1.C.7.d. Length of stay

Rule

Policies and procedures that promote resident-driven length of stay.

Levels

In most states, this rule applies to all levels. The asterisks (*) under levels III and IV highlight that some state laws have categorized recovery residences a “transitional housing” with a maximum of 2 years. In practice, most residents choose to move out within 2 years, so it likely does not negatively impact recovery outcomes. However, in those states, the resident agreement may have a cap of 2 years.

Guidance

“Resident-driven length of stay” means that a resident can stay as long as they are upholding their obligations or the terms of the resident agreement. In other words, the recovery home staff or program does not put a limit on the number of days someone can live in the recovery home. If a resident is delinquent on their rent or jeopardizes the safety of the household, they have failed to meet their obligation. In these cases, a resident can be required to move out and while still upholding a resident-driven length of stay policy.

Why is a resident-driven length of stay policy important?

  1. Resident-driven length of stay promotes social model recovery in several ways. It increases the number of senior residents in the community who can serve as role models. A more mature recovery culture in the household, means it is more stable and resilient to disturbances. It honors the social model’s recovery orientation that believes in self agency and person-driven recovery.

  2. Resident-driven length of stay is a characteristic of housing. Protected under fair housing laws, the reason recovery housing can be sited within residential neighborhoods is because it is housing for persons with disabilities. If a “recovery home” does not operate like housing, it may not have a strong case for remaining in a residentially zoned area. Short lengths of stay could be considered “transient” and may not be appropriate for some residential zoning.

  3. Resident-driven length of stay is a characteristic of permanent supportive housing (PSH). In PSH, a resident can choose to stay 3 weeks, 3 months or 3 years. They key is that they choose when they want to move out, ideally based on their recovery goals and progress. In contrast, lengths of stay in transitional housing are driven by the program or provider. The greater average lengths of stay are correlated to stronger social model recovery and culture, which is why minimum lengths of stay commitments are common and maximum lengths are not.

What if the residential stay is capped at 2 years?

If a recovery residence provider caps their residents’ length of stay to 2 years, they can request a reasonable accommodation or variance and support the request with a justification. An argument can be made that a community with a 2 year cap would have an ample number of senior residents and peer leaders to support social model recovery.

What if a funding source is causing less than a 2 year limit on a resident’s length stay?

For various reasons, a recovery residence may accept third-party funding that directly or indirectly impacts length of stay. If the restriction is less than 2 years, a provider can submit a reasonable accommodation or variance to this rule, but they will need to explain how they are nullifying the negative impact of the restriction.

Evaluation

  • Is there a policy and procedure that promotes resident-driven length of stay?

Evidence

Policy and procedure

References

Course Syllabus

Not Enrolled
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