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Collegiate!Recovery!Programs:!Results!From!the!First!National!Survey!
! Author& !
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Alexandre!B.!Laudet!
! Citation& !
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Laudet,!Alexandre!B.!(2013).!Proceedings!from!the!4th!Annual!Collegiate!Recovery!Conference:! Collegiate"Recovery"Programs:"Results"From"The"First"National"Survey.!Lubbock,!TX.!
! Summary&
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Alexandre!Laudet!gave!this!presentation!during!the!4th!Annual!Collegiate!Recovery!Conference! held!at!Texas!Tech!University,!April!3:5!2013.! ! The!presentation!uses!data!collected!through!a!National!Institute!on!Drug!Abuse!grant!that!that!was! awarded!to!the!National!Development!and!Research!Institutes,!Inc.!! The!presentation!includes!the!following!sections:!! Context:!Recovery!!What!and!How?! Overview!of!Peer!Recovery!Support!Services! Collegiate!Recovery!Programs!(CRPs):!NIDA!!funded!nationwide!survey! The!initial!findings!presented!in!this!research!capture!the!national!landscape!of!collegiate!recovery! programs!for!the!first!time!in!recent!history.!
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!!!!!!!!!!!!!!!!!!!!!!!!!!P.!O.!Box!6448!!Reno,!NV!89513!!Phone:!760:815:3515!!staciemathewson@me.com! !
Acknowledgments
The presentation uses data collected through a project supported by Grant Awards Number R01 R01DA14409, R01DA015133 and R21DA033448 from the National Institute on Drug Abuse to the National Development and Research Institutes, Inc. (NDRI). The content is solely the responsibility of the author and does not necessarily represent the official views of the National Institute on Drug Abuse or the National Institutes of Health
.
The team
Alexandre Laudet, NDRI, Principal Investigator (MPI) Kitty Harris, Texas Tech, Principal Investigator (MPI) Ken Winters, U of Minnesota, Co-investigator
Presentation Overview
Addiction career
Impairments in
Legal status
Housing Employment Economic/financial
Stable recovery?
LOSS TO THE INDIVIDUAL & TO THE NATION = 16 years of active use + up to a decade of cycling
Recovery:
A voluntarily maintained lifestyle characterized by sobriety, personal health, and citizenship.
(Betty Ford Institute, JSAT 2007)
8.0
7.5
7.0
6.5
6.0
5.5
5.0
3+ years
May 2011: US Department of Education stated goal of ensuring a continuum of recovery supports in academic settings, from HS to postgraduate.
Chronic conditions have no known cured but can be arrested and the symptoms managed
The acute care intensive, professionally-delivered treatment model is ill suited to chronic disease management WHAT? Chronic disease management = Mix of professionally and peer-driven services/supports + self-management, based on individual needs, resources and remission stage Recovery supports conceptualized as accessible to all persons in recovery regardless of formal diagnosis, recovery path (e.g., whether formal treatment was every sought) or duration HOW? SUD recovery support services can be professionally- or peer-delivered WHERE? Diverse urban and rural community-based venues- e.g., recovery community centers, faith-based institutions, sober housing, criminal justice settings, HIV/AIDS and other health/social service centers, addiction and mental health treatment agencies
Regular recovery management check-ups (RMC) and early re-intervention to monitor clients status, minimize relapse risk and provide linkage to services when relapse has occurred to shorten the cycle (Scott, Dennis et al)
Web-based multimedia recovery support intervention offered following residential SUD treatment. Intervention included tailored clinical content delivered in a multimedia format + access to a recovery coach (Klein et al., 2012).
Sober residences
E.g., Oxford House & Sober Living Houses: Self-governed, selffinanced democratic communal-living environments following inpatient treatment or incarceration, during outpatient treatment or as an alternative to treatment No limit on stay duration Extensive scientific support for: Benefits of model on recovery related domains (e.g., substance use, employment, psychiatric severity, and arrests) across subpopulations - women, African Americans, veterans, dually diagnosed and deaf individuals (Jason et al) Cost effectiveness to society
Study Objectives
Since CRPs start organically, they may differ on key dimensions that may influence student outcomes and must therefore be identified before the model is evaluated. As a first step to informing a rigorous evaluation study, this NIDA funded project seeks to:
Identify the breadth of models, structures, philosophies, services and aggregate outcomes across CRPs nationwide
Subsequent study component examines student characteristics: Data collection currently ongoing- COME BACK NEXT YEAR FOR RESULTS!
Study Methods
Online survey Launched in October 2012 Programs that completed the survey and provided their contact received $400 as a thank you 26 of 31 programs completed the survey (84% participation) Two felt it was too new to answer most of the questions Two could not be contacted in spite of repeated attempts (no director or new director) One refused
Results
Full time staff Part-time staff Paid staff in recovery Program uses volunteers (yes) Program involves students in governance? (yes)
The program is a registered student organization within University or Student club. Since the program is still fairly new, the students that are involved are all equally a part of the development of the program. Students are encouraged to be as involved as their schedule and time allows.
