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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

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


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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


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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


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CRP Movement

Transforming Youth Recovery, 2016


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• 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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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


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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.


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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


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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


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


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Prevention

Intervention

Treatment

Recovery

Recovery Protection


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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


Benefits of CRPs

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Data Supporting

Collegiate

Recovery


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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


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


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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


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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


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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


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Student Wellness CenterOhio State’s Collegiate

Recovery Program


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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


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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


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CRC Dedicated Recovery Staff

Sarah Nerad

Program Manager

In long-term recovery

Ahmed Hosni

Program Coordinator

In long-term recovery


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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


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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


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Recovery House at Penn Place• Fall 2014

• Can hold 28 students

• Accountability and Support

• “Residence hall experience”

• Recovery CA


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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


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


Recovery House support structure

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CRP Programming


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Assessing College Readiness

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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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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


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


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


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


Dealing with Self-Doubt

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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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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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Join us for our sober tailgates!3 hours before kickoff

Spring game! April 15, 2017

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Thank you! [email protected]

614-292-1973


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Recovery Housing on Campus: Extending the Continuum of ... › wp-content › ... · traditional sober living environment provides • Displays a level of self sufficiency • Ability