Year of Publication



Martin School of Public Policy and Administration

Date Available


Degree Name

Master of Public Administration

Committee Chair

Iuliia Shybalkina

Executive Summary

Following national settlements to combat the opioid epidemic, Kentucky and its local governments received a collective $842 million to invest in prevention and treatment. To employ these dollars most effectively, Lexington-Fayette Urban County Government (LFUCG) aims to become “recovery ready” as a part of Kentucky’s Recovery Ready Communities (RRC) certification program. This mixed methods comparative case study determined the following high-priority variables that align with RRC certification requirements: recovery housing infrastructure, certification disclosure, and medications for opioid use disorder (MOUD) services. To provide additional insight into Fayette County’s recovery housing landscape, we analyzed the following supplemental variables: vulnerable populations served, transportation services, and mental health services. We identified how Fayette County compares to four peer communities (Boone, Franklin, Kenton, and Jefferson counties) to compare recovery housing infrastructure and services. Fayette County performs well in the number of publicly listed recovery housing facilities compared to its peers. However, its recovery homes fall behind in accepting varying populations and many available recovery houses are not appropriately registered or certified. Fayette County may be insufficient in terms of specific amenities such as transportation and services like mental health support. After an objective analysis of these areas, we are confident our study will provide LFUCG pathways to meaningful conversations about improving recovery housing provisions and pursuing RRC certification.



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