Levels
Each level implements the social model to varying degrees and offers distinctly different service intensities.
Level 4 Treatment (T) residences are state-licensed treatment providers who blend the “Medical Model” and” Social Model” to create a relatively more supportive environment for the person in recovery.
Level 3 Supervised (S) residences offer a paid staff supportive environment that offers life skills training and peer-based recovery supports.
Level 2 Managed (M) residences have unpaid staff who monitor resident participation in individual and community recovery activities.
Level 1 Peer (P) residences are democratically run homes where the residents self-govern by a set of “house rules” and share monthly expenses.
In contrast to a rating system (e.g. one star versus four-star), the NARR Levels distinguish between types (categories) of recovery residences, which differ in the kind and intensity of services and supports they provide. One Level of support is not better than another, just different. Diversity within the continuum is important, because recovery is a process. Individuals need various types and levels of support at different stages of recovery. Matching an individual with the appropriate level of support is both recovery supportive and cost-effective.
Standards
The standards were Initially developed through an intensive collaboration between regional, state, and local organizations supporting recovery residences nationwide.
The initial NARR standard for recovery residences was first introduced in 2011, and following similar collaborative processes, the NARR standards have been refined over the years and have been compiled into the NARR Standards Version 3.0.
This set of standards has been adapted by MARR and reflects the consensus of NARR affiliates that the Social Model, implemented in varying degrees, is the foundation for all four support levels.