PENNSYLVANIA HOUSE HUMAN SERVICES COMMITTEE

HEARING ON RECOVERY HOUSING MIDDLETOWN TOWNSHIP MUNICIPAL BUILDING LANGHORNE, PENNSYLVANIA

Proceedings held at the Middletown

Township Municipal Building, 3 Municipal Way, Langhorne,

Pennsylvania, on Tuesday, October 8, 2013, commencing at approximately 10:02 a.m., before Barbara McKeon Quinn, a

Registered Merit Reporter and Notary Public, pursuant to notice. 2 PUBLIC HEARING, 10/8/2013

1 BEFORE:

2 GENE DiGIROLAMO, MAJORITY CHAIRMAN REPRESENTATIVE THOMAS P. MURT 3 REPRESENTATIVE BERNIE O'NEILL REPRESENTATIVE 4 REPRESENTATIVE

5 , MINORITY CHAIRMAN REPRESENTATIVE 6 REPRESENTATIVE MADELEINE DEAN

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8 ALSO PRESENT:

9 Melanie Brown, Human Services Committee staff 10 Ashley McCahan, 11 Human Services Committee staff

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25 JAMES DeCRESCENZO REPORTING, LLC 3 PUBLIC HEARING, 10/8/2013

1 INDEX OF SPEAKERS

2 CHAIRMAN GENE DiGIROLAMO 4 BY REPRESENTATIVE FARRY 6 3 BY REPRESENTATIVE DAVIS 8 BY THE CHAIR 10 4 BY THE CHAIR (On behalf of Gary Tennis) 11 BY TED MILLARD 15 5 BY FRED WAY 21 BY AMY MERICLE 23 6 BY KEVIN DIPPOLITO 30 BY AMBER LONGHITANO 34 7 BY JOSEPH W. PIZZO 45 BY DIANE W. ROSATI 57 8 BY REPRESENTATIVE DEAN 64

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25 JAMES DeCRESCENZO REPORTING, LLC 4 PUBLIC HEARING, 10/8/2013

1 THE CHAIR: Good morning, everyone.

2 Welcome to the hearing of the Human

3 Services Committee. And the first order of business I

4 would like to ask everyone if they would rise and we'll

5 recite the Pledge of Allegiance.

6 (Pledge of Allegiance.)

7 THE CHAIR: Okay. For the first order of

8 business, I thought maybe we'll just go down the line and

9 ask the members who are present here today and staff to

10 just say hello and let everybody know who they are and

11 what district they come from.

12 And we can start with Tina.

13 REPRESENTATIVE DAVIS: Good morning. Tina

14 Davis, 141, right next to Frank and Gene. Thanks.

15 REPRESENTATIVE O'NEILL: Good morning.

16 I'm Bernie O'Neill. I represent the center of Bucks

17 County, Upper Southampton, Warminster area and I go right

18 up to the river of New Hope borough, the 29th district.

19 REPRESENTATIVE MURT: Good morning. My

20 name's Tom Murt. I represent part of eastern Montgomery

21 County and part of Northeast Philadelphia.

22 REPRESENTATIVE FARRY: Frank Farry, 142nd

23 District from right here in Middletown.

24 I'd also like to thank Middletown Township

25 Manager, Stephanie Teoli, for hosting us here today. JAMES DeCRESCENZO REPORTING, LLC 5 PUBLIC HEARING, 10/8/2013

1 THE CHAIR: Gene DiGirolamo. I represent

2 the 18th District, which is right here in Bucks County,

3 and I'm the Republican chairman of the committee.

4 MELANIE BROWN: Hi, I'm Melanie Brown. I

5 direct the committee on human services.

6 REPRESENTATIVE KINSEY: Good morning. My

7 name is State Representative Stephen Kinsey, Philadelphia

8 County, 231st legislative district.

9 ASHLEY McCAHAN: Ashley McCahan, Human

10 Services Committee staff.

11 THE CHAIR: Okay. I'd like to welcome the

12 members and the staff and everybody who's present here in

13 the audience. I think we're going to have a really good

14 hearing today and I think it's an important hearing.

15 We're holding the hearing on behalves of

16 Representative Frank Farry and Representative Tina Davis

17 here in Bucks County.

18 And the hearing is really about

19 Representative Farry's bill, which is House Bill 1298,

20 and I think we're going to hear some really good

21 testimony today hopefully on the differences between

22 halfway houses and recovery houses and Representative

23 Farry's effort to try to bring some guidelines, some

24 types of state guidelines to the recovery houses that

25 have been popping up not only here in Bucks County but JAMES DeCRESCENZO REPORTING, LLC 6 PUBLIC HEARING, 10/8/2013

1 also all across the state.

2 I believe there are some -- some of them

3 are really good when they're run properly, they're really

4 necessary, but we've heard some stories and rumors about

5 some bad ones popping up and we'd like to somehow bring

6 some guidelines and give some relief to the residents.

7 So with that I'm going to open up and let

8 Representative Frank Farry, he asked for some opening

9 remarks.

10 REPRESENTATIVE FARRY: Thank you,

11 Chairman. House Bill 1298 is some very basic legislation

12 which amends existing law.

13 The bill will allow the Department of Drug

14 and Alcohol to promulgate regulations regarding housing

15 programs that offer assistance to people with drug or

16 alcohol abuse problems sometimes referred to as recovery

17 houses.

18 The regulation shall include, but not be

19 limited to, a definition of a recovery house, rights of

20 inspection, assignments of rights of inspection, and

21 penalties when violations of a departmental regulation

22 occur.

23 In order to receive any federal or state

24 funding, a recovery house must comply with regulations

25 promulgated by the Department of Drug and Alcohol JAMES DeCRESCENZO REPORTING, LLC 7 PUBLIC HEARING, 10/8/2013

1 programs.

2 This issue came to light because of some

3 matters that arose here in Middletown, and I know

4 Representative Davis has many more recovery houses in her

5 legislative district.

6 We know how important recovery houses are

7 in the recovery process, and by all means we want to

8 ensure those recovery houses that are run on the up and

9 up, you know, have the protections they need.

10 I think a greater concern are

11 unfortunately there's some folks that are running more so

12 fly-by-night recovery homes, and when they're located in

13 our residential communities it gives rise to great

14 concern.

15 So I look forward to the testimony here

16 today.

17 I think we have a broad base of panelists

18 that are going to provide some very important information

19 and hopefully we can move forward with this legislation

20 and help those that are in recovery with what they need

21 as well as ensuring they're properly protected.

22 THE CHAIR: Thank you.

23 We'd like to also recognize in the

24 audience Sean Schafer from Senator Tommy Tomlinson's

25 office. JAMES DeCRESCENZO REPORTING, LLC 8 PUBLIC HEARING, 10/8/2013

1 With that I'll recognize Representative

2 Tina Davis for opening remarks.

3 REPRESENTATIVE DAVIS: Thank you.

4 Thank you, Mr. Chairman, and Rep Farry and

5 the committee members for holding this hearing.

6 I just want to let people know I came from

7 a local government background, so I've been dealing with

8 this issue probably for about eight years now. So I'm

9 very excited about the bill that you're going to be

10 hearing about today.

11 The current situation serves no one, not

12 the patient seeking recovery from drug or alcohol

13 addictions and not the conscientious providers trying to

14 provide beneficial services, and definitely not the

15 communities and the residents who are harmed by the lack

16 of oversight and safeguards.

17 The crash of the housing market in '08 and

18 the corresponding foreclosure and tax sales have enabled

19 speculators to buy homes cheaply, turn them into recovery

20 homes. They are able to charge a resident 100 to 150

21 dollars a week.

22 Do the math. If you have seven residents

23 in a home, the income per month is over $4,000.

24 I have many blocks that have two and three

25 on each block. Does anyone care to guess how that could JAMES DeCRESCENZO REPORTING, LLC 9 PUBLIC HEARING, 10/8/2013

1 affect the prices of the surrounding homes and a

2 potential buyer?

3 For me in my district, I can receive

4 anywhere from 1 to 20 calls or e-mails a week with

5 complaints.

6 The most recent one came just yesterday.

7 I would like to read a quote. I do not want to -- this

8 is the quote.

9 I do not want to sound hypocritical. I

10 believe that people deserve second chances, but it is

11 also -- but I also believe that there should be some type

12 of notification.

13 This is a major safety concern. Are there

14 background checks being done? Why are the neighbors not

15 notified? Unquote.

16 I asked my local L & I department whether

17 the applicant was required to show proof that they were a

18 recovery home, and they replied no.

19 It must be noted that there are many

20 property owners who are legitimately trying to help

21 people with drug and alcohol problems. Unfortunately,

22 for every good recovery home, we have ten that do not

23 monitor their tenants.

24 Rep Farry's bill is a common sense, first

25 step to fix this. The bill would give the state the JAMES DeCRESCENZO REPORTING, LLC 10 PUBLIC HEARING, 10/8/2013

1 authority to identify and regulate these recovery homes.

2 It would establish inspections and devise

3 penalties when the recovery homes fail to provide the

4 services needed and promised.

5 It would protect taxpayers by requiring

6 recovery homes to comply with reasonable rules and goals

7 before federal or state funding can be awarded.

8 Unfortunately, the Fair Housing Act has

9 had the unintended consequence of hamstringing our

10 municipalities' abilities to deal with recovery houses in

11 a responsible and needed manner.

12 So thank you for hearing this and I'm

13 excited.

14 THE CHAIR: Okay. Thank you,

15 Representative Davis.

16 And to start off, Secretary of our

17 Department of Drug and Alcohol program, Gary Tennis, was

18 not able to be with us this morning, but he submitted

19 testimony and he asked if I would read it before the

20 hearing starts, and I'm going to do that.

21 It's only about a page and a half; it

22 will take a couple minutes. And I think it's important

23 to have his testimony read into the record.

24 Thank you, Chairman DiGirolamo, and

25 members of the committee for giving -- JAMES DeCRESCENZO REPORTING, LLC 11 PUBLIC HEARING, 10/8/2013

1 Oh, excuse me. I would also like to

2 recognize Representative Madeleine Dean who's here today.

3 Madeleine, welcome from Montgomery County.

4 REPRESENTATIVE DEAN: Thank you.

5 THE CHAIR: Thank you, Chairman

6 DiGirolamo, and members of the committee for giving

7 attention to the important issue of recovery houses for

8 those who are in early recovery from the disease of drug

9 and alcohol addiction.

10 This has been a critically important issue

11 where significant strides have been made over the past

12 quarter of a century and where a number of challenges

13 were presented to federal, state and local government

14 policymakers.

15 The Department of Drug and Alcohol

16 programs list the issue of recovery housing among the

17 many important issues that need careful review, analysis

18 and restatement of policy and practice from the

19 department's perspective.

20 We are currently in negotiations with the

21 Pennsylvania Recovery Organizational Alliance, PRO-A, to

22 have the alliance work with stakeholders to review some

23 of the opportunities and challenges presented in this

24 arena and to make recommendations to the department.

25 Some principles that are likely to guide JAMES DeCRESCENZO REPORTING, LLC 12 PUBLIC HEARING, 10/8/2013

1 our deliberations are enumerated below. Number 1,

2 treatment of this chronic recurring disease must be

3 comprehensive.

4 Those who are transitioning from inpatient

5 to outpatient treatment and those who are completing

6 their formal regimen of treatment all together will fare

7 much better in maintaining their lives of recovery if

8 they live in a drug-free housing environment that is

9 recovery supportive, not recovery hostile.

10 And I think that is really, really

11 important.

12 Number 2. We must continue to examine

13 funding levels for addiction treatment. National

14 statistics tell us current funding is able to treat one

15 individual for every ten suffering from addiction.

16 Here in Pennsylvania funding levels allow

17 us to treat one out of every eight in need.

18 Understanding that demand continues to

19 outpace our resources, it is critical that the treatment

20 funding we do have to be used for addiction treatment.

21 We must be proactive in working to ensure

22 the public and other funding for recovery housing is paid

23 through housing dollars.

24 Number 3. Recovery housing should not be

25 considered a substitute for clinically appropriate JAMES DeCRESCENZO REPORTING, LLC 13 PUBLIC HEARING, 10/8/2013

1 addiction treatment.

2 It is understandable to want to find ways

3 to maximize the effectiveness of our limited resources,

4 but we should not do so in a manner that may result in

5 undertreatment of the disease.

6 An example of this may be an attempt to

7 inappropriately undertreat individuals who are determined

8 by a full assessment and application of the Pennsylvania

9 Client Placement criteria to be in need of residential

10 treatment, including licensed halfway houses with

11 outpatient plus recovery housing.

12 Unfortunately, there is no research

13 showing that undertreatment works even with the addition

14 of recovery housing.

15 In the absence of clinical evidence for

16 that approach, we must ensure that treatment is conducted

17 with evidence-based clinical integrity.

18 When clinically appropriate treatment

19 occurs, we are convinced that good recovery housing for

20 this group can make good outcomes even better.

21 Number 4. The appropriateness and reach

22 of governmental regulation depends on whether there are

23 public funds involved.

24 For example, if a landlord prefers to rent

25 to recovering people, takes no public funds but instead JAMES DeCRESCENZO REPORTING, LLC 14 PUBLIC HEARING, 10/8/2013

1 is paid rent by his recovering tenants in the normal

2 fashion, then it would appear that the legitimate scope

3 of government regulations should be that applied to any

4 residential landlord tenant situation, Licensing &

5 Inspection for example.

6 If taxpayer dollars are funding recovery

7 housing, then the public is entitled to insist that

8 certain minimal standards are met in order to optimize

9 the prospect for continued recovery and in general the

10 best interest of the public client.

