Engagement and Retention in a Motivational, Discovery, and Transitional Track Based Substance Use Disorder Recovery Program: Evaluation, Facilitators and Barriers

Engagement and Retention in a Motivational, Discovery, and Transitional Track Based Substance Use Disorder Recovery Program: Evaluation, Facilitators and Barriers | Research Square window.SnipcartSettings = { analytics: { enabled: false } }; (function() { var accessVector = localStorage.getItem('access_vector') || ''; window.dataLayer = window.dataLayer || []; if (accessVector) { window.dataLayer.push({ user: { profile: { profileInfo: { snid: accessVector } } } }); } })(); (function(w,d,s,l,i){w[l]=w[l]||[];w[l].push({'gtm.start':new Date().getTime(),event:'gtm.js'});var f=d.getElementsByTagName(s)[0],j=d.createElement(s),dl=l!='dataLayer'?'&l='+l:'';j.async=true;j.src='https://www.googletagmanager.com/gtm.js?id='+i+dl;f.parentNode.insertBefore(j,f);})(window,document,'script','dataLayer','GTM-K279D39R'); Browse Preprints In Review Journals COVID-19 Preprints AJE Video Bytes Research Tools Research Promotion AJE Professional Editing AJE Rubriq About Preprint Platform In Review Editorial Policies Our Team Advisory Board Help Center Sign In Submit a Preprint Cite Share Download PDF Research Article Engagement and Retention in a Motivational, Discovery, and Transitional Track Based Substance Use Disorder Recovery Program: Evaluation, Facilitators and Barriers Terry Bunn, Robin Thompson, Madison Ashworth, Ernest Fletcher This is a preprint; it has not been peer reviewed by a journal. https://doi.org/ 10.21203/rs.3.rs-6812584/v1 This work is licensed under a CC BY 4.0 License Status: Published Journal Publication published 21 Oct, 2025 Read the published version in Substance Abuse Treatment, Prevention, and Policy → Version 1 posted 9 You are reading this latest preprint version Abstract Background: St. Matthew’s House® Justin’s Place® Recovery Program (JPRP) is a substance use disorder recovery housing program that employs Motivational, Discovery, and Transitional Tracks. This study examined whether resident retention, resumption of substance use, family relationship restoration, and acquisition of employment were associated with JPRP completion. Methods: Secondary quantitative data were collected from January 1, 2022-August 31, 2024. Logistic regression was utilized to determine the resident and programmatic variables associated with the odds a resident successfully completed the JPRP. The study sample comprised individuals with a substance use disorder who were accepted into the JPRP program and who stayed for at least one day (n=447). Outcomes included employment readiness, employment status, housing status, family relationships, and alumni status at JPRP completion. Results: Of the 447 residents enrolled in the JPRP during the study period, 68% were enrolled in Discovery Track (approximately 30 days), 38% were enrolled in Transitional Track (approximately 270 days), and 35% had graduated from the JPRP. Discovery Track is considered to be the “engagement phase”; 302 residents (100%) were engaged in JPRP using day 1 of the Discovery Track as the denominator, and the 12-month retention rate was 51% based on the number of residents engaged in Discovery Track, or 35% based on the number who initiated in Motivational Track. Being on probation at JPRP intake (OR 3.355; CI 1.479, 7.61), participating in case management (OR 9.47; CI 3.822, 23.476), and gaining employment while in the JPRP (OR 58.856; CI 26.087, 132.791) were associated with higher odds of successful JPRP completion. Engaging in case management activities (OR 0.285; CI 0.159, 0.513) and gaining employment while in the JPRP (OR 0.053; CI 0.028, 0.102) were associated with lower odds of being discharged from the JPRP for an unallowable reason. Conclusion: Being on probation at JPRP intake, participating in case management, and gaining employment while in the JPRP were associated with successful JPRP completion. The offerings of family restoration support, intensive case management, employment opportunities, and active alumni engagement have facilitated long-term recovery and reduced return to use. recovery housing employment case management family restoration alumni engagement retention recovery capital Background According to the 2023 National Survey on Drug Use and Health, 70.5 million persons used illicit drugs in the past year in 2023, and it is estimated that 48.5 million persons had a past year substance use disorder (SUD) (Substance Abuse and Mental Health Services Administration [SAMHSA], 2024). Of those with a SUD, 11.7 million people received SUD treatment, and of the 30.5 million persons who ever had a substance use problem, 22.2 million considered themselves to be in recovery or to have recovered. Recovery housing is considered by SAMHSA to be an evidence-based practice depicted by standards and service levels from the National Alliance for Recovery Residences (NARR) (SAMHSA, 2023). The 10 NARR best practices require a recovery house to 1) be recovery-centered; 2) promote person-centered strengths-based approaches; 3) incorporate the social model approach; 4) ensure quality, integrity, and safety; 5) integrate trauma-informed approaches; 6) establish a clear operational definition; 7) establish and share policies and procedures; 8) certify; 9) promote evidence-based practices; and 10) evaluate program effectiveness. St. Matthew’s House® Justin’s Place® Recovery Program (JPRP) is a recovery housing program for persons with SUDs that opened in 2010 in southwest Florida. The JPRP contains 154 beds for residents and comprises three recovery support tracks completed over the course of 12 months. The first recovery support track, Motivational Track, lasts approximately four weeks and consists of substance withdrawal management, crisis stabilization, health screening, mental health evaluation, work therapy, identification document acquisition, homeless community service, personal recovery community establishment, and addressing powerlessness. Discovery Track, the second phase, lasts eight months and consists of relapse prevention, spirituality curriculum and associated activities, cognitive behavioral therapy, motivational enhancement, work therapy, 12-step meetings, and physical health and mental health treatment. The third phase, Transitional Track, lasts three months and includes workforce development training, paid part-time work, continued spirituality curriculum and activities, and financial management classes. At the end of the 12-month JPRP, residents are offered alumni engagement opportunities. For up to two years after graduation, resident alumni can enroll in the JPRP Recovery for Life program to continue living on campus, obtain full-time employment, maintain church attendance and small group meetings, continue case management and health assessments, and access further employment training and opportunities. The purpose of this study was to determine whether resident retention, resumption of substance use, engagement in family relationship restoration, and acquisition of employment were associated with JPRP completion. Methods Setting We conducted a retrospective quantitative evaluation of the JPRP. The University of Kentucky’s Institutional Review Board approved the study through protocol #96709. Secondary quantitative data were collected from January 1, 2022-August 31, 2024. Participants Study participants were defined as individuals who were accepted into the JPRP program, deemed as “residents”, and who stayed for at least one day. JPRP residents were at least 18 years of age with a SUD (including alcohol, opioids, or stimulants). Individuals were excluded from the JPRP program and subsequent study if they 1) did not have a SUD; 2) were on medication for SUD with the exception of naltrexone; or 3) were under 18 years of age. Study Procedures Secondary quantitative data from residents with a JPRP Motivational Track intake date from January 1, 2022-September 30, 2024 were included in this study. Since JPRP is a 12-month program, resident data collection ended on approximately September 30, 2024. To assess long-term recovery impacts, secondary alumni data were available to analyze for those who graduated JPRP from January 1, 2023-September 30, 2024, and elected to become an engaged alumnus. Final evaluation study resident data included all residents who were admitted to the JPRP and 1) graduated, 2) received an allowable discharge, or 3) received an unallowable discharge. Quantitative data sources included resident data from the organization’s missionTracker® software database, alumni documentation data, and JPRP data reports. To obtain resident data from the missionTracker® resident software database, the study team reviewed existing data fields within the missionTracker® software. The study team requested the applicable data fields for analysis from JPRP staff, who provided the requested JPRP admissions record data for all eligible residents. Study data included resident demographics (age, gender, race, education), employment and income information, employment resources, legal status, health status, resident’s drug of choice, number of days retained in each JPRP track, JPRP outcome data (employment resources, employment acquisition, spiritual improvement, and referrals), and JPRP discharge reason. JPRP alumni data were obtained from JPRP staff. Alumni data included the resident’s graduation date, their level of engagement in JPRP alumni events, return to use and relinkage to recovery support services data, and JPRP reintegration data if return to use occurred. Mortality and incarceration status of JPRP alumni were also documented. The following definitions were used to identify disallowable discharge, allowable discharge, and JPRP completion: Disallowable Discharge : "Arrested", "Did not like JPRP rules and left", "Did not return", "Did not like the rules and left", "Did not return at all", "Failed drug/alcohol test", "Failed a drug screening", "Fighting", "Non-compliant with JPRP Rules", "Other", "Other unapproved reason", "Threatened, attacked, or assaulted staff", "Was arrested or is in jail”, "Was noncompliant with JPRP rules”, "Was not appropriate for JPRP", "Went to residential treatment facility", "Went to the hospital or detox", "Found another place to stay", "Probation needs adjusted", “Left to be with family” (and days stayed < 290 days), “Left to be with girlfriend” (and days stayed < 290 days) Allowable Discharge : "Other approved reason", "Transfer to other St. Matthew’s House facility", "Transfer", "Medical", "Needed help St. Matthew's could not give", “Left to be with family” (and days stayed > 290 days), “Left to be with girlfriend” (and days stayed > 290 days) JPRP Completion : "Graduated", "Successfully completed", "Completed the JPRP" Counts and frequencies were calculated to assess resident demographic characteristics, resident programmatic characteristics, and alumni outcomes. Two-sided t-tests were performed to test for the significance of differences in resident outcomes related to employment readiness, employment status, housing status, family relationships, and alumni status at intake and JPRP completion. Holm’s multiple hypothesis test corrections were employed to correct for inflated Type 1 error rates arising from multiple hypothesis tests (Holm, 1979 ). Logistic regression was utilized to determine the important resident and programmatic variables associated with the odds a resident successfully completed the JPRP. Odds ratios from the logistic regression were reported in addition to 95% confidence intervals. All quantitative analysis was conducted in Stata 18.0. Results There were 447 residents included in the final study. The majority of residents were between the ages of 25 to 44 (57%), male (80%), and white (80%) (Table 1 ). Less than one-half of the residents (42%) had a high school diploma/GED, and few (13%) had a college degree. Few residents had any income source (16%) or received Social Security income (11%) at the start of the JPRP. Approximately 38% of the residents had health insurance. Almost one-half of the residents had a history of criminal justice involvement, with 40% being on probation and 30% having pending legal action. One-quarter of the residents had a co-occurring mental health condition. For primary drug of choice used prior to JPRP entry, one-quarter reported using alcohol (28%) or methamphetamine (26%), 11% used cocaine, 10% used opioids, and 8% used fentanyl. Table 1 St. Matthew’s House® Justin’s Place® Recovery Program Resident Demographics at Intake Demographic Variable n (%) Number Enrolled in St. Matthew’s House® Program at Intake 447 (100%) Age (in years) 18–24 22 (5%) 25–34 105 (23%) 35–44 154 (34%) 45–54 84 (19%) 55+ 82 (18%) Gender Female 62 (14%) Male 385 (86%) Race/Ethnicity White 358 (80%) Black, African American, or African 52 (12%) Hispanic 32 (7%) Asian 3 (1%) Other 2 (< 1%) Highest Level of Education High school diploma 189 (42%) College degree 59 (13%) Less than high school 199 (45%) Income and Benefits Has any income source 70 (16%) Receives Social Security Income 49 (11%) Has health insurance 169 (38%) Other Background Veteran 17 (4%) Legal Status On Probation 180 (40%) Has pending legal action 132 (30%) Health Status Has a chronic health condition 67 (15%) Has a physical disability 40 (9%) Has a developmental disability 13 (3%) HIV/AIDs 11 (2%) Has a mental health disorder 111 (25%) Has a communicable disease 45 (10%) Has a disabling condition 36 (8%) Primary Drug of Choice Alcohol 126 (28%) Benzodiazepines 4 (1%) Cocaine 48 (11%) Fentanyl 37 (8%) Heroin 13 (3%) Cannabis 16 (4%) Meth 118 (26%) Multiple Substances 8 (2%) Opioids 45 (10%) MDMA Δ 3 (1%) Unknown 27 (6%) Δ 3,4-Methylenedioxymethamphetamine JPRP Resident Programmatic Characteristics In terms of programmatic characteristics, 43% of residents were provided a referral to another agency while enrolled in the JPRP and 51% obtained all necessary identification (ID) like a state ID card, social security card, or birth certificate to gain employment (Table 2 ); at intake, most residents had at least one identification card to support employment readiness, with 61% having a photo ID card and 88% having a Social Security card. Approximately one-half (51%) of the JPRP residents were actively engaged in their case management plan. One resident died while in the JPRP and one resident was incarcerated while in the JPRP. Table 2 St. Matthew’s House® Justin’s Place® Recovery Program Resident Programmatic Characteristics Programmatic Variable N = 477 (%) “provided a referral to another agency while in our care” at least once 191 (43%) “obtained the necessary identification (state ID, Social Security card, birth certificate, etc.) to gain employment” 230 (51%) Recovery Management Plan Goals (“actively engaged in their case plan, which is evidenced by meeting their goals and participation in case management”) Yes 230 (51%) No 217 (49%) Deceased while in program (reason for leaving) 1 (0.2%) Incarcerated while in program (reason for leaving) 1 (0.2%) Total 447 Outcomes of the JPRP Recovery capital can be defined as the resources internal and external to an individual that can be drawn upon to initiate and sustain recovery from SUD (Cloud & Granfield, 2008 ). Factors associated with the building of recovery capital were assessed for all residents in the JPRP and residents that successfully completed the JPRP (Table 3 ). At intake, 67% of residents indicated being unhoused and 16% of residents indicated being chronically unhoused. No resident was employed at the time of JPRP intake. While in the JPRP, 3% of residents had a recurrence of substance use. Of those that had a recurrence of substance use while in the JPRP, all were relinked to care following their recurrence. Regarding 12-month retention, 155 residents successfully completed the JPRP and graduated, which represents a 35% 12-month retention rate, 8% were discharged for an allowable reason, and 57% were discharged for a disallowable reason. The average length of stay across all residents was 176 days. Of the residents that successfully completed the JPRP and graduated, 95% had obtained an ID card and a Social Security card at JPRP completion. All the residents that completed the JPRP were housed at JPRP completion, and 89% were employed at JPRP completion. Residents also indicated spiritual growth while in the JPRP (95%) at JPRP completion. Of JPRP graduates, 64% were active alumni after graduation. Table 3 St. Matthew’s House® Justin’s Place® Recovery Program Resident Recovery Capital Assessment at Intake and Completion Recovery Capital Variable Intake n (%) Program Completion n (%) Number of Individuals 447 (100%) 155 (35%) Employment Readiness Resources Has ID 272 (61%) 148 (95%) Has a Social Security card 392 (88%) 148 (95%) Housing History Homeless at intake 299 (67%) 95 (61%) Homelessness is chronic 72 (16%) 15 (10%) Housed at graduation N/A 155 (100%) Employment Employed 0 (0%) 138 (89%) Religious Spirituality Yes N/A 147 (95%) No N/A 8 (5%) Positive Family Relationship Restoration n = 105 Yes N/A 104 (99%) No N/A 1 (1%) Length of Stay (mean days) 175.56 days Recurrence of Substance Use Yes 14 (3%) N/A No 433 (97%) N/A Retention Allowable discharge 36 (8%) N/A Disallowable discharge from program 255 (57%) N/A Retained at program completion 155 (35%) N/A Active Alumni Status (n = 132 Program Grads) Yes N/A 92 (59%) No N/A 63 (41%) Criminal Justice Involvement (probation) Yes 180 (40%) N/A No 267 (60%) N/A Relinkage to SUD Treatment if Recurrence of Substance Use Yes 14 (3%) 0 (0%) No 433 (97%) 0 (0%) Recovery Management Plan Goals Yes 230 (51%) 146 (94%) No 217 (49%) 9 (6%) N/A = data not available The resident retention rate within the individual JPRP tracks and the overall JPRP retention rate were calculated. Of the 447 residents who were enrolled in the JPRP during the study period, 68% of residents were still enrolled in Discovery Track (approximately 30 days), 38% were enrolled in Transitional Track (approximately 270 days) and 35% graduated from the JPRP (Table 4 ). The Motivational Track is considered to be the ‘initiation phase’ of the JPRP. At the end of the Motivational Track, the Discovery Track is considered to be the “engagement phase’; 302 residents (100%) were engaged in JPRP using day 1 of the Discovery Track as the denominator. Six months and after in a recovery housing program is considered to be the “retention phase”. If the six-month “retention phase” endpoint is used (typical of recovery housing retention rate calculations) the six-month JPRP retention rate was 63%. Since JPRP is a 12-month program, the 12-month retention rate was 1) 51% based on the number of residents who were engaged in the JPRP (Discovery Track) or 2) 35% based on the number who initiated the JPRP (Motivational Track). Table 4 St. Matthew’s House® Justin’s Place® Recovery Program Retention Rates at each Recovery Track Time (Days) n % of Baseline Intake (Motivational Track) % of Previous Track % of Baseline Discovery Track Number enrolled in Motivational Track (0 days) 447 100% 100% n/a Number Enrolled in Discovery Track (~ 31 days) 302 68% 68% 100% Number Enrolled at 6 Months (~ 180 days) 190 43% 63% 63% Number Enrolled in Transitional Track (~ 270 days) 170 38% 89% 56% Number Graduated from Recovery Program (~ 365 days) 155 35% 91% 51% Changes in the proportion of JPRP residents that were employment ready, housed, employed, and had positive family restoration were examined at intake and at JPRP completion (Table 5 ). The proportion of residents who were employment ready (had necessary identification resources for employment) increased from 50% at JPRP intake to 95% at JPRP completion ( t = 11.26; 95% CI [0.372, 0.531]). The proportion of residents who were housed increased from 39% at JPRP intake to 100% at JPRP completion ( t = 15.62 [0.535, 0.690]), and the proportion of residents who were employed increased from 0% at JPRP intake to 89% at JPRP completion ( t = 35.36 [0.841, 0.940]). The proportion of residents with positive family relationships also increased from JPRP intake to JPRP completion, with 13% of residents having a positive family relationship at intake and 99% having a positive family relationship at JPRP completion ( t = 24.98 [0.789, 0.925]). Table 5 St. Matthew’s House® Justin’s Place® Recovery Program Changes in Assessment of Recovery Capital Factor Intake (%) Program Completion 1 (%) Test Statistics (95% CI) p -value Employment Ready 50% 95% 11.26 (0.372, 0.531) p < 0.01 Housed 39% 100% 15.62 (0.535, 0.690) p < 0.01 Employed 0% 89% 35.36 (0.841, 0.940) p < 0.01 Positive Family Relationship Restoration 2 13% 98% 24.05 (0.777, 0.918) p < 0.01 Active Alumni Status 0% 59% 15.00 (0.515, 0.672) p < 0.01 1 n=155 2 Complete data were available for n = 105. The factors associated with successful JPRP completion were determined using a logistic regression model. Having a criminal justice association (i.e., being on probation) at JPRP intake, participating in case management, and gaining employment while in the JPRP were associated with higher odds of successful JPRP completion (Table 6 ). Table 6 Determinants of Successful St. Matthew’s House® Justin’s Place® Recovery Program Completion Estimated Using Logistic Regression Successful Completion Odds Ratio 95% C.I. Age 45 or Older 0.991 0.427 2.301 Female 1.941 0.652 5.774 White 1.569 0.63 3.909 On Probation* 3.355 1.479 7.61 Mental Health Condition 0.579 0.243 1.38 Drug of Choice – Opioids 1.186 0.399 3.528 Drug of Choice – Meth 1.182 0.426 3.281 Drug of Choice – Alcohol 1.352 0.469 3.901 Participated in Case Management** 9.472 3.822 23.476 Employed** 58.856 26.087 132.791 * p < .01, ** p < .001 The characteristics of residents who were discharged for an unallowable reason were assessed (data not shown). There were no significant differences between resident disallowable reason and resident allowable reason proportions across age, gender, race, education, housing status, legal status, and drug of choice after multiple hypothesis test corrections were applied. However, the proportion of employed residents was significantly different between those discharged for unallowable reasons and those discharged for allowable reasons. Residents who were discharged for unallowable reasons were more likely to be unemployed compared to those residents who completed the JPRP or were discharged for allowable reasons (χ 2 = 207.52; corrected p < 0.001). Individuals whose primary drug of choice was opioids had higher odds for an unallowable discharge, but when Holm’s multiple hypothesis test corrections were employed, that factor was no longer significant (data not shown). Table 7 shows the factors associated with being discharged from the JPRP for an unallowable reason. Engaging in case management activities and gaining employment while in the JPRP were associated with lower odds of being discharged from the JPRP for an unallowable reason (Table 7 ). Table 7 Determinants of St. Matthew’s House® Justin’s Place® Recovery Program Unallowable Discharges Estimated Using Logistic Regression Unallowable Discharge Odds Ratio 95% C.I Age 45 or Older 0.805 0.440 1.475 Female 0.858 0.386 1.910 White* 0.443 0.212 0.925 On Probation 0.761 0.435 1.330 Mental Health Condition 0.801 0.424 1.512 Drug of Choice – Opioids 0.774 0.340 1.764 Drug of Choice – Meth 0.858 0.402 1.830 Drug of Choice – Alcohol 1.054 0.483 2.300 Participated in Case Management** 0.285 0.159 0.513 Employed** 0.053 0.028 0.102 * p < .05, ** p < 0.001 JPRP alumni outcomes were examined (Table 8 ). Of the residents who successfully completed the JPRP (n = 155), 59% were actively engaged alumni. The majority of the residents that completed the JPRP (76%) had not returned to use. Of the alumni who had a recurrence of substance use, 10% were subsequently substance-use free, 6% were reintegrated back into the JPRP, and 6% were offered reintegration but did not re-engage with services. Of the 92 active alumni, one alumnus died and two were incarcerated. Table 8 St. Matthew’s House® Justin’s Place® Recovery Program Alumni Outcomes Outcome n (%) Actively engaged 92 (59%) Nonreturn to use 118 (76%) If recurrence, now substance free? 15 (10%) Reintegration attempt 9 (6%) Reintegration success? 9 (6%) Death 1 (1%) Incarceration 2 (1%) Discussion The results of this study show that the JPRP is effective in building recovery capital among residents and achieving long-term recovery of persons with SUDs. Obtaining employment, having access to regular case management, and being on probation were all associated with successful completion of the JPRP. Conversely, unallowable discharge from the JPRP was associated with low access to case management and unemployment. Over one-half of the JPRP residents became active engaged alumni once the 12-month JPRP ended and they graduated. As active alumni, over three-quarters of the residents maintained their long-term recovery and remained free of substance use. While individuals whose primary drug of choice was opioids had higher odds for an unallowable discharge and this result was not statistically significant, the JPRP might consider the inclusion of additional interventions to address cravings such as medications for opioid use disorder (MOUD) and biofeedback within their recovery program to provide supplemental recovery support for their residents with opioid use disorders to reduce unallowable discharges. JPRP residents had an average length of stay of 176 days (approximately six months), and the JPRP retention rate was 63% at 6 months (typical of recovery house retention rate calculations); 51% stayed through the 12-month completion of the JPRP (based on the number of residents who were engaged in the JPRP). Nearly all of the graduates were employed at the completion of the JPRP. In a study by Best et al. ( 2023 ) of 50 recovery houses in Virginia, the lack of employment services and not meeting mental health needs were associated with being a barrier to recovery and not being retained in recovery housing. A major recovery support offering of the JPRP is employment readiness and direct linkage to employment at the completion of the JPRP. The focus on preparing and linking persons with substance use disorder in recovery to employment opportunities is integral to building recovery capital and achieving and maintaining long-term recovery from substance use. JPRP also offers wrap-around community services for mental health treatment that are necessary for building recovery capital. Case management was imperative for the achievement of long-term SUD recovery. In a meta- analysis by Vanderplasschen et al. ( 2019 ), the authors found that case management was associated with substance use disorder treatment retention and linkage with SUD recovery support services. Case managers’ caseloads are recommended not to exceed 15–30 residents maximum (Vanderplasschen et al., 2004 ) and to include a team approach if the caseload is thought to be high at that level. Large programs like the JPRP may benefit by increased client engagement if the case manager caseload is lower since Broome et al. ( 2007 ) found that smaller case manager workloads were more engaging for clients in SUD treatment. Almost all of the residents with available family relationship restoration data formed lasting positive family relationships by the end of the JPRP. Help with restoring relationships was a major theme that emerged from interviews of women aged 25 to 65 in substance use recovery in a study by Gorvine et al. ( 2021 ). Das et al. ( 2024 ) found that disturbed family relationships were associated with SUD recovery relapse. Last, Pettersen et al. ( 2019 ) conducted semi-structured interviews with persons in recovery for at least five years and found that having a restorative relationship with a provider or a family member such as a sibling helped them to maintain their recovery. Probation status was associated with JPRP completion. This finding