Campus Recovery Programs: Integrating Relapse Prevention Strategies Into Comprehensive Alcohol and Other Drug Abuse Prevention

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!!!!!!!!!!!!!!!!!!!!!!P.!O.!Box!6448!!Reno,!NV!89513!!Phone:[email protected]!

Title&Below&please&list&the&title&of&this&resource.& &&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&

!Campus!Recovery!Programs:!Integrating!Relapse!Prevention!Strategies!Into!Comprehensive!Alcohol!and!

Other!Drug!Abuse!Prevention!

!

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

!Kitty!Harris,!Lisa!Laitman,!and!Patrice!Salmeri!

!

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/&

!Harris,!Kitty,!Laitman,!Lisa,!and!Salmeri,!Patrice.!(2011).! Campus"Recovery"Programs:"Integrating"Relapse"

Prevention"Strategies"Into"Comprehensive"Alcohol"and"Other"Drug"Abuse"Prevention." [PDF!document].!

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

Violence!Prevention:!http://www.higheredcenter.org/services/training/webinars/campusrecovery

programs!

!

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

!

Researchers!estimate!as!many!as!31!percent!of!college!students!meet!diagnostic!criteria!for!alcohol!abuse,!and!another!6!percent!are!alcohol!dependent.!The!environment!on!college!campuses!and!in!the!surrounding!

communities!often!supports!a!culture!of!highrisk!drinking.!Staying!sober!in!an!environment!where!drinking!

and,!to!a!lesser!extent,!other!drug!use!is!accepted!and!prevalent!presents!real!challenges!for!students!who!are!

in!recovery!from!alcohol!and/or!drug!addiction.!The!collegiate!recovery!school!movement!began!with!the!

development!of!schoolbased!recovery!support!services!at!Brown!University!in!1977!and!Rutgers!University!

in!1983.!Programs!at!Texas!Tech!Universitys!Center!for!the!Study!of!Addictions!(1986)!and!Augsburg!

Colleges!StepUP!Program!(1997)!further!advanced!campus!recovery!services.!In!recent!years,!more!

campuses!have!taken!steps!to!meet!the!needs!of!students!in!recovery!by!incorporating!relapse!prevention!

into!a!more!comprehensive!alcohol!and!other!drug!abuse!prevention!approach.!This!Webinar!brings!together!

three!of!the!nations!top!campus!relapse!prevention!program!directors!to!discuss!the!research,!history,!and!

key!components!of!successful!collegiate!relapse!prevention!and!recovery!programs.!

!

Categorization&Below,&please&select&the&key&words&that&describe&how&this&resource&applies&to&our&research&on&thriving&collegiate&

recovery.&If&the&keywords&below&do&not&apply,&please&select&other&and&list&the&appropriate&key&word.&

"X"Success"in"Established"Collegiate"Recovery"Programs"

"Success"in"Established"RecoveryOriented"Systems"of"Care"

"AssetBased"Research/Methodology"

"General"Recovery"Assets"

X"Interpersonal"Assets"

X"Intrapersonal"Assets"

X"CommunityBased"Assets"

X"History"of"Recovery"

"Other:"______________________________________"


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CampusRecoveryPrograms:IntegratingRelapsePreventionStrategiesInto

ComprehensiveAlcohol

and

Other

Drug

Abuse

Prevention

Kitty Harris

Patrice Salmeri

Director, StepUP Program

Augsburg College

[email protected]

,

Texas Tech University

[email protected]

Lisa Laitman

Director, Alcohol and Other Drug Assistance Program

Rutgers, The State University of New Jersey

[email protected]

TheHigherEducationCenter

HigherEducationCenterforAlcohol,DrugAbuse,and

Violence

Prevention

http://higheredcenter.ed.gov

TheU.S.DepartmentofEducationwww.ed.gov

EducationDevelopmentCenter,Inc.www.edc.org

2

TodaysPresenters

KittyHarrisDirector,CenterfortheStudyofAddictionandRecovery

TexasTechUniversity

3

PatriceSalmeriDirector,StepUP Program

AugsburgCollege

sa a manDirector,AlcoholandOtherDrugAssistanceProgram

Rutgers,TheStateUniversityofNewJersey

Collegiate Recovery

Communities

Dr. Kitty Harris

Director, Center for the

Study of Addiction Recovery

Texas Tech University

[email protected]

Does your campus

have a recovery or

relapse prevention

program?