11 The Department of Drug and Alcohol program

12 believes that these minimal standards must be met and

13 intends to work with PRO-A, the Pennsylvania Association

14 of County Drug and Alcohol Directors, the Drug and

15 Alcohol Service Providers of Pennsylvania, the

16 Rehabilitation Community Providers Association, and other

17 interested stakeholders to establish those standards.

18 In conclusion, please accept my

19 appreciation, Chairman DiGirolamo, and the members of the

20 committee for permitting me to submit written testimony

21 to you on this important issue.

22 And I am available at this phone number

23 and address, and his testimony is in the packets for

24 anybody that would like to contact Secretary Gary Tennis.

25 Okay. With that, I'd like to call up our JAMES DeCRESCENZO REPORTING, LLC 15 PUBLIC HEARING, 10/8/2013

1 first testifier who is Ted Millard, who is the executive

2 director of Good Friends, which is a halfway house here

3 in Bucks County.

4 And just to set one guideline for the

5 hearing today, it's my intention to allow everyone to

6 testify first and then at the end of the testimony if

7 everyone could stick around if we have time before 12

8 o'clock, I'd like to open it up for questions and answers

9 at the end.

10 With that, Ted, you can begin whenever

11 you're ready.

12 TED MILLARD: Good morning, Mr. Chairman,

13 and members of the committee. Thank you for the

14 opportunity to participate in this important hearing.

15 My name is Ted Millard. I am the

16 executive director of Good Friends, Incorporated, a

17 licensed residential substance abuse treatment facility

18 here in beautiful Bucks County.

19 For those unfamiliar with our agency, I

20 will quote the Bucks County Drug and Alcohol Commission

21 who wrote, This organization is a model within its scope

22 of business and is one of the leaders in the provision of

23 halfway house treatment in the state.

24 And within that quote is the reason I

25 appear before you today. The term halfway house, as it JAMES DeCRESCENZO REPORTING, LLC 16 PUBLIC HEARING, 10/8/2013

1 is commonly confused with the focus of this bill, a

2 recovery house.

3 Halfway houses are assumed by many to be

4 recovery houses.

5 As a past president of the Pennsylvania

6 Halfway House Association, I can attest to the numerous

7 telephone calls my counterparts and I have received from

8 citizens looking for a bed in a recovery house, or

9 thinking we are an arm of the criminal justice system as

10 a program for inmates leaving prison, and there is good

11 reason for this confusion.

12 As state sponsored alcoholism programs

13 expanded in the 1950s, concerns grew about how a person

14 would maintain their early recovery as they made the

15 transition from a residential institution back into their

16 community.

17 This created new social settings that

18 provided residential support designed to aid community

19 reentry and the term halfway house was brought into our

20 field's language.

21 These were homeowners opening their homes

22 to support friends and fellow citizens transitioning back

23 from rehab. Some of these new homes branched off to form

24 professional centers.

25 Soon afterwards national advocacy JAMES DeCRESCENZO REPORTING, LLC 17 PUBLIC HEARING, 10/8/2013

1 organizations formed to support this movement, the oldest

2 being The Association of Halfway House Alcoholism

3 Programs of North America.

4 Good Friends, Incorporated was a member of

5 this association along with many of the presently

6 licensed halfway house organizations in Pennsylvania.

7 In the past, Pennsylvania's Bureau of Drug

8 and Alcohol Programs and the Division of Drug and Alcohol

9 Program Licensing each held full memberships in this

10 organization.

11 As the professional development of halfway

12 houses grew, it did not replace the community citizens

13 who shared their living quarters with the newly sober

14 individual as there was a need for both.

15 But both factions often use the same name,

16 halfway house, but now each meant a different thing.

17 The concept of transitioning folks into a

18 community based halfway house became more confusing as

19 the criminal justice system also adopted the term halfway

20 house for their particular use.

21 So from the idea of supporting the newly

22 sober alcoholic, across our nation halfway houses have

23 come to encompass very different things.

24 But in Pennsylvania there is one stark

25 difference. In our Commonwealth the term halfway house JAMES DeCRESCENZO REPORTING, LLC 18 PUBLIC HEARING, 10/8/2013

1 is based in substance abuse legislation.

2 By law a halfway house must be a licensed

3 nonhospital residential treatment and rehabilitation

4 facility that provides a home-like atmosphere within the

5 local community.

6 Its comprehensive license regulations

7 include its business structure, treatment activities,

8 staff member qualifications, and physical plant standards

9 for health and safety.

10 These regulations are reviewed on a

11 yearly basis with on site inspections conducted by the

12 Department of Drug and Alcohol Program's Division of

13 Program Licensure.

14 Each halfway house treatment program also

15 hosts yearly on-site inspections from its contracting

16 single county authority, and the specific requirements

17 under their jurisdiction as well as inspections from each

18 managed care company it contracts with under the

19 HealthChoices Program.

20 But this doesn't stop the confusion over

21 what is a recovery house and what is a halfway house, and

22 I certainly understand why.

23 If a person wants to get information about

24 halfway houses they can use Google as a search engine and

25 type in halfway house. JAMES DeCRESCENZO REPORTING, LLC 19 PUBLIC HEARING, 10/8/2013

1 They'll see ten first-page entries, five

2 that relate to recovery housing, including

3 halfwayhouse.com, three involve news articles linked to a

4 criminal justice halfway housing, one is a link to a

5 Wikipedia definition that notes they are for persons

6 recently released from jail or a mental institution, and

7 the last refers to Halfway House, Pennsylvania, a city of

8 3,000 people in Montgomery County.

9 Use ehow.com and it says halfway houses,

10 also called sober houses or sober living, can be the

11 difference between a successful drug treatment episode

12 and relapse.

13 If you are looking to develop a halfway

14 house, then maybe you go to the United States Small

15 Business Administration's website where you will find

16 this title: Resources for Starting a Halfway House or

17 Transitional Housing Facility.

18 It then provides you with its definition.

19 Transitional housing provides people with a temporary

20 place to live as they attempt to get back on their feet

21 or make a major transition in their life.

22 Yes, all of this can be quite confusing to

23 a citizen in Pennsylvania.

24 Because of this confusion I appreciate

25 the opportunity to speak today to clarify the difference JAMES DeCRESCENZO REPORTING, LLC 20 PUBLIC HEARING, 10/8/2013

1 between a licensed halfway house treatment program and a

2 recovery house in Pennsylvania.

3 As Representative Farry's February 14th

4 memo to house members noted, there is presently no

5 definition of a recovery house in Pennsylvania, nor is it

6 currently regulated.

7 As reviewed here, both the definition and

8 regulations for a halfway house are already on the book.

9 It's the confusion that remains.

10 But I am also here to support quality

11 recovery housing. Our agency refers clients to certain

12 recovery houses as we find their services can be an

13 essential part of the recovery process for some

14 individuals.

15 But as you know, recovery houses vary

16 greatly in condition. As a referring provider, I want to

17 be confident that we are referring a client to a place

18 that is safe, appropriately maintained, and beneficial to

19 the client's recovery process.

20 The development of recovery house

21 standards is a positive step in this direction.

22 I believe Commonwealth dollars should only

23 be accessible to recovery houses that meet these

24 developed standards, and I want to be confident that

25 people in need of treatment are being placed in the JAMES DeCRESCENZO REPORTING, LLC 21 PUBLIC HEARING, 10/8/2013

1 appropriate level of care consistent with the

2 Pennsylvania Client Placement Criteria before their

3 entrance into a recovery house.

4 A placement into a recovery house should

5 never be made in lieu of licensed addiction treatment

6 services.

7 Thank you for the opportunity to speak

8 today.

9 THE CHAIR: Okay. Ted, thank you very

10 much and I would appreciate if you could stick around for

11 a little bit in case there are some questions later on.

12 Next we have Fred Way, who's the executive

13 director for the Philadelphia Association of Recovery

14 Residences and also with him is Amy Mericle.

15 Welcome, Fred and Amy. Good to see the

16 both of you.

17 And whenever you're ready, you can begin.

18 FRED WAY: Good morning. We're here to

19 talk about recovery residences and also the -- also, I

20 must also say that I am the vice president of the

21 National Association of Recovery Residences also.

22 So, therefore, I see recovery houses

23 throughout the United States. Okay? And the issues that

24 we're having here, okay, are no different than a lot of

25 other states that are going on right now. JAMES DeCRESCENZO REPORTING, LLC 22 PUBLIC HEARING, 10/8/2013

1 One of the goals of PARR, you know, is to

2 decrease stigma, you know, around recovery housing and

3 creating standards within the recovery housing which has

4 been the thing that we have been doing for the last year.

5 In the City of Philadelphia there are two

6 major distinctions within a recovery home network.

7 Some homes receive funding from the

8 Philadelphia Office of Addiction Services, but the vast

9 majority of the homes do not, and those are the vast

10 majority that PARR is working with.

11 Homes that receive funding from OAS must

12 verify licensing compliance as well as proof of ownership

13 of the property, general liability insurance, proof of

14 current utility bills, and proof of a 501(c)(3) or a

15 nonprofit designation before they can receive funding.

16 The OAS funded houses have direct

17 oversight. Referrals are generated through the Housing

18 Initiative Office and the houses have staff coverage

19 around the clock.

20 Heretofore, neither oversight nor support

21 exists in the unfunded homes.

22 Our mission at PARR is to create, evaluate

23 and improve standards in terms of quality of all recovery

24 residences.

25 PARR provides a forum for its changing JAMES DeCRESCENZO REPORTING, LLC 23 PUBLIC HEARING, 10/8/2013

1 ideas to include and develop uniformity in our field of

2 problem solving and advocacy.

3 Also, for 20 years I worked for the Office

4 of Addiction Services and I've overseen the funding

5 system, okay, so I've seen the funded houses and now I'm

6 working with the unfunded houses.

7 And believe me, at this point with PARR, I

8 have certified 15 houses that meet the standards of a

9 Level 2 and there are another 51 that's in the process or

10 stages of trying to get their house to be able to meet

11 those standards.

12 So the operators of these houses are

13 willing to adhere to standards; it's just a matter of

14 working with them and developing them as far as, you

15 know, their business.

16 I have with me Dr. Mericle who -- and also

17 in the packet that I sent you guys have, there's a few

18 things in there. Dr. Mericle is conducting a study in

19 Philadelphia, and I will let her talk to you about that

20 very briefly.

21 AMY MERICLE: Thank you. As Fred

22 mentioned, my name is Amy Mericle.

23 I'm a health services researcher

24 specializing in addiction health services research, and

25 I'm here today to talk about my work, my research on JAMES DeCRESCENZO REPORTING, LLC 24 PUBLIC HEARING, 10/8/2013

1 recovery residences.

2 Fred mentioned that in your packet is a

3 Policy Statement on recovery residences that I

4 co-authored with Lenny Jason who's done research on

5 Oxford Houses as well as Doug Polcin who's done research

6 on sober living houses in California, and Bill White, who

7 is a well-known substance abuse treatment researcher.

8 What this document does is, it very

9 clearly describes and defines what a recovery residence

10 is.

11 For example, in the second paragraph,

12 Recovery residences, which go by the names of sober

13 living houses, recovery homes and Oxford Houses, are

14 sober, safe and healthy living environments that promote

15 recovery from alcohol and drug use and associated

16 problems.

17 At a minimum recovery residences offer

18 peer-to-peer recovery support with some providing

19 professionally delivered services and clinical services

20 all aimed at promoting abstinence and long-term recovery.

21 So you can see in that definition there is

22 a range of different types of recovery residences.

23 Again, at a minimum, it provides peer-to-peer support,

24 but at the other end of the spectrum they can provide

25 much more. JAMES DeCRESCENZO REPORTING, LLC 25 PUBLIC HEARING, 10/8/2013

1 So I think that in talking about recovery

2 residences, it's important to keep in mind that there are

3 different types so that there is a range of a continuum

4 of services that can be received in recovery residences.

5 The next paragraph of this position

6 statement talks about the research on recovery

7 residences. And, unfortunately, there hasn't been

8 enough.

9 My colleague, Lenny Jason, has been over

10 the past decade been researching Oxford Houses.

11 And at this point there's a really good

12 base, literature base on the advocacy of Oxford Houses.

13 In fact, it's on NREPP's list of evidence-based

14 practices.

15 But that's just one type of recovery

16 residence, the Oxford House. There are also different -­

17 or other types of recovery residences as well.

18 So my other colleague, who's a co-author

19 on this paper, Doug Polcin, has done research on sober

20 living houses in California.

21 And his work also shows very promising

22 results about the effectiveness of sober living houses in

23 California.

24 Unfortunately, there is little else out

25 there in terms of research on recovery residences, which JAMES DeCRESCENZO REPORTING, LLC 26 PUBLIC HEARING, 10/8/2013

1 is unfortunate, but I'm hoping to fill that gap with my

2 research on recovery residences in Philadelphia, and I'll

3 tell you a little bit more about that.

4 What this statement goes on to say is that

5 after reviewing what a recovery residence is, the

6 literature base on them, it outlines a direction to

7 proceed in terms of promoting and supporting recovery

8 residences.

9 And the policy statement really has four

10 groups of recommendations. The first recommendation is

11 really about support of recovery residences, and that's

12 about funding.