is significant as St. Matthew’s House® JPRP fills a critical need of the corrections system to address and provide recovery housing to those involved with the criminal justice system with SUDs. Dewey et al. ( 2024 ) identified the lack of linkage between the criminal justice system and recovery houses as a barrier to recovery house access. There are a number of limitations of this research study. First, the study team did not have full access to all of the data fields within missionTracker®, therefore, potential additional factors to enhance and expand the research study could not be examined. Second, not all of the data fields were complete; alumni and family restoration data, as well as drug testing data, were not available for all residents. Third, there were limitations in the resident data collection process that could be due to inconsistent input of data by case managers, lack of training, or the cost of refining current data fields and adding new data fields. Conclusions Being on probation at JPRP intake, participating in case management, and gaining employment while in the JPRP were associated with successful JPRP completion. The JPRP has been effective in supporting its residents to achieve and maintain long-term recovery from SUD. Their offerings of family restoration support, intensive case management, links to employment opportunities, and active alumni engagement have facilitated long-term recovery and reduced return to use. Declarations Ethics approval and consent to participate Ethics approval for this study was provided by the University of Kentucky Institutional Review Board with IRB determination of human subjects research (UK IRB Number 96709). Consent for publication Not applicable since this study utilized secondary data. Availability of data and materials The datasets used and/or analyzed during the current study are available from the corresponding author on reasonable request. Competing interests Funding for this study was provided by the St. Matthew’s House®, which could gain or lose financially from the publication of the manuscript now or in the future. They provided input into the evaluation through the provision of data and St. Matthew’s House® processes and procedures but did not influence the evaluation findings and generation of the manuscript. Analysis and interpretation of findings are of the authors alone. Funding Project funding was paid by St. Matthew’s House®. Authors' contributions TLB, RT, and MA wrote the main manuscript. EF contributed to the design of the study and review of the manuscript. Acknowledgments The authors would like to thank the residents, staff, and leadership at St. Matthew’s House® for their work and support in the preparation of this manuscript. References Best D, Sondhi A, Best J, Lehman J, Grimes A, Conner M, DeTriquet R. Using recovery capital to predict retention and change in recovery residences in Virginia, USA. Alcoholism Treat Q. 2023;41(2):250–62. 10.1080/07347324.2023.2182246 . Broome KM, Flynn PM, Knight DK, Simpson DD. Program structure, staff perceptions, and client engagement in treatment. J Subst Abuse Treat. 2007;33(2):149–58. 10.1016/j.jsat.2006.12.030 . Epub 2007 Apr 16. PMID: 17434709; PMCID: PMC2140244. Cloud W, Granfield R. Conceptualizing recovery capital: expansion of a theoretical construct. Subst Use Misuse. 2008;43:12–3. 10.1080/10826080802289762 . Das PR, Talukdar RR, Kumar CJ. Exploring the interplay of abstinence self-efficacy, locus of control, and perceived social support in substance use disorder recovery. Curr Med Res Opin. 2024;40(9):1625–35. Epub 2024 Aug 12. PMID: 39115296. Dewey JM, Bell JS, Konchak JN, Hinami K, Watson DP. A lot of moving parts: Recovery home challenges linking and housing individuals with criminal legal system involvement. J Subst Use Addict Treat. 2024;166:209473. 10.1016/j.josat.2024.209473 . Epub 2024 Aug 4. PMID: 39106919. Gorvine MM, Haynes TF, Marshall SA, Clark CJ, Lovelady NN, Zaller ND. A qualitative exploration of women's lives and resilience in substance use disorder recovery. Integr Med (Encinitas). 2021;20(3):20–9. PMID: 34377097; PMCID: PMC8325504. Holm SA. Sequentially rejective multiple test procedure. Scand J Stat. 1979;6(2):65–70. Pettersen H, Landheim A, Skeie I, Biong S, Brodahl M, Oute J, Davidson L. How social relationships influence substance use disorder recovery: A collaborative narrative study. Substance abuse. 2019;13:1178221819833379. 10.1177/1178221819833379 . PMID: 30886519; PMCID: PMC6410387. Substance Abuse and Mental Health Services Administration. 2023 Companion Infographic Report: Results from the 2021, 2022, and 2023 National Surveys on Drug Use and Health (SAMHSA Publication No. PEP24-07-020). Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration. 2024. https://www.samhsa.gov/data/report/2021-2022-2023-nsduh-infographic (2024). Accessed 19 May 2025. Substance Abuse and Mental Health Services Administration. Best Practices for Recovery Housing. Publication No. PEP23-10-00-002. Rockville, MD: Office of Recovery, Substance Abuse and Mental Health Services Administration. https://library.samhsa.gov/sites/default/files/pep23-10-00-002.pdf (2023). Accessed 19 May 2025. Vanderplasschen W, Rapp RC, De Maeyer J, Van Den Noortgate W. A meta-analysis of the efficacy of case management for substance use disorders: A recovery perspective. Front Psychiatry. 2019;10:186. 10.3389/fpsyt.2019.00186 . PMID: 31057432; PMCID: PMC6477913. Vanderplasschen W, Rapp RC, Wolf JR, Broekaert E. The development and implementation of case management for substance use disorders in North America and Europe. Psychiatric Serv. 2004;55(8):913–22. 10.1176/appi.ps.55.8.913 . PMID: 15292541; PMCID: PMC1994722. Additional Declarations Competing interest reported. Funding for this study was provided by the St. Matthew’s House®, which could gain or lose financially from the publication of the manuscript now or in the future. They provided input into the evaluation through the provision of data and St. Matthew’s House® processes and procedures but did not influence the evaluation findings and generation of the manuscript. Analysis and interpretation of findings are of the authors alone. Cite Share Download PDF Status: Published Journal Publication published 21 Oct, 2025 Read the published version in Substance Abuse Treatment, Prevention, and Policy → Version 1 posted Editorial decision: Revision requested 04 Aug, 2025 Reviews received at journal 03 Aug, 2025 Reviews received at journal 19 Jul, 2025 Reviewers agreed at journal 13 Jul, 2025 Reviewers agreed at journal 10 Jul, 2025 Reviewers invited by journal 02 Jul, 2025 Editor assigned by journal 03 Jun, 2025 Submission checks completed at journal 03 Jun, 2025 First submitted to journal 03 Jun, 2025 You are reading this latest preprint version Research Square lets you share your work early, gain feedback from the community, and start making changes to your manuscript prior to peer review in a journal. As a division of Research Square Company, we’re committed to making research communication faster, fairer, and more useful. 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Also discoverable on Platform About Our Team In Review Editorial Policies Advisory Board Help Center Resources Author Services Accessibility API Access RSS feed Manage Cookie Preferences © Research Square 2026 | ISSN 2693-5015 (online) Privacy Policy Terms of Service Do Not Sell My Personal Information {"props":{"pageProps":{"initialData":{"identity":"rs-6812584","acceptedTermsAndConditions":true,"allowDirectSubmit":false,"archivedVersions":[],"articleType":"Research Article","associatedPublications":[],"authors":[{"id":479691130,"identity":"1366e4c2-3b32-4dcc-b96c-094b41eb2607","order_by":0,"name":"Terry Bunn","email":"data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAZAAAAAyAQMAAABI0h/eAAAABlBMVEX///8AAABVwtN+AAAACXBIWXMAAA7EAAAOxAGVKw4bAAAArklEQVRIiWNgGAWjYDACdh4QaSPHAKbZiNDBwwxWmmZMspbDiQ1Ea7Fn5j0mXbiDOX3DmTMGDB/KDhNjC1+a9MwzbLkbzvYYMM44R5QWHjNp3jae3A3neQyYeduI1yKRbgDS8pcELQYJBkCHMTMSpeUwX7I1b1uC4cwzxwoO9pxLJ6yFvb334G3etv/yfGeSNz74UWZNWAsS4DA4QJJ6kIUPSNUxCkbBKBgFIwQAACM9MfHrZT+4AAAAAElFTkSuQmCC","orcid":"","institution":"University of Kentucky","correspondingAuthor":true,"prefix":"","firstName":"Terry","middleName":"","lastName":"Bunn","suffix":""},{"id":479691131,"identity":"7d13a618-8bcd-4c96-9037-5a3d269e85aa","order_by":1,"name":"Robin Thompson","email":"","orcid":"","institution":"Fletcher Group","correspondingAuthor":false,"prefix":"","firstName":"Robin","middleName":"","lastName":"Thompson","suffix":""},{"id":479691132,"identity":"2f00812c-9e95-473e-9edf-0bbaf025ab06","order_by":2,"name":"Madison Ashworth","email":"","orcid":"","institution":"Fletcher Group","correspondingAuthor":false,"prefix":"","firstName":"Madison","middleName":"","lastName":"Ashworth","suffix":""},{"id":479691134,"identity":"52a2ed9b-1256-4c02-b055-9a3810e92162","order_by":3,"name":"Ernest Fletcher","email":"","orcid":"","institution":"Fletcher Group","correspondingAuthor":false,"prefix":"","firstName":"Ernest","middleName":"","lastName":"Fletcher","suffix":""}],"badges":[],"createdAt":"2025-06-03 14:53:31","currentVersionCode":1,"declarations":"","doi":"10.21203/rs.3.rs-6812584/v1","doiUrl":"https://doi.org/10.21203/rs.3.rs-6812584/v1","draftVersion":[],"editorialEvents":[{"content":"https://doi.org/10.1186/s13011-025-00676-4","type":"published","date":"2025-10-21T16:17:13+00:00"}],"editorialNote":"","failedWorkflow":false,"files":[{"id":94490270,"identity":"7fe97428-54ef-4c5c-a72c-4fb22be9233a","added_by":"auto","created_at":"2025-10-27 17:08:47","extension":"pdf","order_by":0,"title":"","display":"","copyAsset":false,"role":"manuscript-pdf","size":1365941,"visible":true,"origin":"","legend":"","description":"","filename":"manuscript.pdf","url":"https://assets-eu.researchsquare.com/files/rs-6812584/v1/b972a2f0-0d5b-455c-8344-f19af346fb91.pdf"}],"financialInterests":"Competing interest reported. Funding for this study was provided by the St. Matthew’s House®, which could gain or lose financially from the publication of the manuscript now or in the future. They provided input into the evaluation through the provision of data and St. Matthew’s House® processes and procedures but did not influence the evaluation findings and generation of the manuscript. Analysis and interpretation of findings are of the authors alone.","formattedTitle":"Engagement and Retention in a Motivational, Discovery, and Transitional Track Based Substance Use Disorder Recovery Program: Evaluation, Facilitators and Barriers","fulltext":[{"header":"Background","content":"\u003cp\u003eAccording to the 2023 National Survey on Drug Use and Health, 70.5\u0026nbsp;million persons used illicit drugs in the past year in 2023, and it is estimated that 48.5\u0026nbsp;million persons had a past year substance use disorder (SUD) (Substance Abuse and Mental Health Services Administration [SAMHSA], 2024). Of those with a SUD, 11.7\u0026nbsp;million people received SUD treatment, and of the 30.5\u0026nbsp;million persons who ever had a substance use problem, 22.2\u0026nbsp;million considered themselves to be in recovery or to have recovered.\u003c/p\u003e \u003cp\u003eRecovery housing is considered by SAMHSA to be an evidence-based practice depicted by standards and service levels from the National Alliance for Recovery Residences (NARR) (SAMHSA, 2023). The 10 NARR best practices require a recovery house to 1) be recovery-centered; 2) promote person-centered strengths-based approaches; 3) incorporate the social model approach; 4) ensure quality, integrity, and safety; 5) integrate trauma-informed approaches; 6) establish a clear operational definition; 7) establish and share policies and procedures; 8) certify; 9) promote evidence-based practices; and 10) evaluate program effectiveness.\u003c/p\u003e \u003cp\u003eSt. Matthew\u0026rsquo;s House\u0026reg; Justin\u0026rsquo;s Place\u0026reg; Recovery Program (JPRP) is a recovery housing program for persons with SUDs that opened in 2010 in southwest Florida. The JPRP contains 154 beds for residents and comprises three recovery support tracks completed over the course of 12 months. The first recovery support track, Motivational Track, lasts approximately four weeks and consists of substance withdrawal management, crisis stabilization, health screening, mental health evaluation, work therapy, identification document acquisition, homeless community service, personal recovery community establishment, and addressing powerlessness. Discovery Track, the second phase, lasts eight months and consists of relapse prevention, spirituality curriculum and associated activities, cognitive behavioral therapy, motivational enhancement, work therapy, 12-step meetings, and physical health and mental health treatment. The third phase, Transitional Track, lasts three months and includes workforce development training, paid part-time work, continued spirituality curriculum and activities, and financial management classes. At the end of the 12-month JPRP, residents are offered alumni engagement opportunities. For up to two years after graduation, resident alumni can enroll in the JPRP Recovery for Life program to continue living on campus, obtain full-time employment, maintain church attendance and small group meetings, continue case management and health assessments, and access further employment training and opportunities.\u003c/p\u003e \u003cp\u003eThe purpose of this study was to determine whether resident retention, resumption of substance use, engagement in family relationship restoration, and acquisition of employment were associated with JPRP completion.\u003c/p\u003e"},{"header":"Methods","content":"\u003cp\u003eSetting\u003c/p\u003e \u003cp\u003eWe conducted a retrospective quantitative evaluation of the JPRP. The University of Kentucky\u0026rsquo;s Institutional Review Board approved the study through protocol #96709. Secondary quantitative data were collected from January 1, 2022-August 31, 2024.