Peer-Led Jail Recovery with Free Outpatient Handoff

A No-Cost Model Serving Nine Rural Counties in Far Northwest Kansas

Thomas County, Kansas | High Point Advocacy & Resource Center, Inc.
KANSAS Rural Pop. 7.7k Launched 2023
A dirt farm road runs straight toward the horizon between two open fields under a wide Kansas sky.
Lead Agency
High Point Advocacy & Resource Center, Inc.
Location
Thomas County, Kansas
Year Launched
Organization founded in 2021; first KFA award in 2023; jail programming began in May 2025
Opioid Settlement
100% of the Kansas Fights Addiction awards ($200,000 first award, 2023–2024; $300,000 second award, 2024–2025); braided with other grants and donations
People Served
69 jail participants in the first program year (49 men and 20 women); additional reach through outpatient, education, and prevention, case management, court advocacy, and family support services
Service Type
Peer Support, Reentry Support, Prevention/Education, Care Navigation, Naloxone Distribution, Mental Health Treatment
80%
Still in recovery
jail participants one year after starting
69
People reached
first year of the jail program (2025–2026)
$0
Out-of-pocket cost
charged to clients for any service

High Point Advocacy & Resource Center, Inc., a rural nonprofit in far northwest Kansas, runs a peer-led recovery program that starts inside the county jail, where people have already detoxed and want to change, then carries them into free outpatient treatment, certified peer mentoring, case management, and family support when they are released, reaching 69 jail participants in its first year with 80% still in recovery after twelve months.


The Challenge They Were Addressing

Far northwest Kansas had no substance use treatment center for many years. The nearest one to High Point's office is more than 100 miles away, and the closest residential option is about an hour and a half by car. People without a vehicle, a license, or gas money could not reach care, and the region carried a high incarceration rate as a result. Local law enforcement described the same pattern the founder saw firsthand: the same people cycling through jail again and again, with nothing in the community to interrupt the cycle.

The founder, Sherry White, came to this work as the mother of three sons who all struggled with addiction. Over the years of visiting them in different jails, she kept meeting the same parents in the same waiting rooms and hearing the same request: build something for us. Families told her that treatment was out of reach financially, even when they had insurance. In five years of operation, only five High Point clients have had coverage that paid because Kansas has not expanded Medicaid; most clients do not qualify. Enrollment windows rarely line up with the moment someone is ready for help.

High Point was built to answer that gap. Rather than open a treatment-only clinic in a place that would never fill back-to-back appointments, the founder designed a single organization that combines treatment, certified peer mentoring, case management, prevention and education, advocacy, and family support, and charges clients nothing out of pocket. The jail program grew out of that model once the organization had built trust with the county sheriff and the local recovery community.


What They Built

The program meets people while they are still incarcerated in the county jail, after they have detoxed, so they have a clear mind and high motivation to change. Recruitment is built to remove barriers. High Point posts flyers with its phone number in every pod and sets up a prepaid account so anyone can call collect, even fifteen times, without ever feeling like a burden. Staff take the names of people who want to join, then call the jail each week to get the sheriff's approval for that week's class roster, since a seat in the class is treated as a privilege rather than a guaranteed right.

Within the jail, two certified peer mentors, Ryan and Tisha, deliver the SMART Recovery curriculum, a cognitive-behavioral, pattern-changing program designed for short-term incarceration settings. The curriculum follows a circular continuum rather than a fixed sequence, so a person can join at any week and still follow along without falling behind. Sessions begin with a check-in on each person's case and feelings, then move into the lesson. When someone has a breakthrough or breaks down, the mentors stop and let it happen; a hard week can turn the class into a support group. In practice, the planned twelve one-hour sessions stretched to roughly two hours each over about twenty-four weeks because consent forms, court updates, and the check-ins all take time.

