Level IV Homes

While the National Alliance of Recovery Residences recognizes four levels of support for recovery housing, in Ohio only Levels I, II, and III meet the Ohio Revised Code definition of recovery housing.

In Ohio, NARR Level IV recovery homes are considered residential treatment facilities and must be licensed by OhioMHAS and NOT by ORH.

A residential treatment facility/program is staffed 24 hours a day and provides room, board, personal care and clinical services on-site as part of the treatment stay. Admission to the facility/program is determined by clinical and medical needs. The facility is owned and operated by a certified treatment provider agency. The clinical/medical services provided on-site and may be affiliated with an inpatient continuum. This type of housing is licensed and is not subject to tenant landlord law.

Level IV Residential Treatment Providers are essential to the continuum of care for people with substance use disorders, and residential treatment providers can certainly implement aspects of the social model of recovery within their programs to create safe, supportive and homelike environments.

Ohio Recovery Housing is happy to assist Level IV residential treatment facilities in understanding aspects of ORH Standards and how they can be integrated into their treatment programs. However, Ohio Recovery Housing does not offer an onsite quality review of Level IV residential treatment programs.

Learn more:

Housing Categories and Definitions from the Ohio Department of Mental Health and Addiction Services