\u003c/p\u003e \u003cp\u003eParticipants\u003c/p\u003e \u003cp\u003eStudy participants were defined as individuals who were accepted into the JPRP program, deemed as \u0026ldquo;residents\u0026rdquo;, and who stayed for at least one day. JPRP residents were at least 18 years of age with a SUD (including alcohol, opioids, or stimulants). Individuals were excluded from the JPRP program and subsequent study if they 1) did not have a SUD; 2) were on medication for SUD with the exception of naltrexone; or 3) were under 18 years of age.\u003c/p\u003e \u003cp\u003eStudy Procedures\u003c/p\u003e \u003cp\u003eSecondary quantitative data from residents with a JPRP Motivational Track intake date from January 1, 2022-September 30, 2024 were included in this study. Since JPRP is a 12-month program, resident data collection ended on approximately September 30, 2024. To assess long-term recovery impacts, secondary alumni data were available to analyze for those who graduated JPRP from January 1, 2023-September 30, 2024, and elected to become an engaged alumnus. Final evaluation study resident data included all residents who were admitted to the JPRP and 1) graduated, 2) received an allowable discharge, or 3) received an unallowable discharge.\u003c/p\u003e \u003cp\u003eQuantitative data sources included resident data from the organization\u0026rsquo;s missionTracker\u0026reg; software database, alumni documentation data, and JPRP data reports. To obtain resident data from the missionTracker\u0026reg; resident software database, the study team reviewed existing data fields within the missionTracker\u0026reg; software. The study team requested the applicable data fields for analysis from JPRP staff, who provided the requested JPRP admissions record data for all eligible residents.\u003c/p\u003e \u003cp\u003eStudy data included resident demographics (age, gender, race, education), employment and income information, employment resources, legal status, health status, resident\u0026rsquo;s drug of choice, number of days retained in each JPRP track, JPRP outcome data (employment resources, employment acquisition, spiritual improvement, and referrals), and JPRP discharge reason.\u003c/p\u003e \u003cp\u003eJPRP alumni data were obtained from JPRP staff. Alumni data included the resident\u0026rsquo;s graduation date, their level of engagement in JPRP alumni events, return to use and relinkage to recovery support services data, and JPRP reintegration data if return to use occurred. Mortality and incarceration status of JPRP alumni were also documented.\u003c/p\u003e \u003cp\u003eThe following definitions were used to identify disallowable discharge, allowable discharge, and JPRP completion:\u003c/p\u003e \u003cp\u003e\u003col\u003e\u003cspan\u003e\u003cli\u003e\u003cp\u003e\u003cspan type=\"Underline\" class=\"Underline\" name=\"Emphasis\"\u003eDisallowable Discharge\u003c/span\u003e: \"Arrested\", \"Did not like JPRP rules and left\", \"Did not return\", \"Did not like the rules and left\", \"Did not return at all\", \"Failed drug/alcohol test\", \"Failed a drug screening\", \"Fighting\", \"Non-compliant with JPRP Rules\", \"Other\", \"Other unapproved reason\", \"Threatened, attacked, or assaulted staff\", \"Was arrested or is in jail\u0026rdquo;, \"Was noncompliant with JPRP rules\u0026rdquo;, \"Was not appropriate for JPRP\", \"Went to residential treatment facility\", \"Went to the hospital or detox\", \"Found another place to stay\", \"Probation needs adjusted\", \u0026ldquo;Left to be with family\u0026rdquo; (and days stayed\u0026thinsp;\u0026lt;\u0026thinsp;290 days), \u0026ldquo;Left to be with girlfriend\u0026rdquo; (and days stayed\u0026thinsp;\u0026lt;\u0026thinsp;290 days)\u003c/p\u003e\u003c/li\u003e\u003c/span\u003e\u003cspan\u003e\u003cli\u003e\u003cp\u003e\u003cspan type=\"Underline\" class=\"Underline\" name=\"Emphasis\"\u003eAllowable Discharge\u003c/span\u003e: \"Other approved reason\", \"Transfer to other St. Matthew\u0026rsquo;s House facility\", \"Transfer\", \"Medical\", \"Needed help St. Matthew's could not give\", \u0026ldquo;Left to be with family\u0026rdquo; (and days stayed\u0026thinsp;\u0026gt;\u0026thinsp;290 days), \u0026ldquo;Left to be with girlfriend\u0026rdquo; (and days stayed\u0026thinsp;\u0026gt;\u0026thinsp;290 days)\u003c/p\u003e\u003c/li\u003e\u003c/span\u003e\u003cspan\u003e\u003cli\u003e\u003cp\u003e\u003cspan type=\"Underline\" class=\"Underline\" name=\"Emphasis\"\u003eJPRP Completion\u003c/span\u003e: \"Graduated\", \"Successfully completed\", \"Completed the JPRP\"\u003c/p\u003e\u003c/li\u003e\u003c/span\u003e\u003c/ol\u003e\u003c/p\u003e \u003cp\u003eCounts and frequencies were calculated to assess resident demographic characteristics, resident programmatic characteristics, and alumni outcomes. Two-sided t-tests were performed to test for the significance of differences in resident outcomes related to employment readiness, employment status, housing status, family relationships, and alumni status at intake and JPRP completion. Holm\u0026rsquo;s multiple hypothesis test corrections were employed to correct for inflated Type 1 error rates arising from multiple hypothesis tests (Holm, \u003cspan citationid=\"CR7\" class=\"CitationRef\"\u003e1979\u003c/span\u003e).\u003c/p\u003e \u003cp\u003eLogistic regression was utilized to determine the important resident and programmatic variables associated with the odds a resident successfully completed the JPRP. Odds ratios from the logistic regression were reported in addition to 95% confidence intervals. All quantitative analysis was conducted in Stata 18.0.\u003c/p\u003e"},{"header":"Results","content":"\u003cp\u003eThere were 447 residents included in the final study. The majority of residents were between the ages of 25 to 44 (57%), male (80%), and white (80%) (Table\u0026nbsp;\u003cspan refid=\"Tab1\" class=\"InternalRef\"\u003e1\u003c/span\u003e). Less than one-half of the residents (42%) had a high school diploma/GED, and few (13%) had a college degree. Few residents had any income source (16%) or received Social Security income (11%) at the start of the JPRP. Approximately 38% of the residents had health insurance. Almost one-half of the residents had a history of criminal justice involvement, with 40% being on probation and 30% having pending legal action. One-quarter of the residents had a co-occurring mental health condition. For primary drug of choice used prior to JPRP entry, one-quarter reported using alcohol (28%) or methamphetamine (26%), 11% used cocaine, 10% used opioids, and 8% used fentanyl.\u003c/p\u003e \u003cp\u003e \u003cdiv class=\"gridtable\"\u003e\u003ctable float=\"Yes\" id=\"Tab1\" border=\"1\"\u003e \u003ccaption language=\"En\"\u003e \u003cdiv class=\"CaptionNumber\"\u003eTable 1\u003c/div\u003e \u003cdiv class=\"CaptionContent\"\u003e \u003cp\u003eSt. Matthew\u0026rsquo;s House\u0026reg; Justin\u0026rsquo;s Place\u0026reg; Recovery Program Resident Demographics at Intake\u003c/p\u003e \u003c/div\u003e \u003c/caption\u003e \u003ccolgroup cols=\"2\"\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c1\" colnum=\"1\"\u003e\u003c/div\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c2\" colnum=\"2\"\u003e\u003c/div\u003e \u003cthead\u003e \u003ctr\u003e \u003cth align=\"left\" colname=\"c1\"\u003e \u003cp\u003eDemographic Variable\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c2\"\u003e \u003cp\u003en (%)\u003c/p\u003e \u003c/th\u003e \u003c/tr\u003e \u003c/thead\u003e \u003ctbody\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eNumber Enrolled in St. Matthew\u0026rsquo;s House\u0026reg; Program at Intake\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e447 (100%)\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eAge (in years)\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e18\u0026ndash;24\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e22 (5%)\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e25\u0026ndash;34\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e105 (23%)\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e35\u0026ndash;44\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e154 (34%)\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e45\u0026ndash;54\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e84 (19%)\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e55+\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e82 (18%)\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eGender\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eFemale\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e62 (14%)\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eMale\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e385 (86%)\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eRace/Ethnicity\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eWhite\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e358 (80%)\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eBlack, African American, or African\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e52 (12%)\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eHispanic\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e32 (7%)\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eAsian\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e3 (1%)\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eOther\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e2 (\u0026lt;\u0026thinsp;1%)\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eHighest Level of Education\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eHigh school diploma\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e189 (42%)\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eCollege degree\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e59 (13%)\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eLess than high school\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e199 (45%)\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eIncome and Benefits\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eHas any income source\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e70 (16%)\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eReceives Social Security Income\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e49 (11%)\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eHas health insurance\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e169 (38%)\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eOther Background\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eVeteran\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e17 (4%)\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eLegal Status\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eOn Probation\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e180 (40%)\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eHas pending legal action\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e132 (30%)\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eHealth Status\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eHas a chronic health condition\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e67 (15%)\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eHas a physical disability\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e40 (9%)\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eHas a developmental disability\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e13 (3%)\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eHIV/AIDs\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e11 (2%)\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eHas a mental health disorder\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e111 (25%)\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eHas a communicable disease\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e45 (10%)\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eHas a disabling condition\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e36 (8%)\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003ePrimary Drug of Choice\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eAlcohol\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e126 (28%)\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eBenzodiazepines\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e4 (1%)\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eCocaine\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e48 (11%)\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eFentanyl\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e37 (8%)\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eHeroin\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e13 (3%)\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eCannabis\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e16 (4%)\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eMeth\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e118 (26%)\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eMultiple Substances\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e8 (2%)\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eOpioids\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e45 (10%)\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eMDMA\u003csup\u003eΔ\u003c/sup\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e3 (1%)\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eUnknown\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e27 (6%)\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003c/tbody\u003e \u003c/colgroup\u003e \u003ctfoot\u003e \u003ctr\u003e\u003ctd colspan=\"2\"\u003e\u003csup\u003eΔ\u003c/sup\u003e 3,4-Methylenedioxymethamphetamine\u003c/td\u003e\u003c/tr\u003e \u003ctr\u003e\u003ctd colspan=\"2\"\u003eJPRP Resident Programmatic Characteristics\u003c/td\u003e\u003c/tr\u003e \u003c/tfoot\u003e \u003c/table\u003e\u003c/div\u003e \u003c/p\u003e \u003cp\u003eIn terms of programmatic characteristics, 43% of residents were provided a referral to another agency while enrolled in the JPRP and 51% obtained all necessary identification (ID) like a state ID card, social security card, or birth certificate to gain employment (Table\u0026nbsp;\u003cspan refid=\"Tab2\" class=\"InternalRef\"\u003e2\u003c/span\u003e); at intake, most residents had at least one identification card to support employment readiness, with 61% having a photo ID card and 88% having a Social Security card. Approximately one-half (51%) of the JPRP residents were actively engaged in their case management plan. One resident died while in the JPRP and one resident was incarcerated while in the JPRP.