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7/31/2019 Campus Recovery Programs: Integrating Relapse Prevention Strategies Into Comprehensive Alcohol and Other Dr
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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©&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¬&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:"______________________________________"
7/31/2019 Campus Recovery Programs: Integrating Relapse Prevention Strategies Into Comprehensive Alcohol and Other Dr
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CampusRecoveryPrograms:IntegratingRelapsePreventionStrategiesInto
ComprehensiveAlcohol
and
Other
Drug
Abuse
Prevention
Kitty Harris
Patrice Salmeri
Director, StepUP Program
Augsburg College
,
Texas Tech University
Lisa Laitman
Director, Alcohol and Other Drug Assistance Program
Rutgers, The State University of New Jersey
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
Does your campus
have a recovery or
relapse prevention
program?
5
Todays College Student?
6
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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
9
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
12
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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
21
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
23
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.
24
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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
25
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.
26
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
27
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.
28
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
29
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
30
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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
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.
33
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.
34
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.
36
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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.
38
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%
39
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).
41
Recovery Outcomes
42
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Community Outreach
43
Academic Success Outcomes
44
StepUP: Incredible People RealizingTheir Potential
45
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.
48
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Emotional
Recovery Affiliation
Informational
Instrumental
49
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
51
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.
54
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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.
56
Seminar curriculum based on:12 Step Model, can includeLeadership DevelopmentAdjustment to CampusRecovery ProtectionRelationships in SobrietyCollege Life BudgetingService LearningStress ManagementDifferent Learning Styles
57
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.
59
The University of Texas, AustinThe University of MississippiVanderbilt UniversityGeorgia Southern University
Tulsa Community CollegeUniversity of MichiganSouthern Methodist UniversityPennsylvania State UniversityKennesaw State UniversitySouthern Oregon University
60
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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
61
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
62
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
63
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
66
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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.
https://www.surveymonkey.com/s/6Z5HYXK
Thankyou!69