When a participant is released from jail before finishing the curriculum, the work continues. They transition directly into High Point's licensed outpatient program, where they already know the staff and have built trust with the peer mentor who will see them on the other side of the door. There, they gain access to licensed addiction counseling, certified peer mentoring, case management for criminal and child-in-need-of-care matters, SMART Recovery groups, sober socials, and family support, all at no cost. Staff arranges drug and alcohol assessments even while a person is still in jail, by phone or telehealth, and have stepped in to drive clients an hour and a half or more to residential treatment when no other transportation exists.

While the mentors work with clients, the founder works with families, teaching boundaries, how to step back from enabling, and how to maintain a loving, supportive relationship through setbacks, using SMART Recovery's family curriculum. The program also runs prevention education in local middle and high schools through a menu of presentations on topics such as: Fentanyl, alcohol, huffing, methamphetamine, marijuana, and vaping, teenage trends with substance use, etc., with plans to reach grade schools next. With the success of this program, this jail program has been expanded into the Sherman County Jail. Between the two jails, this program gives access to people for the nine far northwest Kansas counties in their service delivery area, which includes: Cheyenne, Rawlins, Decatur, Sherman, Thomas, Sheridan, Wallace, Logan, and Gove Counties.

Key Program Components

Jail entry at a moment of readiness
Participants are engaged in the county jail after detox, when they have a clear mind and high motivation for change. A clear mind, high motivation for change, zero cost for the program, and a peer mentor with lived-life experience are the four conditions staff credit for early engagement and long-term success.
Family support track
The founder works with the family side of the SMART curriculum, teaching their family members boundaries, how to stop enabling, how to support a loved one through slips without adding more shame, how to get out of the “bad guy” role, and also includes court advocacy for their family member’s criminal and/or child-in-need-of-care cases.
SMART Recovery is a science-based curriculum
A cognitive-behavioral, pattern-changing program designed to be administered in a short-term incarceration setting. Unlike some foundational-building curricula, SMART’s circular structure allows a person to join at any week, and it teaches that people are not powerless in recovery. Workbooks cost about twenty dollars each and are provided by the program free of charge.
Peer Mentors with lived-life experience
Every staff member who works with clients has personal or family lived-life experience with addiction. Two certified peer mentors cover the full range of client experiences, which removes the "You do not understand" barrier that can end a first session. Male Peer Mentor works with male clients; female Peer Mentor works with female clients.
Barrier-free recruitment
Flyers in every pod carry the program phone number, and a prepaid telephone account lets anyone call collect at no cost. Staff take every call and never treat repeated calls as a nuisance.
Staff-provided transportation
Staff-provided transportation to assessments and residential treatment when clients have no other way to get there.
Warm transition to free outpatient care
People released from jail mid-program move straight into outpatient services they already trust because the relationship and connection to their Peer Mentor already exists. Drug and alcohol assessments, DUI evaluations, counseling, peer mentoring, case management, support groups, court advocacy, and sober socials are provided to all jail participants, all at no out-of-pocket cost. Completion Certificates and congratulatory letters from the CEO are provided upon graduation from the program.
Prevention and education
Naloxone training and distribution. School and college presentations on current drug threats and teen trends are provided to students and faculty, and Peer Mentors and the Founder present to law enforcement agencies, churches, youth groups, and civic clubs. Awareness campaigns include Overdose Awareness Day, Alcohol Awareness Month, and National Recovery Month, plus in-person events such as the Mayoral Proclamation signing and the Rock ‘N Recovery free family event.

Who You Need at the Table

Required Partners
Role
Thomas County Sheriff's Office and Sherman County Sheriff’s Office
Agree to meet with our staff so we can explain the proposed program. Create a community partnership to administer this program in their jails. Agree on the day and time of classes. Approves weekly class rosters, hosts the program inside the jail, and makes copies of homework/signed consents on-site. Hence, materials stay secure and provide the trusted local relationship that opened the jail door. Provide an iPad or laptop and a private room for participants to receive drug and alcohol assessments while incarcerated.
County jails (Thomas County; now Sherman County)
Hung up our flyers (we created) in each pod of the jail to make people in custody aware of the program. Provide access to participants and the in-jail meeting space. The two jails together cover people from all nine counties in the service area.
SMART Recovery
Supplies the SMART InsideOut curriculum and family curriculum used in and out of the jail; invited High Point to present at its 2026 national conference.
Kansas Fights Addiction (KFA)
State opioid settlement funder whose two awards paid the salaries, operating expenses, and ongoing training/continuing education for all staff that make the no-cost model possible.
Helpful Partners
Role
Local school systems
Host prevention presentations for middle and high school students, with grade schools planned next.
County and city governments across the nine-county area
Provide awareness, referrals, and community standing built through repeated presentations to commissions, councils, and civic groups.
Local recovery community and families
Refer participants, take part in family programming, and sustain the program through donations and a community foundation donor-advised fund.