13 As researchers we were very keen to hop on

14 recommendations with regard to research, but we can't

15 research them and establish their effectiveness and

16 efficacy if they don't exist.

17 And it's very hard for recovery residences

18 to be out there because of lack of funding for them but

19 also because of stigma.

20 So one of the recommendations in this

21 report is also for advocacy, recovery home advocacy,

22 recovery residence advocacy, trying to educate the public

23 about what recovery residences are, what they do, to

24 increase support for them.

25 And then the other recommendation that is JAMES DeCRESCENZO REPORTING, LLC 27 PUBLIC HEARING, 10/8/2013

1 in there is about training and education to help provide

2 professionals knowledge for what they need to do in order

3 to run a recovery residence.

4 So in my work in Philadelphia, I received

5 funding from the Department of Health here in

6 Pennsylvania to study recovery residences in

7 Philadelphia.

8 What we did was we drew a stratified

9 random sample of 20 homes in Philadelphia, actually 25

10 homes, and the first part of that process was trying to

11 map or to identify all of the recovery residences in

12 Philadelphia, and there are quite a few.

13 Working from a list that the city had put

14 together from their work mapping recovery residences and

15 recovery homes and recovery resources and from the work

16 that Fred did with the Philadelphia Association of

17 Recovery Residences, PARR, we had a listing of almost 300

18 houses.

19 We tried to contact each and every one of

20 those houses to see if they were still around, to get

21 more information about the clients they served, and

22 whether or not they would be eligible to be part of our

23 study.

24 After we went through that process we

25 whittled the list down to about 220-odd recovery homes in JAMES DeCRESCENZO REPORTING, LLC 28 PUBLIC HEARING, 10/8/2013

1 Philadelphia. That's quite a bit.

2 But we were able to sample from that 25

3 houses that we studied basically by talking with the

4 recovery home operator.

5 So it could have been the owner of the

6 house, it could have been the house manager, it could

7 have been the director.

8 But basically we wanted to get a sense of

9 what they were doing in their houses, what kinds of

10 services they were providing, what kinds of clients they

11 accepted into their programs, and actually what happened

12 in the houses in terms of treatment or after-care, things

13 like that.

14 And what we found actually was that -­

15 and, again, this is based on what the providers or the

16 recovery house operators were telling us, was that most

17 of them operate in a very therapeutically oriented

18 manner.

19 They had rules and regulations for their

20 residents. They provided a range of services.

21 They required their clients to either be

22 attending self-help meetings or to be attending

23 treatment. It was definitely -- it was very

24 therapeutically oriented.

25 But we also heard from them about all of JAMES DeCRESCENZO REPORTING, LLC 29 PUBLIC HEARING, 10/8/2013

1 the obstacles that they encountered in trying to operate

2 these homes, and most of that was perceptions and stigma

3 about addiction, about what they were trying to do with

4 their houses.

5 Now, as part of that study we also

6 collected data from residents. We conducted focus groups

7 with over 100 residents in 13 different houses, and we

8 conducted focus groups with alumni who used to live in

9 recovery houses.

10 And we were also able to follow up with

11 residents who participated in these focus groups three

12 months later to see how they were doing.

13 Now we're still analyzing the data that we

14 got from the residents, and I don't want to say too much,

15 but what I can say is that the theme of stigma was also

16 something that the residents brought up.

17 And one of the things that I heard most

18 frequently was that they wished that people realized that

19 recovery homes were part of the solution and not part of

20 the problem; that they were people who were trying to

21 change their lives, to turn their lives around, and just

22 wanted to have a second chance.

23 So I hope to have more of my findings out

24 soon, but it's been a pleasure to talk with this group

25 and to share what I've learned about recovery homes in JAMES DeCRESCENZO REPORTING, LLC 30 PUBLIC HEARING, 10/8/2013

1 Philadelphia.

2 So thank you and thank you, Fred.

3 THE CHAIR: Okay. Fred and Amy, thank

4 you. I would appreciate if the both of you could hang

5 around for a little bit, because I'm sure there's going

6 to be some questions for you.

7 Thank you for very good testimony.

8 Next we have Kevin Dippolito, who's the

9 fire marshal and emergency management director for

10 Bristol Township, and also along with him I believe Amber

11 Longhitano, who is a council person in Bristol Township

12 also going to testify, and also I'd like to recognize

13 Craig Bowen who's in attendance this morning -- Craig,

14 welcome -- who's also on council in Bristol Township.

15 Kevin, you can begin whenever you like.

16 KEVIN DIPPOLITO: Thank you. I was asked

17 to come before you today to speak on fire safety issues

18 with -- directly related to recovery homes.

19 In Bristol Township you may or may not

20 know already we have approximately 40 recovery homes in

21 the township.

22 When they first come into the township,

23 they go through a proper process of getting registered

24 with the township, being told how many people they can

25 have in their home, but unfortunately right now those JAMES DeCRESCENZO REPORTING, LLC 31 PUBLIC HEARING, 10/8/2013

1 homes are not required to have automatic fire alarm

2 systems in them.

3 The issue we have with this is, as the

4 doctor said previous to me, folks go into these homes

5 with the intent and hopes of having a safe and secure

6 environment to go through their recovery process.

7 I'd like to see that go a step further and

8 have at the state level the requirement for monitored

9 fire alarm systems in these homes.

10 The reason I say that is, these folks are

11 short-term most of the time in these homes. They're not

12 familiar with these houses.

13 They did not grow up in them, they cannot

14 close their eyes and crawl from one end of the house to

15 the other during a dark smoky fire condition.

16 We need, that being the fire service, we

17 need every moment we can get to effect a rescue in these

18 homes if they are trapped in these houses.

19 Unlike the City of Philadelphia, who has a

20 fully staffed fire department that's ready to roll out

21 the doors within 30 seconds or so, Bristol Township, like

22 all of Bucks County, is primarily served by volunteer

23 firefighters.

24 Those trucks typically will not hit the

25 street in the middle of the night when people are asleep JAMES DeCRESCENZO REPORTING, LLC 32 PUBLIC HEARING, 10/8/2013

1 and most at risk for three to four minutes.

2 Having automatic fire detection systems in

3 these homes will accomplish several things.

4 Number one, it will give notification to

5 all occupants of the house no matter where they are

6 located in the house because the systems will be tied

7 together.

8 So someone who is sleeping at one end of

9 the house will be alerted to a fire at the far end.

10 Unlike an individual stand-alone battery operated smoke

11 detector which only beeps where the smoke is.

12 A system that is all tied together

13 interconnected will alert throughout the residence

14 regardless of what floor they're on or what end of the

15 building they're on giving them the most opportunity to

16 get out of that house.

17 In addition, that alarm system should or

18 could send a signal to an alarm monitoring company which

19 automatically dispatches the fire department.

20 So while those folks are escaping the fire

21 department is being notified by an automatic dialing

22 system coming out of the control panel of the alarm

23 system.

24 That in turn gets the firefighters

25 responding before one of those folks needs to find a JAMES DeCRESCENZO REPORTING, LLC 33 PUBLIC HEARING, 10/8/2013

1 phone, because they may have escaped with only the

2 clothes on their back, not grabbing their cell phones on

3 the way out the door.

4 That in itself would increase the life

5 safety of these homes tremendously.

6 In addition, if we had a state required

7 annual inspection, the respective fire authority of that

8 municipality would be able to make sure these fire alarm

9 systems are upkept, that they're working properly, that

10 fire extinguishers are placed in the homes where they

11 should be.

12 They have an opportunity to speak to the

13 tenants of the house at that time for a very -- it may be

14 brief, but it may be an opportunity to show them how to

15 use a fire extinguisher, make sure they know where the

16 fire extinguishers are located.

17 So the other option that would give us

18 would -- if there's an annual inspection program of these

19 homes strictly for the safety of the residents, it would

20 also give us the opportunity to make sure that the

21 population in that house hasn't gone above what is

22 permissible for the respective municipality.

23 We have found in cases where areas that

24 were previously not sleeping rooms have been converted

25 into sleeping rooms. JAMES DeCRESCENZO REPORTING, LLC 34 PUBLIC HEARING, 10/8/2013

1 This is not the case most of the time, but

2 it has been the case a few times that I can think of

3 where additional rooms that used to be a living space

4 were chopped up and subdivided into additional living

5 spaces.

6 To the fire service, when we go to a

7 residential house, we have a rough idea how many people

8 might be trapped in that house.

9 When we go to a recovery home, unless we

10 are somewhat recently involved in having contact with

11 that house, we may not know.

12 We may have people in that home that we

13 were not expecting to be in places where typically you're

14 not going to find somebody sleeping. Assuming this is

15 taking place in the middle of the night.

16 For that an annual inspection, a safety

17 inspection program, again, to ensure the safety of the

18 occupants to go there with the intent of having a safe

19 environment to go through their recovery, this would be

20 undoubtedly beneficial to not only to their safety but

21 the fire department who's going to respond to effect a

22 rescue in the middle of the night.

23 That's all.

24 THE CHAIR: Amber.

25 AMBER LONGHITANO: Thank you. I would JAMES DeCRESCENZO REPORTING, LLC 35 PUBLIC HEARING, 10/8/2013

1 like to thank this distinguished committee, Chairman and

2 Representative Farry for taking a stand to look at

3 halfway houses and recovery homes at all.

4 In Bristol Township of the immediate

5 vicinity halfway houses/recovery homes we have four in

6 Falls Township, we have nine in Bristol Borough, we have

7 two in Middletown Township, and we have, as Kevin said,

8 actually 42 in Bristol Township.

9 We believe in second chances and we

10 believe that there is a need for recovery homes and

11 halfway houses for individuals seeking to better their

12 lives.

13 However, we have a responsibility as

14 elected officials for the lives that exist within our

15 community.

16 When you inundate a community with halfway

17 houses, it puts a hardship on property value on the

18 residents themselves and everybody including -­

19 (Technical difficulty.)

20 Sorry about that.

21 Okay. As I was saying, when you inundate

22 a community with halfway houses, it affects the whole

23 community and all of the residents within it.

24 I'm asking this committee to go just one

25 step further and try and look into, whether it be on a JAMES DeCRESCENZO REPORTING, LLC 36 PUBLIC HEARING, 10/8/2013

1 state level or a federal level, some kind of regulations

2 as to how many can exist within one community and within

3 one neighborhood before it affects the whole community,

4 and that is what is happening in Bristol Township.

5 So I thank you very much for this

6 opportunity to speak and I appreciate you taking a stand

7 and I will look to you guys further for help.

8 THE CHAIR: Since this is Fire Prevention

9 Week and I know Kevin is not able to stay to the end of

10 the meeting, I'm going to open it up to a couple of

11 questions if anybody has any questions for Kevin or

12 Amber.

13 Any members of the committee have any

14 questions?

15 Representative Kinsey.

16 REPRESENTATIVE KINSEY: Thank you,

17 Mr. Chair.

18 For the fire marshal, I just have a few

19 questions if you don't mind.

20 KEVIN DIPPOLITO: Yes, sir.

21 REPRESENTATIVE KINSEY: I think you

22 suggested setting up a -- I think when you were talking

23 about the, I think it's the smoke detectors or the fire

24 alarm system in the home?

25 KEVIN DIPPOLITO: Uh-huh. JAMES DeCRESCENZO REPORTING, LLC 37 PUBLIC HEARING, 10/8/2013

1 REPRESENTATIVE KINSEY: Do you have any

2 estimation as to what the average cost might be? You're

3 talking about hard wiring that?

4 KEVIN DIPPOLITO: Correct. I'm talking

5 about an actual fire alarm system with the smoke

6 detectors interconnected. They now have some RF systems

7 that communicate the RF frequency that don't require

8 wiring.

9 As a matter of fact, that's what I put in

10 my house last year. They're phenomenal. They accomplish

11 what needs to be done and that is unilateral activation

12 throughout the house.

13 I believe -- you're asking for a rough

14 estimate? Is that it?

15 REPRESENTATIVE KINSEY: Yes.

16 KEVIN DIPPOLITO: I believe you could

17 probably in most Levittown style homes put one in for

18 2,000, give or take.

19 REPRESENTATIVE KINSEY: Okay. That's

20 fairly reasonable.

21 And the second question is, I think you

22 had mentioned suggestion of an annual state required

23 inspection.

24 In your estimation -- well, I guess when

25 you perceive that annual state required inspection, who JAMES DeCRESCENZO REPORTING, LLC 38 PUBLIC HEARING, 10/8/2013

1 would be responsible for conducting that?

2 Would that be the fire department? Would

3 it be maybe a department of L & I or would it be the

4 actual owner of the property?

5 KEVIN DIPPOLITO: Well, if we utilize the

6 Uniform Construction Code, as we have now in the State of

7 Pennsylvania, each municipality has the option to either

8 do it in house or contract out to a third-party depending

9 on that particular area.

10 The City of Philadelphia and Bristol

11 Township, we have our own fire marshal offices and such.

12 But you may be in a more rural area where they contract

13 out to a third-party agency.

14 As long as the inspections are getting

15 done, you know, it's -- you know, whoever does it is fine

16 as long as it's done efficiently and proficiently.

17 REPRESENTATIVE KINSEY: I guess my concern

18 was that if we allowed it to let's just say the operator

19 of such property or even the property owner I guess the

20 question -­

21 KEVIN DIPPOLITO: No.

22 REPRESENTATIVE KINSEY: Okay.

23 KEVIN DIPPOLITO: Yes. I'm sorry. I

24 meant for that to take place by a fire official at some

25 level. JAMES DeCRESCENZO REPORTING, LLC 39 PUBLIC HEARING, 10/8/2013

1 REPRESENTATIVE KINSEY: Okay. Great.

2 Thank you very much. Thank you, Mr. Chairman.

3 THE CHAIR: Anybody else?

4 Representative O'Neill.

5 REPRESENTATIVE O'NEILL: Thank you for

6 being with us today.

