This document updates SAMHSA’s 2018 document and outlines best practices for the implementation and operation of recovery housing. These best practices are intended to serve as a tool for states, governing bodies, providers, recovery house operators, and other interested stakeholders to improve the health of their citizens, reduce incidence of overdose, and promote recovery housing as a key support strategy in achieving and sustaining recovery.

This manual informs clinicians and administrators about substance use disorder treatment approaches that are sensitive to patients among the lesbian, gay, bisexual, and transgender (LGBT) population. It covers cultural, clinical, health, administrative, and legal issues as well as alliance building.