Access to Recovery

A six-month program in Massachusetts for individuals in early recovery from an opioid use disorder, many of whom were previously incarcerated, that targets the social determinants of health, such as employment, housing, transportation, and education 

Recognizing that early recovery and reentry from incarceration are vulnerable times for individuals with opioid use disorder (OUD), Access to Recovery (ATR) is a program that supports these individuals, utilizing a wide range of recovery support services that target the social determinants of health. Through its voucher system, the program fills the gap for many services not currently covered by third-party health insurance, state funding through the Bureau of Substance Addiction Services (BSAS), or other government-funded programs. This is a statewide program that is funded by SAMHSA through the State Opioid Response (SOR) grant.

Some of the services that ATR supports include:

  • Access to recovery coaching through ATR
  • Meeting basic needs, such as food security, transportation, utility bills, and obtaining a driver's license
  • Career building initiatives, including job readiness programs, occupational training programs, and work study benefits
  • A wide range of services to increase health and wellness 
  • Paying rent for sober housing that has been certified by the state

ATR reports some impressive outcomes for those that complete the six-month program and appears to be cost-effective. More information on this program can be found in the video here, the news article here, and the program brief here. A short evaluation of the program can be found here

This program has been highlighted in a report that describes successful models to facilitate employment for people in recovery. 

Support from Access to Recovery costs $1,865 per participant over a six-month period, whereas the cost of incarcerating someone in Massachusetts is $54,000 per year.  

Continuum of Care
Recovery
Type of Evidence
Report with evaluation
Response Approach
Housing, Education, and Employment
Recovery coaching

Evidence of Program Effectiveness

The program has served over 26,000 individuals since it began in 2011.

Average per participant cost was $1,865 which included access to transportation, support for housing and education, driver's licenses, and basic needs. Of the 5,517 individuals enrolled from September 2017 to January 2019, nearly $3 million was spent on career building initiatives, including job readiness programs, occupational training programs, and work study benefits. 

Some other self-reported outcomes of the program:

  • At the six-month discharge from ATR, 95% of ATR participants have successfully maintained abstinence from drugs and alcohol
  • 408% increase in the percentage of participants securing employment while in ATR
  • At discharge from ATR, 37% fewer participants are dependent on Public Assistance
  • Significantly fewer participants (60%) went to hospital emergency rooms while in ATR
  • At the six-month discharge from ATR, nearly all ATR participants had no new arrests or new connections with the criminal justice system
  • 126% increase in the number of participants owning or renting their own apartment, room, or house while in ATR