recovery housing on campus: extending the continuum of ... › wp-content › ... · traditional...
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Recovery Housing on Campus:
Extending the Continuum of Care
Through Sober Dorms
Sarah Nerad & Ahmed Hosni
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Participants will be able to:
Define Collegiate Recovery Programs and compare
how different programs vary.
Distinguish which of their residents would be a good
candidate to participate in a Collegiate Recovery
Program.
Identify ways to support their residents who decide to
pursue their education in a supportive program.
Collegiate Recovery Community
Learning Objectives
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Collegiate Recovery Community
Collegiate Recovery
Overview
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Collegiate Recovery Programs
“A supportive environment within the campus
culture that reinforces the decision to disengage
from addictive behavior. It is designed to provide
an educational opportunity alongside recovery
support to ensure that students do not have to
sacrifice one for the other.”
Association of Recovery in Higher Education
Collegiate Recovery Community
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• Institutionally sanctioned and supported program for
students in recovery from SUD seeking a degree in
higher education
• CRPs seem consistent with continuing care paradigm
within a recovery management system (ROSC) that
experts recommend
• While sharing the goals of providing support, preventing
relapse, and promoting academic performance,
individual CRPs likely vary greatly on key dimensions
Association of Recovery in Higher Education, 2013
Collegiate Recovery Community
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2013 TYR Seed Grants
2005 SAMHSA/TTU Replication Grant
1997 Augsburg
1986 Texas Tech
1983 Rutgers University
1977 Brown University
Timeline
Collegiate Recovery Community
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CRP Movement
Transforming Youth Recovery, 2016
Collegiate Recovery Community
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Collegiate Recovery Community
• Almost 200 CRPs across the country
• Multiple conferences dedicated to CRPs
• Research is being funded & published
• Recognition from federal agencies
• System-wide expansion
• Foundation/nonprofits devoted to it
Scope of the Solution
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Collegiate Recovery Community
Scope of the Problem
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“Yet, amid all the activities to prevent alcohol
abuse or reduce alcohol-related harm, there has
been relatively little attention directed to those
students who are recovering from severe alcohol
and other drug dependence”
Donald Misch, 2009
Collegiate Recovery Community
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• Developmental stage of early adulthood provides
highest risk for developing SUD
• College students are at particular risk due to binge
drinking, exposure to drug experimentation and
peer pressure.
• One of the heaviest drinking groups in society
• 1 in 6 18-24 year olds has a SUD
• The earlier someone starts, the more likely they
are to develop a SUD
Addiction on Campus
DePue & Hagedorn, 2015. NSDUH, 2014. Clapp, 2014.
Collegiate Recovery Community
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Entering Recovery on Campus
Wu, Pilowsky, Schlenger, & Hasin, 2007
• Full time college students = largest group of
individuals meeting the criteria for SUDS, yet they
are the least likely to seek out traditional
treatment services.
• Why?
• Not ready to change
• Don’t think they have a problem
• Social stigma
• Lack of institutional support
Collegiate Recovery Community
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• Campus is a recovery hostile environment
• Acute care model doesn’t work
• Underdeveloped continuum of care for youth and young adults
• Opioid epidemic
• Average age of onset for a SUD is 19 (Crum, 2011)
• 1 out of 5 young adults has a SUD (ONDCP, 2014)
Scope of the
Problem
Collegiate Recovery Community
Returning to School in Recovery
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• New freedoms
• Less structure & supervision
• High rates of substance use
• Leaving behind established support
system
• Hard to develop new peer group
• Balancing recovery & school
• Isolation & yielding to peer pressure
Need for Recovery Supports
Laudet et al. 2015
Collegiate Recovery Community
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Prevention
Intervention
Treatment
Recovery
Recovery Protection
Collegiate Recovery Community
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• Extends the continuum of care
• Parents can worry a little bit less
• Increases access to higher education
• Retention and graduation
• No lost potential
• Change campus culture
Collegiate Recovery Community
Benefits of CRPs
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Data Supporting
Collegiate
Recovery
Collegiate Recovery Community
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• 26 years – average age
• 50% are over age 23
• 16 months – average length of recovery
• 32% freshmen
• 35% transfer student
• 12% Veterans
• 8% relapse rateLaudet, 2013, 2014 & 2015
Collegiate Recovery Community
Student Data
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Student Data
• Very high addiction severity, high treatment
utilization and related consequences
• 59% charged with a crime
• 33% experienced homelessness
• 82% received addiction treatment
• 75% diagnosed with mental health disorder• 74% unipolar depression
• 48% anxiety disorders including 8% PTSD
• 23% bipolar disorder
Laudet, 2013 & 2014 & 2015
Collegiate Recovery Community
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Student Data
1/3 of students would not be
in school right now if it
weren’t for the CRP
Laudet, 2014
Collegiate Recovery Community
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• Use of multiple substances is the norm
• Regular marijuana and alcohol most
frequent
• Alcohol cited single most primary
individual substance (41.2%)
• Multiple substances listed as secondary
problem
Addiction History
Laudet, 2015
Collegiate Recovery Community
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Graduation and Retention
CRP Average Graduation Rate – 89%
Average Institution Graduation Rate – 60.5%
CRP Average Retention Rate – 91.8%
Average Institution Retention Rate - 80.8%
Average GPA = 3.22Laudet, 2013
Collegiate Recovery Community
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Student Wellness CenterOhio State’s Collegiate
Recovery Program
Collegiate Recovery Community
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• Started March 2013
• 54 official members since
inception
• Over 220 current and
prospective students served
• Mix of undergrads,
graduate and professional
students
