Proceedings from the U.S. Department of Education’s Higher Education Center for Alcohol, Drug...

7/31/2019 Proceedings from the U.S. Department of Educations Higher Education Center for Alcohol, Drug Abuse, and Violence Prevention Training Institute, If You Build It, They Will Co

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!Proceedings!from!the!U.S.!Department!of!Educations!Higher!Education!Center!for!Alcohol,!Drug!Abuse,!and!

Violence!Prevention!Training!Institute,!If!You!Build!It,!They!Will!Come:!Building!and!Sustaining!Effective!Campus!Recovery!Programs!

!Author&Below&please&list&the&author(s)&of&this&resource ."

!U.S.!Department!of!Education!

!

Citation&Below&please&cite&this&resource&in&APA&style.&For&guidance&on&citation&format,&please&visit&http://owl.english.purdue.edu/owl/resource/560/01/&

!U.S.!Department!of!Education.!(2012).!Proceedings"from"the"U.S."Department"of"Educations"Higher"Education"

Center"for"Alcohol,"Drug"Abuse,"and"Violence"Prevention"Training"Institute,"If"You"Build"It,"They"Will"Come:"

Building"and"Sustaining"Effective"Campus"Recovery"Programs .!Washington,!D.C.!

!

Summary&Below&please&provide&a&brief&summary&of&this&resource.&If&an&abstract&is&available,&feel&free&to&copy&and&paste&it&here.&

!The U S Department of Educations Higher Education Center for Alcohol Drug Abuse and Violence


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The U S Department of Education s Higher Education Center for Alcohol Drug Abuse and Violence

Collegiate Recovery Communities inNational Policy

Training Institute: If You Build It, They Will ComeBuilding and Sustaining Collegiate Recovery Communities

August, 2012 DuPont Circle Hotel Washington, DC

Peter Gaumond

Chief, Recovery BranchOffice of National Drug Control Policy


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National Drug Control Strategy

NDCS delivered toCongress annually

Coordinates Federal drugcontrol activities across

agencies

Reports on trends,summarizes progress, andsets goals

A balanced public health-public safety approach todrug policy

2


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Demand Reduction

Stopping drug use before it begins saves lives andmoney.

Effective drug prevention happens on the locallevel.

Comprehensive:

evidence-based interventions in multiple settings

tested public educational campaigns

sound public policies

Prevention


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Demand Reduction

Integrating substance use disorder treatment intobroader health care systems

Training mainstream health care practitioners to screenfor SUDs

Fostering adoption of universal screening for substanceuse problems in primary care and other health caresettings

Expanding access to SUD services and establishing themas part of mainstream health care systems (e.g., Medicaidexpansion, SBIRT, and provision of treatment services in primary caresettings)

Early Intervention & Treatment


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Demand Reduction

2010 Obama Administration brings recovery tothe center of national drug control policy for firsttime

2010, 2011, and 2012 National Drug ControlStrategies lay out specific action items in therecovery domain, including:

Expanding and sustaining the Access to Recovery program

Identifying and addressing laws and rules that impede recovery Expanding community-based recovery support services (e.g.,

recovery community centers, recovery high schools andcollegiate recovery programs) & fostering the adoption of theROSC framework

Recovery


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Principles of Recovery

Recovery transforms individuals, families, andcommunities

Recovery is anchored in community and culture

Peers have a unique legitimacy and authenticity

as mentors, guides and coaches; autonomous

peer-led services are an indispensible component

of a treatment and recovery system

There are many pathways to recovery


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Defining Recovery

ONDCP does not have an official definition forrecovery, but recognizes that it:

Is a process by which a individuals overcome a substanceuse disorder, achieving improved health, wellness, and

quality of life (SAMHSA, 2005)

Is a voluntary lifestyle characterized by sobriety (Schwarzlose ,McLellan, et al. 2007) and civic engagement (Faces and Voices ofRecovery, 2012)

Has individual, family and community dimensions and canbe transformative on all three levels

Supports a purposeful and self-directed life (SAMHSA, 2012)


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8

Recovery-focused systems & services:

Reduce use of high-cost services

Increase first-time admissions & use of outpatient

Save money while expanding access

Recovery support services (RSS):

Non-clinical services that:

Can be provided prior to, during, after, and sometimes, in lieu of

treatment

Help individuals & families achieve stable, long-term, recovery

Reduce the need for repeat admissions to treatment

Supporting Recovery


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Supporting Recovery

Recovery-oriented policies improve public health &

public safety by eliminating unnecessaryimpediments to full participation in society

Recovery Community Organizations

Provide peer recovery support services Serve as a link across systems and between them and

the community

Benefit both those providing and those receiving them

Recovery high schools and collegiate recoverycommunities provide a pathway from addiction tohealth, wellness, and success

9


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From Sick Care to Health Care

