State of Tennessee Programs with Corresponding Categories

Enforcement- Assists the public in preventing crime

Law Enforcement Access to Controlled Substances  

• State Trooper Training  

• Drug and Diversion Investigations  

• Medicaid Fraud Control  

• Forensic Services  

• Methamphetamine and Pharmaceutical Task Force  

• Drug Enforcement Administration Requirements 

• Drug Overdose Reporting 

• Development of Guidelines for Prescribing Narcotics 

• Formulary Regulations 

• Pharmacy Lock-In Program  

Prevention- Assists Levels 1, 2, 3 and 4

Governor’s Public Safety Subcabinet 

• Neonatal Abstinence Syndrome 

• Substance Abuse Data Taskforce 

• Community Prevention Coalitions 

• Prescription Drug Disposal (take-back events and permanent drop boxes) 

• Information Dissemination (“Take Only As Directed”) 

• Controlled Substance Monitoring Database 

• Pain Clinic Oversight  

Early Intervention- Assists primarily Level 1 and some Level 2

• Screening, Brief Intervention, and Referral to Treatment (SBIRT)    

Treatment- Assists primarily Level 1-2

• Recovery (Drug) Courts, including the Residential Recovery Court  

• Community Treatment Collaborative  

• Community Housing with Intensive Outpatient Services  

• Medication Assisted Therapies  

• Impaired Healthcare Professionals Program  

• Technical Violators Diversion Program  

• Community Treatment Collaborative  

• Co-occurring Treatment  

• Treatment for youth and young adults in custodial care  

• Treatment for babies born addicted to substances  

Recovery--Primary Level 3 Programs

• Oxford House Program- halfway house programs need review  

• Lifeline Program- halfway house programs need review   

• Community Housing with Intensive Outpatient Services- Level 3  

Incarceration--Level 4

  • Substance abuse programs
  • Domestic Violence programs
  • Anger Management
  • Understanding the victims of crime

The Evolution, Need, and Restructuring of the Use of Transitional Housing

 

We have many good programs, but we need a complete plan. The plan would be to continue attacking Levels 1, 2, and 4 addicts with present programs and to address the needs of Level 3 addicts with a more defined plan of action. Level 3 addicts usually become level 4 addicts or die from overdose. This plan of action for Level 3 addicts would be to build facilities through public/private partnerships and run these facilities with proven year-long programs.       


The major problem that we see involving the Level 3 Addicts is the placement in transitional houses. We understand that the addict has court costs and fines, child support payments and obligations. However, this is the primary reason that these Level 3 Addicts are being sent to transitional houses. A very small percentage of Level 3, non-functioning Addicts flourish in this setting. Too much is required of these addicts at this critical stage before full blown Level 4. Transitional houses started popping up in neighborhoods often as outreach but more often for economic gain. Below is an example of the economic gain from a typical transitionalhouse:    


3 BR, 2 bathroom typical cost $140,000

Typical occupancy: 6 persons 

Typical rent per person $100 weekly

Annual gross revenue $28,800 

@ 70% occupancy $20,160   

Fully occupied 20% return on investment (R.O.I.) 

70% occupied 14% R.O.I.      


Furthermore, many of the neighborhoods where these transitional houses are located are adverse to the addict becoming clean.    Location: Usually in depressed real estate zones with active drug dealing in the area   Facility: Usually physical and economic obsolescent properties often with structural issues, code violations, lead and asbestos contamination. Landlords often collect rent weekly without any true accountability required of the addict and only provide housing for large economic gain. There are many transitional houses that exist because people want to help. The only problem is without 24/7 monitoring for full accountability of the addict, often these efforts only enable the addict to continue their slide down the path of personal destruction. Most transitional houses are occupied by Levels 2 and 3 addicts. As well-meaning as many of these efforts are, without completely stopping the addict’s drug use, it is only a matter of time until the addict overdoses or becomes a Level 4 addict.