Ohio State’s CRP
Collegiate Recovery Community
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Collegiate Recovery Community
Two Dedicated Recovery
Staff Members
Dedicated Space
Recovery Scholarships
Individual Recovery
Plan
Recovery House
Social Events
Professional and
Leadership Development
On Campus Recovery Meetings
Current Programming and Support
Collegiate Recovery Community
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CRC Dedicated Recovery Staff
Sarah Nerad
Program Manager
In long-term recovery
Ahmed Hosni
Program Coordinator
In long-term recovery
Collegiate Recovery Community
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Current Dedicated CRP Space
1230 Lincoln Tower
Amenities include:
• Coffee station
• Computers
• Prayer/meditation room
• Lounge area
• Entertainment
• Kitchenette
• Group project space
• Lockers
• Access to staff
Collegiate Recovery Community
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• Average Age = 26.5
• 36 males, 13 females
• Average length of recovery = 24 months
• Majority are 12-step based (7 are not)
• 33 have a sponsor
• 9 underclassmen, 7 grad/professional and 28
upperclassmen
• 14 have process addictions, 11 of which are ED
• Poly-substance users
OSU CRC Student Snapshot
Collegiate Recovery Community
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Recovery House at Penn Place• Fall 2014
• Can hold 28 students
• Accountability and Support
• “Residence hall experience”
• Recovery CA
Collegiate Recovery Community
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• Located on campus in the medical district,
conveniently apart from the traditional campus
housing
• Students can opt for a 12-month leasing agreement
that reflects more typical leases
• This helps non-traditional students and individuals
who don’t want to move out during every break
• Student who prefer the traditional college housing
agreement can choose those as well
• Has a community kitchen that allows students to cook
meals. This also allows them to opt out of a meal
plan
Collegiate Recovery Community
Recovery House at Penn Place
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• Students living in the house have a weekly house
meeting with staff as part of programming
• Discuss recovery and check-in
• Plan service projects
• Professional and Leadership development
• Community Advisor lives in the house and organizes
social activities and acts as a house manager
• Recovery House is similar to other dorms except it has
the expectation that you remain in recovery
• No Curfew
• Co-Ed
Collegiate Recovery Community
Recovery House support structure
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CRP Programming
Collegiate Recovery Community
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Collegiate Recovery Community
Assessing College Readiness
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Collegiate Recovery Community
Which of your residents would be a
good fit for the CRC?
• Already completed some college courses at Ohio
State or another school
• Transfer GPA needs to be ~2.5 and have at least
30 credit hours
• Motivated to maintain recovery and do well
academically
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Collegiate Recovery Community
How do you know if you’re ready to go to school:
• Quality of recovery is important to consider.
• Does the individual have a program of recovery?
• Not specifically 12-steps, but tools they utilize daily to
maintain recovery
• Is their recovery transferrable?
• Can they replicate the support and resources they utilize for
recovery on their potential campuses?
• EX… If your client utilizes SMART recovery, do they have
those meetings on the campuses they’re considering?
• Have good motives for returning to school.
• Not wanting to go back to school just to party, hook up, or
capture something they feel they missed.
Things to consider
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• Ready for a lower level of supervision and accountability
• CRP’s are not designed to offer the level of oversight a
traditional sober living environment provides
• Displays a level of self sufficiency
• Ability to take care of themselves i.e. cook for themselves,
clean up after themselves
• Meets expectations of your SLE
• Respects house rules
• Respectful of peers and staff
• Shows a level of self motivation
• Takes initiative to improve their life
• Advocates for themselves and their needs
• Can articulate their long-term goals
• Even if they don’t know what they want to study specifically
Collegiate Recovery Community
Things to consider
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• Unrealistic about own capabilities
• Blame their difficulties on the class
• Lack personal accountability
• Are defensive; have difficulty
accepting feedback
• Aren’t motivated to put in the work
• Relatively dependent on
parents/caretakers
Collegiate Recovery Community
Characteristics of unsuccessful students
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Encourage clients to take classes while still living in your SLE to:
• Get reacquainted with the rigors of college in a familiar setting
• Take advantage of cheaper and easier gen-ed classes at community
colleges
Collegiate Recovery Community
Helping clients return to school
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Support clients who will not get admitted directly to the university they
choose as potential CRC students:
• Must deal with the educational “wreckage of our past”
• May become discouraged about returning to school. Support and
encouragement are huge to stay the course
• Help them overcome self-doubt and fear. Betting on ourselves and
experiencing life are the best parts of recovery
Collegiate Recovery Community
Dealing with Self-Doubt
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Collegiate Recovery Community
Connect them to resources
Sometimes all we need is to be pointed in the right direction:
• Advise students to reach out to the CRP at their preferred school
as soon as possible. They can help with the admission process
• Encourage students to research what they want to study by
speaking with:
• Academic advisors
• Admissions counselors
• Faculty
• Good school decisions are a combination of academics and
recovery supports
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Collegiate Recovery Community
How to Refer to the CRC?
• Warm hand off
• Call the CRC with them in your office
• Do an email introduction
• Bring them on a CRC visit
• Give the CRC their contact information
• We help from applying all the way through graduation
• Assistant with writing personal statement and
disclosing felony conviction
• The sooner we get to know them, the more we can help
• Write letters of support and vouch for them
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Collegiate Recovery Community
Join us for our sober tailgates!3 hours before kickoff
Spring game! April 15, 2017