An Empirically Based Theory on Life in Recovery Homes


 Key characteristics of recovery homes include governance style (which can play a central role in structuring recovery mechanisms), social embeddedness (e.g., social relationships within the home), economic viability (e.g., the individual’s ability to be self-supporting), and learned recovery skills (such as coping with stress, avoiding putting one’s self in risky situations, etc.). These domains can have important associations with perceived quality of life (measured across physical, psychological, social relationships, and environmental domains). The current study investigated relationships among these key “active ingredients” of recovery homes. In addition, we present a dynamic model consistent with these observed relationships, to illustrate how relevant mechanisms interact over time and affect system evolution. Data were collected from recovery home residents in three states. Findings supported our overall hypotheses, indicating that social embeddedness, stress, and self-efficacy were related to quality of life, and policy and treatment-design implications are further examined by simulating system dynamics.   

MAT Patients Finding a Fit in Recovery Housing


As the effects of the opioid crisis continue to grow, awareness of the need for recovery housing also has grown quickly. Among other treatment and recovery supports, access to high-quality recovery housing is essential for many people. Yet the demand for recovery housing far outpaces the need. Even when recovery housing is available, residences vary greatly in terms of the level of services and supports provided, the populations and regions served, and the culture. Acceptance of medication-assisted treatment (MAT) is one such factor that varies greatly—impacting access to recovery housing for people with opioid use disorder (OUD). 

Parents with Children Living In Recovery Housing

Best Practice Guidence 2019 (pdf)




What is the number of serious attempts required to achieve stable resolution of a significant alcohol or other drug (AOD) problem? Previous studies of addiction treatment populations suggest prolonged addiction careers, and a substantial proportion (over half) of people in the United States admitted to addiction treatment indicate one or more prior treatment admissions. These reports stand as justification for the characterization of addiction as a “chronic relapsing” disorder. Such clinical studies, however, may not be representative of the larger pool of people experiencing AOD-related problems.  

2019 Best Practices Summit

St. Louis Missouri

Be part of NARR’s annual conference, entirely dedicated to best practices in the operation of recovery residences. The event will feature three days of presentations, panels and participant discussion. This year’s conference will feature a reception on Monday evening for all conference attendees, and for our friends in the recovery movement. 

Learn More About

Who should attend

Location and Hotel Information

Sponsorship Opportunities

Registration Information

NARR News Letter April 2019 (pdf)


New NARR Publications

Compendium to the NARR Version 3 Recovery Housing Standards

"Responding to widespread interest in the NARR Version 3 Standard for Recovery Residences, we’ve created a new information resource, the National Standard 3.0 Compendium. This document responds to numerous requests from recovery residence operators and others interested in the genesis and application of recovery residence best practices. It is a detailed guide to the sources and rationale for the individual requirements comprising the standard. This guide will be helpful to recovery housing operators, residence staff, and to anyone interested in the development of our best practice standards." 

Recovery Housing Boost

Federal Initiative Could Boost Recovery Housing in Rural Areas

 “We know that the opioid crisis has hit rural communities hard, and we need to leverage all possible partnerships to support these communities,” said HHS Assistant Secretary for Mental Health and Substance Use Elinore McCance-Katz, MD. “Housing plays a vital part in the recovery process for those living with opioid use disorders.” 

The Loss of Our Founder


Donald Kevin O'Hare

12/21/1956 - 12/26/2018 of Grand Rapids, Michigan, passed away peacefully December 26, 2018 at the age of 62, with his beloved wife by his side. Kevin had a long battle with lung cancer which he fought with dignity and grace, until the Lord was ready to take him home. Kevin was the soulmate and loving husband of Katherine O'Hare, and committed father to his son Shannon, and daughters Meaghan, Kaitlyn and Kayla. Kevin was born in Baltimore, Maryland and was raised by his maternal grandparents Vera and Otis Key.  He's been described by others as a "Dinamo," "Inspirational," "Powerhouse," "Walking talking Recovery Encyclopedia," "Passionate," and who's work was "Life giving to many." Kevin had many talents and joys. He loved singing and playing his guitar, traveling, sailing, playing golf, telling jokes, playing trivia, and just making others smile.  He will be greatly missed by his family and friends and all that had the pleasure to know him.  


His Grandfather was in the service, so Kevin traveled the world at a young age.  He graduated Tucson High School in 1974, served 4 years in the Air Force in Pararescue during the Viet Nam Conflict and was decorated with valor and given the Purple Heart. He later attended the University of Arizona until 1982. He was a world class swimmer in the 500 Meter and 1,500 Meter Freestyle, from 1973 to 1982. He is most recently known for his commitment to Recovery Housing, founding the Michigan Association of Recovery Residences, (MARR) in 2008, and co-founding the National Alliance for Recovery Residences, (NARR) in 2010. He volunteered as a member of the Transformational Steering Committee for the office of OROSC for the Michigan Department of Community Health where he received the "Giving Back" Award in September 2012. He also served on the Behavioral Health Advisory Council from 2012-2018. He was committed to getting funding and assuring there were standards in place for Recovery Residences to provide supportive services to those in early recovery. Kevin was also the founder of Touchstone Recovery which will continue to help men in early recovery for years to come. Kevin was a happy, fun loving soul who had a great passion for "Changing the world one life at a time." 

 May his legacy live on in the lives of others as his work will continue to change the world.    

Corey Waller, MD, Center for Integrated Medicine.

Dr. Waller discusses the neurology of addiction.