It is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. Please enlist the help of a trusted lawyer or public counsel for accurate legal advice should you need it. If your sentence includes probation supervision, you will work closely with your probation officer to meet the conditions of your sentence. You don’t have to get certified to open a sober living home in Massachusetts. Recovery Support Navigation services are available to court users involved with any court department.

  • In Massachusetts, state agencies and vendors are only allowed to refer clients to MASH Certified sober houses.
  • Other proposals that provide services for residents in MassHousing-financed rental housing, specifically those that address alcohol and/or drug abuse or addiction, are also considered for funding.
  • This toolkit does not provide medical advice, treatment, or legal counsel.
  • Treatment with MOUD during pregnancy improves both the health and safety of the birthing person and of the fetus.

CCRI grant recipients must be 501c3 non-profit organizations and matching funds must be provided. All proposals and applicant qualifications are stringently reviewed and vetted by MassHousing. Outpatient programs provide assessment and counseling services while you live at home. Depending on your needs and the level of services you get, you might participate in counseling weekly or many times per week.

A History of the Massachusetts Alliance for Sober Housing

In 2011, the National Alliance for Recovery Residences (NARR) established national standards for sober houses. NARR began to affiliate with state-level organizations to promote evidence-based standards for sober houses and other residential recovery programs and centers. MASH affiliated with NARR and helps promote these standards at sober houses across Massachusetts. Residents pay a $600/month program fee to live in the newly renovated home.

Health insurance can be hard to navigate, but state and private health insurance policies cover a variety of services for people with opioid use disorder (OUD). The Mental Health Parity and Addiction Equity Act, for example, requires health insurers provide the same level of benefits for OUD treatment and services than they do for physical health care. And for those without health insurance, Overdose Education and Naloxone Distribution (OEND) sites offer many clinical services for people in recovery for free, and they won’t take any insurance information. ATR addresses another critical recovery support for  ATR participants – HOUSING. Sober home services provide  wrap-around support to ATR participants experiencing housing instability by addressing both their housing and recovery needs. Referred by a community provider, an eligible ATR participant will work with an ATR Housing Coordinator to find a sober home that meets their needs.


Other services include medication, opioid overdose education, naloxone kits, community-based support services, program referrals, and follow-up care. Program staff include doctors, nurses, addiction counselors, recovery coaches, case managers, and social workers. As you navigate treatment and recovery, you have rights and protections with your health care and health insurance.

  • Opioid Urgent Care Centers (OUCC) are walk-in programs that assess a person’s medical, behavioral health, and substance use treatment needs.
  • MassHousing does not use taxpayer dollars to sustain its operations, although it administers some publicly funded programs on behalf of the Commonwealth.
  • The Massachusetts Alliance for Sober Housing, or MASH, exists to support men and women in recovery from addiction by improving access to quality sober houses through establishing recovery home standards and support services.
  • Since its inception, MassHousing has provided more than $27.5 billion for affordable housing.
  • Through our network of certified sober housing and empirically-based recovery principles, MASH’s goal is to help create and foster these safe living environments for those with substance use disorders.
  • Your route to recovery might be made up of different services and supports from clinical and non-clinical pathways.

You can jump between sections by clicking the headers on the menu, and each section can be printed or emailed. The Massachusetts Alliance for Sober Housing, or MASH, exists to support men and women in recovery from addiction by improving access to quality sober houses through establishing recovery home standards and support services. The grants come from the Center for Community Recovery Innovations, Inc. (CCRI), a nonprofit subsidiary corporation of MassHousing that helps nonprofits create or preserve affordable sober housing in Massachusetts for individuals in recovery. No matter what type of treatment you engage in or how you define recovery, everyone has a right to access substance use disorder treatment and support services free of discrimination. Stigma, racism, other historic injustices, and systems of oppression can make it difficult for people in recovery across identities to experience the quality of treatment and services they have a right to. Are you a state agency, licensed provider, individual, or family looking for a MASH-certified sober home?

Navigating the Correctional and Justice System

It can be a first step toward stabilization and starting longer-term treatment options for some people. Withdrawal management services provide 3 to 5 days of 24-hour care and monitoring for withdrawal. Medical management might be needed because the symptoms of withdrawal from alcohol or benzodiazepines can be dangerous and even deadly. Inpatient settings can also be a structured space to initiate (start) medication for opioid use disorder (MOUD) and allows a person to be closely monitored and given medication to manage withdrawal. For people who also have mental health disorders, Enhanced Acute Treatment Services (E-ATS) are available.

MA Alliance for Sober Housing

The most basic level of care for outpatient counseling is Individual Outpatient Counseling Level 1. At Level 2, Day Treatment/Intensive Outpatient Treatment/Partial Hospitalization is available. It can be very difficult to find funding for sober living home projects in any state, and Massachusetts is no different. However, in 2021, MassHousing awarded over $ to sober living homes, or “substance-free housing units.” MassHousing is a quasi-public affordable housing agency in Massachusetts so its shift in focus to recovery housing is unusual. It’s worth keeping an eye on this agency to see if they’ll make a similar move in the future. It is a feeling.”  Our certified sober homes take pride in offering a home-like environment that supports recovery.

Rights, Protections, and Tips for Advocacy

ATR will pay the sober home rent and will assign a peer recovery coach to work alongside the participant for the duration of their stay in the sober home. ATR only funds participants to live in sober homes that are certified by the Massachusetts Alliance for Sober Housing (MASH), which is the primary agency for accountability of all certified sober homes in Massachusetts. The Center for Community Recovery Innovations, Inc., issues an annual Request for Proposals (RFP) to solicit mash certified sober homes projects for funding. The proposals that are selected need to meet CCRI’s current priorities and eligibility categories. The grants are typically used as one-time gap funding for capital projects that increase or improve the stock of affordable sober housing in Massachusetts. Other proposals that provide services for residents in MassHousing-financed rental housing, specifically those that address alcohol and/or drug abuse or addiction, are also considered for funding.

A person’s tolerance is lower after going to detox, so ongoing treatment and support is important to help prevent overdose. Through the Center for Community Recovery Innovations (CCRI), MassHousing provides grants to promote the creation and preservation of affordable housing for individuals in recovery and their families. The legal system can be difficult to navigate, whether you are waiting for a trial, held in corrections, on probation, or in the process of re-entering the community. You have rights in every entry or exit point in the system, and people to help you navigate. Maintaining your recovery after being justice-involved is key, and there are resources to help. All workers have a right to a fair wage, a safe workplace, respect, and dignity.

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