Objective: To conduct a preliminary cost-effectiveness analysis of collegiate recovery programs in the United States and to create a tailorable cost-effectiveness calculator based on the preliminary cost-effectiveness model. Methods: Cost-effectiveness was assessed with a base case, one-way sensitivity analyses, and probabilistic sensitivity…

Background: Not much is known about funding for and implementation of Person-centered, long-term services -- referred to as "recovery services." Methods: SAMSHA funding archives from 2004-2020 were analyzed using Latent Class Analysis (LCA). Results: All 50 states (plus DC and Guam) received about 482 recovery-based grants from 2004-2020…

Substance use disorder (SUD) among adolescents has a significant impact on families and communities. It can lead to criminality, poor school performance, chronic use over a lifetime, high risk behaviors, and even premature death. Recovery from SUD is more than physical abstinence from alcohol and other drugs. Mental health and emotional well-being…

Counselor trainees in recovery from substance use often have a foundational recovery identity; they also develop a professional counselor identity through their training. This study utilized narrative inquiry to explore the integration of professional identity and recovery identity. Resonant threads and narrative tensions emerged from the storied…

The purpose of this study was to understand the experience individuals in recovery from substance use have when sharing their story in a public setting (i.e., intergroup contact) and how this affects their personal journey and ongoing recovery. A theoretical framework was developed based on Kelly's experience cycle and a multilevel approach to…

Background: There are known health disparities in adolescent substance treatment access and engagement. The purpose of this project is to compare outcomes from school- and clinic-based substance treatment and to evaluate if providing school-based substance treatment reduces disparities in treatment access and engagement. Method: This quality…

Because of the long history of anti-drug policing in the United States and the criminalization of substance use, clients who use substances are vulnerable to direct and vicarious experiences of police violence. Consequently, those who use substances may face a greater risk of experiencing symptoms of trauma that counselors should address in…

Addiction has been conceptualized in various ways throughout history, leading to ongoing debates about its definition and the most effective approaches to treatment. While healthcare professionals and paraprofessionals have long been involved in addiction treatment, there remains a lack of consensus on the best practices for addressing addiction…

Objective: Little is known about the extent of student awareness about collegiate recovery communities (CRCs) and of peers in recovery. Participants: A convenience sample of 237 undergraduate students from a diverse major at a private university participated in an anonymous online survey in Fall 2019. Methods: Participants reported whether they…

Objective: This study describes the mental and behavioral health histories and treatment utilization among students enrolled in Collegiate Recovery Programs (CRPs), college-based supports for students who are in recovery from substance use or other comorbid disorders. Participants: Participants were 861 college students enrolled in five CRPs…

This article presents a modified version of the bridge drawing assessment administered to a substance use disorder population at admission and discharge from a residential addiction treatment center. Following an overview of the bridge drawing assessment and method, the authors present two case descriptions that illustrate how the modified task…

Substance use in America remains a public health crisis, especially given the ongoing opioid epidemic and an alarming spike in overdose related deaths. Institutions of higher education have a unique opportunity to provide realistic measures of sustained substance use disorder (SUD) recovery through collegiate recovery programs (CRP) that employ…

Using a case example from a mid-sized town in East Central Indiana, this article illustrates the development and implementation of a community-academic partnership (CAP), a novel approach to addressing substance misuse in local communities. A CAP can be defined as a formal, strategic partnership between the local community and university faculty,…

Collegiate recovery communities (CRCs) provide recovery support to students as they navigate their college experience. Because lesbian, gay, bisexual, and transgender (LGBT) individuals use and abuse substances at higher rates than their heterosexual peers, engaging this population in CRC services could be vital for sustained recovery and degree…

Objective: College campuses report alcohol and other drug policy violations as the most frequent reason students receive disciplinary referrals and, thus, are mandated to programming. This study sought to determine predictors of mandated students' alcohol use frequency, and the likelihood of early-onset alcohol using college students enrolled in…