What made a willing partner essential vs. optional?

The partner that made the jail program possible was the county sheriff, and the reason was the trust built well before any class began. The sheriff was a longtime neighbor who had shown the founder's oldest son kindness and respect years earlier during his own struggle; that son is now a certified peer mentor on staff. High Point spent its first KFA award laying this groundwork, meeting with every law enforcement agency, county attorney, county commission, city council, school, and civic group that would have them, to introduce themselves and what they planned to offer. A required partner controls access to the people the program serves and is willing to extend that access based on the strength of a relationship.

Helpful partners widen the program's reach without being needed on day one. Schools open the prevention work, local governments lend credibility, and the recovery community and donors help the organization diversify beyond a single funder. One practical reframing earned broad support: because most local crime is tied to substance use, the team presents its work as crime prevention, which draws backing from residents who might not otherwise fund addiction services.


“Support from joining an advocacy group or coalition is so important. There wasn't anybody here to teach us how to start a new treatment center. Peer mentors and community health workers were not even a thing five years ago when I started this organization, so I’m happy all of us here can utilize our own lived-life experience with substance use and recovery to be a part of providing support to others in a meaningful way. There’s nothing more rewarding for us than watching people recover from addiction and see families reunited. We have proven if you remove as many barriers as possible and create ACCESS to these services at no cost out of pocket, those who need them the most (inmates at your local jail) will come. We are literally making recovery imPOSSIBLE!”
Sherry White, Founder and CEO, High Point Advocacy & Resource Center, Inc.

Budget Breakdown

$500K
Total Project Budget
two Kansas Fights Addiction awards
100%
Opioid Settlement Funding
of both KFA awards
4
Staff Salaries Funded
the largest line in both awards
Operations Budget
Braided funding from several grants, donations, and fundraising; the KFA awards anchor salaries and primary operating costs
Primary Funding Source
Kansas Fights Addiction (state opioid settlement program)
Additional Funding
Dane G. Hansen Foundation startup grants, a state Drug Endangered Children grant of $95,500, Department of Commerce tax-credit funding, donations, and a community foundation donor-advised fund
Budget Category
Amount
Notes
Personnel/Staffing
The majority of both awards
Salaries for four staff. Because the program charges nothing, salaries are the largest expense, and the reason opioid settlement funding is needed.
Treatment/Clinical Services
No client charge
Licensed counseling and addiction services are delivered to clients at no out-of-pocket cost; the rare, insured client is billed without copays and deductibles.
Peer Support/Recovery Coaches
Included in personnel
Two certified peer mentors deliver jail classes and provide outpatient mentoring, support groups, case management, and court advocacy; their salaries are included in the staffing line.
Curriculum & Materials
Low cost
SMART Recovery workbooks run about twenty dollars each and are provided free; lockable wheeled cases keep books secure between jail visits.
Prevention/Education
Partly other grants
School presentations and awareness and recovery events, some prevention activity, and a Rock ‘N Recovery event were funded in part by separate grants in addition to the KFA awards.
Transportation/Travel
Small line (about $6,400 in the first award)
Mileage and travel to reach clients across nine counties and to drive people to assessments and residential treatment.
Training & Conferences
Funded mainly by the second award and the Drug Endangered Children (DEC) grant
Staff training and attendance to national conferences, reflecting the founder's choice to invest in her people.
Admin/Indirect
N/A (not separately broken out)
The founder reported salaries as the dominant cost and did not provide detailed indirect cost figures during the interview.

