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The Research, Honestly

Sober living & recovery, by the numbers

Recovery housing works โ€” and unlike a lot of claims in this field, that one is backed by real research. Below is the honest data on addiction, relapse, and what stable, structured sober living does for the people in it. Every figure here is cited to a named source โ€” NIDA, SAMHSA, and NIH-funded studies โ€” and we note where numbers come from a specific study rather than a universal law. No invented statistics.

The Scale of It

Addiction is common โ€” and treatment is the exception

48.7 million
Americans aged 12+ who had a substance use disorder in the past year (SAMHSA, 2022 National Survey on Drug Use and Health)
Only a fraction
Of people with a substance use disorder receive any treatment in a given year โ€” the vast majority never do (SAMHSA / NSDUH)
40โ€“60%
Relapse rate for substance use disorders โ€” comparable to hypertension and asthma. Recovery is managed over time, not cured at discharge (NIDA)

Two facts sit underneath everything else on this page. Addiction is enormously common, and formal treatment reaches only a minority of the people who have it. And because relapse rates look like those of other chronic illnesses, recovery isn't a moment โ€” it's something a person manages over months and years. What happens after detox or treatment, in the place a person actually lives, is where recovery is won or lost.

Why Housing Is The Missing Piece

Where you live in early recovery changes the odds

If recovery is managed over time, then the environment a person returns to matters as much as the treatment they received. Leaving a program only to go back to an unstable home, an unsafe neighborhood, or the couch they used from stacks the odds against them. A safe, substance-free, structured residence โ€” with peers in recovery and clear accountability โ€” is the bridge between treatment and a rebuilt life.

Federal guidance reflects this: NIDA emphasizes that outcomes improve with longer time in care, and that recovery support extending beyond acute treatment is associated with better results. Recovery housing is exactly that kind of extended support โ€” not clinical treatment, but the stable ground recovery needs to hold.

90+ days
Time in care associated with meaningfully reduced use โ€” "the best outcomes occur with longer durations" of support (NIDA)
Chronic, not acute
NIDA frames substance use disorder as a chronic, treatable condition โ€” managed with ongoing support, not resolved in a single episode of care
What The Research Shows

What structured recovery housing does for residents

These figures come from NIH-funded research on recovery residences, including longitudinal studies and a randomized trial of the Oxford House model led by DePaul University's Dr. Leonard Jason and colleagues.

19% โ†’ 42%
Residents reporting complete abstinence, from entry to 18 months, in a 245-person NIH-funded study of recovery housing (Jason et al.)
16% โ†’ 4%
Drop in homelessness among residents over 18 months; the share in stable housing more than doubled (13% โ†’ 27%) (Jason et al.)
31% vs 65%
Substance use at 24 months for Oxford House residents vs. usual after-care, in a randomized controlled trial (Jason et al., American Journal of Public Health, 2006)
Lower & higher
In that same trial, Oxford House residents had lower incarceration and higher monthly income than the usual-care group

The pattern across studies is consistent: people who move into structured, peer-supported recovery housing tend to show higher abstinence, more stable housing, more employment, and less incarceration than those who don't. The randomized trial matters most โ€” because residents were assigned by chance, it points toward the housing itself making a difference, not just healthier people choosing it.

None of this says a home is a cure. It says that a well-run recovery residence measurably improves the odds โ€” which, in a field where relapse is common and treatment is scarce, is exactly the leverage that matters.

The Recovery-Housing Landscape

A large, mostly small-operator field

Recovery housing in the U.S. is a big, decentralized world. The Oxford House network alone reports more than 3,000 self-run recovery homes nationwide. On top of that are thousands of independently operated sober living homes and recovery residences โ€” most run by small operators, many in long-term recovery themselves, often on thin margins.

Quality standards are set primarily by the National Alliance for Recovery Residences (NARR) and its state affiliates, which certify homes against recognized safety and ethics standards. But certification is voluntary in many states, and the field's biggest challenge is consistency: the difference between a home that changes a life and one that just collects rent comes down to how it's run day to day. That's the gap good operators โ€” and good tools โ€” close.

An honest word on these numbers. Several figures above come from specific studies of specific populations โ€” most notably the Oxford House research โ€” not universal laws that apply to every home or every person. Individual results vary enormously with the person, the home, and the support around them. We cite the source on every stat precisely so you can check it and weigh it yourself. We'd rather show you honest, sourced research than a made-up "success rate," and we've turned down the temptation to inflate a single number on this page.
Sources

Where these numbers come from

  • NIDA โ€” National Institute on Drug Abuse. Relapse rates (40โ€“60%), the chronic-disease framing, and the link between longer time in care and better outcomes. nida.nih.gov โ€” see "Treatment and Recovery" and "Drugs, Brains, and Behavior: The Science of Addiction."
  • SAMHSA โ€” Substance Abuse and Mental Health Services Administration. Substance-use-disorder prevalence (48.7 million, 2022) and the treatment gap, from the National Survey on Drug Use and Health (NSDUH). samhsa.gov/data
  • Jason, L. A., et al. โ€” DePaul University, NIH-funded research on recovery homes. Longitudinal outcomes (abstinence, housing, employment) and the randomized controlled trial of Oxford House published in the American Journal of Public Health (2006). See DePaul's Center for Community Research.
  • NARR โ€” National Alliance for Recovery Residences. Recovery-housing standards and the state-affiliate certification network. narronline.org
  • Oxford House, Inc. Size of the self-run recovery-home network. oxfordhouse.org

Figures are drawn from these public sources; where a statistic reflects a particular study population, we've said so. This page is informational and not medical or legal advice.

From Data To Doors

The numbers are why we do this

Recovery housing measurably improves the odds โ€” so more good homes, run well, means more lives changed. That's the whole mission of our non-profit: a free app for residents, funded rent assistance, and affordable tools for the homes that house them.