\u003c/p\u003e \u003cp\u003e \u003cdiv class=\"gridtable\"\u003e\u003ctable float=\"Yes\" id=\"Tab2\" border=\"1\"\u003e \u003ccaption language=\"En\"\u003e \u003cdiv class=\"CaptionNumber\"\u003eTable 2\u003c/div\u003e \u003cdiv class=\"CaptionContent\"\u003e \u003cp\u003eSt. Matthew\u0026rsquo;s House\u0026reg; Justin\u0026rsquo;s Place\u0026reg; Recovery Program Resident Programmatic Characteristics\u003c/p\u003e \u003c/div\u003e \u003c/caption\u003e \u003ccolgroup cols=\"2\"\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c1\" colnum=\"1\"\u003e\u003c/div\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c2\" colnum=\"2\"\u003e\u003c/div\u003e \u003cthead\u003e \u003ctr\u003e \u003cth align=\"left\" colname=\"c1\"\u003e \u003cp\u003eProgrammatic Variable\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c2\"\u003e \u003cp\u003eN\u0026thinsp;=\u0026thinsp;477 (%)\u003c/p\u003e \u003c/th\u003e \u003c/tr\u003e \u003c/thead\u003e \u003ctbody\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u0026ldquo;provided a referral to another agency while in our care\u0026rdquo; at least once\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e191 (43%)\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u0026ldquo;obtained the necessary identification (state ID, Social Security card, birth certificate, etc.) to gain employment\u0026rdquo;\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e230 (51%)\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eRecovery Management Plan Goals (\u0026ldquo;actively engaged in their case plan, which is evidenced by meeting their goals and participation in case management\u0026rdquo;)\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e230 (51%)\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e217 (49%)\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eDeceased while in program (reason for leaving)\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e1 (0.2%)\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eIncarcerated while in program (reason for leaving)\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e1 (0.2%)\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eTotal\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e447\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003c/tbody\u003e \u003c/colgroup\u003e \u003c/table\u003e\u003c/div\u003e \u003c/p\u003e \u003cp\u003eOutcomes of the JPRP\u003c/p\u003e \u003cp\u003eRecovery capital can be defined as the resources internal and external to an individual that can be drawn upon to initiate and sustain recovery from SUD (Cloud \u0026amp; Granfield, \u003cspan citationid=\"CR3\" class=\"CitationRef\"\u003e2008\u003c/span\u003e). Factors associated with the building of recovery capital were assessed for all residents in the JPRP and residents that successfully completed the JPRP (Table\u0026nbsp;\u003cspan refid=\"Tab3\" class=\"InternalRef\"\u003e3\u003c/span\u003e). At intake, 67% of residents indicated being unhoused and 16% of residents indicated being chronically unhoused. No resident was employed at the time of JPRP intake. While in the JPRP, 3% of residents had a recurrence of substance use. Of those that had a recurrence of substance use while in the JPRP, all were relinked to care following their recurrence.\u003c/p\u003e \u003cp\u003eRegarding 12-month retention, 155 residents successfully completed the JPRP and graduated, which represents a 35% 12-month retention rate, 8% were discharged for an allowable reason, and 57% were discharged for a disallowable reason. The average length of stay across all residents was 176 days.\u003c/p\u003e \u003cp\u003eOf the residents that successfully completed the JPRP and graduated, 95% had obtained an ID card and a Social Security card at JPRP completion. All the residents that completed the JPRP were housed at JPRP completion, and 89% were employed at JPRP completion. Residents also indicated spiritual growth while in the JPRP (95%) at JPRP completion. Of JPRP graduates, 64% were active alumni after graduation.\u003c/p\u003e \u003cp\u003e \u003cdiv class=\"gridtable\"\u003e\u003ctable float=\"Yes\" id=\"Tab3\" border=\"1\"\u003e \u003ccaption language=\"En\"\u003e \u003cdiv class=\"CaptionNumber\"\u003eTable 3\u003c/div\u003e \u003cdiv class=\"CaptionContent\"\u003e \u003cp\u003eSt. Matthew\u0026rsquo;s House\u0026reg; Justin\u0026rsquo;s Place\u0026reg; Recovery Program Resident Recovery Capital Assessment at Intake and Completion\u003c/p\u003e \u003c/div\u003e \u003c/caption\u003e \u003ccolgroup cols=\"3\"\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c1\" colnum=\"1\"\u003e\u003c/div\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c2\" colnum=\"2\"\u003e\u003c/div\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c3\" colnum=\"3\"\u003e\u003c/div\u003e \u003cthead\u003e \u003ctr\u003e \u003cth align=\"left\" colname=\"c1\"\u003e \u003cp\u003eRecovery Capital Variable\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c2\"\u003e \u003cp\u003eIntake\u003c/p\u003e \u003cp\u003en (%)\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c3\"\u003e \u003cp\u003eProgram Completion\u003c/p\u003e \u003cp\u003en (%)\u003c/p\u003e \u003c/th\u003e \u003c/tr\u003e \u003ctr\u003e \u003cth align=\"left\" colname=\"c1\"\u003e \u003cp\u003eNumber of Individuals\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c2\"\u003e \u003cp\u003e447 (100%)\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c3\"\u003e \u003cp\u003e155 (35%)\u003c/p\u003e \u003c/th\u003e \u003c/tr\u003e \u003ctr\u003e \u003cth align=\"left\" colname=\"c1\"\u003e \u003cp\u003eEmployment Readiness Resources\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c2\"\u003e\u0026nbsp;\u003c/th\u003e \u003cth align=\"left\" colname=\"c3\"\u003e\u0026nbsp;\u003c/th\u003e \u003c/tr\u003e \u003c/thead\u003e \u003ctbody\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eHas ID\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e272 (61%)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e148 (95%)\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eHas a Social Security card\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e392 (88%)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e148 (95%)\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eHousing History\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eHomeless at intake\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e299 (67%)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e95 (61%)\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eHomelessness is chronic\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e72 (16%)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e15 (10%)\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eHoused at graduation\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003eN/A\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e155 (100%)\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eEmployment\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eEmployed\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e0 (0%)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e138 (89%)\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eReligious Spirituality\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003eN/A\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e147 (95%)\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003eN/A\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e8 (5%)\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003ePositive Family Relationship Restoration\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003en\u0026thinsp;=\u0026thinsp;105\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003eN/A\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e104 (99%)\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003eN/A\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e1 (1%)\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eLength of Stay (mean days)\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e175.56 days\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eRecurrence of Substance Use\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e14 (3%)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003eN/A\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e433 (97%)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003eN/A\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eRetention\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eAllowable discharge\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e36 (8%)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003eN/A\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eDisallowable discharge from program\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e255 (57%)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003eN/A\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eRetained at program completion\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e155 (35%)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003eN/A\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eActive Alumni Status (n\u0026thinsp;=\u0026thinsp;132 Program Grads)\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003eN/A\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e92 (59%)\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003eN/A\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e63 (41%)\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eCriminal Justice Involvement (probation)\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e180 (40%)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003eN/A\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e267 (60%)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003eN/A\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eRelinkage to SUD Treatment if Recurrence of Substance Use\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e14 (3%)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e0 (0%)\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e433 (97%)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e0 (0%)\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eRecovery Management Plan Goals\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e230 (51%)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e146 (94%)\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e217 (49%)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e9 (6%)\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003c/tbody\u003e \u003c/colgroup\u003e \u003c/table\u003e\u003c/div\u003e \u003c/p\u003e\n\u003cp\u003eN/A = data not available\u003c/p\u003e\n\u003cp\u003eThe resident retention rate within the individual JPRP tracks and the overall JPRP retention rate were calculated. Of the 447 residents who were enrolled in the JPRP during the study period, 68% of residents were still enrolled in Discovery Track (approximately 30 days), 38% were enrolled in Transitional Track (approximately 270 days) and 35% graduated from the JPRP (Table\u0026nbsp;\u003cspan refid=\"Tab4\" class=\"InternalRef\"\u003e4\u003c/span\u003e). The Motivational Track is considered to be the \u0026lsquo;initiation phase\u0026rsquo; of the JPRP. At the end of the Motivational Track, the Discovery Track is considered to be the \u0026ldquo;engagement phase\u0026rsquo;; 302 residents (100%) were engaged in JPRP using day 1 of the Discovery Track as the denominator. Six months and after in a recovery housing program is considered to be the \u0026ldquo;retention phase\u0026rdquo;. If the six-month \u0026ldquo;retention phase\u0026rdquo; endpoint is used (typical of recovery housing retention rate calculations) the six-month JPRP retention rate was 63%. Since JPRP is a 12-month program, the 12-month retention rate was 1) 51% based on the number of residents who were engaged in the JPRP (Discovery Track) or 2) 35% based on the number who initiated the JPRP (Motivational Track).\u003c/p\u003e \u003cp\u003e \u003cdiv class=\"gridtable\"\u003e\u003ctable float=\"Yes\" id=\"Tab4\" border=\"1\"\u003e \u003ccaption language=\"En\"\u003e \u003cdiv class=\"CaptionNumber\"\u003eTable 4\u003c/div\u003e \u003cdiv class=\"CaptionContent\"\u003e \u003cp\u003eSt. Matthew\u0026rsquo;s House\u0026reg; Justin\u0026rsquo;s Place\u0026reg; Recovery Program Retention Rates at each Recovery Track\u003c/p\u003e \u003c/div\u003e \u003c/caption\u003e \u003ccolgroup cols=\"5\"\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c1\" colnum=\"1\"\u003e\u003c/div\u003e \u003cdiv align=\"char\" char=\".