What is the minimum viable budget to replicate this?

The founder's advice to a rural county with about $30,000 to $75,000 is to keep the model small and protect its core. The first dollar should buy the SMART Recovery curriculum and workbooks, which are inexpensive, and the program can run with as few as two people. What cannot be cut is the peer mentor: the class must be led by someone with personal lived-life experience with addiction, because that is what gets participants to engage and stay. Salaries are the real cost, since charging clients is not workable in a community where most people cannot pay, so a replicating county should plan to fund staff time even at a modest scale.


What Worked and Why

Specific decisions or design features that drove success

Meeting people inside the jail after detox was the design choice that drove the results. Staff describes four conditions that come together at that moment: a clear mind, high motivation to change, ACCESS to free services (both in jail and post-release), and a peer mentor whom the person can believe. A participant who tells a peer mentor, "I used to buy dope from you," cannot use the "you do not understand" line to disengage, and that credibility opens the door to the work.

Charging clients nothing removed the barrier that the founder had watched destroy families, including her own. The common worry that people would not value free treatment did not hold up over five years. Removing cost lets anyone walk through the door, and pairing it with relentless barrier removal, i.e., collect calls from jail, transportation to far-off treatment, telehealth during blizzards, staff traveling to them if they don’t have transportation to the office, and a zero-cost model keeps people engaged who would otherwise have been lost to logistics.

Wrapping treatment inside a fuller set of services made the difference between a class and a recovery. Because a rural caseload could never fill a treatment-only schedule, the founder built case management, court advocacy, community prevention and education, and family recovery work around the clinical core to begin creating not only recovery for their clients and families, but to begin creating an entire recovery-ready community. Staff go to court with clients, sit in child-welfare case planning meetings, arrange drug and alcohol assessments, perform client needs assessments, and make appropriate referrals for other wrap-around services needed to stabilize clients, and coordinate transportation so the program supports a person's whole situation, rather than a single appointment.

Building the jail program on top of an existing relationship, rather than from scratch, compressed the timeline. The first KFA award funded a year of relationship-building with law enforcement and the community before a single class was held. By the time the program was launched in May 2025, the sheriff already trusted the team, and staff peer mentors had already established a presence in the local justice world.

Keeping the curriculum flexible lets the program respond to real people in real time. SMART Recovery’s circular structure ensures that no one is left behind if they miss a week. The staff sets the pace of the program, slowing down during breakthroughs and emotional moments. Additionally, they use the jail’s front office to make copies of homework, ensuring that materials do not compromise security. That flexibility is why a planned 12, 1-hour/week class became a deeper 2-hour, 24-week experience without losing participants.

“We're getting to them at a time when they already have a clear mind and strong motivation for change, and they're talking with somebody who has that lived-life experience with addiction. We all know the opposite of addiction is connection, and that’s what we’re creating in the jails that’s been missing from their lives for a very long time…connection. And connection breeds trust. The “unknown” can be really scary. But when you have already built that connection and trust, that is what removes the fear of getting help. It’s not nearly as scary to walk through the doors of a treatment center when you already know who’s waiting for you inside. And THAT’S why we have been so successful at transitioning them to our outpatient treatment center once they are released from jail.”
Sherry White, Founder, High Point Advocacy & Resource Center

Early outcomes and data

  • 80% of jail-program participants reported still being in recovery, with no slips, one year after starting (against a commonly cited national long-term rate of 20% to 25%).

  • 69 people were reached in the first program year (49 men and 20 women), verified by calling each participant directly.

  • No participant who completed the program was reincarcerated during the first year, except for one person known in advance to have a scheduled weekend.

  • The program expanded to a second jail (Sherman County), giving access to people from all nine counties in the service area at the beginning of the second year of the program.

  • Three men and two women graduated in a single recent week, receiving completion certificates.

  • Invited to present at the 2026 SMART Recovery national conference and featured on the organization's national podcast, which was translated into over 40 languages to be broadcast all around the world.

  • Funding diversified beyond the state opioid settlement, including a state grant of nearly $95,500, tax-credit funding, and a new community foundation donor-advised fund.


