!!!!!!

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/campus:recovery: 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!high:risk!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!school:based!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"RecoveryAOriented"Systems"of"Care" "AssetABased"Research/Methodology" "General"Recovery"Assets" X"Interpersonal"Assets" X"Intrapersonal"Assets" X"CommunityABased"Assets" X"History"of"Recovery" "Other:"______________________________________"

!!!!!!!!!!!!!!!!!!!!!!!!!!P.!O.!Box!6448!!Reno,!NV!89513!!Phone:!760:815:3515!!staciemathewson@me.com! !

10/26/2011

The Higher Education Center

Campus Recovery Programs:
Integrating Relapse Prevention Strategies Into Comprehensive Alcohol and Other Drug Abuse Prevention
Kitty Harris Director, Director Center for the Study of Addiction and Recovery Texas Tech University Kitty.s.harris@ttu.edu Lisa Laitman Director, Alcohol and Other Drug Assistance Program Rutgers, The State University of New Jersey Llaitman@echo.rutgers.edu Patrice Salmeri Director, StepUP Program Augsburg College Salmeri@augsburg.edu

Higher Education Center for Alcohol, Drug Abuse, and Violence Prevention http://higheredcenter.ed.gov The U.S. Department of Education www.ed.gov Education Development Center, Inc. www.edc.org

Todays Presenters
Kitty Harris
Director, Center for the Study of Addiction and Recovery Texas Tech University

Collegiate Recovery Communities

Dr. Kitty Harris Director, Center for the Study of Addiction Recovery Texas Tech University Kitty.s.harris@ttu.edu

Lisa Laitman Li L it
Director, Alcohol and Other Drug Assistance Program Rutgers, The State University of New Jersey

Patrice Salmeri
Director, StepUP Program Augsburg College
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Does your campus have a recovery or relapse prevention program?

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

Almost half (48%) of all treatment admissions today are 18-24 year olds
Other 22%

School 11%

Criminal Justice 50%

Self-Admin 17%

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 fulltime college students aged 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

Among college students aged 18-24, alcohol-related unintentional injury deaths increased from nearly 1,600 to more than 1,700 in a three year period 1 700 period.

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

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Illicit drug use among college students increased even more than drinking From 1993 to 2005
Marijuana use doubled 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

Almost half (42%) of all full-time college students aged 18-22 either binge drink, abuse prescription or illegal drugs, or both, both and about (22 9%) of those students (22.9%) 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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Total number of students enrolled at University X: 20,000

students
6320

Number of students meeting criteria for substance abuse disorder (31.6 %) Number of students meeting criteria for substance dependency disorder (6%)

1200
7400

Number of students engaging in illicit drug use (37%) Estimated number of those disordered and dependent students seeking help (2%)

400

Initial Research on Recovery Examined: Characteristics of a collegiate recovery community: Maintaining recovery in an abstinence-hostile environment Data shows college campus, for the most part, are not conducive to maintaining a recovery lifestyle. Research also shows we need to change the way we teach relapse prevention. Change the languageRelapse Prevention

Recovery Protection

See Knight et al., (2002); Johnston, oMalley, & Bachman, (2003); & Woodford, (2001)

Harrington, C.; Harris, K.S.; Baker, A.M.; Herbert, R.; Dean, L.R.

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Please type questions into the long white box at the bottom of the Q&A box.
Lisa Laitman MSED, LCADC , Alcohol and Other Drug Assistance Program Rutgers, The State University of New Jersey Llaitman@echo.rutgers.edu

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Screening and brief interventions Mandatory Group for higher risk students (serious or multiple violations of housing policies) Short term counseling with AOD trained professionals to engage students with addictions in treatment Referral for treatment: Intensive Outpatient Programs or Inpatient Campus based continuing outpatient treatment 12 Step Meetings on or near campus Campus Recovery Support
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Expanding AOD Strategies on Campus to Include Recovery

Developing and expanding existing AOD policies and procedures to assist in identifying students with AOD problems. Assisting currently enrolled students with active addictions to enter recovery Engaging students already in recovery on campus to campus support programs Attracting college age young adults in recovery to campus
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Chat
What administrative and/or organizational challenges do you p g expect in creating a campus recovery program?

Type your answer here

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Where does the initiative to create a Campus Recovery Program come from? Academic Department ,student services (health, counseling or health promotion)? Funding and institutional support over time g y One collegiate recovery model does not fit all campuses Presenting Recovery as the positive side of addiction

Training clinicians from counseling and medical services in identifying students with AOD problems Developing integrated treatment teams within counseling services which include AOD trained clinicians Implementing effective AOD screening into Triage at counseling centers Adequate AOD clinical resources

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Brief Intervention
Assessment and Personal Feedback- three sessions Marijuana Check-Up

AOD Counseling
ACOAIndividual, group and referral to AlAnon Motivational Counseling for students who are not yet ready for recovery Referral to Treatment

Recovery Support
Early Recovery group and Individual Counseling Availability of Campus12Step Meetings AA, NA and GA 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 egu a attendance at Step ee gs, sponsor Regular a e da ce a 12 S ep meetings, spo so Stabilization of any co-occurring mental health disorders.

