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…

Objective: To discuss the engagement of patients and stakeholders (i.e., faculty, staff, healthcare providers, and university administrators) in capacity building activities to prepare for future patient-centered research on collegiate recovery. Participants: 502 attended capacity building activities and provided input on priorities for future…

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…

Higher education leaders and staff have long expressed concern about the impact of student drug use. This includes its effects on learning and mental health and on future job prospects, as well as the serious consequences of addiction and avoidable deaths. However, there has historically been limited understanding of the prevalence of student drug…

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…