\" class=\"colspec\" colname=\"c2\" colnum=\"2\"\u003e\u003c/div\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c3\" colnum=\"3\"\u003e\u003c/div\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c4\" colnum=\"4\"\u003e\u003c/div\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c5\" colnum=\"5\"\u003e\u003c/div\u003e \u003cthead\u003e \u003ctr\u003e \u003cth align=\"left\" colname=\"c1\"\u003e \u003cp\u003eTime (Days)\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c2\"\u003e \u003cp\u003en\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c3\"\u003e \u003cp\u003e% of\u003c/p\u003e \u003cp\u003eBaseline Intake (Motivational Track)\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c4\"\u003e \u003cp\u003e% of Previous\u003c/p\u003e \u003cp\u003eTrack\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c5\"\u003e \u003cp\u003e% of Baseline Discovery Track\u003c/p\u003e \u003c/th\u003e \u003c/tr\u003e \u003c/thead\u003e \u003ctbody\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eNumber enrolled in Motivational Track (0 days)\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c2\"\u003e \u003cp\u003e447\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e100%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e100%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003en/a\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eNumber Enrolled in Discovery Track (~\u0026thinsp;31 days)\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c2\"\u003e \u003cp\u003e302\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e68%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e68%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e100%\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eNumber Enrolled at 6 Months (~\u0026thinsp;180 days)\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c2\"\u003e \u003cp\u003e190\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e43%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e63%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e63%\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eNumber Enrolled in Transitional Track (~\u0026thinsp;270 days)\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c2\"\u003e \u003cp\u003e170\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e38%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e89%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e56%\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eNumber Graduated from Recovery Program (~\u0026thinsp;365 days)\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c2\"\u003e \u003cp\u003e155\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e35%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e91%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e51%\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003c/tbody\u003e \u003c/colgroup\u003e \u003c/table\u003e\u003c/div\u003e \u003c/p\u003e \u003cp\u003eChanges in the proportion of JPRP residents that were employment ready, housed, employed, and had positive family restoration were examined at intake and at JPRP completion (Table\u0026nbsp;\u003cspan refid=\"Tab5\" class=\"InternalRef\"\u003e5\u003c/span\u003e). The proportion of residents who were employment ready (had necessary identification resources for employment) increased from 50% at JPRP intake to 95% at JPRP completion (\u003cem\u003et\u003c/em\u003e\u0026thinsp;=\u0026thinsp;11.26; 95% CI [0.372, 0.531]). The proportion of residents who were housed increased from 39% at JPRP intake to 100% at JPRP completion (\u003cem\u003et\u003c/em\u003e\u0026thinsp;=\u0026thinsp;15.62 [0.535, 0.690]), and the proportion of residents who were employed increased from 0% at JPRP intake to 89% at JPRP completion (\u003cem\u003et\u003c/em\u003e\u0026thinsp;=\u0026thinsp;35.36 [0.841, 0.940]). The proportion of residents with positive family relationships also increased from JPRP intake to JPRP completion, with 13% of residents having a positive family relationship at intake and 99% having a positive family relationship at JPRP completion (\u003cem\u003et\u003c/em\u003e\u0026thinsp;=\u0026thinsp;24.98 [0.789, 0.925]).\u003c/p\u003e \u003cp\u003e \u003cdiv class=\"gridtable\"\u003e\u003ctable float=\"Yes\" id=\"Tab5\" border=\"1\"\u003e \u003ccaption language=\"En\"\u003e \u003cdiv class=\"CaptionNumber\"\u003eTable 5\u003c/div\u003e \u003cdiv class=\"CaptionContent\"\u003e \u003cp\u003eSt. Matthew\u0026rsquo;s House\u0026reg; Justin\u0026rsquo;s Place\u0026reg; Recovery Program Changes in Assessment of Recovery Capital\u003c/p\u003e \u003c/div\u003e \u003c/caption\u003e \u003ccolgroup cols=\"5\"\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c1\" colnum=\"1\"\u003e\u003c/div\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c2\" colnum=\"2\"\u003e\u003c/div\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c3\" colnum=\"3\"\u003e\u003c/div\u003e \u003cdiv align=\"char\" char=\".\" class=\"colspec\" colname=\"c4\" colnum=\"4\"\u003e\u003c/div\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c5\" colnum=\"5\"\u003e\u003c/div\u003e \u003cthead\u003e \u003ctr\u003e \u003cth align=\"left\" colname=\"c1\"\u003e \u003cp\u003eFactor\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c2\"\u003e \u003cp\u003eIntake (%)\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c3\"\u003e \u003cp\u003eProgram Completion\u003csup\u003e1\u003c/sup\u003e (%)\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c4\"\u003e \u003cp\u003eTest Statistics (95% CI)\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c5\"\u003e \u003cp\u003e\u003cem\u003ep\u003c/em\u003e-value\u003c/p\u003e \u003c/th\u003e \u003c/tr\u003e \u003c/thead\u003e \u003ctbody\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eEmployment Ready\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e50%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e95%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e11.26 (0.372, 0.531)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e\u003cem\u003ep\u003c/em\u003e\u0026thinsp;\u0026lt;\u0026thinsp;0.01\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eHoused\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e39%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e100%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e15.62 (0.535, 0.690)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e\u003cem\u003ep\u003c/em\u003e\u0026thinsp;\u0026lt;\u0026thinsp;0.01\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eEmployed\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e0%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e89%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e35.36 (0.841, 0.940)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e\u003cem\u003ep\u003c/em\u003e\u0026thinsp;\u0026lt;\u0026thinsp;0.01\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003ePositive Family Relationship Restoration\u003csup\u003e2\u003c/sup\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e13%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e98%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e24.05 (0.777, 0.918)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e\u003cem\u003ep\u003c/em\u003e\u0026thinsp;\u0026lt;\u0026thinsp;0.01\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eActive Alumni Status\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e0%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e59%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e15.00 (0.515, 0.672)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e\u003cem\u003ep\u003c/em\u003e\u0026thinsp;\u0026lt;\u0026thinsp;0.01\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003c/tbody\u003e \u003c/colgroup\u003e \u003ctfoot\u003e \u003ctr\u003e\u003ctd colspan=\"5\"\u003e\u003csup\u003e1\u003c/sup\u003en=155\u003c/td\u003e\u003c/tr\u003e \u003c/tfoot\u003e \u003c/table\u003e\u003c/div\u003e \u003c/p\u003e \u003cp\u003e \u003csup\u003e2\u003c/sup\u003eComplete data were available for n\u0026thinsp;=\u0026thinsp;105.\u003c/p\u003e \u003cp\u003eThe factors associated with successful JPRP completion were determined using a logistic regression model. Having a criminal justice association (i.e., being on probation) at JPRP intake, participating in case management, and gaining employment while in the JPRP were associated with higher odds of successful JPRP completion (Table\u0026nbsp;\u003cspan refid=\"Tab6\" class=\"InternalRef\"\u003e6\u003c/span\u003e).\u003c/p\u003e \u003cp\u003e \u003cdiv class=\"gridtable\"\u003e\u003ctable float=\"Yes\" id=\"Tab6\" border=\"1\"\u003e \u003ccaption language=\"En\"\u003e \u003cdiv class=\"CaptionNumber\"\u003eTable 6\u003c/div\u003e \u003cdiv class=\"CaptionContent\"\u003e \u003cp\u003eDeterminants of Successful St. Matthew\u0026rsquo;s House\u0026reg; Justin\u0026rsquo;s Place\u0026reg; Recovery Program Completion Estimated Using Logistic Regression\u003c/p\u003e \u003c/div\u003e \u003c/caption\u003e \u003ccolgroup cols=\"4\"\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c1\" colnum=\"1\"\u003e\u003c/div\u003e \u003cdiv align=\"char\" char=\".\" class=\"colspec\" colname=\"c2\" colnum=\"2\"\u003e\u003c/div\u003e \u003cdiv align=\"char\" char=\".\" class=\"colspec\" colname=\"c3\" colnum=\"3\"\u003e\u003c/div\u003e \u003cdiv align=\"char\" char=\".\" class=\"colspec\" colname=\"c4\" colnum=\"4\"\u003e\u003c/div\u003e \u003cthead\u003e \u003ctr\u003e \u003cth align=\"left\" colname=\"c1\"\u003e \u003cp\u003eSuccessful Completion\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c2\"\u003e \u003cp\u003eOdds Ratio\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colspan=\"2\" nameend=\"c4\" namest=\"c3\"\u003e \u003cp\u003e95% C.I.\u003c/p\u003e \u003c/th\u003e \u003c/tr\u003e \u003c/thead\u003e \u003ctbody\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eAge 45 or Older\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c2\"\u003e \u003cp\u003e0.991\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e0.427\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e2.301\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eFemale\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c2\"\u003e \u003cp\u003e1.941\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e0.652\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e5.774\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eWhite\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c2\"\u003e \u003cp\u003e1.569\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e0.63\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e3.909\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eOn Probation*\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c2\"\u003e \u003cp\u003e3.355\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e1.479\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e7.61\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eMental Health Condition\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c2\"\u003e \u003cp\u003e0.579\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e0.243\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e1.38\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eDrug of Choice \u0026ndash; Opioids\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c2\"\u003e \u003cp\u003e1.186\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e0.399\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e3.528\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eDrug of Choice \u0026ndash; Meth\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c2\"\u003e \u003cp\u003e1.182\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e0.426\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e3.281\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eDrug of Choice \u0026ndash; Alcohol\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c2\"\u003e \u003cp\u003e1.352\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e0.469\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e3.901\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eParticipated in Case Management**\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c2\"\u003e \u003cp\u003e9.472\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e3.822\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e23.476\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eEmployed**\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c2\"\u003e \u003cp\u003e58.856\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e26.087\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e132.791\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003c/tbody\u003e \u003c/colgroup\u003e \u003ctfoot\u003e \u003ctr\u003e\u003ctd colspan=\"4\"\u003e*\u003cem\u003ep\u003c/em\u003e\u0026thinsp;\u0026lt;\u0026thinsp;.01, **\u003cem\u003ep\u003c/em\u003e\u0026thinsp;\u0026lt;\u0026thinsp;.001\u003c/td\u003e\u003c/tr\u003e \u003c/tfoot\u003e \u003c/table\u003e\u003c/div\u003e \u003c/p\u003e \u003cp\u003eThe characteristics of residents who were discharged for an unallowable reason were assessed (data not shown). There were no significant differences between resident disallowable reason and resident allowable reason proportions across age, gender, race, education, housing status, legal status, and drug of choice after multiple hypothesis test corrections were applied. However, the proportion of employed residents was significantly different between those discharged for unallowable reasons and those discharged for allowable reasons. Residents who were discharged for unallowable reasons were more likely to be unemployed compared to those residents who completed the JPRP or were discharged for allowable reasons (χ\u003csup\u003e2\u003c/sup\u003e\u0026thinsp;=\u0026thinsp;207.52; \u003cem\u003ecorrected p\u003c/em\u003e\u0026thinsp;\u0026lt;\u0026thinsp;0.001). Individuals whose primary drug of choice was opioids had higher odds for an unallowable discharge, but when Holm\u0026rsquo;s multiple hypothesis test corrections were employed, that factor was no longer significant (data not shown). Table\u0026nbsp;\u003cspan refid=\"Tab7\" class=\"InternalRef\"\u003e7\u003c/span\u003e shows the factors associated with being discharged from the JPRP for an unallowable reason. Engaging in case management activities and gaining employment while in the JPRP were associated with lower odds of being discharged from the JPRP for an unallowable reason (Table\u0026nbsp;\u003cspan refid=\"Tab7\" class=\"InternalRef\"\u003e7\u003c/span\u003e).