Topic: Alcohol/Drugs/Tobacco, Employment
Target Population: Adults
Sector: Community-Based
Military Sector: Veterans Affairs
This program is for adults who are recovering from substance abuse and are striving to stay sober.
Oxford House Model, a community-based program, is designed to provide stable housing and a supportive environment for adults who are in recovery from substance abuse and who are attempting to stay drug and alcohol free.
Results from one randomized controlled trial in which individuals were assigned to live in an Oxford House recovery home or usual aftercare condition indicated that those living in an Oxford House had better overall outcomes for substance use, employment, self-regulation, and awaiting criminal charges at a 24-month follow-up compared to those in usual aftercare. However, results from a second quasi-experimental study among women who were previously involved with the criminal justice system indicated no differences between those living in an Oxford House or those participating in usual aftercare on substance abuse, employment, or arrest outcomes at a 24-month follow-up. Overall, residents who live in an Oxford House for 6 or more months tend to have better outcomes compared to those who stay for less than 6 months. One study that examined characteristics of Oxford Houses and the neighborhoods in which these houses were located found that higher relapse rates occurred in neighborhoods with lower-income and education levels.
The Oxford House Model consists of rented, single-family homes located in neighborhoods of moderate-income levels. Each house follows guidelines to enhance the occupants' living experience. These guidelines include the following:
There is no time limit on how long a person can live in any Oxford House, and no member of an Oxford House is asked to leave without cause; however, any resident who returns to using alcohol or drugs will be immediately expelled from the house. In addition, no professional treatment staff live on the premises, and residents may decide to pursue psychological or substance abuse treatment on their own while receiving support from Oxford House residents.
The Oxford House Model program was created in 1975, and there are currently more than 2,000 Oxford Houses in the United States. Additionally, there are Oxford Houses in Australia, Canada, and Ghana. There are approximately 2,000 Oxford House residents, at any given time, who have served in the military. It is estimated that in 1 year, more than 4,000 veterans will live in an Oxford House. Veterans can be integrated into existing houses or live in houses that are exclusively for veterans.
The inhabitants of the houses facilitate the program, and training is available and optional. A 2 1/2-day, off-site training is available for $500 per person, or a 5-day, on-site training is available for $1,500 per Oxford House plus travel expenses. Please use details in the Contact section to learn more.
Considerations for implementing this program include acquiring participant buy-in and commitment as the participant will be expected to remain sober and contribute to expenses and a positive house environment; understanding start-up funding will need to be obtained and could be expensive; retaining on-site technical assistance; and gaining access to the Oxford House website, which includes the materials and resources necessary to implement the program.
The Clearinghouse can help address these considerations. Please call 1-877-382-9185 or email Clearinghouse@psu.edu
If you are interested in implementing Oxford House Model, the Clearinghouse is interested in helping you! Please call 1-877-382-9185 or email Clearinghouse@psu.edu
Implementation times will vary depending upon funding and resources available.
The program requires start-up funding and monthly rental and maintenance/utility costs. Program materials are free on the Oxford House website and include the program manual, evaluation measures, quality assurance tools, and questionnaires.
To move Oxford House Model to the Promising category on the Clearinghouse Continuum of Evidence, one to two additional studies must be performed that demonstrate sustained positive outcomes in favor of Oxford House when compared to a control condition lasting at least one year from the beginning of the program or six months from program completion.
The Clearinghouse can help you develop an evaluation plan to ensure the program components are meeting your goals. Please call 1-877-382-9185 or email Clearinghouse@psu.edu
Contact the Clearinghouse with any questions regarding this program.