5

Todays College Student?

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Increase in treatment admissions for 12 -17 year olds

from 1992-2000 (38%).

71% of admissions were male under 17 yrs. old.

53% of all adolescent admissions involved alcohol and

marijuana.

In 1999 and 2000, marijuana-involved adolescent

admissions referred through the criminal justice

system outnumbered those entering treatment through

other referral sources.http://wwwdasis.samhsa.gov/teds00/TEDS_2K_Chp5.htm#Adolescent%20Substance

7

Other

Almost half (48%) of all treatment

admissions today are 18-24 year olds

Criminal Justice

50%

Self-Admin

17%

School

11%

8

The rates of past month, binge, and heavy alcohol use

among full-time college students aged 18 to 20

remained steady from 2002 to 2005.

Based on 2002 to 2005 combined data, 57.8% of full-

time colle e students a ed 18 to 20 used alcohol in the

past month, 40.1% engaged in binge alcohol use, and

16.6% engaged in heavy alcohol use.

Based on 2002 to 2005 combined data, male full-time

students in this age group were more likely to have

used alcohol in the past month, engaged in binge

alcohol use, and engaged in heavy alcohol use than

their female counterparts.http://www.oas.samhsa.gov/2k6/college/collegeunderage.htm

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Among college students aged 18-24,

alcohol-related unintentional injury

deaths increased from nearly 1,600 to

, .

Cleveland, Harris, & Wiebe, (2010). Substance Abuse Recovery in College Springer Publications, New York, NY

10

Illicit drug use among college students

increased even more than drinking

From 1993 to 2005

Stimulants such as Ritalin increased 93%

Sedatives such as Nembutal increased 225%

Synthetic opiates such as OxyContin increased 343%

Tranquilizers such as Xanax increased 450%

http://www.oas.samhsa.gov/2k6/college/collegeunderage.htm

11

Almost half (42%) of all full-time college

students aged 18-22 either binge drink,

abuse prescription or illegal drugs, or

, .

meet diagnostic criteria for substance

abuse or dependence. This is almost

triple the rate of the general population

at (8.5%).

Cleveland, Harris, & Wiebe, (2010). Substance Abuse Recovery in College Springer Publications, New York, NY

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19

Chat

What administrative

and/or organizational

challenges do youexpect in creating a

Type your answer here

campus recovery

program?

20

Where does the initiative to create a CampusRecovery Program come from? AcademicDepartment ,student services (health, counseling orhealth promotion)?

Funding and institutional support over time

One collegiate recovery model does not fit allcampuses

Presenting Recovery as the positive side ofaddiction

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Training clinicians from counseling andmedical services in identifying students withAOD problems

Developing integrated treatment teams within

trained clinicians

Implementing effective AOD screening intoTriage at counseling centers

Adequate AOD clinical resources

22

Brief

Intervention

AOD

Counseling

Recovery

Support

Assessment and

Personal

Feedback- three

sessions

ACOA-

Individual, group

and referral to Al-

Anon

Early Recovery

group and

Individual

Counseling

MarijuanaCheck-Up MotivationalCounseling for

students who are

not yet ready for

recovery

Availability ofCampus12Step

Meetings AA,

NA and GA

4/20 Group Referral to

Treatment

Recovery Housing

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Admission to university Interview with recovery program Successful completion of treatment program Three months to one year of continuous abstinence Re ular attendance at 12 Ste meetin s s onsor

Stabilization of any co-occurring mental healthdisorders.

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Campus location for students in recovery tomeet each other which is known andadvertised to the campus community

12 Step meetings on or near campus

Volunteer and outreach opportunities

Organizing efforts to have students helpnewcomers get to meetings

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Relapse prevention strategies an integral component

Procedures for addressing relapse are discussed with allstudents in recovery community and are in writing.

Response is therapeutic (not punitive) and rapid. Determine response to individual relapses depending on.