\u003c/p\u003e \u003cp\u003e \u003cdiv class=\"gridtable\"\u003e\u003ctable float=\"Yes\" id=\"Tab7\" border=\"1\"\u003e \u003ccaption language=\"En\"\u003e \u003cdiv class=\"CaptionNumber\"\u003eTable 7\u003c/div\u003e \u003cdiv class=\"CaptionContent\"\u003e \u003cp\u003eDeterminants of St. Matthew\u0026rsquo;s House\u0026reg; Justin\u0026rsquo;s Place\u0026reg; Recovery Program Unallowable Discharges Estimated Using Logistic Regression\u003c/p\u003e \u003c/div\u003e \u003c/caption\u003e \u003ccolgroup cols=\"4\"\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c1\" colnum=\"1\"\u003e\u003c/div\u003e \u003cdiv align=\"char\" char=\".\" class=\"colspec\" colname=\"c2\" colnum=\"2\"\u003e\u003c/div\u003e \u003cdiv align=\"char\" char=\".\" class=\"colspec\" colname=\"c3\" colnum=\"3\"\u003e\u003c/div\u003e \u003cdiv align=\"char\" char=\".\" class=\"colspec\" colname=\"c4\" colnum=\"4\"\u003e\u003c/div\u003e \u003cthead\u003e \u003ctr\u003e \u003cth align=\"left\" colname=\"c1\"\u003e \u003cp\u003eUnallowable Discharge\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c2\"\u003e \u003cp\u003eOdds Ratio\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colspan=\"2\" nameend=\"c4\" namest=\"c3\"\u003e \u003cp\u003e95% C.I\u003c/p\u003e \u003c/th\u003e \u003c/tr\u003e \u003c/thead\u003e \u003ctbody\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eAge 45 or Older\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c2\"\u003e \u003cp\u003e0.805\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e0.440\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e1.475\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eFemale\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c2\"\u003e \u003cp\u003e0.858\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e0.386\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e1.910\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eWhite*\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c2\"\u003e \u003cp\u003e0.443\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e0.212\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e0.925\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eOn Probation\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c2\"\u003e \u003cp\u003e0.761\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e0.435\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e1.330\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eMental Health Condition\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c2\"\u003e \u003cp\u003e0.801\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e0.424\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e1.512\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eDrug of Choice \u0026ndash; Opioids\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c2\"\u003e \u003cp\u003e0.774\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e0.340\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e1.764\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eDrug of Choice \u0026ndash; Meth\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c2\"\u003e \u003cp\u003e0.858\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e0.402\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e1.830\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eDrug of Choice \u0026ndash; Alcohol\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c2\"\u003e \u003cp\u003e1.054\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e0.483\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e2.300\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eParticipated in Case Management**\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c2\"\u003e \u003cp\u003e0.285\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e0.159\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e0.513\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eEmployed**\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c2\"\u003e \u003cp\u003e0.053\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e0.028\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e0.102\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003c/tbody\u003e \u003c/colgroup\u003e \u003ctfoot\u003e \u003ctr\u003e\u003ctd colspan=\"4\"\u003e*\u003cem\u003ep\u003c/em\u003e\u0026thinsp;\u0026lt;\u0026thinsp;.05, **\u003cem\u003ep\u003c/em\u003e\u0026thinsp;\u0026lt;\u0026thinsp;0.001\u003c/td\u003e\u003c/tr\u003e \u003c/tfoot\u003e \u003c/table\u003e\u003c/div\u003e \u003c/p\u003e \u003cp\u003eJPRP alumni outcomes were examined (Table\u0026nbsp;\u003cspan refid=\"Tab8\" class=\"InternalRef\"\u003e8\u003c/span\u003e). Of the residents who successfully completed the JPRP (n\u0026thinsp;=\u0026thinsp;155), 59% were actively engaged alumni. The majority of the residents that completed the JPRP (76%) had not returned to use. Of the alumni who had a recurrence of substance use, 10% were subsequently substance-use free, 6% were reintegrated back into the JPRP, and 6% were offered reintegration but did not re-engage with services. Of the 92 active alumni, one alumnus died and two were incarcerated.\u003c/p\u003e \u003cp\u003e \u003cdiv class=\"gridtable\"\u003e\u003ctable float=\"Yes\" id=\"Tab8\" border=\"1\"\u003e \u003ccaption language=\"En\"\u003e \u003cdiv class=\"CaptionNumber\"\u003eTable 8\u003c/div\u003e \u003cdiv class=\"CaptionContent\"\u003e \u003cp\u003eSt. Matthew\u0026rsquo;s House\u0026reg; Justin\u0026rsquo;s Place\u0026reg; Recovery Program Alumni Outcomes\u003c/p\u003e \u003c/div\u003e \u003c/caption\u003e \u003ccolgroup cols=\"2\"\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c1\" colnum=\"1\"\u003e\u003c/div\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c2\" colnum=\"2\"\u003e\u003c/div\u003e \u003cthead\u003e \u003ctr\u003e \u003cth align=\"left\" colname=\"c1\"\u003e \u003cp\u003eOutcome\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c2\"\u003e \u003cp\u003en (%)\u003c/p\u003e \u003c/th\u003e \u003c/tr\u003e \u003c/thead\u003e \u003ctbody\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eActively engaged\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e92 (59%)\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eNonreturn to use\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e118 (76%)\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eIf recurrence, now substance free?\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e15 (10%)\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eReintegration attempt\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e9 (6%)\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eReintegration success?\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e9 (6%)\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eDeath\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e1 (1%)\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eIncarceration\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e2 (1%)\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003c/tbody\u003e \u003c/colgroup\u003e \u003c/table\u003e\u003c/div\u003e \u003c/p\u003e"},{"header":"Discussion","content":"\u003cp\u003eThe results of this study show that the JPRP is effective in building recovery capital among residents and achieving long-term recovery of persons with SUDs. Obtaining employment, having access to regular case management, and being on probation were all associated with successful completion of the JPRP. Conversely, unallowable discharge from the JPRP was associated with low access to case management and unemployment. Over one-half of the JPRP residents became active engaged alumni once the 12-month JPRP ended and they graduated. As active alumni, over three-quarters of the residents maintained their long-term recovery and remained free of substance use.\u003c/p\u003e \u003cp\u003eWhile individuals whose primary drug of choice was opioids had higher odds for an unallowable discharge and this result was not statistically significant, the JPRP might consider the inclusion of additional interventions to address cravings such as medications for opioid use disorder (MOUD) and biofeedback within their recovery program to provide supplemental recovery support for their residents with opioid use disorders to reduce unallowable discharges.\u003c/p\u003e \u003cp\u003eJPRP residents had an average length of stay of 176 days (approximately six months), and the JPRP retention rate was 63% at 6 months (typical of recovery house retention rate calculations); 51% stayed through the 12-month completion of the JPRP (based on the number of residents who were engaged in the JPRP). Nearly all of the graduates were employed at the completion of the JPRP. In a study by Best et al. (\u003cspan citationid=\"CR1\" class=\"CitationRef\"\u003e2023\u003c/span\u003e) of 50 recovery houses in Virginia, the lack of employment services and not meeting mental health needs were associated with being a barrier to recovery and not being retained in recovery housing. A major recovery support offering of the JPRP is employment readiness and direct linkage to employment at the completion of the JPRP. The focus on preparing and linking persons with substance use disorder in recovery to employment opportunities is integral to building recovery capital and achieving and maintaining long-term recovery from substance use. JPRP also offers wrap-around community services for mental health treatment that are necessary for building recovery capital.\u003c/p\u003e \u003cp\u003eCase management was imperative for the achievement of long-term SUD recovery. In a meta- analysis by Vanderplasschen et al. (\u003cspan citationid=\"CR11\" class=\"CitationRef\"\u003e2019\u003c/span\u003e), the authors found that case management was associated with substance use disorder treatment retention and linkage with SUD recovery support services. Case managers\u0026rsquo; caseloads are recommended not to exceed 15\u0026ndash;30 residents maximum (Vanderplasschen et al., \u003cspan citationid=\"CR12\" class=\"CitationRef\"\u003e2004\u003c/span\u003e) and to include a team approach if the caseload is thought to be high at that level. Large programs like the JPRP may benefit by increased client engagement if the case manager caseload is lower since Broome et al. (\u003cspan citationid=\"CR2\" class=\"CitationRef\"\u003e2007\u003c/span\u003e) found that smaller case manager workloads were more engaging for clients in SUD treatment.\u003c/p\u003e \u003cp\u003eAlmost all of the residents with available family relationship restoration data formed lasting positive family relationships by the end of the JPRP. Help with restoring relationships was a major theme that emerged from interviews of women aged 25 to 65 in substance use recovery in a study by Gorvine et al. (\u003cspan citationid=\"CR6\" class=\"CitationRef\"\u003e2021\u003c/span\u003e). Das et al. (\u003cspan citationid=\"CR4\" class=\"CitationRef\"\u003e2024\u003c/span\u003e) found that disturbed family relationships were associated with SUD recovery relapse. Last, Pettersen et al. (\u003cspan citationid=\"CR8\" class=\"CitationRef\"\u003e2019\u003c/span\u003e) conducted semi-structured interviews with persons in recovery for at least five years and found that having a restorative relationship with a provider or a family member such as a sibling helped them to maintain their recovery.\u003c/p\u003e \u003cp\u003eProbation status was associated with JPRP completion. This finding is significant as St. Matthew\u0026rsquo;s House\u0026reg; JPRP fills a critical need of the corrections system to address and provide recovery housing to those involved with the criminal justice system with SUDs. Dewey et al. (\u003cspan citationid=\"CR5\" class=\"CitationRef\"\u003e2024\u003c/span\u003e) identified the lack of linkage between the criminal justice system and recovery houses as a barrier to recovery house access.\u003c/p\u003e \u003cp\u003eThere are a number of limitations of this research study. First, the study team did not have full access to all of the data fields within missionTracker\u0026reg;, therefore, potential additional factors to enhance and expand the research study could not be examined. Second, not all of the data fields were complete; alumni and family restoration data, as well as drug testing data, were not available for all residents. Third, there were limitations in the resident data collection process that could be due to inconsistent input of data by case managers, lack of training, or the cost of refining current data fields and adding new data fields.\u003c/p\u003e"},{"header":"Conclusions","content":"\u003cp\u003eBeing on probation at JPRP intake, participating in case management, and gaining employment while in the JPRP were associated with successful JPRP completion. The JPRP has been effective in supporting its residents to achieve and maintain long-term recovery from SUD. Their offerings of family restoration support, intensive case management, links to employment opportunities, and active alumni engagement have facilitated long-term recovery and reduced return to use.\u003c/p\u003e"},{"header":"Declarations","content":"\u003cp\u003e\u003cstrong\u003eEthics approval and consent to participate\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eEthics approval for this study was provided by the University of Kentucky Institutional Review Board with IRB determination of human subjects research (UK IRB Number 96709).\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eConsent for publication\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eNot applicable since this study utilized secondary data.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eAvailability of data and materials\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eThe datasets used and/or analyzed during the current study are available from the corresponding author on reasonable request.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eCompeting interests\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eFunding for this study was provided by the St. Matthew\u0026rsquo;s House\u0026reg;, which could gain or lose financially from the publication of the manuscript now or in the future. They provided input into the evaluation through the provision of data and St. Matthew\u0026rsquo;s House\u0026reg; processes and procedures but did not influence the evaluation findings and generation of the manuscript. Analysis and interpretation of findings are of the authors alone.