4/20 Group

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Campus location for students in recovery to meet each other which is known and advertised to the campus community 12 Step meetings on or near campus Offering organized events and activities Volunteer and outreach opportunities Organizing efforts to have students help newcomers get to meetings

Relapse prevention strategies an integral component Procedures for addressing relapse are discussed with all students in recovery community and are in writing. Response is therapeutic (not punitive) and rapid. Determine response to individual relapses depending on severity. severity Managing the anxiety that relapses create within the recovery community with open and direct communication. Balancing confidentiality with transparency. Administrative review.

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Students in recovery living in regular student housing faced a unique set of difficulties:

Students new to recovery often lived with their former drinking/using buddies People, Places and Things were often involved in the rituals of residence halls (e.g., students getting ready to go out to Thursday night parties) Lack of support from others who might understand addiction and recovery

In 1988 Rutgers became the first university to offer an oncampus residence hall for students in recovery. Safe haven for students who started recovery through oncampus 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 the 30s-50s with up to 27 years of sobriety. Rutgers Recovery Reunions in 1993, 2003 and 2008. In 2008 Rutgers received a three year grant from the NJ Division of Addiction Services to enhance our recovery support services. September 2011 a second Recovery House opens.
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GPA School yr, divided by semesters Students Living in t Relapse NumbeAvg. Yearly Abst Avg. Relapse R

Graduated or Returned

Graduated or Return %

Alumni Participation

Graduated

2008, Fall

12 13 21 21 23 24 19

1.0 91.60% 8.40% 1.0 92.30% 7.70% 0.0 100.00% 0.00% 0.0 100.00% 0.00% 0.0 100.00% 0.00% 4.0 83.33% 16.67% 0.5 94.54% 5.45%

2.61 2.79 3.09 3.08 3.08

11 13 20 20 22

91.66% N/A 100.00% 95.24% 95.24% 95.65% 87.50% 94.22% 6 23 17 29 33 21.6 16 total

7 8 10 11 4 4

2009, Spring & Summer

2009, Fall

2010, Spring & Summer

2010, Fall

2011, Spring Avg., Fall 08 to Spr 11

*Duplicated count as students continue year to year

3.05 21 (as of 6/10/1 2.95 17.83

4 BBQs 9 Breakfasts 25 lunches 13 dinners 12 coffee talks 4 Hikes 3 Bike Trips Day of Board Games 6 Matinees at the Independent 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

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 2 Plays/Musicals in NJ 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.

Augsburg College Patrice M. Salmeri, M.A., LADC

Salmeri@augsburg.edu
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In 1995 a small group of students requested specialized support for recovering students. In 1997 StepUP began its residential component with 23 students living in community. it Over 500 students have been served since 1997. Fall 2011 , brought 83 students to the StepUP Program.

A Brief History of StepUP

Key: Living in a recovery community

The Mission of Augsburg and StepUP

Augsburgs Mission:
Augsburg College educates To help students champion lives students to be informed citizens, of recovery, achieve academic thoughtful stewards, critical success and thrive in a thinkers, and responsible community of accountability leaders. and support.

StepUP Mission:

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Recovery Support
Weekly meetings with counselor. Weekly attendance to AA/NA meetings and work with sponsor. Referrals to mental health and psychiatry for medication management when needed. On campus meditation groups for stress reduction.
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Recovery Housing

Opportunities for weekly service/outreach commitments.

The Oren-Gateway Center Safe, supportive, sober environment 118,000 square feet of living, working, studying, eating, and meeting space Houses 105 StepUP Program students Flats and Apartments

Weekly flat meetings with an RAS, who encourage and support growth of their residents

Teambuilding, leadership development and community events are a priority for the program.

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Support for Academic Success

Academic Skills Office Study Skills classes CLASS Program five FT counselors to help students with learning challenges. Tutoring services. Academic Alert system. Finals study sessions with free pizza.
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Making the impossible, possible.

StepUP Demographics: Drug(s) of Choice

Reported DOCs
10% 15% 20% 25% 54% 10% 4% 65% Alcohol 65% Cannabis 54% Cocaine25% Opiates 20% Heroin 15% Meth 10% Halluc. 10% RxStim 4%

Demographics Lengths of Sobriety

Length of Sobriety
30 25 20 15 10 5 0 0- 613 - 19 25 - 33+ 6 12 18 24 32 mos mos mos mos mos mos

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. Note: Abstinence maintenance is critical but only part of the equation; a necessary but not sufficient condition for recovery.