7 I guess my question relates to zoning.

8 I'm a former township supervisor. Aren't these

9 residential recovery houses covered under the zoning

10 ordinances? Aren't they considered institutional because

11 you're -­

12 KEVIN DIPPOLITO: They are -- I can't say

13 completely and intelligently about all the zoning

14 ordinances of Bristol Township. That is not within my

15 responsibility.

16 What I do know is when they first become

17 recovery homes, they go through a process at the township

18 level.

19 But once they go through that process,

20 their only recurring contact with the township presently,

21 as far as Bristol Township goes, is if they have a change

22 of tenants.

23 If they have a change of tenants they're

24 supposed to notify the township for earned income tax

25 reasons. But beyond that, there's -- there's little JAMES DeCRESCENZO REPORTING, LLC 40 PUBLIC HEARING, 10/8/2013

1 contact with the township.

2 REPRESENTATIVE O'NEILL: Really? I mean,

3 I have to be honest with you, I'm at a loss for words for

4 the lack of local control over this.

5 I mean, there's so much local control over

6 everything else.

7 I mean, my district office is inspected

8 every year, you know, and it seems like -- it seems like

9 there's more restrictions on my office than there is in a

10 residential institutional -­

11 Let me ask you this question. Do you have

12 any group homes for the disabled in your community?

13 KEVIN DIPPOLITO: Yes.

14 REPRESENTATIVE O'NEILL: Are they covered

15 under any such laws that you're speaking about right now?

16 KEVIN DIPPOLITO: No. And I think they

17 also deserve the same annual inspections that we're

18 speaking of today for the recovery homes.

19 These folks that you're now speaking of

20 are often nonambulatory and need as much protection as

21 they can get.

22 REPRESENTATIVE O'NEILL: Sure.

23 KEVIN DIPPOLITO: The difference here may

24 be is that a lot of the homes that have nonambulatory

25 persons living in them have home managers or some sort of JAMES DeCRESCENZO REPORTING, LLC 41 PUBLIC HEARING, 10/8/2013

1 adult supervision to assist them.

2 In the recovery style homes that's not the

3 case from all my contacts. They typically live there,

4 they govern themselves with -- without a house manager so

5 to speak.

6 REPRESENTATIVE O'NEILL: And I agree with

7 you. I'm kind of surprised it doesn't exist.

8 If I owned a home, I inherit, you know, a

9 15-bedroom home from my parents and I decide to rent the

10 rooms out, I have to go through a process with the

11 township.

12 Would you have to, under current zoning

13 laws or under any current township rules, come and

14 inspect on a regular the safety because I'm renting those

15 rooms out?

16 KEVIN DIPPOLITO: No. No. There's no

17 requirement for that to be done.

18 REPRESENTATIVE O'NEILL: Okay. Thank you.

19 KEVIN DIPPOLITO: You're welcome.

20 If I may go back to one point you made

21 about how your office would require an annual fire

22 inspection. That's a very good point.

23 We're talking about a place where no one

24 sleeps, where the likelihood of human life being in

25 danger during a fire being minimal. We are reducing the JAMES DeCRESCENZO REPORTING, LLC 42 PUBLIC HEARING, 10/8/2013

1 chances of fire, but there's no life hazard there.

2 Compared to a recovery home where we have

3 a life hazard, often a high life hazard, and I equate

4 this to some apartment buildings. There are some smaller

5 apartment buildings that may have fewer people in them

6 than a recovery home does.

7 A small apartment may be an old home that

8 was changed into an apartment building with common

9 hallways could actually have less than some larger homes.

10 So there's definitely a life hazard there

11 that we'd like to eliminate. We're the fire service. We

12 want to protect lives and property. Lives being the

13 first and foremost.

14 THE CHAIR: Representative Murt.

15 REPRESENTATIVE MURT: Thank you,

16 Mr. Chairman. Thank you for your testimony, Kevin.

17 I have a question. And the question is,

18 currently can a municipality enact a fire detection

19 system requirement in Pennsylvania?

20 KEVIN DIPPOLITO: I don't believe -- and,

21 again, I'm speaking a little out of turn, because this

22 would go towards licensing and inspections department and

23 our zoning.

24 But I do not believe, because they are

25 considered rental properties under the current laws, that JAMES DeCRESCENZO REPORTING, LLC 43 PUBLIC HEARING, 10/8/2013

1 they can enact that. I believe if we could we would have

2 done that already.

3 REPRESENTATIVE MURT: One other question,

4 Mr. Chairman.

5 You mentioned that in Bristol Township

6 there's 42 halfway houses. Is that an inordinate large

7 amount? Is there some reason why Bristol Township would

8 have so many houses within it?

9 AMBER LONGHITANO: I'm not sure exactly

10 why Bristol Township had so many. I think it's because

11 there weren't ordinances in place.

12 Some of the other townships and towns do

13 have ordinances in play, and we are working on that right

14 now as far as how many can exist in a residential home

15 that are nonblood related and still call it a residence

16 or a residential community.

17 They've also implemented things like how

18 many parking spots off street must be available per

19 licensed driver in a home. We've had none of that in

20 Bristol Township.

21 So it's kind of been a free-for-all I

22 believe for people coming into Bristol Township and yes,

23 it is an exorbitant amount of halfway homes and recovery

24 homes.

25 And the problem that I have with that JAMES DeCRESCENZO REPORTING, LLC 44 PUBLIC HEARING, 10/8/2013

1 within my community, unfortunately, the statistics are,

2 as sad as it may be, there is a 30 percent increase in

3 crime within a four-block radius of each one of these.

4 If you look at that and you add 42 or 51,

5 which is today's number, that completes my whole -­

6 encompasses my whole community.

7 So we have a major problem in Bristol

8 Township, which is why I'm asking the committee to go a

9 little bit further than just the inspections and look

10 into how many can exist within one community.

11 REPRESENTATIVE MURT: Thank you for your

12 testimony.

13 Thank you, Mr. Chairman.

14 THE CHAIR: Any other questions?

15 Representative Farry.

16 REPRESENTATIVE FARRY: First off, thank

17 you for coming out today. I know it's Fire Prevention

18 Week and how busy it is.

19 I think it's important in the event this

20 legislation is successfully implemented that we carry

21 through the comments of the fire marshal to the Secretary

22 of Drug and Alcohol to ensure that those concerns are

23 hopefully addressed through the regulations that will be

24 promulgated by the department.

25 So I think your testimony was dead on and JAMES DeCRESCENZO REPORTING, LLC 45 PUBLIC HEARING, 10/8/2013

1 I thank you for being here.

2 KEVIN DIPPOLITO: Thank you for the

3 opportunity.

4 THE CHAIR: Okay. Thank you.

5 I'd like to recognize my Democratic

6 Chairman of the Committee, Representative Angel Cruz,

7 from Philadelphia. Angel, welcome.

8 REPRESENTATIVE CRUZ: I apologize. I did

9 circles twice around here so, but I'm here.

10 THE CHAIR: Welcome to Bucks County. I

11 get lost in Philadelphia sometimes, too, Angel.

12 Our next testifier will be Joe Pizzo. Joe

13 is a solicitor not only for Middletown Township but also

14 for Bensalem.

15 I'd like to welcome Joe. Whenever you are

16 ready begin.

17 JOSEPH W. PIZZO: Good morning. I

18 provided your assistant with a copy of a statement. I

19 don't know if the board would like -- if the committee

20 would like to get a copy of that now.

21 In the Commonwealth of Pennsylvania second

22 class township -- local government in general, but I'll

23 speak primarily to second class townships, as I've

24 represented currently Bensalem and Middletown and I've

25 previously represented Lower Southampton, Northampton and JAMES DeCRESCENZO REPORTING, LLC 46 PUBLIC HEARING, 10/8/2013

1 Bristol Townships here in Bucks County.

2 Second Class Township Code empowers

3 townships to make and adopt ordinances, bylaws, rules and

4 regulations that are not inconsistent with or restrained

5 by the constitution and the laws of the Commonwealth, and

6 those laws have to be necessary for the proper

7 management, care and control of the township, the

8 maintenance of peace, good government, health, welfare of

9 the township and its citizens.

10 Under the Second Class Township Code

11 townships are further empowered to plan for the

12 development of the township through zoning, subdivision

13 and land development regulations under the Pennsylvania

14 Municipalities Planning Code.

15 Townships are further able to enact and

16 enforce ordinances to govern and regulate the

17 construction, alteration, repair, occupation,

18 maintenance, sanitation, lighting, ventilation, water

19 supply, toilet facilities, drainage, use and inspection

20 of all buildings and housing constructed, erected,

21 altered, designed or used for any use or occupancy and

22 the sanitation of inspection of land within the township.

23 In order to enforce those ordinances the

24 township may appoint one or more building and housing

25 inspectors to enforce those regulations of the township JAMES DeCRESCENZO REPORTING, LLC 47 PUBLIC HEARING, 10/8/2013

1 and for the inspection of construction, alteration,

2 repair and sanitation facilities of buildings and housing

3 in the township.

4 Furthermore, townships are generally

5 empowered to adopt ordinances to secure the safety of

6 persons or property within the township and to define

7 disturbing the peace within the limitations of the

8 township.

9 Townships are further given power by the

10 legislature to ensure that fire and emergency medical

11 services are provided within the township by the means

12 and to the extent determined by the township including

13 financial and administrative assistance for those

14 services.

15 The legislature's also given townships

16 through the Second Class Township Code the power to

17 provide for fire protection within the township and adopt

18 any standard fire protection code.

19 Article 19 of the Second Class Township

20 Code empowers the township to create, fund and operate a

21 police force within the township.

22 Under the Pennsylvania Municipalities

23 Planning Code, second class townships are empowered to

24 enact zoning ordinances that are designed in part to

25 promote, protect and facilitate any or all of the JAMES DeCRESCENZO REPORTING, LLC 48 PUBLIC HEARING, 10/8/2013

1 following.

2 The public health safety morals and

3 general welfare, coordinated and practical community

4 development and proper density of population and

5 emergency management and preparedness operations.

6 Similarly, zoning ordinances are designed

7 to prevent overcrowding of land, blight, danger and

8 congestion and traveling transportation, loss of health,

9 life or property from fire, flood, panic or other

10 dangers.

11 The Commonwealth has also adopted the

12 Pennsylvania Construction Code Act by which townships are

13 empowered to administer and enforce the Pennsylvania

14 Uniform Construction Code.

15 The stated purpose of that act is in part

16 to provide standards for the protection of life, health,

17 property and environment and for the safety and welfare

18 of the consumer, the general public and the owners and

19 occupants of buildings and structures.

20 It's a lot of power.

21 All of those citations that I just gave

22 you are there to demonstrate that the Commonwealth has

23 vested local municipalities and second class townships in

24 particular with a wide range and a broad grant of police

25 powers for the proper management of a township and for JAMES DeCRESCENZO REPORTING, LLC 49 PUBLIC HEARING, 10/8/2013

1 the maintenance and protection of the health, safety and

2 welfare of its citizens.

3 Ironically many of those powers that I

4 just enumerated are either inapplicable or unenforceable

5 by the township when the property or the structure

6 involved is a recovery home.

7 Recovery home is one that houses a drug or

8 alcohol treatment program.

9 And when the township seeks to enforce any

10 of its police powers where the township finds itself is a

11 combination of the Fair Housing Act Amendments from 1988,

12 the Rehabilitation Act, and the Americans with

13 Disabilities Act.

14 Together, when applied collectively, have

15 rendered local municipalities all but powerless both in

16 theory and in fact in regard to even the most basic

17 enforcement of its zoning, its building, and its safety

18 codes and ordinances when the property at issue houses a

19 recovery program.

20 Now, the intention from the Fair Housing

21 Act, the Rehabilitation Act, and the Americans with

22 Disabilities Act is to protect persons with disabilities

23 from and against discrimination.

24 It is clearly one of the paramount goals

25 of our society. JAMES DeCRESCENZO REPORTING, LLC 50 PUBLIC HEARING, 10/8/2013

1 Equal access to safe neighborhoods and to

2 habitable housing should not be denied to any citizen.

3 That much is clear. But it's at this juncture where the

4 inconsistency and the irony meet.

5 In the name of protecting recovery homes

6 and similar facilities from either overzealous or

7 overreaching regulation by local municipalities in their

8 efforts to perhaps exclude these uses from a

9 neighborhood, the net effect or the resultant effect is

10 that the interpretation of these statutes by the courts

11 have essentially rendered the townships powerless to

12 regulate them once they have located within the

13 community.

14 And it is that regulation for the

15 individuals who are in these facilities, the individuals

16 with the disabilities that the township should be seeking

17 to protect, the township can't.

18 Because, candidly, the collective

19 enforcement of these federal statutes combined with the

20 court decisions that have interpreted them put the

21 township essentially in fear of even attempting even the

22 most basic regulations at time for fear of finding the

23 township on the wrong end of a civil rights lawsuit

24 that's brought under each of those statutes as well as

25 the 14th amendment to the constitution. JAMES DeCRESCENZO REPORTING, LLC 51 PUBLIC HEARING, 10/8/2013

1 In the municipalities that I've

2 represented over the years recovery homes have existed

3 largely without efforts by the community to oppose them.

