January 11, 2025

Does Sober Living Work?

For those overcoming addiction, maintaining sobriety after leaving treatment can be challenging. However, sober living homes provide a safe, structured space where residents can continue building on the progress they’ve made in recovery. But does sober living work for everyone? In this article, we’ll break down how sober living homes support long-term recovery, what makes them effective, and who can benefit the most from this structured environment.

What is a Sober Living Home?

A sober living home (SLH), also called a sober home or sober living environment, provides a structured and supportive space for those leaving rehab programs and working toward full independence. These homes bridge the gap between rehab and mainstream society by giving residents a stable, drug-free environment where they can rebuild their lives. According to the National Study of Treatment and Addiction Recovery Residences (NSTARR), SLHs operate in all 50 states with over 10,000 residences managed by more than 3,600 providers.

Characteristics of sober living homes include:

Residents maintain personal responsibility by working or attending school
Freedom to come and go while being accountable for sobriety
Ongoing participation in support groups and recovery meetings
Balanced structure and independence that creates a “practice run” for everyday life

Why Someone Might Opt for Sober Living Homes

Sober living homes are safe, temptation-free spaces where individuals can focus on rebuilding their lives while still being immersed in an environment that prioritizes recovery. One reason people choose sober living is affordability. In fact, a recent study found that 74.4% of residents chose sober living for its cost-effectiveness.

Other reasons someone might choose an SLH include:

A community of peers who understand the recovery journey
A structured environment to help reinforce good habits
Access to support and accountability through house rules

Living with others who are in recovery gives residents a sense of camaraderie and support which has been proven to be beneficial for long-term sobriety. The social connections made in sober living homes help build emotional resilience and reduce the feeling of isolation which can contribute to the possibility of relapse.

How Sober Living Works

Sober living homes are structured with rules that help residents maintain sobriety. These rules will often include curfews, a zero-tolerance drug and alcohol policy, and visitor guidelines. Residents should also expect random drug testing as this adds an extra layer of accountability to help residents stay on track.

According to the National Institute on Drug Abuse, most people recovering from addiction need at least three months of continuous treatment to see lasting changes. Additional research suggests that those who stay in sober living environments for six months or longer report greater self-efficacy and higher abstinence rates. Staying in sober living homes for extended periods has shown better outcomes in maintaining sobriety, securing employment, and building essential life skills.

The Four Levels of Sober Living

Per the National Alliance for Recovery Residences (NARR), sober living homes come in four different levels of support. Each level has its own structure and services to meet the needs of individuals at different stages of recovery. Here’s a breakdown:

Level One

Description: Peer-managed homes where residents run the house democratically without paid staff or on-site services. Located in residential neighborhoods.

Who Can Benefit: Those seeking a minimal structure and independent lifestyle within a sober environment

Level Two

Description: Managed by a resident or house manager who may receive reduced rent or a stipend. Residents are encouraged to attend 12-step or similar support groups. No on-site services.

Who Can Benefit: Individuals who want low-level management and support but still need community and recovery accountability

Level Three

Description: Provides moderate structure, including staff oversight. Staff support residents with community resources, recovery groups, and life skills training.

Who Can Benefit: Those who prefer a structured schedule and on-site support to strengthen routines and recovery-focused skills

Level Four

Description: Offers clinical oversight, including on-site licensed professionals. Includes clinical services and a highly structured environment, typically with shorter stays.

Who Can Benefit: Individuals needing clinical services and intensive structure in their recovery journey, often a step down from inpatient treatment

Benefits of Sober Living Homes

Studies have shown that residents in sober living homes experience significant improvements in abstinence rates. In one study, abstinence increased from 11% at the start to 68% at the six- and twelve-month marks. Even after 18 months, abstinence rates remained at 46% which is still better than before residents entered the program.

Other benefits of sober living homes include:

A supportive, substance-free environment
Regular accountability through peer support and house rules
Access to resources, including counseling and community support
Advice and ongoing assistance from house managers and peers
Opportunities to build essential living skills and establish routines

Additional research shows that sober living residents also experience:

Decreased substance use and reduced risk of relapse
Lower rates of incarceration and legal issues
Higher income and better employment prospects
Improved relationships with family members

Drawbacks of Sober Living Homes

While sober living homes offer many benefits, they also come with some limitations, including:

Limited independence due to house rules, curfews, and structure routines which can feel restrictive for those wanting more autonomy.
Potential conflicts with housemates since shared living spaces require interacting closely with others who are also in recovery.
Limited availability with high demand for sober living spaces which can make it difficult to find an open spot at the right time.
Mandatory participation in 12-step programs in some homes which may not align with every resident’s preferred method to recovery.

How Patients Can Make the Most of Sober Living

To get the most out of sober living, residents can take proactive steps that strengthen their commitment to recovery and personal growth. Here are some tips for success:

Set personal goals for both recovery and everyday life. From building new habits to focusing on career or educational achievements, clear goals provide direction and motivation.
Engage in the community by connecting with other residents. By building supportive relationships within the home, you can create a valuable network of encouragement and accountability.
Attend meetings and use available resources to stay on track. Regularly participating in group meetings, counseling, and other services can reinforce sober living goals.
Establish a daily routine that supports a healthy lifestyle without drugs and alcohol. Structure around meals, exercise, work, or study helps reinforce discipline and creates stability.
Practice conflict resolution and communication skills to handle any challenges with housemates. Respectful and open communication can make shared living more manageable.

Ready to Take the Next Step in Your Recovery?

In short, sober living does work for those who are recovering from addiction. With the right support and environment, SLHs can provide a solid foundation for long-term sobriety. If you’re ready to take the next step with a supportive community by your side, contact Ethos today to learn more about our sober living residence in West Los Angeles.