Recovery 4/12/2018. Collegiate Recovery Programs: Extending the Continuum of Care for SUD Through Higher Education. Ahmed Hosni

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Understand the needs and challenges of being a young person in recovery 2.

1 Collegiate Programs: Extending the Continuum of Care for SUD Through Higher Education Ahmed Hosni Learning Objectives Participants will be able to: 1. Understand the needs and challenges of being a young person in recovery 2. Describe the current state of the youth/young adult recovery continuum of care 3. Summarize ways to connect potential students with CRPs and why it is beneficial 2 3 1

2 is a process of change whereby individuals work to improve their own health and wellness and to live a meaningful life in a community of their choice while striving to achieve their full potential. -SAMHSA 4 Pathways to Many Pathways to recovery Mutual aid groups 12 step and non 12-step groups Therapy Faith-based Medication assisted therapy Criminal justice Natural recovery *Most people utilize multiple pathways 5 SAMHSA s Four Pillars of Health Home Purpose Community 6 2

3 SAMHSA s Four Pillars of for Young Adults Health Home Purpose Community Therapy Family Support School Mutual Support Group Supportive medical professionals Transportation Employment Young people s meetings Holistic approach to wellness Safe and drug free living environment Service work Supportive non recovering friends Abstinence Environmental change Mentorship Leadership development 7 What We See Is Working for Young People (13-25) In Sustained : Youth Peer-to-Peer Support Early Intervention Family Involvement and Support Environmental Solutions and Support Services: Housing Social Supports Employment Education 8 While many young adults are engaging in alcohol and other drug experimentation, young people in recovery are: Learning ho to maintain abstinence Restructuring their daily lives to avoid behaviors and social triggers that may lead to use Balancing the demands of recovery and academics Making new friends and finding a sense of belonging 9 3

4 Oriented System of Care Youth/Young Adult Continuum of Care 10 Typical Addiction Career Age first drink Age first drug Age first trx Stable recovery? Addiction related consequences 31.1 Relapse/ recovery cycle +/- 10 years 41 Loss to the individual = 16 years of active use + about a decade of cycling Laudet, American Society of Addiction Medicine 12 4

5 Youth Continuum Pales in Comparison Developmentally appropriate services are scarce Many youth/young adult treatment programs are unconventional Treatment programs don t account for needed environmental changes Many of these services are unaffordable for low SES youth 13 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 year olds has a SUD Addiction Among Young People The earlier someone starts using, the more likely they are to develop a SUD DePue & Hagedorn, NSDUH, Clapp, Sustaining Addiction is like other chronic diseases Young people need ongoing monitoring and support 1 yr of abstinence ~5 yrs of abstinence Remission Risk of relapse drops below 15% Surgeon General s Report,

My Story & Missed Opportunities 16 My Story &

6 My Story & Missed Opportunities 16 My Story & Missed Opportunities Speech & Debate Band Soccer Team Baseball Team Honors Classes Part-time Job 17 My Story & Missed Opportunities Alcohol Marijuana Cocaine Ecstasy Xanax Valium Percocet Hydrocodone OxyContin Psilocybin mushrooms 18 6

What it Took: Lived though an accidental detox

counselor who understood young adult recovery

purpose Youth friendly mutual support groups

Peer Group More abstinent friends = few relapses

Develop sense of belonging = critical to

7 What it Took: Lived though an accidental detox in Cairo, Egypt IOP treatment in July 2007 IOP counselor who understood young adult recovery People believing in me when I couldn t Sense of purpose Youth friendly mutual support groups Collegiate recovery program The Good News I Entered! It s All About Social Connection & The Peer Group More abstinent friends = few relapses Predictor of relapse = hanging with old friends Develop sense of belonging = critical to identity development Wiebe, Cleveland & Harris, DePue & Hagedorn Watson Perron et al.,

8 Lasting Personal Identity Social Identity Lasting Sense of Belonging & Social Support New recovery friends & disengage from old friends Watson, DePue & Hagedorn, Wiebe, Cleveland & Harris, My Story & What Helped: SAMHSA s Four Pillars of Health Home Purpose Community Addiction savvy mental health professionals Family Support Support to go back to school Mutual Support Group Supportive medical professionals always disclosed Transportation Employment Young people s meetings Male role models Supportive probation officer Safe and drug free living environment Service work/learning Supportive nonrecovering friends IOP Environmental change (people, places, things) Mentorship/12 step sponsor Leadership development 23 Youth Continuum of Care Prevention Early Intervention Treatment Evidence based SBIRT Developmentally appropriate Collegiate high school Early & often Involves family Involves family Alternative peer group Includes family Resiliency & protective factors Strong aftercare planning housing Includes family 24 8

-Oriented Activities Examples of Oriented Activities Prevention Intervention Treatment Post- Treatment Early screening before onset Collaborate between community agencies & school Stigma reduction