4 In many cases neither the surrounding

5 residents nor the local government themselves are even

6 aware they exist.

7 You heard testimony from the gentleman

8 from Bristol Township there are some 40 in Bristol

9 Township currently.

10 Our estimates are in Middletown that there

11 are at least 30 group homes of various varieties

12 including recovery homes. Bensalem we would estimate at

13 least an equal amount again.

14 The existence of many of these group

15 homes, recovery homes without the knowledge of

16 surrounding residents and without the intervention of the

17 township comes largely from them functioning the way that

18 they are intended to function.

19 And that is with a group of unrelated

20 individuals functioning within a single family structure,

21 a single family home operating as a family, sharing a

22 single kitchen, common bathroom facilities and a number

23 of bedrooms.

24 It's when the recovery home is operated in

25 a fashion that is inconsistent with the structure or JAMES DeCRESCENZO REPORTING, LLC 52 PUBLIC HEARING, 10/8/2013

1 within the neighborhood within which it's located that

2 the need for regulation and enforcement becomes necessary

3 and, in fact, evident to those around the facility as

4 well as the township itself.

5 As I said a moment ago, the model for

6 recovery homes that I've most encountered over the last

7 20 years is one where a single family residence is

8 purchased either by a for-profit or a not-for-profit

9 entity for the operation of a recovery home.

10 The recovery home is occupied by unrelated

11 individuals who are in recovery from drug or alcohol

12 addiction.

13 They pay the owner/operator of that

14 recovery home a daily, weekly or a monthly fee to live

15 in the recovery home as they transition either from a

16 treatment facility or a detention facility back into

17 society.

18 The recovery home structure itself remains

19 as a single house just as those that many of the people

20 surrounding the facility occupy as well.

21 Again, it has a single kitchen, common

22 bathrooms, and bedrooms that are occupied typically by

23 one or two of the recovery residents.

24 The number of individuals residing in the

25 house are appropriate for the size of the structure and JAMES DeCRESCENZO REPORTING, LLC 53 PUBLIC HEARING, 10/8/2013

1 for the neighborhood in which the house is located and

2 from both a safety and quality of life perspective for

3 those both inside the house and those living next door to

4 it, there's no difference between the recovery home and

5 any other home on that street or in that neighborhood.

6 It's when the operation of the recovery

7 home seeks to exceed the tolerances, if you will, of the

8 structure or the neighborhood in which it's located that

9 the problems occur.

10 And it is that point in time that those

11 residents of the recovery home, those are the people with

12 the disabilities, that's when they are most in need of

13 the protections of local government.

14 Simply put, when the owner or operator of

15 the recovery house populates the structure with more

16 people than it should, those residents have been placed

17 at risk.

18 You heard lengthy testimony from the

19 Bristol Township fire marshal regarding fire safety

20 issues surrounding these facilities.

21 Under all local safety fire codes,

22 nonresidential structures are rated based on size, use

23 and occupancy as to the fire protection and the fire

24 safety measures they're required to have in place.

25 The need for sprinklers, the number and JAMES DeCRESCENZO REPORTING, LLC 54 PUBLIC HEARING, 10/8/2013

1 location of fire exists, the placement and marking of

2 fire extinguishers or pull stations are all based in part

3 on who will be occupying the building, how many people

4 will be in the building at any one time, and the size and

5 layout of the structure itself.

6 Similar ratings are applied to multifamily

7 residences and structures such as hotels, apartments and

8 boarding houses.

9 And, again, for the same reasons, namely,

10 the health and safety of the people inside the structure

11 and the safety and protection of the surrounding

12 structures.

13 Today in most second class townships in

14 Pennsylvania a local fire marshal or a code inspector

15 cannot in most cases apply those very same standards to a

16 recovery house.

17 There is no inspection protocol to ensure

18 that the number of recovery patients paying to be in that

19 home is in fact a safe number to occupy that structure

20 for fire safety purposes.

21 There's no regulation under which a fire

22 marshal or code inspector can make sure that the

23 facilities being provided by the owner/operator of that

24 program will provide sufficient warning or safe and

25 adequate means of escape in the event of a fire. JAMES DeCRESCENZO REPORTING, LLC 55 PUBLIC HEARING, 10/8/2013

1 Similarly, there's no opportunity for an

2 inspector to determine even on an annual basis that the

3 common kitchen and bathroom facilities provided to these

4 individuals function in a safe, sanitary or proper

5 manner.

6 Local governments are empowered to provide

7 greater protections to patrons in a nightclub, guests in

8 a motel, or transient residents in a boarding house than

9 they are to persons with disabilities who are paying for

10 the opportunity to live in a recovery house as they work

11 to overcome their addiction.

12 This clearly is not in keeping with the

13 stated purposes of the antidiscrimination laws that I

14 mentioned earlier and it is however where municipalities

15 find themselves today when it comes to the regulation of

16 recovery homes.

17 Again, local governments are reluctant to

18 even try to do the most basic health and safety

19 inspections or enforcement for fear of becoming

20 defendants in a civil rights litigation filed under these

21 antidiscrimination statutes or the equal protection

22 clause of the constitution by the owners and operators of

23 the recovery home.

24 Allowing the regulation and inspection of

25 recovery houses by the township for compliance with basic JAMES DeCRESCENZO REPORTING, LLC 56 PUBLIC HEARING, 10/8/2013

1 local fire building, property maintenance and zoning

2 codes is consistent with all the legislation referenced

3 in this statement.

4 It will protect and maintain the health,

5 safety and welfare of those inside and outside of the

6 recovery home.

7 Most importantly, Representative Farry's

8 proposed legislation will not serve to harm in any way

9 those persons who are in recovery. It will serve to

10 protect them.

11 It will not result in recovery houses

12 being shuttered or barred from residing in residential

13 neighborhoods to which persons in recovery are seeking to

14 live.

15 Rather it will protect the recovery home

16 residents from those owners and operators of recovery

17 facilities who may put additional revenue ahead of the

18 safety and welfare of the persons paying to live in the

19 recovery homes.

20 Furthermore, in all cases, irrespective of

21 the motives of the operator and how the facility is

22 operated, it will assure that these individuals are being

23 provided at a minimum safe and habitable housing during

24 their time in recovery.

25 I open the floor for any questions. JAMES DeCRESCENZO REPORTING, LLC 57 PUBLIC HEARING, 10/8/2013

1 THE CHAIR: Joe, do you have a little bit

2 of time to stick around?

3 JOSEPH W. PIZZO: Absolutely.

4 THE CHAIR: We have one more testifier and

5 then after she's done we're going to open it for

6 questions. If you can stick around a little bit I'd

7 appreciate it.

8 THE WITNESS: I'd be happy to.

9 THE CHAIR: Thank you.

10 JOSEPH W. PIZZO: Certainly.

11 THE CHAIR: Our last testifier for today

12 is someone who I know very well, Diane Rosati, who's the

13 executive director for the Bucks County Drug and Alcohol

14 Commission.

15 Hardly two or three days goes by where I'm

16 not calling Diane up and trying to help for a Bucks

17 County resident.

18 And as I said numerous times to you

19 privately, and I'll say publicly, thank you for the

20 really, really good work, life-saving work actually, that

21 you do for the residents that are in need of drug and

22 alcohol treatment here in Bucks County.

23 So when you're ready, please begin.

24 DIANE W. ROSATI: Thank you for your kind

25 words, and thank you esteemed legislators, officials and JAMES DeCRESCENZO REPORTING, LLC 58 PUBLIC HEARING, 10/8/2013

1 community members.

2 My name is Diane Rosati, Executive

3 Director of the Bucks County Drug and Alcohol Commission

4 located in Warminster, Pennsylvania.

5 I appreciate this opportunity to speak

6 with the Human Services Committee and stakeholders in

7 support of House Bill No. 1298 which addresses such an

8 important issue for our community and for people in

9 recovery.

10 Created in 1973 the Bucks County Drug and

11 Alcohol Commission is the designated Single County

12 Authority, SCA, for alcohol, tobacco and other drug

13 services for Bucks County.

14 We're responsible as the government entity

15 for the administration and management of public funds

16 designated for substance abuse prevention, intervention,

17 treatment and recovery services.

18 We're a non-profit organization governed

19 by a voluntary board of directors who are appointed by

20 the Bucks County commissioners.

21 We are fortunate in Bucks County to have a

22 legislative delegation that understands addiction and

23 recovery. Our treatment and recovery support providers,

24 some of whom are present today, offer comprehensive and

25 effective services. JAMES DeCRESCENZO REPORTING, LLC 59 PUBLIC HEARING, 10/8/2013

1 However, as each of you know, the demand

2 for drug and alcohol treatment is every increasing. We

3 are faced with a perfect storm.

4 For the first time in our tenure this past

5 year the commission noted that heroin has overtaken

6 alcohol as the primary drug abuse. That is the drug that

7 most people reportedly were using when they entered

8 treatment.

9 We're experiencing an opiate and

10 prescription medication epidemic. The impact of

11 healthcare reform is yet undetermined.

12 Each day we, and you as legislators,

13 receive desperate phone calls from parents of children

14 who are not minor children and are often in their 20s,

15 30s and 40s seeking direction on where to turn for help.

16 Too many, and one is too many, parents

17 call our office to tell us of a child's death by

18 overdose.

19 For every year that we do not receive an

20 increase in our funding, that translates into a decrease

21 in the bottom line for our providers whose expenses have

22 not remained flat.

23 Our role is to provide treatment and

24 recovery support funding for Bucks County residents who

25 are not covered by health insurance. JAMES DeCRESCENZO REPORTING, LLC 60 PUBLIC HEARING, 10/8/2013

1 Our philosophy and practice is to offer a

2 full continuum of care that may include licensed

3 detoxification, rehabilitation, halfway house and

4 outpatient services.

5 For so many reasons clients may seek

6 treatment a number of times, may leave against medical

7 advice, or may not be ready for treatment.

8 We seek to reach out to those clients and

9 are mindful of the many barriers that they must overcome.

10 Recovery support services are available to

11 assist individuals in their recovery journey.

12 Community recovery centers, peer recovery

13 and recovery coaches are all designed to acknowledge the

14 many pathways to recovery and support long term recovery

15 from addiction.

16 Reducing barriers is essential in building

17 recovery capital and maintaining long term sobriety so

18 people can return to their jobs, their families and their

19 communities.

20 The issue of housing is a key barrier or a

21 key opportunity for our clients. We support quality

22 recovery houses in our community.

23 Woven into the fabric of recovery support

24 services are recovery houses, an essential tool in the

25 recovery tool box. JAMES DeCRESCENZO REPORTING, LLC 61 PUBLIC HEARING, 10/8/2013

1 As you've heard today, recovery houses

2 come in all forms.

3 We have worked diligently with our

4 partners, including Adult Probation and Parole and the

5 Bucks County Recovery House Association to ensure a Good

6 Housekeeping Seal of Approval for the houses that we fund

7 with the Department of Drug and Alcohol dollars.

8 We've identified one lead staff person who

9 serves on the Recovery House Association Board.

10 We fund only recovery houses who are

11 members in good standing of the Recovery House

12 Association and we conduct annual site visits as mandated

13 by the Department of Drug and Alcohol Programs and our

14 monitoring tool goes beyond what the department

15 requires.

16 In order to ensure client safety and

17 optimal opportunity for recovery, we contractually

18 require that recovery houses in our network agree to the

19 following:

20 Have protocols in place regarding

21 appropriate use and security of medication.

22 Have verification that residents are

23 informed in writing of all house rules, residency

24 requirements and any lease agreements upon admission.

25 Have a policy in place which promotes JAMES DeCRESCENZO REPORTING, LLC 62 PUBLIC HEARING, 10/8/2013

1 recovery by requiring resident participation in

2 treatment, self-help groups or other recovery supports.

3 Have a policy regarding resident use of

4 alcohol or other substances.

5 Have safeguards in place to ensure the

6 safety and protection of each resident.

7 And be in compliance with all local

8 municipal ordinances.

9 In addition, recovery houses in our

10 network agree to unannounced inspections conducted by our

11 office in conjunction with Probation and Parole and

12 representatives from the Recovery House Association.

13 Most of the Recovery House Association

14 members do not receive government funding. The Recovery

15 House Association provides the structure and monitoring

16 to support structured recovery house living.

17 The Recovery House Association members

18 volunteer to be part of the association which includes

19 paying a fee, following guidelines that have been created

20 by the Recovery House Association members and sanctions

21 to those houses that are found to be using practices that

22 go against the guidelines.

23 We have a complaint and grievance

24 procedure in place where an e-mail can be sent from the

25 website and a committee made up of my office JAMES DeCRESCENZO REPORTING, LLC 63 PUBLIC HEARING, 10/8/2013

1 representative, Probation and Parole representative and

2 other recovery house workers review the complaint or

3 grievance and take further action when warranted.

4 We are committed to working with the

5 Department of Drug and Alcohol Program, the Recovery

6 House Association, and community members to ensure the

7 highest quality recovery housing in our communities.

8 The standards recommended in House Bill

9 No. 1298 will hopefully lead to increased quality for

10 residents and for neighbors.

11 In summary, recovery houses fill a void

12 for many of our residents. We look to an ongoing

13 partnership and contractual relationship with the

14 recovery houses who offer an opportunity for safety,

15 recovery environment and support.

16 We've long ago recognized that funding

17 treatment alone is not the answer; that there is not one

18 answer to overcoming addiction.