Replication Guide
How to Replicate This Model
Minimum viable version
A minimum viable version of this model is a SMART Recovery jail class led by a peer mentor with lived-life experience, plus a free pathway to outpatient support upon release. The curriculum and workbooks are inexpensive, and a team of two can run it. The pieces that hold the model together are the peer mentor and the no-cost promise; without the peer, participants disengage, and without free services, the people who need help most cannot afford to start or maintain after they are released from jail.
First three steps
1
Build relationships with the sheriff and the jail first. Nothing happens without access, and access runs on trust. Spend time with law enforcement, county attorneys, probation/parole/court services officers, and local officials before any funding is spent, introducing who you are and what you will offer, so the jail door opens when you are ready to teach.
2
Adopt the SMART Recovery curriculum and train a peer mentor to lead it. SMART Recovery offers free facilitator training and will issue a Facilitator Certificate. It is designed for short-term incarceration; its circular structure lets people join at any week, and it teaches that recovery is possible. The leader must have lived-life experience with addiction; that credibility is the part that cannot be bought or faked.
3
Plan to fund salaries and remove client cost barriers. In a community where most people cannot pay, charging for services ends the program. Budget for staff time, keep services free, and remove practical barriers such as phone access from jail and transportation to treatment.
Common Pitfalls
Assuming insurance or Medicaid will pay: In a non-expansion state, most justice-involved clients do not qualify, and enrollment windows rarely coincide with the moment of readiness. A model that depends on billing will not survive.
Treating the class like a fixed twelve-week course: People move in and out of jail on their own timeline. A rigid sequence leaves late entrants behind; a circular curriculum and a flexible pace keep everyone included.
Skipping the relationship-building groundwork: Trying to launch a jail program before the sheriff and community trust the team invites a no. Budget a year for introductions and presence before classes begin.
Selling the program as help for offenders: Framing matters. Because most local crime is tied to substance use, presenting the work as crime prevention wins support from residents who would not otherwise back addiction services.
Overlooking small legal barriers to staffing: A peer mentor's record can limit certain settings, such as working directly with juveniles. Plan around expungement and supervision rules early rather than discovering them mid-program.

Lessons Learned

  • Lead with lived-life experience, not credentials alone. The single feature staff credit most is that the people delivering services have lived-life experience with addiction. Participants don’t care that their Peer Mentors don’t have college degrees. It is the difference between a participant shutting down and a participant believing change is possible. They recover out loud at High Point because how can anyone believe recovery really is possible, if they can’t see someone who is recovering out loud and isn’t afraid of the shame of their past. We must be loud and proud, so others don’t suffer in silence!

  • Remove every barrier you can find. Collect calls from jail, free workbooks, telehealth in bad weather, zero fees for services, and staff driving clients to treatment are not extras; they are what keep people who would otherwise drop out engaged.

  • Wrap services around treatment. A rural caseload cannot fill a treatment-only schedule, so case management, advocacy, prevention, and family support work both fill the day and lift success rates beyond treatment alone, and all combined is what makes a community recovery-ready.

  • Diversify funding before you have to. After feedback on the first award, the team pursued other grants and donations so the program would not depend on a single funder, which later paid off because they received additional funding, which allowed it to extend the original KFA award an additional seven months and weather lean periods.

  • Document the model so others can copy it. When SMART Recovery learned of this program’s success, it invited this program to present at the 2026 national SMART Recovery Conference in Orlando, Florida, in April 2026. In preparation for that presentation, staff built a step-by-step presentation of their entire jail program that explained step by step how they created their successful program, including covering flyers, the prepaid phone account, the curriculum, and completion certificates, wrap-around service, so a replicating entity can adapt the operational details rather than reinvent them.

“It takes a village to raise a child, and it takes an even bigger village to create a recovery-ready community. But we’ve proven if you build it, they will come.”
Sherry White, Founder, High Point Advocacy & Resource Center

Primary Contact
Sherry White
Founder and CEO, High Point Advocacy & Resource Center, Inc.
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