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…

The paper presents the Asseblywomen Project, conducted by Papalangki Theatre Company during 2020-2021 at the Women's Prison in Eleonas (Greece). Using as rehearsal material the comedy play "The Assemblywomen" by Aristophanes, the project aimed to encourage the participation of ex-drug addicted inmate women at the rehabilitation process,…

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…

Neonatal Abstinence Syndrome (NAS) is the term used to describe newborn experiences of withdrawal after exposure to opioids or other substances in utero (Kondili & Duryea, 2019). An urgent need exists for trained practitioners to serve children with NAS and their families (e.g., Gregory, 2014; Hancock et al., 2017; Health care Cost and…

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…

This chapter outlines the unique identity transformation needs of college students in recovery and suggests ways universities can support this evolving recovery identity.

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…

This chapter details the rationale for and factors important to establishing a collegiate recovery program on campus.

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…