19 We do believe though that wrapping

20 recovery supports around individuals while in treatment

21 and when they leave traditional treatment offers the best

22 chance at long term recovery.

23 Recovery houses can be crucial in building

24 a strong foundation for continued abstinence.

25 Thank you for your attention to this JAMES DeCRESCENZO REPORTING, LLC 64 PUBLIC HEARING, 10/8/2013

1 important issue, for your support, and to the commitment

2 that you have to the citizens of Bucks County, of

3 Pennsylvania, and to the recovery community.

4 Thank you.

5 THE CHAIR: Okay, Diane. Thank you.

6 And with that I'm going to open it up for

7 questions. If any of the members have questions for any

8 of our testifiers today.

9 Representative Dean.

10 REPRESENTATIVE DEAN: Thank you,

11 Mr. Chairman, for all of the organization of testimony

12 and, Representative Farry, for the legislation that

13 you're proposing.

14 I guess my first question was to

15 Mr. Pizzo.

16 In terms of just practically speaking, or

17 specifically speaking, if I run a boarding house in

18 Middletown Township versus I run a recovery house, what

19 are the regulations that I would be under in terms of the

20 safety and wellbeing of the people who live in my

21 boarding house versus the safety and wellbeing of the

22 people who live in my recovery house?

23 JOSEPH W. PIZZO: The township would have

24 the opportunity to both adopt and enforce inspections of

25 the boarding house or any sort of similar multifamily JAMES DeCRESCENZO REPORTING, LLC 65 PUBLIC HEARING, 10/8/2013

1 dwelling, apartment houses, hotels, motels, on in most

2 cases an annual basis.

3 You're doing basic fire safety

4 inspections, making sure that all of the smoke detectors

5 are functioning, the fire alarm systems are operating,

6 that emergency exits are clearly marked, that they're not

7 obstructed in any way.

8 In the case of facilities that might have

9 cooking or plumbing, making sure that those continue to

10 function. With apartment houses oftentimes in Middletown

11 and Bensalem the inspections are done on a change of

12 tenancy.

13 So the annual lease comes due, the renter

14 moves out, a new renter moves in.

15 That apartment is inspected to make sure

16 that it meets basic health and safety codes to make sure

17 that everything, again, as to basic fire safety

18 functions.

19 Conversely, a recovery house is

20 operated -- in the case where it's being operated in a

21 single family house, the township has no more right to go

22 into that house to do an inspection than it does to go

23 into your house.

24 Under federal housing laws a family, as it

25 is defined for housing purposes and for purposes of JAMES DeCRESCENZO REPORTING, LLC 66 PUBLIC HEARING, 10/8/2013

1 individuals with disabilities, you don't have to be

2 related by blood.

3 So the individuals residing in the house

4 can be unrelated.

5 And as long as you're sharing a single

6 kitchen or common cooking facilities, that it's not like

7 efficiency apartments, and that you are functioning as a

8 family unit, that at night everybody goes to their

9 bedroom and sleeps and during the day everybody gathers

10 around the kitchen table to eat, or retires to the den to

11 watch TV, you're a family.

12 And in those instances, the township no

13 more in theory wants to go into that house than it does

14 any other house to make sure that what's going on there

15 completely and entirely complies with code.

16 But what the township has experienced over

17 the years is, again, in some cases a house with four

18 bedrooms, a kitchen, two bathrooms is occupied by six or

19 seven individuals in recovery.

20 For all intent and purposes no one, again,

21 aware that it's even there functioning as a recovery

22 house.

23 There's not an inordinate number of cars

24 coming and going during the day, the number of people

25 living in the house is consistent with the size and JAMES DeCRESCENZO REPORTING, LLC 67 PUBLIC HEARING, 10/8/2013

1 nature of the structure with the makeup of the single

2 family neighborhood.

3 When you turn around and take that same

4 house with four bedrooms, kitchen, two bathrooms and now

5 put two sets of bunk beds in each bedroom, and now that

6 house is suddenly housing 15 individuals, all of whom may

7 have or some of whom may have cars, it now changes the

8 nature and complexity of that structure within the

9 neighborhood both in terms of the impact on the number of

10 people coming and going, the number of cars, the general

11 activity that's seen around the house.

12 And, conversely, you now have 15 people

13 who you have to now try and get out of a house that

14 wasn't designed for that many people in a fire. Four

15 people trying to get out of a bedroom that has one

16 doorway or maybe one hallway.

17 If this were a boarding house, the

18 township would require X number of fire escapes and fire

19 extinguishers to be located at appropriate intervals and

20 exits properly marked.

21 That same structure, if it's being used as

22 a house, as a recovery home, the township doesn't get the

23 ability to go in there and do any of that.

24 REPRESENTATIVE DEAN: Does that mean the

25 township might not know that's a recovery house? JAMES DeCRESCENZO REPORTING, LLC 68 PUBLIC HEARING, 10/8/2013

1 Is there no obligation to come to the

2 township and say, I'm going to be operate in my mom's old

3 five-bedroom house as a recovery house? I have no

4 obligation to tell the township that?

5 JOSEPH W. PIZZO: No more than you're

6 obligated to tell the township that you're moving into a

7 house with your husband and children.

8 REPRESENTATIVE DEAN: But in this case

9 it's for the exchange of commerce, though. There's money

10 being paid, you know, whether it's sort of leasehold or

11 whatever we call it.

12 JOSEPH W. PIZZO: That is one of the more

13 frustrating aspects for neighboring property home owners

14 to understand in those cases where the recovery home has

15 become a source of contention within the neighborhood.

16 Why is it not a commercial endeavor? Why

17 are they not treated as a commercial property rather than

18 a residential property and, therefore, not allow in the

19 first place because of zoning?

20 Or why aren't they held to the standards

21 that we talked about for an apartment or a boarding house

22 or a nightclub or a whatever as opposed to a single

23 family residence.

24 The answer is because the law says you

25 treat it as a house. JAMES DeCRESCENZO REPORTING, LLC 69 PUBLIC HEARING, 10/8/2013

1 REPRESENTATIVE DEAN: Okay.

2 JOSEPH W. PIZZO: So when you first move

3 in, in most townships in Lower Bucks County you get a use

4 and occupancy permit.

5 The property is inspected for the purposes

6 of issuance of a use and occupancy permit and after that

7 you can live in that house for the next 3 0 years without

8 the township ever setting foot in it again.

9 REPRESENTATIVE DEAN: Thank you very much.

10 JOSEPH W. PIZZO: Certainly.

11 REPRESENTATIVE DEAN: May I ask one other

12 question of another testifier?

13 THE CHAIR: Go ahead.

14 REPRESENTATIVE DEAN: I believe it's Amy,

15 the researcher.

16 I was interested in your research, in

17 particular I guess you said that you focused on 25

18 participating houses in Philadelphia out of more than

19 2 00, maybe as many as 3 00.

20 AMY MERICLE: Uh-huh.

21 REPRESENTATIVE DEAN: How did you come up

22 with that sampling? And does that tell you something

23 about the houses you did not have the opportunity to

24 research?

25 AMY MERICLE: Yes. JAMES DeCRESCENZO REPORTING, LLC 70 PUBLIC HEARING, 10/8/2013

1 So the sampling was kind of a surprise for

2 the study. We thought that we had lists of all the

3 recovery homes in Philadelphia because the city had

4 mapped out the recovery resources available in the City

5 of Philadelphia.

6 And there was a separate list that we used

7 that was kept by the Philadelphia Association of Recovery

8 Residences. And like I said in the testimony, those

9 lists together came up out to about 300 houses.

10 However, when we started to call the

11 houses to verify that sampling frame, we found that many

12 of the houses had closed, many of the houses had changed

13 from serving males to serving females.

14 So I think the Philadelphia, the

15 Department of Office of Addiction Services did a

16 fantastic job doing that mapping study, but the landscape

17 of recovery homes in Philadelphia changes so frequently

18 that it's really hard to keep a pulse on how many houses

19 there are, where they're located, and the types of

20 clients that they're serving.

21 REPRESENTATIVE DEAN: And my other thought

22 is, have you had a chance to look sort of backward and

23 look to the future in terms of numbers?

24 I think everybody testifying here tells us

25 that this is on the increase, that drug and alcohol JAMES DeCRESCENZO REPORTING, LLC 71 PUBLIC HEARING, 10/8/2013

1 addiction is something that is epidemic, particularly the

2 prescription drug epidemic that I think is so relevant

3 and tragic for our youth, our young people.

4 So the need for good treatment programs

5 and adequate and safe recovery houses is only on the

6 increase. Do you see that also in Philadelphia?

7 AMY MERICLE: Yes. We see that the need

8 is on the increase.

9 However, what we found in our study was

10 that the number of houses was actually declining; that

11 many houses that were on that list had closed and were no

12 longer operating.

13 So as the need is increasing -- I mean,

14 the need has been great for decades and it is increasing,

15 but the resources available to address that need are

16 still insufficient.

17 REPRESENTATIVE DEAN: Thank you, Amy.

18 Thanks, Mr. Chairman.

19 THE CHAIR: Amy, could you just real

20 quick, one quick question.

21 Have you found on recovery houses any

22 effect on the quality of number because of the general

23 assistance cuts that were put into effect last year by

24 the State of Pennsylvania?

25 AMY MERICLE: Yeah. So we didn't study JAMES DeCRESCENZO REPORTING, LLC 72 PUBLIC HEARING, 10/8/2013

1 that specifically, although our study took place around

2 the same time that cuts were affected.

3 So I think that there probably was a

4 relationship, but like I said, we didn't, you know, ask

5 the operators specifically why their houses were closing

6 or what happened. So I can't say definitively.

7 THE CHAIR: I'd like to qualify that.

8 I've been told and heard from a number of

9 sources that those general assistance payments, although

10 there wasn't a whole lot of money, that a lot of people

11 that were seeking treatment or in recovery were using

12 that money to help pay the recovery houses payments.

13 So from what I'm hearing, it's had a

14 pretty big effect.

15 AMY MERICLE: Yes. I think that you're

16 correct, that the general assistance funds did help

17 defray cost of housing and that it has made it more

18 difficult for people who need housing in recovery to get

19 housing and as a result it's possible that houses have

20 closed.

21 THE CHAIR: Okay. Thank you.

22 For Joe Pizzo, just a quick question, Joe.

23 You mentioned two types of recovery

24 houses, for-profit and not-for-profit.

25 From your experience, have you seen any JAMES DeCRESCENZO REPORTING, LLC 73 PUBLIC HEARING, 10/8/2013

1 difference between the for-profit and the not-for-profit

2 in the number of complaints or problems that each one has

3 gotten in the townships that you've been solicitor?

4 JOSEPH W. PIZZO: I have not. But that's

5 certainly not a scientific sampling by any stretch of the

6 imagination.

7 What I would caution, because I don't want

8 to inadvertently paint an inaccurate picture, we do have

9 instances in those townships that I've represented and do

10 represent where the operators of group homes do come and

11 contact the township and do, A, make us aware of their

12 presence and, B, do invite the township in to inspect to

13 make sure that the structure meets fire codes primarily,

14 to make sure that their residents can safely be evacuated

15 in the event of an emergency, particularly a fire in the

16 house.

17 And so it's -- and that's meaningful for

18 the township.

19 And Representative Farry can probably

20 speak to it a little better than I can, we had an

21 incident in Middletown a few years ago where a house in

22 Levittown was being operated as a recovery home.

23 There were, I believe 14, that's the

24 number I understand, individuals in recovery who were

25 residing in that house. JAMES DeCRESCENZO REPORTING, LLC 74 PUBLIC HEARING, 10/8/2013

1 A fire occurred.

2 The first responders were not aware, had

3 no idea as to the number of people that were living in

4 the house or how the house was being used.

5 And you're creating a situation not only

6 where the lives of the residents are being unnecessarily

7 put at risk, but the lives of the first responders as

8 well.

9 Because you're not prepared when you first

10 get there for a fire that may have up to 14 people living

11 in the house.

12 And, obviously, the demands on the first

13 responders are significantly different when you know that

14 you are going to be battling an apartment house fire or a

15 boarding house fire than a fire where you only anticipate

16 four, five, six people, maybe a dog and a cat.

17 So that is meaningful. That information

18 is meaningful to the people who will be responding in

19 terms of police and fire as to what they might anticipate

20 in an emergency situation at that house as well.

21 Again, there is no obligation, however,

22 but we do find particularly for group homes that house

23 individuals with disabilities that are of a more physical

24 nature where those individuals may have difficulty

25 getting out of the house in an emergency. JAMES DeCRESCENZO REPORTING, LLC 75 PUBLIC HEARING, 10/8/2013

1 The operators of those homes are obviously

2 more than happy to have the township involved in helping

3 to facilitate a fire safety plan, making sure that the

4 house meets fire codes on a regular basis to ensure the

5 safety of their residents.

6 THE CHAIR: Representative O'Neill.

7 REPRESENTATIVE O'NEILL: Thank you.

8 Thank you for being here, Joe. I have

9 several questions, but since you're sitting there, in

10 answering Representative Dean's, some of her questions

11 you said it's a matter of law.

12 Were you referring to federal law or state

13 law?

14 JOSEPH W. PIZZO: Federal law is

15 interpreted by the courts both of this Commonwealth and

16 at the federal level, the Supreme Court.

17 REPRESENTATIVE O'NEILL: So it could be

18 some federal civil rights ruling or something that is

19 prohibiting townships and so forth from doing this?