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

Balancing confidentiality with transparency.

Administrative review.

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Students in recovery living in regularstudent housing faced a unique set ofdifficulties: Students new to recovery often lived with their

former drinking/using buddies

People, Places and Things were often involvedin the rituals of residence halls (e.g., studentsgetting ready to go out to Thursday nightparties)

Lack of support from others who mightunderstand addiction and recovery

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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 begantransferring to Rutgers because of Recovery House and supportservices.

Recovery House is not a halfway house but a residence hall forstudents in recovery. Emphasis on self governance andaccountability to the community.

Alumni now include individuals in the 30s-50s with up to 27years of sobriety. Rutgers Recovery Reunions in 1993, 2003and 2008.

In 2008 Rutgers received a three year grant from the NJ Divisionof Addiction Services to enhance our recovery support services.

September 2011 a second Recovery House opens.

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Schoolyr,dividedbysemesters Students Living in tRelapse NumbeAvg.Yearly AbstAvg.Relapse GPA Graduated or Returned Graduated or Return % Alumni Participation Graduated

2008,Fall 12 1.0 91.60% 8.40% 2.61 11 91.66% N/A 7

2009, Spring &Summer 13 1.0 92.30% 7.70% 2.79 13 100.00% 6 8

2009,Fall 21 0.0 100.00% 0.00% 3.09 20 95.24% 23 10

2010, Spring &Summer 21 0.0 100.00% 0.00% 3.08 20 95.24% 17 11

2010,Fall 23 0.0 100.00% 0.00% 3.08 22 95.65% 29 4

2011,Spring 24 4.0 83.33% 16.67% 3.05 21 (as of 6/10/1 87.50% 33 4

Avg., Fall08toSpr 11 19 0.5 94.54% 5.45% 2.95 17.83 94.22% 21.6 16 total*Duplicated countas students continue yearto year

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4 BBQs 9 Breakfasts 25 lunches 13 dinners 12 coffee talks 4 Hikes 3 Bike Trips Day of Board Games

Recovery Karaoke Night Trivia Bowl Intramural soccer & flag football Nets vs. Thunder, Nets vs. Bulls 1 Madden Tournament Devils vs. Penguins Spike Lees Talk Idris Elbas Talk

Theater

7 Movies at the Recovery House 3 NYC Trips 2 Broadway Shows Tubing Down the Delaware Move-in Weekend 1 hot buffalo wing competition & 1

super hot buffalo wing competition Alumni vs. Student Softball game

Camden Aquarium Read poetry at Walt Whitmans Grave Observed services at a Mosque 5K Race for Autism Speaks Croquet Tutelage Great Adventure Graduation

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Please type questions into the long white

box at the bottom of the Q&A box.

31

Augsburg CollegePatrice M. Salmeri, M.A., LADC

[email protected]

ABriefHistoryofStepUP In 1995 a small group of

students requestedspecialized support forrecovering students.

In 1997 StepUP began itsresidential componentwith 23 students living in

Key: Living in a recoverycommunity

commun y.

Over 500 students havebeen served since 1997.

Fall 2011 , brought 83students to the StepUPProgram.

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The Mission of Augsburg and StepUP

Augsburgs Mission:Augsburg College educates

students to be informed citizens,thoughtful stewards, criticalthinkers, and responsibleleaders.

StepUP Mission:To help students champion lives

ofrecovery, achieve academicsuccess and thrive in acommunity of accountabilityand support.

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Recovery Support Weekly meetings with

counselor.

Weekly attendance toAA/NA meetings and workwith sponsor.

Opportunities for weeklyservice/outreachcommitments.

Referrals to mental healthand psychiatry formedication managementwhen needed.

On campus meditationgroups for stressreduction.

35

Recovery HousingThe Oren-Gateway CenterSafe, supportive, sober environment118,000 square feet of living, working,studying, eating, and meeting spaceHouses 105 StepUP Program studentsFlats and Apartments

Weekly flat meetings with an RAS, whoencourage and support growth of their

Teambuilding, leadershipdevelopment andcommunity events are apriority for the program.

