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Medication-Assisted Treatment (MAT) in Recovery Housing

What is Medication-Assisted Treatment (MAT)?

Medication-Assisted Treatment (MAT) is an evidence-based approach that combines FDA-approved medications with counseling and behavioral therapies to treat substance use disorders.

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New legislation took effect on January 1, 2025.

Beginning January 1, 2025, a certified recovery residence may not deny an individual access to housing solely on the basis that he or she has been prescribed federally approved medication that assists with treatment for substance use disorders by a licensed physician, a physician’s assistant, or an advanced practice registered nurse registered under § 464.0123.

PUBLIC POLICY

We are dedicated to protecting individuals in recovery, reducing stigma, and supporting access to comprehensive, evidence-based care. These efforts are aimed at improving recovery outcomes and fostering inclusive environments for all residents.​

Combatting Discrimination in Recovery Settings

Promoting Evidence-Based Practices

Supporting Comprehensive Recovery

Aligning with Federal Policies & Best Practices

Reducing Barriers to Treatment

Encouraging Compliance Among Recovery Residences

Q: Which Medications are federally approved?

A: Methadone, buprenorphine, and naltrexone.

Q: Is medical marijuana allowed?

A: No, medical marijuana is not an FDA-approved form of MAT and is specifically banned from recovery residences in Florida (Fla Stat 397.487(3))

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Benefits of MAT in Recovery Housing

Research consistently demonstrates that MAT, when integrated with other recovery support services, significantly improves engagement and outcomes for individuals in recovery. Key benefits include:

  • Enhanced Retention
    Individuals are more likely to stay committed to their recovery programs.

  • Reduced Relapse Rates
    MAT effectively lowers the chances of relapse by managing cravings and withdrawal symptoms.

  • Improved Quality of Life
    Participants experience better mental and physical health, fostering a more stable recovery environment.

  • Comprehensive Support
    Combining medication with counseling provides a holistic approach to recovery.

Group therapy session

Benefits of MAT in Recovery Housing

Research consistently demonstrates that MAT, when integrated with other recovery support services, significantly improves engagement and outcomes for individuals in recovery. Key benefits include:

  • Enhanced Retention
    Individuals are more likely to stay committed to their recovery programs.

  • Reduced Relapse Rates
    MAT effectively lowers the chances of relapse by managing cravings and withdrawal symptoms.

  • Improved Quality of Life
    Participants experience better mental and physical health, fostering a more stable recovery environment.

  • Comprehensive Support
    Combining medication with counseling provides a holistic approach to recovery.

  • Diverse Recovery Options
    Cater to a wider range of recovery needs, accommodating individuals who require medication support.

  • Enhanced Community Support
    Foster a more inclusive and supportive community by embracing different recovery methods.

  • Compliance and Best Practices
    Align with legal requirements and best practices, ensuring your residence meets high standards of care.

  • Improved Outcomes
    Contribute to better recovery outcomes through comprehensive support services.

Why Accept MAT Clients?

Accepting MAT clients in recovery residences offers numerous advantages to both residents and providers. 

An Important Consideration.

The Florida Association of Recovery Residences, MAT, and Certified Providers.

While FARR does not enforce or patrol compliance with MAT-related regulations, we are committed to being a resource and a partner in helping recovery residences understand and adhere to Florida Statute § 397.487(13). Our role is to provide support, guidance, and access to tools that ensure compliance with state laws and the highest standards of care for individuals in recovery.

FARR-certified providers are expected to comply with all local, state, and federal laws regarding MAT. To help with this transition, FARR offers education, best practices, and resources aimed at reducing stigma and fostering inclusive recovery environments.

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Inclusivity in Recovery Residences

At FARR, we prioritize creating inclusive environments where all individuals in recovery feel supported and respected. Our policies ensure that:

  • Non-Discriminatory Admission
    Recovery residences cannot deny housing to individuals based on their use of physician-prescribed MAT medications.

  • Safe, Supportive, Stable Environment
    We promote a community where residents can focus on their recovery without facing unnecessary barriers.

  • Referral Systems
    When legal exceptions apply, we facilitate referrals to appropriate alternative facilities, ensuring no one is left without support.

Abstinence-Based Treatment:

  • Emphasizes total avoidance of all substances.

  • May not incorporate medication as part of the treatment plan.

  • Suitable for individuals who prefer a medication-free recovery path.

Understanding the Differences

MAT vs. Abstinence-Based Treatment

While abstinence-based treatment focuses on complete cessation of substance use, MAT acknowledges that some individuals may benefit from medication to support their recovery.

Medication-Assisted Treatment:

  • Utilizes FDA-approved medications to manage cravings and withdrawal.

  • Integrates with counseling and behavioral therapies.

  • Offers a flexible approach tailored to individual needs.

Compliance & Best Practices

Recovery Residence Suggested Practices for Medication-Assisted Therapy

To maintain compliance and support MAT clients effectively, recovery residences should adhere to the following best practices:

  • Non-Discriminatory Policies
    Do not deny access to housing based solely on the use of federally approved MAT medications.

  • Staff Training
    Ensure all staff are trained to understand and support MAT clients, fostering a non-judgmental environment.

  • Collaboration with Healthcare Providers
    Work closely with healthcare professionals to coordinate care and support for residents.

Americans with Disabilities Act and the Opioid Crisis

The Americans with Disabilities Act (ADA) plays a crucial role in protecting individuals with Opioid Use Disorder (OUD) from discrimination. This guidance document outlines how the ADA safeguards the rights of those undergoing MAT, contributing to the broader effort to combat the opioid epidemic in American communities.

  • Combatting Discrimination
    Learn how the ADA can protect individuals in treatment or recovery from unfair treatment.

  • Legal Principles
    Understand the legal framework that supports inclusivity and equal access to recovery housing.

Fair Housing Act (FHA) and Americans with Disabilities Act (ADA)

Recovery residences fall under the definition of a "dwelling" as per the Fair Housing Act (FHA) and are also protected under the Americans with Disabilities Act (ADA). These laws prohibit discrimination based on disability, which includes individuals undergoing MAT for substance use disorders.

  • Protection from Discrimination
    Recovery residences cannot deny admission solely based on an applicant’s participation in MAT.

  • Legal Exceptions
    Admission can only be denied if there is a legally recognized exception. In such cases, providers should refer individuals to alternative facilities when available.

Legal Protections for Individuals in MAT

This 30-minute  video provides an overview of the use of Medication Assisted Treatment in Recovery Housing

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