Strengthen Collegiate Recovery Programs

Introductory Paragraph

Recovery High Schools are secondary schools created specifically for students who are in recovery from a substance use disorder or co-occurring disorders. The purpose of recovery high schools is to offer students who are in recovery a safe place to earn their diploma while also focusing on their recovery. Just like other secondary schools, recovery high schools are staffed with teachers, counselors, support staff, administrators, and mental health professionals. The main difference between recovery high schools is that they provide students in recovery with the opportunity to separate themselves from situations and peers who might have impacted their prior use. Recovery high schools also provide opportunities for group therapy, meetings with addiction counselors, and an environment where they are encouraged to be open about their struggles.

Collegiate Recovery is a field, profession, and community. Collegiate recovery involves thousands of students across the country, their supporting staff mentors and allies, researchers learning more about recovery every day, and their collective experiences. Although the first collegiate recovery program started in the 1970s, the field as a whole is one that is young and blossoming. Collegiate recovery is anchored to the personal development of students in recovery and their communities, the prevention of substance use disorders and their related impacts, and the healing of the wounds that may have led to or resulted from maladaptive behaviors. All of this leads to ensuring that students impacted by addiction can access the full benefits of higher education without having to put their recovery at risk.

Key Information

Recovery High Schools

The first recovery high school was opened in the 1970s. However, recovery high schools did not gain a lot of traction or notoriety until roughly 2008. Today, there are approximately 45 recovery high schools across the nation, with this number increasing each year. Given the smaller nature and more involved education that recovery high schools offer, they tend to be more costly than traditional public high schools. Funding often comes from private donors, partnerships with other nonprofit organizations/agencies, and insurance. In some cases, state funding is available. Effectiveness statistics for recovery high schools are positive. Students who attend a recovery high school are much less likely to return to use compared to their peers who are either out of school or return back to a traditional high school.

Collegiate Recovery

The first collegiate recovery program emerged in 1977 at Brown University when a professor who was in recovery saw the need to help students find recovery as well. His title soon switched to “Dean of Chemical Dependency”, and he spent over 25 years serving students by helping them find counseling, meetings, offering non-clinical support, and academic advising. The next school to recognize the need for recovery support services was Rutgers, which in 1983, hired the school’s first ever Alcohol and Drug Counselor. This ultimately led to the opening of the first recovery house on a college campus in the world in 1988. In 1986 the Center for Collegiate Recovery Communities (CCRC) opened at Texas Tech. Their primary focus was conducting research, offering students' academic support, and providing a space for meetings. Texas Tech remains one of the strongest programs in the country. Later, in 1997, Augsburg University launched their StepUp program, which remains one of the largest collegiate recovery programs in the country. In the 2010's, Transforming Youth Recovery offered a grant program, and many new programs began to emerge. Today, there are over 250 communities and programs across the country. This reflects increasing traction in the collegiate recovery movement, but the unmet needs remain far greater.

• Less than 1% of community colleges and trade schools offer true recovery support for students.
• Less than 5% of four-year institutions offer collegiate recovery programs.
• Less than 1% of the 5% of universities with collegiate recovery, offer transitional living, recovery housing education programs, young adult IOPs, or treatment and education programs.

There is significant diversity in recovery support initiatives because of the unique culture, structure, and needs of each university. However, there are three major types of levels of collegiate recovery initiatives. These include collegiate recovery programs (CRP), collegiate recovery communities (CRC), recovery residency programs, and recovery support referral. Almost all collegiate recovery supports focus on peer support and sober social activities. Approximately one third of them include counseling or clinical support. The primary difference between a CRP and a CRC is that CRCs are often student-led and not always recognized or supported by the institution. These four types of recovery initiatives are described below.

