2.F.16. Sober living

Measure Up: A Guide to the NARR Standard and Code of Ethics > 2.F. Safe Healthy Environment > 2.F.16. Sober living

NARR Standard 3.0: 2.F.16. Provide an alcohol and illicit drug free environment

For many people in recovery, a stable and safe place to live (SAMHSA’s dimension of Home) requires an environment of abstinence. This standard also provides guidance for creating a community of accountability and fostering a sober environment. This standard reflects the social model (physical environment) and should be communicated to residence operators via written policies and procedures. (See Appendix C for the NARR Position Statement on Medication-assisted Treatment.) — NARR Standard 3.0 Compendium

The standard is upheld by the following rules:

  • 2.F.16.a. Policy prohibits the use of alcohol and/or illicit drug use or seeking.
  • 2.F.16.b. Policy lists prohibited items and states procedures for associated searches by staff
  • 2.F.16.c. Policy and procedures for drug screening and/or toxicology protocols.
  • 2.F.16.d. Policy and procedures that address residents’ prescription and non-prescription medication usage and storage consistent with the residence’s level and with relevant state law.
  • 2.F.16.e. Policies and procedures that encourage residents to take responsibility for their own and other residents’ safety and

    health.

Table of Contents

1. 2.F.16.a. Prohibited substances
2. 2.F.16.b. Prohibited items
3. 2.F.16.c. Drug screening
4. 2.F.16.d. Medication storage
5. 2.F.16.e. Peer accountability

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