Emphasis on prevention, screening, early intervention

(e.g., SBIRT) Focus on strengths, solutions, health, wellness, and

quality of life rather than on pathology

Leveraging recovery community; emphasis on peer

recovery support services (PRSS)

Use of chronic care/recovery management approachesrather than brief doses of treatment

Integrated systems and services emphasizingclient/patient choice and self-management

Care anchored in community (campus) rather than inprogram or center


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CRCs in Context: What the DataShow

In 2010, 23.1 million

Americans aged 12 or older(9.1%) needed drug oralcohol treatment

2.6 million (1.0 percent ofpersons aged 12 or olderand 11.2 percent of thosewho needed treatment)received specialty treatment

Past-year abuse ordependence among youngadults was nearly 20%

0%

2%

4%

6%

8%

10%

12%

14%

16%

18%

20%

Adolescents

(12-17)

Young Adults

(18-25)

Adults (26 or

older)

7.3%

19.8%

7.0%Prevalence

Past-year Abuse or DependenceDisorder by Age Cohort

(NSDUH, 2011)


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What the Data Show

0.0% 10.0% 20.0% 30.0% 40.0% 50.0% 60.0% 70.0%

Any Illicit Drug

Marijuana

Cocaine

Heroin

Methamphetamine

Nonmedical Use - RX

Cigarettes

Alcohol

Binge Alcohol Use

22.0%

19.5%

1.3%

0.1%

0.1%

5.0%

24.8%

63.3%

42.2%

23.5%

20.2%

1.5%

0.3%

0.4%

7.0%

39.9%

52.4%

35.6%

Percent Reporting Past Month Use - Persons 18-22 by College

Enrollment Status

Others Aged 18-22

Full-Time College Students

(NSDUH, 2011)


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0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

< 1 Year 1-3 Years 4-7 Years

36%

66%

86%

Perce

ntAchievingAdditionalYearofAbstinence

Continuous Abstinence at Time of Baseline Interview

Percent Remaining Abstinent During 12 Months

Following Baseline

What the Data Show

Dennis, Foss & Scott (2007)

Recovery takes place incommunity and recovery

skills are best learned there

Risk of relapse greatlyreduced after one year ormore of continuousabstinence

College campus is high-risk

environment for individualsin early recovery

Collegiate recoverycommunity may not onlysupport students inrecovery, but may haveother beneficial impacts:

Improved retention,academic performanceand graduation rates

Expanded social optionsand changed socialnorms


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What the Data Show Age of first use is associated with likelihood of developing a

substance use disorder:

Adults 21 or older reporting first use of alcohol before age 15 weremore than 5 times as likely to report past year alcohol dependence orabuse than persons who first used alcohol at age 21 or older

Among the 14 million adults aged 21 or older who were classified ashaving past year alcohol dependence or abuse, more than 13 million(95 percent) had started using alcohol before age 21 (NSDUH, 2004)

12.8 percent of those reporting first trying marijuana at age 14 oryounger had an illicit drug dependence or abuse disorder

2.6 percent of adults who had first used marijuana at age 18 or olderhad a substance use disorder. (NSDUH, 2011)


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What the Data Show: Preliminary Findings

Average GPA of Texas Tech (TTU) community 3.18, compared to2.93 for the campus as a whole (Harris et al., 2007)

Augsburg college StepUP program GPA: 3.2 (Augsburg College, 2012)

93% of students served from 2006 to 2010 in the StepUPprogram did not relapse (Augsburg College, 2012) and 92% of TTU

students did not relapse (Harris et al., 2007)

TTU community found to have 70% graduation rate, comparedto a 60% campus-wide average, a Texas average of 48.5% , andthe national average of 55.9% (Harris et al., 2008; National Center forHigher Education, 2012)

American College Health Association 2012 Best Practices inCollege Health Award honors UT Austin Center for Students inRecovery (CSR).


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Where CRCs Fit in National Policy Historically, youth recovering from/exiting treatment for SUDs

have had few resources/supports

CRCs fill a critical gap and provide recovery support services at adevelopmental stage when their potential benefit to theindividual, family, and broader society is at its greatest.

CRCs are part of a multi-pronged approach to demand reductionthat includes prevention, treatment, and recovery supportservices

They may help prevent drug use before it begins, and they do

provide a mechanism for intervening early and effectivelysupporting youth and young adults in recovery

Youth/young adults in recovery serve a community-widepreventive function


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StepUP

Program

Augsburg College


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Collaboration

Working with existing Campus Services

Residence Life

Admissions - Financial AidEnrollment Center

Counseling Center

Faculty and Staff

Academic Advising

CLASSAccommodations

Campus Ministry

Career and Internship Services

DevelopmentInstitutional Advancement

Administration

President, VP, Deans


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Community Services

12-step meetings

Psychologists, Psychiatrists

Treatment Centers, Halfway and Sober Houses

Hospitals

Drug Testing Facilities

Eating Disorder TreatmentGambling Addiction

High Schools with Recovery Support roups

Recovery High Schools

Leaders in community that support recovery and

are willing to help students with resumes, mock

interviews, internships, and employment


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Take Home Questions

Think about a typical week in the life of a student and list all the

departments they come in contact with. What plans can you maketo collaborate with those departments on various levels?