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Co-occurring Challenges
2010 National College Health Assessment Felt significant depression 28% Felt overwhelming anxiety 46% Reported diagnosis of p g Depression 8% Seriously consider suicide 6% ( 2011 Higher Ed Center Prevention Update) Mental health concerns are readily present with college students at large.

StepUP Students (2010): Depression (41%) Anxiety (26%) ADHD (23%) Bi Polar (12%) g Eating Disorder (7%) PTSD (4%) Reflects higher incidence of mental health challenges with substance dependent populations. (Note: Not discrete
categories; overlap with various diagnoses).
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Recovery Outcomes

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Community Outreach

Academic Success Outcomes

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StepUP: Incredible People Realizing Their Potential

Questions?
Please type questions into the long white box at the bottom of the Q&A box.

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Emotional:
CENTER FOR THE STUDY OF ADDICTION AND RECOVERY inclusion.

Community acceptance, love, feeling of

Instrumental: Material assistance from friends,

family, community, government family community government.

Affiliation: Favorable position in a community,

helpful feedback, and public expression of approval.

TEXAS TECH UNIVERSITY

Informational: Advice, suggestion, easy access to

support in times of need.

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Emotional

Instrumental

Recovery

Affiliation

Hope Positive and Unique Identity Development y p g Healthy Coping Skills Capacity for Meaningful Relationships Sense of Achievement & Accomplishment Reclamation of Agency or Choice
Shumway, 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.

Informational

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

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SOCIAL SUPPORT THEORY: Emotional

Support

6 CHARACTERISTICS OF RECOVERY PROTECTION: Hope Positive and Unique Identity Development Healthy Coping Skills Capacity for Meaningful Relationships Sense of Achievement & Accomplishment Reclamation of Agency or Choice

Instrumental
Assistance with housing

Informational
Academic Advising

Affiliation
Sense of Community

Seminars Space for 12 Step meetings Community Gatherings Celebration of Recovery ASAS St d t organization Student i ti On-site Academic Advisor Assistance with the Admissions Process Housing Options Scholars Program Top award, McGovern Award $10,000/yr. for outstanding academics and commitment to recovery.
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Clean, Sober, and Healthy

Connected to the Community Commitment to Academics Civility in Relationships

12 Step Involvement: Home group, sponsorship Mentally, physically, sexually healthy

Attend CRC community activities y Participate in Celebration of Recovery Involved in service Attend all classes, turn in assignments Be respectful in classes Respect, integrity, honor, and positive attitude
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Extremely important to provide a guide throughout the students academic careers. (Cuts down on stress) Vince Holds students
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 our center and others there is an exciting opportunity 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 As a Coordinator or a Director never try to control the

Texas Tech CAR: Association of Students About Service (ASAS). Oldest recovery student
organization, most others are designed based on service projects ASAS has created. Outlet for leadership development, community service projects and community building opportunities. i j t d it b ildi t iti

Traditions, this helped to secure legitimacy in the community.

groups, only facilitate the first few meetings (food helps) and provide a space. Try and identify the gatekeepers of the community. 3 or 4 of these students = 30 students right off the bat.

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Seminar curriculum based on: 12 Step Model, can include Leadership Development Adjustment to Campus j p Recovery Protection Relationships in Sobriety College Life Budgeting Service Learning Stress Management Different 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 campus 12 Step meetings t at much more ca s o es e , o ca pus eet gs that uc oe

important.

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Texas Tech has been assisting with the replication of the CRC model for 8 years. Provide support and consultation to universities who are interested in 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, Austin The University of Mississippi Vanderbilt University Georgia Southern University g y Tulsa Community College University of Michigan Southern Methodist University Pennsylvania State University Kennesaw State University Southern Oregon University
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University of Alabama University of South Carolina Duke Vanderbilt 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. Measure 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-Austin Augsburg College Georgia Southern University Kennesaw State University The University of Mississippi Southern Oregon University Tulsa Community College Vanderbilt 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

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More Information: Webinars

Please type questions into the long white box at the bottom of the Q&A box.
Higher Education Centers Webinar page
(Home > Trainings & Learning opportunities > Webinars)

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

Slides and recording from this Webinar Information about future Center Webinars

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Higher Education Centers Services The Center provides:

General information and assistance Publications, including Prevention Updates Trainings, Webinars, and other online and in person learning opportunities Evaluation support and assistance Web content on multiple AODV topics in higher education and specific, evidence based prevention strategies HEC/News E Digest, a weekly electronic digest of news and information relating to AOD and violence prevention
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Contact Us!
U.S. Department of Educations

Higher Education Center for Alcohol, Drug Abuse, and Violence Prevention
http://higheredcenter.ed.gov E mail: HigherEdCtr@edc.org

(800) 676 1730 TDD Relay friendly, Dial 711

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Please fill out the Webinar evaluation.

https://www.surveymonkey.com/s/6Z5HYXK

Thank you!
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