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SupportforAcademicSuccess Academic Skills Office

Study Skills classes

CLASS Program five FT

counselors to help studentswith learning challenges.

Making the impossible,possible.

Tutoring services.

Academic Alert system.

Finals study sessions withfree pizza.

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StepUP Demographics: Drug(s) of Choice

65%

20%

15%

10%1 0% 4 %

Reported DOCs

Alcohol65%

Cannabis 54%

Cocaine25%

54%

25%

Heroin15%

Meth10%

Halluc.10%

RxStim4%

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Demographics Lengths of Sobriety

15

20

25

30

Length of Sobriety Some noteworthy trends:

5 % have less than 12 mos.

22 % have 7 to 18 mos.

33 % have over 13 to 24 mos.

51% have over 24 mos.

0

5

0 -

6

mos

6 -

12

mos

13 -

18

mos

19 -

24

mos

25 -

32

mos

33+

mos

Note: Abstinence maintenanceis critical but only part of theequation; a necessary but notsufficient condition forrecovery.

40

Co-occurring Challenges2010 National College Health

Assessment

Felt significant depression 28%

Felt overwhelming anxiety 46%

Reported diagnosis of

StepUP Students (2010):

Depression (41%)

Anxiety (26%)

ADHD (23%)

Bi Polar (12%)

Eating Disorder (7%)

Depression 8% Seriously consider suicide 6%

( 2011 Higher Ed Center PreventionUpdate)

Mental health concerns are readilypresent with college students atlarge.

PTSD (4%)Reflects higher incidence of

mental health challengeswith substance dependentpopulations. (Note: Not discretecategories; overlap with variousdiagnoses).

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Recovery Outcomes

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Community Outreach

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Academic Success Outcomes

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StepUP: Incredible People RealizingTheir Potential

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Questions?

Pleasetypequestionsintothelongwhite

boxatthebottomoftheQ&Abox.

46

CENTER FOR THE STUDY OF ADDICTION AND RECOVERY

TEXAS TECH UNIVERSITY

Emotional: Community acceptance, love, feeling ofinclusion.

Instrumental: Material assistance from friends,, , .

Affiliation: Favorable position in a community,helpful feedback, and public expression of approval.

Informational:Advice, suggestion, easy access tosupport in times of need.

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Emotional

Recovery Affiliation

Informational

Instrumental

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HopePositive and Unique Identity

DevelopmentHealthy Coping SkillsCapacity for Meaningful RelationshipsSense of Achievement & AccomplishmentReclamation of Agency or ChoiceShumway, S.T., Kimball, T.G., Dakin, J.B., Harris, K.S., & Baker, A. K. (2011). Multi-family

groups in recovery: A revised multi-family Curriculum. The Journal of Family Psychotherapy, 22, 247-264.

*Shumway, S.T. & *Kimball,T.G. (In Press). Six Essentials to Achieve Lasting Recovery. HazeldenPress.*Indicates co-first authors and equal contribution.

50

SOCIAL SUPPORT THEORY:

6 CHARACTERISTICS OF

RECOVERY PROTECTION:

Emotional

Support

Instrumental

Hope

Positive and Unique

Identity Development

Assistance with housing

Informational

Academic Advising

Affiliation

Sense of Community

Healthy Coping Skills

Capacity for Meaningful

Relationships

Sense of Achievement &

Accomplishment

Reclamation of Agency or

Choice

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SeminarsSpace for 12 Step meetingsCommunity GatheringsCelebration of Recovery

tu ent organ zat onOn-site Academic AdvisorAssistance with the Admissions ProcessHousing OptionsScholars Program Top award, McGovern

Award $10,000/yr. for outstanding academicsand commitment to recovery.

52

Clean, Sober, and Healthy 12 Step Involvement: Home group, sponsorship Mentally, physically, sexually healthy

Connected to the Community Attend CRC community activities

Participate in Celebration of Recovery Involved in service

Commitment to Academics Attend all classes, turn in assignments Be respectful in classes

Civility in Relationships Respect, integrity, honor, and positive attitude

53

Extremely important to provide a guide

throughout the students academic

careers. (Cuts down on stress)

accountable, supports students,

selects courses with students,

assists other departments with

student concerns.