How do you currently collaborate with other campus services eitherfor referrals or for support services for your students?

What areas of your program development and maintenance will bemost strengthened through collaboration with other campusrecovery programs?

Are you being charged with developing an integrated campusmodel? Discuss the steps you need to take to collaborate with otherstaff and professionals, increase awareness of the need for recoveryservices and the benefits of supporting students in recovery.

Create coalitions of staff and faculty have interest in recovery.


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Housing

Community is what defines our program

Safe and supportive housing

Separate drug and alcohol free housing

Community Advisors

Peer Leaders

Work closely with Residence Life

Transitional Housing


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Take Homes Questions

What are the advantages of having or not having recovery housing

on your campus?

Is there a need for supportive living environments for yourstudents in recovery? Explore the pros and cons of on-campusRecovery Housing vs. off-campus housing.

Do you have resources to manage a living environment?

How could living in community in a residence hall enhance astudents academic success and recovery program?

Discuss gender inclusive housing versus single gender housing. Anybenefits or concerns?

Are there any student needs that could not be addressed in a

residence hall setting?


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Social Support:

Need to find a sober social support mechanism whileattending college/university

Peer Group:

Finding a peer group that supports an individualsidentity and the values and beliefs that accompany it

Identity:

Need to find their autonomy and create an identity,outside of parental or treatment supervision

Academic and Financial:

Academic and financial planning is often overwhelmingto recovering students

(Harris, Baker, Kimball & Shumway, 2007)


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Enhancement of Quality, Long-term

Development of

Providing Facilitation of

AndLastly

that

Impacts the way RECOVERY is

viewed


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Recovery

Emotional

Companionship

Information

Instrumental

empathy, love,

caring andconcern

Peer

support

Advice,

guidance

Material

assistance

(Harris,Baker, Thompson, 2005)


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25%

46%

15%

14%

Emotional

Companionship

Instrumental

Informational

Sense of community and

fellowship because a shared

struggle is barely a struggle

at all. Emotional

To stay in a sober

environment to finish my

undergraduate degreewith a focus on recovery

goals with those around

me. Companionship

They offer extremely large

amounts of support academically,

mentally, physically, spiritually,emotionally, and much more, like

scholarships. Instrumental

I was an addict who just got

out of rehab and wanted to

go back to school and be

successful. - Informational


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33%38%

11% 18%Emotional

CompanionshipInstrumental

Informational

That I can feel connected to

people my age with similar

goals without having to

explain or defend myself for

my choices. Emotional

My roommates and other people

who are serious about school

and recovery in the program.

Companionship

Having friends in recovery

on campus and taking

classes with them.

Instrumental

Provides support network of

employees and students without

having to seek them out on your

own. - Informational


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For Spring semester of 2012, CRC students who

participated in the survey had a 95% RecoveryRate

77% of the participants reported being diagnosedwith a Mental Health illness prior to enrollment in theCRC, however, Mental Health distress is at a

minimum level for CRC students 4 out of 5 students who participated in the survey,

reported that their participating in a CRC was veryhelpful to their recovery

Students who participate in CRC programs havelow risk factors for relapse

Overall 97% of CRC students rate their quality oflife extremely high


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With CollegiateRecovery Programs:

Students basic needs aremet

Students access

academic resources thathelp in their success

Students learn to buildmeaningful social support

Students are staying

sober while in a universitysetting which shows thatthey feel safe, supportedand highly productive

Supporting Students =Student Success


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Building, Engaging and Sustaining the

Rutgers Recovery Community

Lisa Laitman


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Brief

Intervention

AOD

Counseling

Recovery

SupportAssessment and

Personal

Feedback- three

sessions

ACOA-

Individual, group

and referral to Al-

Anon

Early Recovery

group and

Individual

Counseling

Marijuana

Check-Up

Motivational

Counseling for

students who are

not yet ready forrecovery

Availability of

Campus12Step

MeetingsAA,

NA and GA

4/20 Group Referral to

Treatment

Recovery Housing


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Rutgers Recovery Community Beginning in 1983 the recovery community were four students who wanted to

meet other college students in recovery at Rutgers.

Through intervention services through ADAP, students went into treatment and

the recovery community grew.

In the first five years, the Thursday night recovery support group grew from the

original 4 to 48 students.