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eFunding\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eProject funding was paid by St. Matthew\u0026rsquo;s House\u0026reg;.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eAuthors' contributions\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eTLB, RT, and MA wrote the main manuscript. EF contributed to the design of the study and review of the manuscript.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eAcknowledgments\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eThe authors would like to thank the residents, staff, and leadership at St. Matthew\u0026rsquo;s House\u0026reg; for their work and support in the preparation of this manuscript.\u003c/p\u003e"},{"header":"References","content":"\u003col\u003e\u003cli\u003e\u003cspan\u003eBest D, Sondhi A, Best J, Lehman J, Grimes A, Conner M, DeTriquet R. Using recovery capital to predict retention and change in recovery residences in Virginia, USA. Alcoholism Treat Q. 2023;41(2):250\u0026ndash;62. \u003cspan class=\"ExternalRef\"\u003e\u003cspan class=\"RefSource\"\u003e10.1080/07347324.2023.2182246\u003c/span\u003e\u003cspan address=\"10.1080/07347324.2023.2182246\" targettype=\"DOI\" class=\"RefTarget\"\u003e\u003c/span\u003e\u003c/span\u003e.\u003c/span\u003e\u003c/li\u003e \u003cli\u003e\u003cspan\u003eBroome KM, Flynn PM, Knight DK, Simpson DD. Program structure, staff perceptions, and client engagement in treatment. J Subst Abuse Treat. 2007;33(2):149\u0026ndash;58. \u003cspan class=\"ExternalRef\"\u003e\u003cspan class=\"RefSource\"\u003e10.1016/j.jsat.2006.12.030\u003c/span\u003e\u003cspan address=\"10.1016/j.jsat.2006.12.030\" targettype=\"DOI\" class=\"RefTarget\"\u003e\u003c/span\u003e\u003c/span\u003e. Epub 2007 Apr 16. PMID: 17434709; PMCID: PMC2140244.\u003c/span\u003e\u003c/li\u003e \u003cli\u003e\u003cspan\u003eCloud W, Granfield R. Conceptualizing recovery capital: expansion of a theoretical construct. Subst Use Misuse. 2008;43:12\u0026ndash;3. \u003cspan class=\"ExternalRef\"\u003e\u003cspan class=\"RefSource\"\u003e10.1080/10826080802289762\u003c/span\u003e\u003cspan address=\"10.1080/10826080802289762\" targettype=\"DOI\" class=\"RefTarget\"\u003e\u003c/span\u003e\u003c/span\u003e.\u003c/span\u003e\u003c/li\u003e \u003cli\u003e\u003cspan\u003eDas PR, Talukdar RR, Kumar CJ. Exploring the interplay of abstinence self-efficacy, locus of control, and perceived social support in substance use disorder recovery. Curr Med Res Opin. 2024;40(9):1625\u0026ndash;35. Epub 2024 Aug 12. PMID: 39115296.\u003c/span\u003e\u003c/li\u003e \u003cli\u003e\u003cspan\u003eDewey JM, Bell JS, Konchak JN, Hinami K, Watson DP. A lot of moving parts: Recovery home challenges linking and housing individuals with criminal legal system involvement. J Subst Use Addict Treat. 2024;166:209473. \u003cspan class=\"ExternalRef\"\u003e\u003cspan class=\"RefSource\"\u003e10.1016/j.josat.2024.209473\u003c/span\u003e\u003cspan address=\"10.1016/j.josat.2024.209473\" targettype=\"DOI\" class=\"RefTarget\"\u003e\u003c/span\u003e\u003c/span\u003e. Epub 2024 Aug 4. PMID: 39106919.\u003c/span\u003e\u003c/li\u003e \u003cli\u003e\u003cspan\u003eGorvine MM, Haynes TF, Marshall SA, Clark CJ, Lovelady NN, Zaller ND. A qualitative exploration of women's lives and resilience in substance use disorder recovery. Integr Med (Encinitas). 2021;20(3):20\u0026ndash;9. PMID: 34377097; PMCID: PMC8325504.\u003c/span\u003e\u003c/li\u003e \u003cli\u003e\u003cspan\u003eHolm SA. Sequentially rejective multiple test procedure. Scand J Stat. 1979;6(2):65\u0026ndash;70.\u003c/span\u003e\u003c/li\u003e \u003cli\u003e\u003cspan\u003ePettersen H, Landheim A, Skeie I, Biong S, Brodahl M, Oute J, Davidson L. How social relationships influence substance use disorder recovery: A collaborative narrative study. Substance abuse. 2019;13:1178221819833379. \u003cspan class=\"ExternalRef\"\u003e\u003cspan class=\"RefSource\"\u003e10.1177/1178221819833379\u003c/span\u003e\u003cspan address=\"10.1177/1178221819833379\" targettype=\"DOI\" class=\"RefTarget\"\u003e\u003c/span\u003e\u003c/span\u003e. PMID: 30886519; PMCID: PMC6410387.\u003c/span\u003e\u003c/li\u003e \u003cli\u003e\u003cspan\u003eSubstance Abuse and Mental Health Services Administration. 2023 Companion Infographic Report: Results from the 2021, 2022, and 2023 National Surveys on Drug Use and Health (SAMHSA Publication No. PEP24-07-020). Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration. 2024. \u003cspan class=\"ExternalRef\"\u003e\u003cspan class=\"RefSource\"\u003ehttps://www.samhsa.gov/data/report/2021-2022-2023-nsduh-infographic\u003c/span\u003e\u003cspan address=\"https://www.samhsa.gov/data/report/2021-2022-2023-nsduh-infographic\" targettype=\"URL\" class=\"RefTarget\"\u003e\u003c/span\u003e\u003c/span\u003e (2024). Accessed 19 May 2025.\u003c/span\u003e\u003c/li\u003e \u003cli\u003e\u003cspan\u003eSubstance Abuse and Mental Health Services Administration. Best Practices for Recovery Housing. Publication No. PEP23-10-00-002. Rockville, MD: Office of Recovery, Substance Abuse and Mental Health Services Administration. \u003cspan class=\"ExternalRef\"\u003e\u003cspan class=\"RefSource\"\u003ehttps://library.samhsa.gov/sites/default/files/pep23-10-00-002.pdf\u003c/span\u003e\u003cspan address=\"https://library.samhsa.gov/sites/default/files/pep23-10-00-002.pdf\" targettype=\"URL\" class=\"RefTarget\"\u003e\u003c/span\u003e\u003c/span\u003e (2023). Accessed 19 May 2025.\u003c/span\u003e\u003c/li\u003e \u003cli\u003e\u003cspan\u003eVanderplasschen W, Rapp RC, De Maeyer J, Van Den Noortgate W. A meta-analysis of the efficacy of case management for substance use disorders: A recovery perspective. Front Psychiatry. 2019;10:186. \u003cspan class=\"ExternalRef\"\u003e\u003cspan class=\"RefSource\"\u003e10.3389/fpsyt.2019.00186\u003c/span\u003e\u003cspan address=\"10.3389/fpsyt.2019.00186\" targettype=\"DOI\" class=\"RefTarget\"\u003e\u003c/span\u003e\u003c/span\u003e. PMID: 31057432; PMCID: PMC6477913.\u003c/span\u003e\u003c/li\u003e \u003cli\u003e\u003cspan\u003eVanderplasschen W, Rapp RC, Wolf JR, Broekaert E. The development and implementation of case management for substance use disorders in North America and Europe. Psychiatric Serv. 2004;55(8):913\u0026ndash;22. \u003cspan class=\"ExternalRef\"\u003e\u003cspan class=\"RefSource\"\u003e10.1176/appi.ps.55.8.913\u003c/span\u003e\u003cspan address=\"10.1176/appi.ps.55.8.913\" targettype=\"DOI\" class=\"RefTarget\"\u003e\u003c/span\u003e\u003c/span\u003e. PMID: 15292541; PMCID: PMC1994722.\u003c/span\u003e\u003c/li\u003e\u003c/ol\u003e"}],"fulltextSource":"","fullText":"","funders":[],"hasAdminPriorityOnWorkflow":false,"hasManuscriptDocX":true,"hasOptedInToPreprint":true,"hasPassedJournalQc":"","hasAnyPriority":false,"hideJournal":false,"highlight":"","institution":"","isAcceptedByJournal":true,"isAuthorSuppliedPdf":false,"isDeskRejected":"","isHiddenFromSearch":false,"isInQc":false,"isInWorkflow":false,"isPdf":false,"isPdfUpToDate":true,"isWithdrawnOrRetracted":false,"journal":{"display":true,"email":"[email protected]","identity":"substance-abuse-treatment-prevention-and-policy","isNatureJournal":false,"hasQc":true,"allowDirectSubmit":false,"externalIdentity":"satp","sideBox":"Learn more about [Substance Abuse Treatment, Prevention, and Policy](http://substanceabusepolicy.biomedcentral.com)","snPcode":"13011","submissionUrl":"https://submission.nature.com/new-submission/13011/3","title":"Substance Abuse Treatment, Prevention, and Policy","twitterHandle":"@BioMedCentral","acdcEnabled":true,"dfaEnabled":true,"editorialSystem":"em","reportingPortfolio":"BMC/SO AJ","inReviewEnabled":true,"inReviewRevisionsEnabled":true},"keywords":"recovery housing, employment, case management, family restoration, alumni engagement, retention, recovery capital","lastPublishedDoi":"10.21203/rs.3.rs-6812584/v1","lastPublishedDoiUrl":"https://doi.org/10.21203/rs.3.rs-6812584/v1","license":{"name":"CC BY 4.0","url":"https://creativecommons.org/licenses/by/4.0/"},"manuscriptAbstract":"\u003cp\u003e\u003cstrong\u003eBackground:\u003c/strong\u003e St. Matthew’s House® Justin’s Place® Recovery Program (JPRP) is a substance use disorder recovery housing program that employs Motivational, Discovery, and Transitional Tracks. This study examined whether resident retention, resumption of substance use, family relationship restoration, and acquisition of employment were associated with JPRP completion.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eMethods:\u003c/strong\u003e Secondary quantitative data were collected from January 1, 2022-August 31, 2024. Logistic regression was utilized to determine the resident and programmatic variables associated with the odds a resident successfully completed the JPRP. The study sample comprised individuals with a substance use disorder who were accepted into the JPRP program and who stayed for at least one day (n=447). Outcomes included employment readiness, employment status, housing status, family relationships, and alumni status at JPRP completion.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eResults:\u003c/strong\u003e Of the 447 residents enrolled in the JPRP during the study period, 68% were enrolled in Discovery Track (approximately 30 days), 38% were enrolled in Transitional Track (approximately 270 days), and 35% had graduated from the JPRP. Discovery Track is considered to be the “engagement phase”; 302 residents (100%) were engaged in JPRP using day 1 of the Discovery Track as the denominator, and the 12-month retention rate was 51% based on the number of residents engaged in Discovery Track, or 35% based on the number who initiated in Motivational Track. Being on probation at JPRP intake (OR 3.355; CI 1.479, 7.61), participating in case management (OR 9.47; CI 3.822, 23.476), and gaining employment while in the JPRP (OR 58.856; CI 26.087, 132.791) were associated with higher odds of successful JPRP completion. Engaging in case management activities (OR 0.285; CI 0.159, 0.513) and gaining employment while in the JPRP (OR 0.053; CI 0.028, 0.102) were associated with lower odds of being discharged from the JPRP for an unallowable reason.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eConclusion:\u003c/strong\u003e Being on probation at JPRP intake, participating in case management, and gaining employment while in the JPRP were associated with successful JPRP completion. The offerings of family restoration support, intensive case management, employment opportunities, and active alumni engagement have facilitated long-term recovery and reduced return to use.\u003c/p\u003e","manuscriptTitle":"Engagement and Retention in a Motivational, Discovery, and Transitional Track Based Substance Use Disorder Recovery Program: Evaluation, Facilitators and Barriers","msid":"","msnumber":"","nonDraftVersions":[{"code":1,"date":"2025-07-04 10:36:49","doi":"10.21203/rs.3.rs-6812584/v1","editorialEvents":[{"type":"communityComments","content":0},{"type":"decision","content":"Revision requested","date":"2025-08-04T13:51:28+00:00","index":"","fulltext":""},{"type":"editorInvitedReview","content":"","date":"2025-08-03T19:57:34+00:00","index":"hide","fulltext":""},{"type":"editorInvitedReview","content":"","date":"2025-07-19T19:50:08+00:00","index":"hide","fulltext":""},{"type":"reviewerAgreed","content":"269628364542291366259299476365626618156","date":"2025-07-13T14:29:08+00:00","index":"hide","fulltext":""},{"type":"reviewerAgreed","content":"62383711227320734772680152880445100024","date":"2025-07-10T13:15:27+00:00","index":"hide","fulltext":""},{"type":"reviewersInvited","content":"","date":"2025-07-02T14:13:22+00:00","index":"","fulltext":""},{"type":"editorAssigned","content":"","date":"2025-06-03T22:52:30+00:00","index":"","fulltext":""},{"type":"checksComplete","content":"","date":"2025-06-03T22:52:22+00:00","index":"","fulltext":""},{"type":"submitted","content":"Substance Abuse Treatment, Prevention, and Policy","date":"2025-06-03T14:51:05+00:00","index":"","fulltext":""}],"status":"published","journal":{"display":true,"email":"[email protected]","identity":"substance-abuse-treatment-prevention-and-policy","isNatureJournal":false,"hasQc":true,"allowDirectSubmit":false,"externalIdentity":"satp","sideBox":"Learn more about [Substance Abuse Treatment, Prevention, and Policy](http://substanceabusepolicy.biomedcentral.com)","snPcode":"13011","submissionUrl":"https://submission.nature.com/new-submission/13011/3","title":"Substance Abuse Treatment, Prevention, and Policy","twitterHandle":"@BioMedCentral","acdcEnabled":true,"dfaEnabled":true,"editorialSystem":"em","reportingPortfolio":"BMC/SO AJ","inReviewEnabled":true,"inReviewRevisionsEnabled":true}}],"origin":"","ownerIdentity":"47fd3750-e325-45ec-8f05-ae337fc8ab8c","owner":[],"postedDate":"July 4th, 2025","published":true,"recentEditorialEvents":[],"rejectedJournal":[],"revision":"","amendment":"","status":"published-in-journal","subjectAreas":[],"tags":[],"updatedAt":"2025-10-27T16:39:57+00:00","versionOfRecord":{"articleIdentity":"rs-6812584","link":"https://doi.org/10.1186/s13011-025-00676-4","journal":{"identity":"substance-abuse-treatment-prevention-and-policy","isVorOnly":false,"title":"Substance Abuse Treatment, Prevention, and Policy"},"publishedOn":"2025-10-21 16:17:13","publishedOnDateReadable":"October 21st, 2025"},"versionCreatedAt":"2025-07-04 10:36:49","video":"","vorDoi":"10.1186/s13011-025-00676-4","vorDoiUrl":"https://doi.org/10.1186/s13011-025-00676-4","workflowStages":[]},"version":"v1","identity":"rs-6812584","journalConfig":"researchsquare"},"__N_SSP":true},"page":"/article/[identity]/[[...version]]","query":{"redirect":"/article/rs-6812584","identity":"rs-6812584","version":["v1"]},"buildId":"8U1c8b4HqxoKbykW_rLl7","isFallback":false,"isExperimentalCompile":false,"dynamicIds":[84888],"gssp":true,"scriptLoader":[]}