20 JOSEPH W. PIZZO: That's correct.

21 REPRESENTATIVE O'NEILL: Well, you're

22 probably going to say no, but I'll ask you the question

23 anyway.

24 Would the state be able to enact laws to

25 govern safety issues and that sort of thing in regulating JAMES DeCRESCENZO REPORTING, LLC 76 PUBLIC HEARING, 10/8/2013

1 this without violating that civil law -- or that federal

2 law or ruling?

3 JOSEPH W. PIZZO: I believe so. The test

4 I believe the courts will apply is whether the regulation

5 is content neutral both on its face and in its

6 application.

7 When a municipality is taking a zoning

8 ordinance or a building ordinance and through its

9 application of that ordinance creating a de facto

10 prohibition from that facility from locating within the

11 township or within a neighborhood within the township,

12 the courts have looked at that with a very, very

13 jaundiced eye and said no, no.

14 On its face it may be content neutral but

15 in fact you are discriminating.

16 In terms of the legislation that

17 Representative Farry is introducing, we're not talking

18 about stopping anyone from locating anywhere.

19 What we're saying is, is that the nature

20 of this use, the nature of the use of this single family

21 home or the nature of this use in this neighborhood is

22 such that it puts, A, additional demands on the resources

23 of the township, but more importantly, there are a class

24 of individuals who will be residing in that house,

25 individuals with disability who are a protected class and JAMES DeCRESCENZO REPORTING, LLC 77 PUBLIC HEARING, 10/8/2013

1 who are, I believe, in need of the protections that these

2 regulations afford to make sure that where they are

3 living is safe and habitable; that that can't be viewed

4 as being discriminatory.

5 And, in fact, if anything it should be

6 viewed as seeking to advance the purposes. The need for

7 the recovery homes I don't think anyone can dispute as

8 you've heard from the testimony today.

9 The ability to transition individuals out

10 of treatment and out of the judicial system back into

11 society, putting them back where they came from in the

12 first place, would seem to be an indication that the

13 behavior or the demons, if you will, that led to the

14 addiction in the first place will probably be found there

15 again.

16 And thus the recovery home becomes a

17 transition, a way to transition out of the system but

18 also away from those areas where the problems arose in

19 the first place.

20 So the need is clearly there.

21 The issue becomes, again, that in the

22 course of the operating of these facilities there are,

23 just like any other business of any other nature, there

24 are those who operate facilities that are above board and

25 go the extra mile and there are those who clearly see a JAMES DeCRESCENZO REPORTING, LLC 78 PUBLIC HEARING, 10/8/2013

1 profit motive at the end.

2 And those are the instances -- and there

3 may be other reasons as well for taking and maybe just

4 getting one or two extra beds in that house, maybe

5 getting one or two extra people in that facility, and the

6 township has no ability to turn around and say -- or I

7 shouldn't say no -- but very limited ability to say no,

8 you can't do that or no, if you're going to have this

9 many people in here it requires this, this and this.

10 And in those instances where the township

11 maybe want to dig in and say we're going to require this,

12 the township at least knows at the outset that it's

13 staring down the barrel of a loaded gun.

14 That the township will likely find itself

15 going in front of the PHRC or the EEOC or straight to

16 state or federal court on the basis that we are

17 discriminating against either that facility or the

18 individuals in it.

19 And that becomes the conundrum here if you

20 will. Because the township can't do all of those police

21 powers that I read to you at the start of my statement

22 for fear of finding itself on the wrong end of the

23 lawsuit.

24 It may not be a lawsuit that we lose but,

25 again, it comes at a cost to the township. JAMES DeCRESCENZO REPORTING, LLC 79 PUBLIC HEARING, 10/8/2013

1 Any time the township finds itself on the

2 opposite end of a lawsuit, there is -- there is a cost

3 both in real dollars and in terms of everything else that

4 comes with being sued.

5 So Representative Farry's legislation I

6 would hope is going to give the township and perhaps the

7 state, however it all comes out in the wash, the ability

8 to say that at a minimum where a recovery home is being

9 operated, these housing code, these property maintenance

10 code, these fire code requirements have to be met

11 irrespective whether that structure is a single family

12 home located in the middle of Levittown or a row home

13 located in a neighborhood in Philadelphia or a farmhouse

14 located in the center of Lancaster County.

15 REPRESENTATIVE O'NEILL: Thank you.

16 And I guess I would be correct in stating

17 that if House Bill 1298 does become law, the department

18 does regulate recovery houses in an applicable manner

19 that provides safety for those living there and the

20 residents and so forth, and giving the township the

21 authority to make sure it's safe, that the local

22 authorities would not be permitted to say you can't have

23 a recovery house next to an elementary school, you can't

24 have it next to a playground, you can't have it next to a

25 bar, you know, because people in the recovery house JAMES DeCRESCENZO REPORTING, LLC 80 PUBLIC HEARING, 10/8/2013

1 they're trying to recover from such things so it doesn't

2 make any sense having it next to a bar where they would

3 be tempted.

4 Would I be correct in stating that, that

5 his bill would not give the local department the ability

6 to do that, to give the township those authorities?

7 JOSEPH W. PIZZO: I'm certainly not the

8 author of the bill, but I don't believe that it would. I

9 believe your statement is consistent.

10 REPRESENTATIVE O'NEILL: I was just

11 thinking the federal government would probably shoot that

12 down.

13 Okay. Great. Thank you. I appreciate

14 it.

15 JOSEPH W. PIZZO: Sure.

16 REPRESENTATIVE O'NEILL: I have a few more

17 questions if I can.

18 Not for Joe. Thank you, Joe.

19 JOSEPH W. PIZZO: Thank you.

20 REPRESENTATIVE O'NEILL: Someone can

21 correct me if I'm wrong. I'm one of those people who was

22 ignorant when I walked in here about the difference

23 between a halfway house and a recovery house.

24 From listening to the definitions, am I

25 correct in saying a recovery house is specifically for JAMES DeCRESCENZO REPORTING, LLC 81 PUBLIC HEARING, 10/8/2013

1 recovery and treatment from some sort of substance abuse

2 and a halfway house is a facility for those who have been

3 adjudicated or in the system in some way; is that

4 correct?

5 THE CHAIR: I'll let Ted come up and

6 answer that.

7 TED MILLARD: In Bucks County there are

8 two halfway houses. That's all. One is called Good

9 Friends, Incorporated. That's based in Falls Township,

10 Pennsylvania.

11 One is called Liberte, Incorporated, which

12 is based in Bensalem Township. Two halfway houses in

13 Bucks County.

14 Everything else you're talking about

15 today, everything else in that packet is talking about a

16 recovery house.

17 REPRESENTATIVE O'NEILL: I understand

18 that, but that wasn't my question. What I'm trying to

19 get at is, is a halfway house strictly dealing with those

20 who have been adjudicated and in the system?

21 TED MILLARD: In Pennsylvania, a drug and

22 alcohol halfway house is a licensed treatment facility;

23 whereas a recovery house is not licensed and is not a

24 treatment facility.

25 REPRESENTATIVE O'NEILL: So theoretically JAMES DeCRESCENZO REPORTING, LLC 82 PUBLIC HEARING, 10/8/2013

1 someone who's seeking substance abuse recovery could be

2 in either a halfway house that deals with that or a

3 recovery house?

4 TED MILLARD: If a person is assessed by

5 law in this state through the Pennsylvania Client

6 Placement Criteria they can be assessed to go to

7 inpatient, outpatient, halfway house, all of the realm of

8 the criteria that was referenced by Gary Tennis.

9 That does not include recovery housing.

10 It is not an assessed treatment provider or location.

11 REPRESENTATIVE O'NEILL: That would lead

12 down to the road a few more questions then. Staffing.

13 Are recovery houses required to have

14 24-hour staffing professionals on the premises? Do they

15 do the actual recovery in the house, or do they go

16 somewhere else to do it and it's just a housing unit?

17 What is -­

18 TED MILLARD: Shall I refer to the

19 solicitor's comments who basically said a house has been

20 treated as a family unit. So a family unit does not

21 require anything.

22 REPRESENTATIVE O'NEILL: Okay. And your

23 two halfway houses in Bucks County that are drug

24 treatment facilities, are they required, since you're

25 licensed, to have the fire inspections and safety and all JAMES DeCRESCENZO REPORTING, LLC 83 PUBLIC HEARING, 10/8/2013

1 that sort of thing?

2 TED MILLARD: On an annual basis the code

3 enforcement officer will come in and look at everything

4 from our ovens to our electrical system to our pull boxes

5 and to everything else that we have.

6 Just like any other business that gets

7 regulated in the township.

8 REPRESENTATIVE O'NEILL: Great. Well, I

9 think that's important to have that on the record then.

10 Thank you. I appreciate that.

11 You may be able to answer this question.

12 Representative Davis asked me to ask this question on her

13 behalf.

14 Are recovery houses -- and I'm assuming

15 the answer is no from what I'm hearing -- are recovery

16 houses employees required to have any employee or

17 resident background checks?

18 TED MILLARD: I'm assuming, again, I'll

19 refer to the solicitor, his comments would seem to tell

20 us that it's a family house, single house unit.

21 REPRESENTATIVE O'NEILL: Okay.

22 TED MILLARD: Speaking of, again, the

23 testimony here talked about and I -- what a passionate

24 council person, it's great to have it, but when it comes

25 up to have 42, you know, the township -- I think the JAMES DeCRESCENZO REPORTING, LLC 84 PUBLIC HEARING, 10/8/2013

1 quote was we are being inundated with halfway houses.

2 In your packet there's a comment, written

3 comment from a citizen who talks about halfway houses.

4 It would be great if we could get under

5 the impression that this bill and what the topic of this

6 bill is recovery housing; whereas halfway houses are a

7 licensed treatment program.

8 REPRESENTATIVE O'NEILL: Thank you.

9 TED MILLARD: It's hard as we talked about

10 in my testimony to get there, but I appreciate the idea

11 that one day we will get there.

12 REPRESENTATIVE O'NEILL: Great. Thank you

13 very much.

14 Thank you, Mr. Chairman.

15 THE CHAIR: I would also like to recognize

16 Pat Mallon, who's the chairman of the board of

17 supervisors of Middletown.

18 Pat, if maybe I could ask you to come up

19 and just say hello and address the committee.

20 PAT MALLON: Sure. Well, first off, as

21 you know, my name's Pat Mallon. I'm chairman of the

22 Middletown Board of Supervisors. And on behalf of

23 Middletown, welcome to Middletown.

24 I want to thank you for coming here today

25 and I want to thank you for taking on this issue. Very, JAMES DeCRESCENZO REPORTING, LLC 85 PUBLIC HEARING, 10/8/2013

1 very frustrating to deal with at a local government level

2 and I appreciate what Representative Farry has done.

3 He and I were pretty much at the epicenter

4 of this issue in Middletown, and some of the questions

5 that Mr. O'Neill raised are some of the questions that

6 both our residents raise and I raised.

7 You know, this has been a topic at several

8 of our public board of supervisors meetings. I also held

9 meetings in the public with some of the residents that

10 had concerns.

11 And my biggest concern, and I believe that

12 the true concern of our residents is, we all recognize

13 the fact that these facilities are needed.

14 We all recognize the fact that there are

15 people that are addicted to prescription drugs, alcohol,

16 and other intoxicants and addictive substances.

17 The issue and the concern that I have is

18 there's no governance. There's no governance. I could

19 leave here today with no background in any kind of mental

20 health, health care, addictions, and set up a recovery

21 home.

22 And, you know, you were elected and I was

23 elected for one reason, and that is to serve our

24 community and serve our constituents, and it's very

25 frustrating when you have an issue -- and it's JAMES DeCRESCENZO REPORTING, LLC 86 PUBLIC HEARING, 10/8/2013

1 frustrating not just for our residents, but to me it's

2 frustrating for the residents of these facilities.

3 Because I cannot look our citizens in the

4 eye and say that I'm doing my job to, one, protect them

5 and, two, to protect those individuals that are in these

6 recovery homes, because there is no governance.

7 And we have tried and Solicitor Pizzo

8 mentioned that, you know, we could be called in front of

9 a court or a hearing with the Pennsylvania Human Services

10 Commission. And we were. And we were.

11 And we were called in front of them and we

12 spent taxpayer money to defend that case because we

13 issued a housing permit. Not because we didn't issue a

14 housing permit.

15 We issued the housing permit. But we

16 asked some questions. And we required the builder and

17 the owner of this recovery home to make some adjustments.

18 Why? To protect our citizens and to

19 protect the individuals that were in the recovery home.

20 We still got called to court. We still had to pay

21 taxpayer money to defend ourselves.

22 So it is a difficult issue. It is a

23 challenging issue. I applaud all of you for your efforts

24 and your interest.

25 Again, it's a situation that I agree and I JAMES DeCRESCENZO REPORTING, LLC 87 PUBLIC HEARING, 10/8/2013

1 know you agree requires these facilities to be in place,

2 but they should only be in place if they are, one,

3 helping the individuals that are there and, two,

4 protecting the residents that live within their

5 proximity.

6 And I don't feel as a government official

7 that the way the law is constructed today that we can -­

8 and I mean we as a governing body both at the local

9 level, state level and federal level can say that.

10 That's all I wanted to say. Thank you.

11 THE CHAIR: Okay. Pat, thank you.

12 Any of the other members have any

13 questions?

14 Representative Kinsey.

15 REPRESENTATIVE KINSEY: Amy, do you want

16 to come back up here, please.