In 1988 we opened the Recovery House with 12 students who had begun theirrecovery at Rutgers.

Within a few years students were transferring to Rutgers to live in the Recovery

House and part of the recovery community

In special circumstances we will advocate for a student in recovery to be

admitted either as a nonmatriculated student (NB) or matriculated student. (N).

Today our community is a combination of students who begin recovery throughADAP and students who transfer to Rutgers already in recovery.


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Recovery Rally NYC September 2009


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Rutgers Recovery Housing

Lisa Laitman


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Rutgers Recovery House In 1988 Rutgers became the first university to offer an on-campus residence hall for

students in recovery.

Safe haven for students who started recovery through on-campus AOD counseling

program. Students in recovery began transferring to Rutgers because of Recovery

House and support services.

Recovery House is not a halfway house but a residence hall for students in recovery.

Emphasis on self governance and accountability to the community.

Alumni now include individuals in their 30s-50s with up to +27 years of sobriety.

Rutgers Recovery Reunions in 1993, 2003, 2008 and our 30th anniversary coming up in

2013 .

In 2008 Rutgers received grant funding for the last 4 years from the NJ Division of

Mental Health and Addiction Services to enhance our recovery support services.

Recovery Housing exist on both the Newark and New Brunswick campuses.


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Rutgers RH Requirements

(1) At least 90 days of sobriety at move-in

(2) 2+ Interviews at Counseling Center by ADAP

(3) Accepted by Rutgers (Admissions)

(4) Full-time student

(5) Sponsor in the area by September 30th

(6) Attend 2+ area 12-step meetings a week

(7) 8+ individual counseling sessions 1st semester (Additionalrequirements for less than one year of sobriety)

(8) Weekly attendance at Early Recovery Group for at least the 1stsemester

(9) Looking for those with the fierce urgency of now


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Recovery House Alumni Event


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Rutgers Recovery House data 2008-2012

S h l


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School

yr,

divided

by

semester

StudentsLiving inthe RHYearly*

RelapseNumber Yearly

Avg.YearlyAbstinence Rate

Avg.RelapseRate GPA

GraduatedorReturned

Graduatedor Return%

AlumniParticipation Graduated

2008, Fall 12 1 91.60% 8.40% 2.61 11 91.66% N/A 92009,Spring &Summer 13 1 92.30% 7.70% 2.79 13 100% 6 10

2009, Fall 21 0 100% 0% 3.09 20 95.24% 23 132010,Spring &Summer 21 0 100% 0% 3.08 20 95.24% 17 14

2010, Fall 23 0 100% 0% 3.08 22 95.65% 29 82011,Spring &Summer 24 4 83.33% 16.7% 3.05 22 91.66% 33 8

2011, Fall 30 1 96.66% 3.44% 3.25 29 96.66% 33 52012,Spring 31 0 100% 0% 3.21 3Avg., Fall08 toSpring 12 22 .9 95.49% 4.53% 3.05 95.16% 17 total


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Lesson Learned

Lisa Laitman


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Lessons Learned:Recovery vs. Substance Free Housing

The need to create a Recovery CampusCommunity not only a substance free one

Changing the campus norm with a

community of students in recovery while

protecting confidentiality Support for students on a campus who do

not drink or use for a variety of reasons,

including recovery

The unique challenges of a creating a

Recovery Campus Community on apredominantly commuter campus

Rutgers-Newark

Recovery Housing

began 1993


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Lessons Learned: Counseling Staff/Student Ratios

Why staff/student ratios are important?

Consequences of insufficient staff /student ratios

Building supports on campus: RAs, Counseling

Groups,Academic Services, Alumni, 12 Step Meetings &

Sponsors

Relapse and the Recovery Community; Fear, Healing

and Reputation


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Lessons Learned: Consensus of CommunityGuidelines Based on the Values of Recovery

Going to 12 Step Meetings

What problems occur when some residents dont go to

meetings

How to help the community reach consensus on

meeting attendance

Keeping Your Eye on the Prize

Promoting the identity of being a good student and

learning the self discipline of academics

Reducing Relapse by Promoting Accountability tothe Community


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Managing Relapse

Managing the anxiety that relapses create within therecovery community with open and direct communication

Balancing confidentiality withtransparency

Administrative review

Response is therapeutic (not punitive) and rapid

Response to individual relapses are determined depending on severity

Relapse prevention strategies are an integral component

Procedures for addressing relapse are discussed with all students and are putin writing


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Lessons Learned: Fun and Activities

How college students in recovery experiencethe stigma of addiction

Understanding how students in recovery can

sometimes feel they are missing out on the

normal college experience

The importance of fun (to fill the time that oneused to spend using)

Service work and internships

Activities and fun in Recovery:

Intramurals, Speakers, Sporting Events,

Hikes , Plays, Museums Bonding with others in recovery!!

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