Phone: 1-877-382-9185 Email: Clearinghouse@psu.edu
You may also contact Oxford House, Inc., by mail 1010 Wayne Avenue, Suite 300, Silver Spring, MD 20910, phone 1-800-689-6411, fax 1-301-589-0302, or visit https://www.oxfordhouse.org/userfiles/file/contact_form.php
Jason, L. A., Olson, B. D., Ferrari, J. R., Majer, J. M., Alvarez, J., & Stout, J. (2007). An examination of main and interactive effects of substance abuse recovery housing on multiple indicators of adjustment. Addiction, 102(7), 1114-1121. https://doi.org/10.1111/j.1360-0443.2007.01846.x
Jason, L. A., Salina, D., & Ram, D. (2016). Oxford recovery housing: Length of stay correlated with improved outcomes for women previously involved with the criminal justice system. Substance Abuse, 37(1), 248-254. https://doi.org/10.1080/08897077.2015.1037946
Callahan, S., Jason, L. A., & Robinson, L. (2016). Reducing economic disparities for female offenders: The oxford house model. *Alcoholism Treatment Quarterly, 34(*3), 292-302. https://doi.org/10.1080/07347324.2016.1182814
Harvey, R., Jason, L. A., & Ferrari, J. R. (2016). Substance abuse relapse in oxford house recovery homes: A survival analysis evaluation. Substance Abuse, 37(2), 281-285. https://doi.org/10.1080/08897077.2015.1080786
Hunter, B. A., Robison, E., & Jason, L. A. (2012). Characteristics of sexual assault and disclosure among women in substance abuse recovery homes. Journal of Interpersonal Violence, 27(13), 2627-2644. https://doi.org/10.1177/0886260512436389
Jason, L. A., Davis, M. I., & Ferrari, J. R. (2007). The need for substance abuse after-care: Longitudinal analysis of oxford house. Addictive Behaviors, 32(4), 803-818. https://doi.org/10.1016/j.addbeh.2006.06.014
Jason, L. A., Olson, B. D., Ferrari, J. R., & Lo Sasso, A. T. (2006). Communal housing settings enhance substance abuse recovery. American Journal of Public Health, 96(10), 1727-1729. https://doi.org/10.2105/AJPH.2005.070839
Kassanits, J., Bobak, T. J., Stevens, E., Guerrero, M., Light, J., & Jason, L. A. (2020). The relationship of oxford houses across heterogeneous house and setting characteristics. American Journal of Orthopsychiatry, 90(3), 324-327. https://doi.org/10.1037/ort0000437
Lo Sasso, A. T., Byro, E., Jason, L. A., Ferrari, J. R., & Olson, B. (2012). Benefits and costs associated with mutual-help community-based recovery homes: The oxford house model. Evaluation and Program Planning, 35(1), 47-53. https://doi.org/10.1016/j.evalprogplan.2011.06.006
Majer, J. M., Beers, K., & Jason, L. A. (2014). An examination of the first oxford house in the UK: A preliminary investigation. Drugs: Education, Prevention & Policy, 21(5), 347-356. https://doi.org/10.3109/09687637.2013.876974
Majer, J. M., Chapman, H. M., & Jason, L. A. (2016). Abstinence self-efficacy and substance use at 2 years: The moderating effects of residential treatment conditions. Alcoholism Treatment Quarterly, 34(4), 386-401. https://doi.org/10.1080/07347324.2016.1217708
Majer, J. M., Jason, L. A., North, C. S., Ferrari, J. R., Porter, N. S., Olson, B., … Molloy, J. P. (2008). A longitudinal analysis of psychiatric severity upon outcomes among substance abusers residing in self-help settings. American Journal of Community Psychology, 42(1-2), 145-153. https://doi.org/10.1007/s10464-008-9190-z
May, E. M., Hunter, B. A., & Jason, L. A. (2017). Methodological pluralism and mixed methodology to strengthen community psychology research: An example from oxford house. Journal of Community Psychology, 45(1), 100-116. https://doi.org/10.1002/jcop.21838
Nguyen, R. L., Cope, C. E., Wiedbusch, E. K., Guerrero, M., & Jason, L. A. (2021). “this program helped save our lives so we all can bond over that”: A preliminary study of the first oxford house collegiate recovery home. Alcoholism Treatment Quarterly, https://doi.org/10.1080/07347324.2021.1898295