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"Meetings are an essential part of the Recovery Process and within ourcenter and others there is an exciting opportun ity for students in

recovery.

3 Cs: Coffee, Community, Constistency

It is very important for there to be a mixture of attendees. Need those with experience in the 12 Steps and the 12

Traditions, this helped to secure legitimacy in thecommunity.

As a Coordinator or a Director never try to control thegroups, only facilitate the first few meetings (food helps)and provide a space.

Try and identify the gatekeepers of the community. 3 or4 of these students = 30 students right off the bat.

55

Texas Tech CAR: Association of Students

About Service (ASAS). Oldest recovery student

organization, most others are designed based on service projectsASAS has created. Outlet for leadership development, community

serv ce pro ec s an commun y u ng oppor un es.

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Seminar curriculum based on:12 Step Model, can includeLeadership DevelopmentAdjustment to CampusRecovery ProtectionRelationships in SobrietyCollege Life BudgetingService LearningStress ManagementDifferent Learning Styles

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Recovery Housing/Sober Living Housing available in dorms (multiple rooms on the same floor).

No Scarlet A, our students blend in with other students in the dorm.

Recovery student CA

No cars for freshmen, so on cam us 12 Ste meetin s that much more

important.

58

Texas Tech has been assisting with the

replication of the CRC model for 8 years.

Provide support and consultation to

replicating.

Trainings offered for

individuals/university representatives

who can come to TTU for a visit to the

Center.

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The University of Texas, AustinThe University of MississippiVanderbilt UniversityGeorgia Southern University

Tulsa Community CollegeUniversity of MichiganSouthern Methodist UniversityPennsylvania State UniversityKennesaw State UniversitySouthern Oregon University

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University of Alabama

University of South Carolina

Duke

University of Southern California

Oklahoma State University

University of Southern Mississippi

St. Cloud University

University of California, Riverside

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Spearheaded by Texas Tech University, Collegiate

Recovery Communities across the country are

participating in a survey to create a national collegiate

recovery database.

Objectives:1. Me asure the effectiveness of CRC programs in order to improve

recovery and educational outcomes for young people in recovery.

2. Track college student in recovery and determine how individuals in

recovery change as they advance in their education.

3. Capture characteristics of early and long-term recovery in the

collegiate population

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Texas Tech University The University of Texas-AustinAugsburg College Georgia Southern University Kennesaw State University The Universit of Mississi i Southern Oregon University Tulsa Community CollegeVanderbilt University Ohio University University of Vermont University of Michigan Southern Methodist University Penn State University

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Wall Street Journal

NBC's Today Show

Center for the Study of Addiction and

Recovery

Chronicle of Higher Education http://chronicle.com/article/As-Campus-Addiction-Recovery/128780/?key=SmMlIQRoZCxDbHAybD1JYzpQbic8ZEl2ayFFYnN2bltcFA%3D%3D

64

Please type questions into the long white

box at the bottom of the Q&A box.

65

MoreInformation:WebinarsHigherEducationCentersWebinarpage(Home>Trainings&Learningopportunities>Webinars)

http://higheredcenter.ed.gov/services/training/webinars

SlidesandrecordingfromthisWebinar

Informationabout

future

Center

Webinars

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HigherEducationCentersServicesTheCenterprovides: Generalinformationandassistance

Publications,

including

Prevention

Updates Trainings,Webinars,andotheronlineandinpersonlearning

opportunities

Evaluation supportandassistance

WebcontentonmultipleAODVtopicsinhighereducationand

specific,evidencebasedpreventionstrategies

HEC/NewsEDigest,aweeklyelectronicdigestofnewsand

informationrelatingtoAODandviolenceprevention

67

ContactUs!U.S.DepartmentofEducations

HigherEducationCenterforAlcohol,DrugAbuse,andViolencePrevention

http://higheredcenter.ed.gov

Email:[email protected]

(800)6761730

TDDRelayfriendly,Dial711

68

PleasefillouttheWebinarevaluation.

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Campus Recovery Programs: Integrating Relapse Prevention Strategies Into Comprehensive Alcohol and Other Drug Abuse Prevention

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