F.16.c. Drug screening
	8.1.4. 2.F.16.d. Medication storage
	8.1.5. 2.F.16.e. Peer accountability
	8.2. 2.F.17. Home safety
	8.2.1. 2.F.17.a. Functional and hazard free
	8.2.2. 2.F.17.b. Health & safety codes
	8.2.3. 2.F.17.c. Inspections & drills
	8.3. 2.F.18. Promote health
	8.3.1. 2.F.18.a. Smoking
	8.3.2. 2.F.18.b. Universal precautions
	8.4. 2.F.19. Emergency plan
	8.4.1. 2.F.19.a. Procedures & postings
	8.4.2. 2.F.19.b. Emergency contacts
	8.4.3. 2.F.19.c. Emergency orientation
	8.4.4. 2.F.19.d. Overdose readiness
	9. 3. RECOVERY SUPPORT
	10. 3.G. Facilitate Recovery
	10.1. 3.G.20. Promote purpose
	10.1.1. 3.G.20.a. Meaningful activities
	10.2. 3.G.21. Recovery planning
	10.2.1. 3.G.21.a. Person-centered plan
	10.2.2. 3.G.21.b. Recovery capital
	10.2.3. 3.G.21.c. Peer roles
	10.3. 3.G.22. Community supports
	10.3.1. 3.G.22.a. Resource directory
	10.3.2. 3.G.22.b. Resource linkage
	10.4. 3.G.23. Mutual support
	10.4.1. 3.G.23.a. Weekly schedule
	10.4.2. 3.G.23.b. Mutual aid
	10.5. 3.G.24. Recovery support services
	10.5.1. 3.G.24.a. RSS
	10.5.2. 3.G.24.b. RSS Staff
	10.6. 3.G.25. Clinical services
	10.6.1. 3.G.25.a. Clinical services
	11. 3.H. Model Prosocial Behaviors
	11.1. 3.H.26. Respectful environment
	11.1.1. 3.H.26.a. Model recovery
	11.1.2. 3.H.26.b. Trauma informed
	11.1.3. 3.H.26.c. Resident input
	12. 3.I. Sense of Community
	12.1. 3.I.27. Family-like
	12.1.1. 3.I.27.a. Food preparation
	12.1.2. 3.I.27.b. Housing choice
	12.1.3. 3.I.27.c. Chores
	12.1.4. 3.I.27.d. Household expenses
	12.1.5. 3.I.27.e. Household meetings
	12.1.6. 3.I.27.f. Common areas
	12.2. 3.I.28. Internal community
	12.2.1. 3.I.28.a. Informal activities
	12.2.2. 3.I.28.b. Formal activities
	12.2.3. 3.I.28.c. Social activities
	12.2.4. 3.I.28.d. Milestone rituals
	12.3. 3.I.29. External community
	12.3.1. 3.I.29.a. Recovery linkage
	12.3.2. 3.I.29.b. Recovery mentor
	12.3.3. 3.I.29.c. Mutual aid meetings
	12.3.4. 3.I.29.d. Resource linkage
	12.3.5. 3.I.29.e. Multi-membership
	12.3.6. 3.I.29.f. Social bonds
	13. 4. GOOD NEIGHBOR
	14. 4.J. Be a Good Neighbor
	14.1. 4.J.30. Responsive neighbor
	14.1.1. 4.J.30.a. Contact information
	14.1.2. 4.J.30.b. Complaint response
	14.1.3. 4.J.30.c. Neighbor interaction
	14.2. 4.J.31. Courtesy rules
	14.2.1. 4.J.31.a. Preemptive policies
	14.2.2. 4.J.31.b. Parking