Fried Wittman, Babette Jee, Douglas L Polcin, Diane Henderson
{"title":"The Setting is the Service: How the Architecture of Sober Living Residences Supports Community Based Recovery.","authors":"Fried Wittman, Babette Jee, Douglas L Polcin, Diane Henderson","doi":"10.2190/SH.8.2.d","DOIUrl":"https://doi.org/10.2190/SH.8.2.d","url":null,"abstract":"<p><p>The architecture of residential recovery settings is an important silent partner in the alcohol/drug recovery field. The settings significantly support or hinder recovery experiences of residents, and shape community reactions to the presence of sober living houses (SLH) in ordinary neighborhoods. Grounded in the principles of Alcoholics Anonymous, the SLH provides residents with settings designed to support peer based recovery; further, these settings operate in a community context that insists on sobriety and strongly encourages attendance at 12-step meetings. Little formal research has been conducted to show how architectural features of the recovery setting - building appearance, spatial layouts, furnishings and finishes, policies for use of the facilities, physical care and maintenance of the property, neighborhood features, aspects of location in the city - function to promote (or retard) recovery, and to build (or detract from) community support. This paper uses a case-study approach to analyze the architecture of a community-based residential recovery service that has demonstrated successful recovery outcomes for its residents, is popular in its community, and has achieved state-wide recognition. The Environmental Pattern Language (Alexander, Ishikawa, & Silverstein, 1977) is used to analyze its architecture in a format that can be tested, critiqued, and adapted for use by similar programs in many communities, providing a model for replication and further research.</p>","PeriodicalId":89780,"journal":{"name":"International journal of self help & self care","volume":"8 2","pages":"189-225"},"PeriodicalIF":0.0,"publicationDate":"2014-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4197974/pdf/nihms592982.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32757663","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Kate L Brereton, Josefina Alvarez, Leonard A Jason, Edward B Stevens, Vida B Dyson, Catherine McNeilly, Joseph R Ferrari
{"title":"RECIPROCAL RESPONSIBILITY AND SOCIAL SUPPORT AMONG WOMEN IN SUBSTANCE USE RECOVERY.","authors":"Kate L Brereton, Josefina Alvarez, Leonard A Jason, Edward B Stevens, Vida B Dyson, Catherine McNeilly, Joseph R Ferrari","doi":"10.2190/SH.8.2.f","DOIUrl":"10.2190/SH.8.2.f","url":null,"abstract":"<p><p>This study sought to identify individual- and house-level predictors of women's employment, education, and retention in self-run recovery homes. Data from a national study of 292 women in Oxford House, an international organization of recovery homes grounded on self-help/mutual aid and 12-step principles were analyzed. Results indicated that the house's Reciprocal Responsibility predicted number of days of paid work. Individual and house variables did not predict participation in education. The presence of recovery home members in personal social networks was statistically significant in predicting retention in the recovery home. Lastly, results indicated that number of days of paid work were not predictive of likelihood of substance use in the next 12 months. The findings of this study indicate that the ability to develop social networks and Reciprocal Responsibility in recovery homes can contribute to positive outcomes for women.</p>","PeriodicalId":89780,"journal":{"name":"International journal of self help & self care","volume":"8 2","pages":"239-257"},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4269347/pdf/nihms-635740.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32926681","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Evolution of Peer Run Sober Housing as a Recovery Resource for California Communities.","authors":"Friedner D Wittman, Douglas Polcin","doi":"10.2190/SH.8.2.c","DOIUrl":"https://doi.org/10.2190/SH.8.2.c","url":null,"abstract":"<p><p>Sober living houses (SLHs) are alcohol- and drug-free living environments that offer social support to persons attempting to abstain from alcohol and drugs. They use a peer-oriented, social model approach that emphasizes mutual support, financial self-sufficiency, and resident involvement in decision making and management of the facility. Although they represent an important response to the increasing call for more services that help sustain abstinence from drugs and alcohol over time, they are an under recognized and underutilized recovery resource. The purpose of this paper is to trace the evolution of sober living houses in California from the early influences of Alcoholics Anonymous (AA) in the 1930's to the establishment of current SLH associations, such as the Sober Living Network in Southern California. The paper describes key events and policies that influenced SLHs. Although initial research on outcomes of SLH residents has been very encouraging, there is a need for more research to guide improvement of structure and operations. The paper concludes with a discussion of implications for the growth of recovery services and for community housing policy.</p>","PeriodicalId":89780,"journal":{"name":"International journal of self help & self care","volume":"8 2","pages":"157-187"},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4248351/pdf/nihms592974.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32882886","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Introduction to the Special Issue: Architecture Enhances Mutual Aid in Sober Living Houses.","authors":"Douglas L Polcin","doi":"10.2190/SH.8.2.i","DOIUrl":"https://doi.org/10.2190/SH.8.2.i","url":null,"abstract":"","PeriodicalId":89780,"journal":{"name":"International journal of self help & self care","volume":"8 2","pages":"281-282"},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4230334/pdf/nihms592979.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32816915","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ronald Harvey, Jennifer Mortensen, Darrin Aase, Joseph R Ferrari, Leonard Jason
{"title":"Factors Affecting the Sustainability of Self-Run Recovery Homes in the United States.","authors":"Ronald Harvey, Jennifer Mortensen, Darrin Aase, Joseph R Ferrari, Leonard Jason","doi":"10.2190/SH.7.1.g","DOIUrl":"10.2190/SH.7.1.g","url":null,"abstract":"<p><p>This study examined the sustainability rates of 214 self-run substance abuse recovery homes called Oxford Houses (OHs) over a six-year period. We list five factors needed to sustain an OH: affordable housing, residents following OH principles, resident income, institutional support, and community support. Results indicated a high sustainability rate (86.9%) in which 186 OHs remained open and 28 OHs closed. Reasons for houses closing (N = 14) included lack of affordable housing, which we classified as an external factor. Houses that closed because of internal factors (N = 13) included residents who were unable to adhere to OH rules, and insufficient income of residents. No house-level differences for income, sense of community, average lengths of stay, house age, or neighborhood characteristics were found between the houses that closed versus houses that remained open. Because the OH system relies on residents to sustain individual houses located in ordinary residential neighborhoods, these findings suggest that OH sustainability depends on locale, primarily access to affordable housing and adequate job opportunities for residents.</p>","PeriodicalId":89780,"journal":{"name":"International journal of self help & self care","volume":"7 1","pages":"99-109"},"PeriodicalIF":0.0,"publicationDate":"2013-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3576723/pdf/nihms442295.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31357434","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Substance Abuse Treatment Providers' Referral to Self-Help: Review and Future Empirical Directions.","authors":"Alexandre B Laudet","doi":"10.2190/bqkv-x2hr-mvfd-1vpl","DOIUrl":"https://doi.org/10.2190/bqkv-x2hr-mvfd-1vpl","url":null,"abstract":"<p><p>As duration and intensity of services decline, the treatment system's success in engaging substance-using clients in self-help (SH) will increasingly influence client outcomes. Clinicians play an important role in involving clients with SH, yet little is known about how referral decisions are made or about the referral process itself. This paper reviews clinicians' attitudes toward SH and their role in referring clients to SH, and identifies types of research needed to elucidate the referral process from both clinicians' and clients' perspectives. Such research can help enhance the number and outcome of referrals to self-help groups.</p>","PeriodicalId":89780,"journal":{"name":"International journal of self help & self care","volume":"1 3","pages":"213-225"},"PeriodicalIF":0.0,"publicationDate":"2000-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2112772/pdf/nihms20177.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41055485","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}