Have NO budget
20%
$ 1,835 (0 $15,000)
96.20%
92 (8 - 500)
27 (2 - 120)
University generated emails and online bulletin Association of recovery schools University website Dean of students office Judicial affairs Dean of students office Website UM CRP website 12 step meetings Local 12-step meetings (announcements) Recovery high schools
Asian African american White Abstinence duration Mean Shortest Longest Students status at program entry Freshmen Transfer Students' academic rank Fresh Sophomore Junior Senior Graduate
19.2% (0 - 80) 19.6% (0 - 35) 28.1% (0 - 60) 16.9% (0 - 38) 16.1% (0 - 50)
Student is confronted about use, discussion about their intention to move forward, conversation with community
If program has sober residence/recovery housing, student re-located out of recovery housing and program works with him/her to develop a individual plan based on the situation; Some programs also support students who are still using & struggling with their identity of being an addict or alcoholic. They get regular access to staff for support and the services connected to the drop in center e.g., peer mentoring.
50%
75%
CRP Outcomes
Academic Performance:
CRP vs. Institution-wide
Wrap up: Findings from the first nationwide survey of Collegiate Recovery Support Programs
2 to 5 new programs starting annually COMMONALITIES Most operating out of public universities Small (or no) budget: Most common sources of funding are Private donations and university Supporting students free of charge Generally Small staff, Peer driven: students involved in governance Overwhelmingly 12-step based philosophy (e.g., abstinence based, onsite meetings) KEY DIFFERENCES Size of Budget and program space Standardization of program procedures and policies (from none to formalized) Half have a formal application process; enrollment requirements chiefly based on Abstinence duration and academics Extent of Student monitoring Availability of sober housing, academic scholarship, professional services Required participation in specific program elements
Students feedback
What are the main reasons why you decided to enroll in the recovery support program in your school? So that I could go to college and be sober. Without this program there is
not what it does for us but what we can do for each other
Overall, what has been your experience, good and/or bad, with your Collegiate Recovery Program? I have been sober for 5 months and these have been the happiest months of my life and I am really turning myself around. Thank
are doing!
Sources
Belleau C, DuPont R, Erickson C, et al. What is recovery? A working definition from the Betty Ford Institute. J Subst Abuse Treat. 2007;33:221-228. Dickard N, Downs T, Cavanaugh D. (2011) Recovery/Relapse Prevention in Educational Settings For Youth With Substance Use & Co-Occurring Mental Health Disorders. http://www2.ed.gov/about/offices/list/osdfs/recoveryrpt.pdf: US Department of Education Jason, L. A., & Ferrari, J. R. (2010). Oxford house recovery homes: Characteristics and effectiveness. Psychological Services, 7, 92102. Klein, A. A., Slaymaker, V. J., Dugosh, K. L., & McKay, J. R. (2012). Computerized continuing care support for alcohol and drug dependence: A preliminary analysis of usage and outcomes. Journal of Substance Abuse Treatment, 42, 2534 Laudet, A. and White, W. (2004a) Toward a Recovery Research Agenda: Promises, Pitfalls and Preliminary Experience. 47th International Conference of the International Council on Alcohol and Addiction, Venice, Italy, Nov. Laudet, A., Morgen, K., & White, W. (2006) The role of Social Supports, Spirituality, Religiousness, Life Meaning and Affiliation with 12-step Fellowships in Quality of Life Satisfaction among Individuals in Recovery from Alcohol and Drug Use. Alc. Treatment Quarterly, 24: , 33-74. Laudet, A., Stanick, V. & Sands, B. (2009) What could the program have done differently? A qualitative examination of reasons for leaving outpatient treatment. J. Subst Abuse Treatment, 37, 182-190. Mangrum, L. (2008). Final evaluation report: Creating access to recovery through drug courts. Austin, Texas: Texas Department of State Health Services, Mental Health and Substance Abuse Services Division: Gulf Coast Addiction Technology Transfer Center. McKay, J. R., Lynch, K. G., Shepard, D. S., & Pettinati, H. M. (2005). The effectiveness of telephone-based continuing care for alcohol and cocaine dependence: 24-Month outcomes. Archives of General Psychiatry, 62, 199207. Office of National Drug Control Policy. National Drug Control Strategy. Washington, DC: Office of National Drug Control Policy; 2010. Scott, C. K., Dennis, M. L., & Foss, M. A. (2005). Utilizing recovery management checkups to shorten the cycle of relapse, treatment reentry, and recovery. Drug and Alcohol Dependence, 78, 325338. Scott, C., & Dennis, M. (2009). Results from two randomized clinical trials evaluating the impact of quarterly recovery management checkups with adult chronic substance users. Addiction, 104, 959.