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Creating Intentional Recovery Communities on Campus: The role of college healthcare professionals in the support of students in recovery Jes Sellers, PhD Director/Psychologist University Counseling Services Amy Haller, LISW, LCDCIII Substance Abuse Specialist University Counseling Services Lisa Laitman MSEd, LCADC Director, Alcohol and Other Drug Assistance Program for Students Rutgers Health & Counseling Services Creating Intentional Recovery Communities on Campus: The role of college healthcare professionals in the support of students in recovery INQUIRE ENGAGE INFORM ASSIST •Inquire Through Routine Patient Screening for Substance Use AUDIT , Michigan Alcohol Screening Test, ASSIST, SASSI, CAGE or others •Engage in a Dialogue Ask about use of alcohol and other drugs; be curious and not judgmental “Questions to Ask” for Healthcare Professionals - Rutgers •Inform & Educate Patients of Facts and Websites on AOD NIAAA, Sober Circle & Rethinking Drinking, etc. •Assist patients in Accessing Additional Care Make referrals on & off campus •Advocate for Stronger Campus and Community Alliances ADVOCATE Start a Recovery House; Encourage 12 Step Groups on or near Camps; Visit local treatment centers and build campus & community alliances to promote recovery Compelling Research from Public Health Harvard School of Public Health & Other Studies Alcohol Studies • 6% of college students meet criteria for alcohol dependence • 31% meet criteria for alcohol abuse • Approximately1700 unintentional alcohol- related deaths among college students annually Marijuana • Nationally, 47% of college age people have used marijuana in the past year • 20% have used in the last month • 4% use it on daily basis • 1993 – 1999 prevalence of past 30-day marijuana use rose from 12.9% to 15.7%, an increase of 22%; almost all of this change occurred by 1997 Prescription Medication Misuse • 7% - 16% of college students have used prescription stimulants non-medically; 4% within the past year (McCabe, UMSA Research Center 2005; Hall, Irwin Bowman et al 2005) Consequences/Affects on Colleges • 5 % of 4-year college students are involved with the police or campus security due to drinking and an estimated 110,000 students are arrested for an alcoholrelated violation such as public drunkenness or driving under the influence Creating Intentional Recovery Communities on Campus: The role of college healthcare professionals in the support of students in recovery College Student Death by Suicide College Student Deaths Relating to Substance Use •1,100 college students die each year from suicide - The JED Foundation and National •1,700 die from unintended alcoholrelated injuries (NIAA Task Force on College Mental Health Association •Suicide is the 3rd leading cause of death among Americans between the ages of 15-24; the 2nd leading cause of death among college students •7.5 per 100,000 college students commit suicide about 1/3 that of the young adult rate in the general population Drinking noting a 6% increase since 1998) •Substance abuse or dependence is involved in about 2/3 of youth suicides 1800 1600 1400 1200 1000 800 600 400 200 0 Accidental Death w/ Substance Abuse Suicide w/ & w/o Substance Abuse College Student Self Report for Care: What is missing from their awareness? ACHA 2004 Two Model Programs: ADAPS: Alcohol and Other Drug Assistance Program for Students of Rutgers PRS: Prevention & Recovery Services of Case Rutgers Health & Counseling Services University Counseling Services Recovery Support Services: On-campus Recovery Housing Sober Social Activities Academic Support Service Learning Opportunities Housing Scholarships Alcohol/Drug Counseling Recovery Support Groups Adult Children of Alcoholics Groups Assessment and Outreach Comprehensive Support Services for PRS Members: Support & Understanding through Individual & Group Services Academic Assistance Scholarship Support Advocacy & Education Health & Wellness Programs Leadership Training Relapse Prevention Education Mentoring Programs Disability Support Advantages of a Recovery Community 0n Campus • • • • Promotes Recovery from Addiction Reduces risk of relapse 80% Improved retention of students at risk Provides social and emotional support Establishes a new campus awareness of students excelling in scholarship, personal growth, social responsibility and ethical leadership data provided by Sobriety High Schools, Step Up - Augsburg College, Texas Tech University & Case Western Reserve University University Support or Treatment Center: What are the differences? Recovering Communities on Campus Treatment Centers off Campus Allow students in recovery to be part of a residential university and provide them with the support to learn to balance recovery with academic pursuits, research, sports, music, friendships and relationships. Recovery support in college can help to insure that young people can stay clean and sober while completing academic goals that improve chances of moving into a productive adult life. Campus Recovery Communities are part of the continuum of care On campus Recovery Housing provide support so that college students in recovery can participate in the full campus living experience within an environment which supports their recovery. College student diagnosed with alcohol/drug dependence often need more intensive care initially to prepare them for the return to campus: Detoxification and inpatient treatment to treat the acute phases of recovery Intensive Outpatient Treatment for college students can allow them to continue their treatment while easing back into college courses. Extended care programs and halfway houses also provide students with a structured environment to help them learn independent living skills. LET’S TALK Common Misconceptions of University Administrators and Healthcare professionals Colleges can’t afford to offer Recovery Services for students. Recovery Programs on Campus force Universities to become “Treatment Centers”. Recovering Students need more direct healthcare time than other students in need. Having Recovery Programs on campus must mean your university has a more serious problem with alcohol & drugs. If you have a Recovery House on campus what does that say about the rest of the residence halls?