CRP's are institutionally supported programs that provide safe, supportive learning environments for students in recovery from substance misuse or dependency, and often behavioral addictions and mental illness. Approximately 40% of university recovery support initiatives are CRPs. The primary components of CRPs include:

• Mutual aid support groups
• Physical space for students to gather
• Institutional acceptance and support of the CRP
• Staff, counselors, and/or student leaders
• Peers, recovery coaches, and/or counselors
• Social events and programming

CRC efforts are energized by students to create recovery-supportive learning environments at an institution of higher education. Approximately 60% of university recovery support initiatives identified as being a CRC. The key components of collegiate recovery communities are:

• Mutual aid support groups
• Students and/or other committed individuals who gather socially
• Peer recovery support

Collegiate Recovery Residency Programs offer recovery housing options for students in recovery enrolled at an institution of higher education. Recovery housing options differ from campus to campus. Some options include a building dedicated strictly to students in recovery and often have commitment requirements while others involve a sober living floor in a dorm building or a Living Learning Community framework. Approximately 10% of collegiate recovery initiatives also have a collegiate recovery residency program. Examples of these programs include:

• Rutgers
• Augsburg University
• Virginia Commonwealth University
• University of Houston

Recovery Support Referral. Colleges and universities that offer some level of substance misuse prevention services and referral-based recovery support resources for enrolled students. Approximately 30% of collegiate recovery initiatives include recovery support referrals. Although this level of support can differ widely from campus to campus, the key components of recovery support referrals are:

• Dedicated Alcohol and Other Drug (AOD) professional on staff
• Referrals to local treatment centers
• Continuum of care built into student conduct protocols

Best Practices and Common Practices

Each institution is unique, so best practices should be adapted to fit the needs of students. Generally speaking, the field of collegiate recovery recommends the following:

• Dedicated space on campus
• Dedicated staff
• Institutional financial support

Additionally, the following are common practices in many different types of programs and communities:

• Sober social activities
• Advocacy efforts for student needs
• Awareness events
• Mutual aid meetings (of any kind)
• Conference attendance
• Peer mentoring
• Registered student organizations
• Academic advisement and/or early registration
• Educational and training opportunities
• Service opportunities
• Recovery ally training
• Counseling
• Career readiness

Relevant Research

Recovery High Schools

• Data from Monitoring the Future indicates that teen drug and alcohol use continues to decline, but that the statistics are still alarming.

• A study titled "Recovery High Schools: A Descriptive Study of School Programs and Students" documents the higher effectiveness of recovery schools in preventing return to use than traditional schools.

Collegiate Recovery

• This article summarizes a research survey of almost 500 college students at 29 CRPs. One third of the students reported they would not be in college were it not for a CRP, and 20% would not be at their current institution.

• This article documents research findings that indicate that students in recovery-ready universities who are engaged in recovery initiatives have had better outcomes than the average of their student body regarding GPA, retention, and graduation rates. Additionally, students who feel accepted enough to be open about their recovery often take leadership positions in student government and student wellness organizations, and that they have increased employment opportunities. Further, collegiate recovery initiatives effective model peer-led recovery support for communities that are served by the campus, and these collegiate recovery promotes continued residence by students in recovery to stay in those communities as active citizens.

• This article reviews the literature supporting the need for the expansion of CRPs, presents information on the diversity of CRP services, and outline key areas where research is needed.

Impactful Federal, State, and Local Policies

Comprehensive Addiction and Recovery Act of 2016 (CARA 2.0)

This is the first major federal addiction legislation in 40 years and the most comprehensive effort undertaken to address the opioid epidemic. It encompasses all six pillars necessary for such a coordinated response – prevention, treatment, recovery, law enforcement, criminal justice reform, and overdose reversal. While it authorizes over $181 million each year in new funding to fight the opioid epidemic, monies must be appropriated every year through the regular appropriations process in order for it to be distributed in accordance with the law.

State Policies on Recovery High Schools

• New Jersey -- Senate Bill No. 2058 (216th Legislature, 2014) authorizes establishment of three pilot recovery alternative high schools that provide high school education and a substance dependency plan of recovery to test the effectiveness of this model.

• Rhode Island -- The Recovery High Schools Act (2013 General Laws, Title 16 - Education, Chapter 16-95) authorizes the creation of a pilot recovery high school for the purposes of demonstrating the effectiveness of this model in Rhode Island.

State Policies on Collegiate Recovery

• New Jersey -- In 2015, a bill was passed that required campuses to implement a sober living option within four years if at least 25 percent of the student body lives on campus.

Available Tools and Resources

SAFE Project’s SAFE Campuses Initiative SAFE Project was founded in November 2017 by Admiral James and Mary Winnefeld, following the loss of their 19-year-old son Jonathan to an accidental opioid overdose. SAFE seeks meaningful metrics that strengthen our interdependent six lines of operation, and ultimately aim to achieve The SAFE Campuses initiative aims to normalize recovery on every campus in the country. They do this through a variety of programs that focus on advocating for recovery support services, providing educational opportunities for collegiate staff and administrators, collecting data to strengthen the field of collegiate recovery, and offering students in recovery leadership opportunities.