17 I just have a few questions.

18 I believe in the executive summary that we

19 received the second paragraph states, Recovery residents

20 are sober, safe and healthy living environments that

21 promote recovery from AOD use and associated problems.

22 With that in mind, and you talked about

23 doing the sampling study in the City of Philadelphia, I

24 think it was for 25 homes. Specific to that sampling

25 study, I just have some questions. JAMES DeCRESCENZO REPORTING, LLC 88 PUBLIC HEARING, 10/8/2013

1 The first question is, you know, when I

2 hear about recovery residents being sober, safe and

3 healthy living environments -- so part of my question is

4 staff training.

5 Was that documented or noted in the study

6 that you conducted? And I'm asking that question because

7 it seems to be that it's not a licensed facility so who

8 mandates, regulates, offers the training for those

9 individuals?

10 AMY MERICLE: That's a very good question.

11 Because recovery residences don't necessarily have to

12 have staff. So there's some recovery residences, for

13 example, Oxford Houses that are known to be staff-free.

14 They are run by the residents, it's a

15 community that they live together, they govern

16 themselves, but there are also different types of

17 recovery residences that do have staff members.

18 And there's a continuum of staff oversight

19 that could be implemented in these houses. Most houses

20 in Philadelphia do have some amount of staffing.

21 The houses in our study, I think that all

22 of them had some staff member, either a paid staff member

23 who was there during the day, some had multiple staff

24 members.

25 But by definition, recovery residences JAMES DeCRESCENZO REPORTING, LLC 89 PUBLIC HEARING, 10/8/2013

1 don't necessarily have to have staff members.

2 REPRESENTATIVE KINSEY: So who would make

3 that determination as to whether or not to staff or -­

4 who makes that determination to staff or not to staff?

5 AMY MERICLE: So there is a growing

6 movement for recovery residences to become self monitored

7 and supervised.

8 So, for example, in Philadelphia, there's

9 the Philadelphia Association of Recovery Residences and

10 the Office of Addiction Services has developed standards

11 for houses.

12 So in the Philadelphia Association of

13 Recovery Residence guidelines, if they want to be a

14 Level 2 home, they do have to have staff members.

15 Different houses who have different

16 services delivered would have more staff members. And

17 it's basically determined based on the needs of the

18 residents.

19 In Philadelphia the Office of Addiction

20 Services also provides training for recovery home

21 operators.

22 REPRESENTATIVE KINSEY: I think you also

23 talked earlier in regards to with that study help -- I

24 believe that there was a perception, a stigma and a

25 perception. JAMES DeCRESCENZO REPORTING, LLC 90 PUBLIC HEARING, 10/8/2013

1 And then I'm also hearing from other

2 testifiers that there's not a requirement to notify

3 neighbors or such that there's a recovery home there.

4 So I guess my question leads to since the

5 stigma and perception exists, was there any indication in

6 your study that showed that the owner or operator or even

7 the folks that were part of that recovery home reached

8 out to the community either to make them aware that they

9 were a recovery home, there was a recovery home there, or

10 even just to have some type of interaction with the

11 neighbors to try to change that stigma or perception?

12 Did you find that?

13 AMY MERICLE: That's a really good

14 question, too.

15 So we found that a lot of homes did

16 proactively try to engage the community; that they made

17 sure that they were out shoveling snow; that they were

18 picking up trash; that they were a positive force in the

19 community.

20 But we also found houses that, you know,

21 wanted to keep a low profile. They didn't want folks to

22 know that they were a recovery home because they were

23 concerned about possible backlash.

24 So, you know, these two competing

25 strategies that these recovery home operators had to, you JAMES DeCRESCENZO REPORTING, LLC 91 PUBLIC HEARING, 10/8/2013

1 know, choose from in order to keep their house open.

2 REPRESENTATIVE KINSEY: Okay. My last

3 question is, one of the testifiers had talked about -- in

4 fact, it was Diane Rosati -- who shared with us that for

5 the, I think the recovery homes that are under Bucks

6 County Drug and Alcohol Commission, that they basically

7 set some contractual requirements, and I think there were

8 six bullets that were listed.

9 So I want to thank you, Diane, for sharing

10 that.

11 And I guess my question to you is that,

12 that appears to me it sort of set some type of standard,

13 even though the municipalities may not necessarily be

14 able to, but Diane's organization was able to set some

15 standards for their members.

16 In your study were there certain

17 standards, did you see certain similarities in regards to

18 like having certain protocols, you know, the house rules,

19 residency requirements, or policies in place?

20 Did you see that standard also? Because,

21 again, I think that is necessary to have some type of

22 standards that folks operate by as opposed to having each

23 individually arbitrarily choose what they will and will

24 not do.

25 So in your studies, did you find the JAMES DeCRESCENZO REPORTING, LLC 92 PUBLIC HEARING, 10/8/2013

1 similarities or some protocols in place that was sort

2 of the standard -­

3 AMY MERICLE: Yes. We specifically asked

4 houses whether or not they had rules and regulations

5 about residents using services on the site, off the site,

6 whether or not they had rules of residents participating

7 in house meetings, things like that.

8 And most houses did have rules and

9 procedures in place. And I think that's to the credit of

10 the Office of Addiction Services in Philadelphia who does

11 the training on recovery residences.

12 But I also want to share the floor

13 hopefully with Fred Way, who is the director of the

14 Philadelphia Association of Recovery Residences, PARR,

15 and the vice president of the National Association of

16 Recovery Residences that developed the standards that the

17 Philadelphia Association of Recovery Residences adopted.

18 So if Fred could come up and talk about

19 those standards, that might help clarify some of your

20 questions.

21 REPRESENTATIVE KINSEY: Sure. And I guess

22 clearly what I'm leading to or what I'm getting at is, if

23 those members did not follow those practices or

24 guidelines, then what would be -- you know, what would be

25 the result if they just simply again arbitrarily chose to JAMES DeCRESCENZO REPORTING, LLC 93 PUBLIC HEARING, 10/8/2013

1 not follow those guidelines and just do it their way?

2 Were there any type of -­

3 FRED WAY: Any kind of infractions?

4 REPRESENTATIVE KINSEY: Yes.

5 FRED WAY: No. Okay. In Philadelphia you

6 have -- for instance, the gentleman who asked about

7 24-hour staff supervision.

8 Okay. In Philadelphia that would be a

9 Level 2 house. Okay? That's a monitored house which are

10 run typical by OAS. Okay? Which is 24-hour staff

11 supervision 365 days a year, but that's also a funded

12 house. Okay?

13 REPRESENTATIVE KINSEY: I'm sorry. You

14 said it is funded?

15 FRED WAY: It's a funded house, right.

16 Philadelphia has 18 funded houses that the Office of

17 Addiction -­

18 REPRESENTATIVE KINSEY: These are recovery

19 homes that are funded?

20 FRED WAY: Yes. Yes, they are recovery

21 homes.

22 REPRESENTATIVE KINSEY: Okay. Level 2, is

23 this -- I'm looking at this page.

24 FRED WAY: The National Standards.

25 REPRESENTATIVE KINSEY: It goes from JAMES DeCRESCENZO REPORTING, LLC 94 PUBLIC HEARING, 10/8/2013

1 Level 1 to Level 4?

2 FRED WAY: Level 4, right.

3 REPRESENTATIVE KINSEY: Okay. I didn't

4 realize there was funding -- I didn't realize that they

5 were funded.

6 FRED WAY: Yes. 18 out of, you know, 300

7 houses in Philadelphia are funded.

8 REPRESENTATIVE KINSEY: Were funded. So

9 the other -­

10 FRED WAY: Are unfunded.

11 REPRESENTATIVE KINSEY: Are unfunded. So

12 the other -­

13 FRED WAY: Self maintained.

14 REPRESENTATIVE KINSEY: Okay.

15 FRED WAY: Client fees, food stamps, you

16 know.

17 REPRESENTATIVE KINSEY: Who decides which

18 property gets funded versus which ones do not get funded

19 then?

20 FRED WAY: Well, about 10 years, 10, 15

21 years ago the office, which used to be called CODAP,

22 okay, did an RFP for the recovery house contracts.

23 REPRESENTATIVE KINSEY: Okay.

24 FRED WAY: And most of those houses -- it

25 started out with 21. Now it's down to 18. JAMES DeCRESCENZO REPORTING, LLC 95 PUBLIC HEARING, 10/8/2013

1 REPRESENTATIVE KINSEY: So, again, then I

2 can just go and say I want to open up a recovery home,

3 and if I'm going to utilize the clients who I'm going to

4 provide who are going to live there, I can just more or

5 less charge them a fee, open up a recovery home

6 unlicensed and just simply say that's my business?

7 FRED WAY: Unfunded, yes.

8 REPRESENTATIVE KINSEY: Unfunded, right.

9 THE CHAIR: We're going to have the last

10 question, quick question from Representative Frank Farry.

11 REPRESENTATIVE FARRY: Fred, you guys have

12 a voluntary certification program, correct, that you do

13 in Philadelphia?

14 FRED WAY: Yes. Yes.

15 REPRESENTATIVE FARRY: I was wondering if

16 it was possible maybe you can forward us the

17 documentation, like the standards to get the

18 certifications in Philadelphia.

19 FRED WAY: Do you want the standards or

20 the inspection sheet that we use?

21 REPRESENTATIVE FARRY: Both would be great

22 actually.

23 FRED WAY: Okay.

24 REPRESENTATIVE FARRY: Because I think

25 that will be helpful in the event that this becomes law; JAMES DeCRESCENZO REPORTING, LLC 96 PUBLIC HEARING, 10/8/2013

1 maybe the regulations that are enacted by Department of

2 Drugs and Alcohol can actually model them after what you

3 do in Philadelphia.

4 FRED WAY: Sure. I mean, with the thing

5 about it right now, it's also crossing the state. Okay?

6 I have houses in Pottstown, and Harrisburg and Pittsburgh

7 has contacted me also.

8 REPRESENTATIVE FARRY: I read the article

9 in the Inquirer about six weeks ago or whatever. So that

10 was a good article and good work you're doing. So thank

11 you.

12 FRED WAY: You're welcome. Thank you.

13 REPRESENTATIVE FARRY: I would just like

14 to thank everybody. Thank, Middletown, again for hosting

15 us here today and I want to thank everybody for their

16 testimony. I thought it was a very good hearing.

17 THE CHAIR: And if I could just wrap up

18 real quick. Again, as Frank said, thank you to everybody

19 who was here today.

20 And just a couple of sentences from

21 testimony that's in your packet from Deb Beck, who is

22 the director of the Drug and Alcohol Service Providers

23 Association. I think it's really important.

24 Although people with alcohol and other

25 drug addictions come from all walks of life and JAMES DeCRESCENZO REPORTING, LLC 97 PUBLIC HEARING, 10/8/2013

1 socioeconomic sectors, some will always be in need of

2 supportive, sober housing after completion of treatment

3 for addiction in a licensed treatment programs, including

4 inpatient hospital, inpatient nonhospital and licensed

5 halfway houses.

6 For this group, transition to sober living

7 recovery houses is extremely helpful in stabilizing early

8 recovery as they continue treatment in outpatient,

9 maintain AA and NA attendance and begin work or job

10 searches.

11 And I think we heard a lot of really,

12 really good testimony today. One of the things I think

13 was important for the committee to hear is the

14 distinction or difference between a halfway house and a

15 recovery house.

16 And I thought many of the members were

17 unclear about that one issue. So it's important that we

18 learned that.

19 I also think it's important, you know, I

20 hear from Amber and Pat and, you know, I hear your

21 passion and, you know, about how you want to protect your

22 community, and we understand that.

23 And I think what we need to do now is take

24 Representative Farry's bill, take what we heard today,

25 and try to strike a balance between, you know, you JAMES DeCRESCENZO REPORTING, LLC 98 PUBLIC HEARING, 10/8/2013

1 protecting your communities and also allowing these

2 recovery houses in your communities, because they're

3 really needed.

4 I mean, we just absolutely have an

5 epidemic out there especially of prescription drug and

6 opiate abuse and addiction and a heroin problem out

7 there.

8 So these recovery houses and halfway

9 houses are absolutely needed, and what we want to try to

10 do is strike a balance between, you know, protecting the

11 community and the need in the community.

12 So we're going to take the testimony we

13 heard from you. Thank you again. We're going to take

14 that back and hopefully come up with a good bill that we

15 hope to get passed in the legislature.

16 Again, thank you, and everybody have a

17 great day.

18 (Proceedings concluded at 12:00 noon.)

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25 JAMES DeCRESCENZO REPORTING, LLC 99 PUBLIC HEARING, 10/8/2013

1 CERTIFICATION

2

3

4 I, BARBARA McKEON QUINN, a Registered

5 Merit Reporter and Notary Public in and for the

6 Commonwealth of Pennsylvania, hereby certify that the

7 foregoing is a true and accurate transcript of the

8 hearing by me on the date and place herein before set

9 forth.

10 I FURTHER CERTIFY that I am neither

11 attorney nor counsel for, not related to nor employed by

12 any of the parties to the action in which this hearing

13 was taken; and further that I am not a relative or

14 employee of any attorney or counsel employed in this

15 action, nor am I financially interested in this case.

16

17

18

19 tOoooooOoi u y O t / oOoOOoOOOoOOOo 20 BARBARA McKEON QUINN Registered Merit Reporter and Notary Public 21

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25 JAMES DeCRESCENZO REPORTING, LLC