9 -Oriented Activities Examples of Oriented Activities Prevention Intervention Treatment Post- Treatment Early screening before onset Collaborate between community agencies & school Stigma reduction activities Refer to intervention services Screening Early intervention Pre-treatment recovery support services Outreach services Menu of treatment services Support services Alternative services and therapies Continuing care support services Check-ups Selfmonitoring 25 Major Challenges We Have Experienced For Moving Youth Support Forward: Under-Studied / Under-Funded Fragmented Systems (Mental Health and Addictions) Between Children and Adult (Health Care and Enforcement) Advocacy Issue Is Different For Youth Versus Adults (Stigma Issues) Youth and Their Families With Lived Experience are an Under-Utilized Resource In Our Systems Youth Supports As We Have Experienced It What We See Is Working for Young People (13-25) In Sustained : Youth Peer-to-Peer Support Early Intervention Family Involvement and Support Environmental Solutions and Support Services: Housing, Social Supports, Employment, Education, etc. 26 Collegiate Overview 27 9

10 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] abuse or dependence Donald Misch, Collegiate 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 in Higher Education 29 Collegiate Program 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 in Higher Education,

11 Need for Supports 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 Laudet et al Scope of the Solution About 239 CRPs across the country Vary in size and scope Multiple conferences dedicated to CRPs Research is being funded & published Recognition from federal agencies System-wide expansion Foundation/nonprofits devoted to it 32 Benefits of CRPs Extends the continuum of care Increases access to higher education Increases retention and graduation rates Change campus culture Students that embody what the university is trying to instill 33 11

Replication Grant 2013 TYR Seed Grants 34 CRCs Developed

12 Timeline 1977 Brown University 1983 Rutgers University 1986 Texas Tech 1997 Augsburg 2005 SAMHSA/TTU Replication Grant 2013 TYR Seed Grants 34 CRCs Developed by Year Transforming Youth, Data Supporting Collegiate 36 12

13 Student Data 26 years average age 50% over the age of months average length of recovery 32% freshmen 35% transfer student 12% Veterans 8% relapse rate Laudet, 2013, 2014 & Student Data 1/3 of students would not be in school right now if it weren t for the CRP Very high addiction severity, high treatment utilization and related consequences 59% charged with a crime 33% experienced homelessness 82% received addiction treatment 66% currently being treated for mental health Laudet, Graduation and Retention CRP Average Graduation Rate 89% Average Institution Graduation Rate 60.5% CRP Average Retention Rate 91.8% Average Institution Retention Rate % Average GPA = 3.22 Laudet,

CRC Student Addiction Career Age first drink 16 Age first drug 17 Addiction related consequences Age first trx 21 Relapse/ recovery cycle +/- 5 years Stable recovery/ college 26 CRC reduce recovery &

14 CRC Student Addiction Career Age first drink 16 Age first drug 17 Addiction related consequences Age first trx 21 Relapse/ recovery cycle +/- 5 years Stable recovery/ college 26 CRC reduce recovery & relapse cycling by 15 years plus produce educated citizens Laudet, How You Can Support Your Local CRC Connect students & prospective students Help advertise the CRC Ask them to speak at your staff meetings, classes, committees, etc. Bring some colleagues/students/friends and tour the CRC Attend their events Like and share their social media posts 41 Ohio State s Collegiate Community 42 14

Ohio State s CRC Started March 2013 32 official members graduated since Over 275 current and prospective students serviced 18-46 years old Mix of undergrads, graduate and professional students 43

15 Ohio State s CRC Started March official members graduated since Over 275 current and prospective students serviced years old Mix of undergrads, graduate and professional students 43 Current Programming and Support Two Dedicated Staff Members Dedicated Space Scholarships Peer to Peer Support House Social Events Professional and Leadership Development On Campus Meetings 44 Member vs. Participant Member Priority registration Option to live in recovery house 24/7 Access to lounge Social events (sponsored) Eligible for recovery scholarships Small groups Fill out application Participant Social events Access to lounge during business hours Peer-to-peer support Don t have to fill out application 45 15

16 Current Dedicated CRP Space 1230 Lincoln Tower Amenities include: Coffee station Computers Prayer/meditation room Lounge area Media room Kitchenette Group project space Lockers Access to staff Arts & craft room 46 House at Penn Place Fall 2014 Can hold 28 students Accountability and Support Residence hall experience CA 47 CRP Signature Events Annual CRC Orientation 48 16

17 CRP Signature Events Annual CRC Graduation Dinner 49 CRP Signature Events Scarlet, Gray and Sober Tailgates 50 CRP Programming On-Campus Support Group Meetings Monthly Social Events Monthly Community Lunch 51 17

Plan Peer to peer support Small group meetings Advocacy, Information and Referrals Service

18 CRP Programming Leadership and Professional Development CRC Student Leadership Board Clean and Sober Fellowship Ohio State Alumni in Mentor Program 52 CRP Programming Individualized Plan Peer to peer support Small group meetings Advocacy, Information and Referrals Service Opportunities 53 Thank you! Ahmed Hosni go.osu.edu/recovery 54 18

Creating a ROSC Through Collegiate Recovery Programs.

Creating a ROSC Through Collegiate Recovery Programs. Table of Contents Recovery Recovery Oriented Systems of Care Collegiate Recovery Overview Ohio State CRC Q&A 2 Learning Objectives 1. Discuss how a