Association of Recovery in Higher Education (ARHE)

is the association that represents collegiate recovery programs (CRPs) and communities (CRCs), the faculty and staff who support them, and the students who represent them. The Association of Recovery in Higher Education provides the education, resources, and community connection needed to help change the trajectory of recovering student’s lives.

Young People in Recovery (YPR) envisions a world where all young people have the resources they need to thrive in recovery from addiction to drugs and alcohol. YPR’s mission is to provide the life skills and peer support to help people recover from substance use disorder and reach their full potential.

Texas Tech’s Guide As one of the pioneers in the collegiate recovery field, Texas Tech is a model for what many Collegiate Recovery Communities and Programs can look like. In recent years Texas Tech created a Collegiate Recovery Communities Curriculum > for campuses who are interested in replicating their model.

SAMHSA https://www.samhsa.gov/ is the agency within the U.S. Department of Health and Human Services that leads public health efforts to advance the behavioral health of the nation. SAMHSA's mission is to reduce the impact of substance abuse and mental illness on America's communities.

Single State Agencies (SSA) Every state has a designated Single State Agency that oversees federal grant applications for programs that aim to prevent, treat, and rehabilitate those with substance use disorders. Below is a state-by-state directory of agencies.

http://samhsa.gov/sites/default/files/ssa_directory_12-03-2018_final_508.pdf Directory of Single State Agencies for Substance Abuse Services

The Association of Recovery Schools (ARS) is the only association exclusively representing recovery high schools while supporting and inspiring recovery high schools for optimum performance, empowering hope and access to every student in recovery. ARS offers technical assistance, accreditation, and support to members.

• National Center on Safe and Supportive Learning Environments. This is a useful transcript of a Q&A session following a webinar titled "Supporting Recovery and Building Resilience on Campus: The Role of Collegiate Recovery Programs

• Collegiate recovery is a young, emerging, and quickly growing field. At SAFE Project we are committed to contributing to the knowledge base through the Collegiate Recovery Census Project. To learn more about collegiate recovery as a field and/or contributing information about your university, please visit SAFE Project .

Promising Practices

• Virginia -- In 2019, the Virginia Department of Behavioral Health and Developmental Services (DBHDS) awarded $675,000 of federal State Opioid Response (SOR) grant funding to Virginia Commonwealth University (VCU) to help expand substance use recovery programs at eight universities across the state.

North Carolina: In 2015, The NC Department of Health and Human Service’s Division of Mental Health, Developmental Disabilities and Substance Abuse Services (DMH) initially began using $750,000 in annual Substance Abuse Prevention and Treatment Block Grant funds to offer support to six campuses: University of North Carolina at Charlotte, Chapel Hill, Wilmington, and Greensboro, North Carolina A&T University and East Carolina University. Each campus initially received $125,000 annually to aid education, prevention and recovery efforts. As the pilot programs became more self-sustainable, funds were reallocated to add Appalachian State University, North Carolina State University and North Carolina Central University to the program.

West Virginia: In 2019, the Alliance for Economic Development of Southern West Virginia was awarded roughly $321,000 by the West Virginia Department of Health and Human Services to establish a Southern West Virginia Collegiate Peer Recovery Network, offering peer recovery support services on seven higher education campuses (Bridge Valley Community and Technology College, Bluefield State College, Concord University, Marshall University, Southern West Virginia Community and Technical College, the West Virginia School of Osteopathic Medicine, and West Virginia State University).

Every campus is unique with differing needs, resources, and student desires. It is important to keep this in mind when developing recovery programming because there is no “one size fits all” when it comes to supporting students in recovery. While there is no template that fits the needs of every campus, below is a diverse list of campuses who have each approached collegiate recovery from a different lens and have found success in distinguishing ways.

• Auraria Recovery Community A coalition serving students at three different institutions in the Denver area (University of Colorado Denver, Metropolitan State University of Denver, and Community College of Denver).

• Baylor and Saint Joseph's University are examples of faith-based, private institutions serving students in recovery.

• North Carolina A&T State University is the largest HBCU.

• Northampton Community College is a community college serving students in recovery.

• The Ohio State University and University of Michigan are examples of very large public institutions serving students in recovery.