TN Collegiate Recovery Initiative

Expanding Outreach and Support on Campus

NATHAN PAYNE, BA, CPRS

The Need:

• 1 in 6 young adults between the ages of 18-24 met criteria

for a substance use disorder1

• Nationwide, alcohol use was linked to 1,825 deaths on

campus1

• As well as 599,000 unintentional injuries, and 696,000

assaults by students aged 18-241

• Approximately 97,000 students are victims of alcohol related

sexual assault1

1. https://store.samhsa.gov/product/Behavioral-Health-Among-College-Students-Information-and-

Resource-Kit/sma19-5052

The Need:

• Roughly 20 percent of college students meet the criteria for Alcohol Use disorder1

• According to the NSDUH (National Survey on Drug Use and Health) approximately 8,200 college aged youth reported past month illicit drug use1

• According to the NSDUH Adults aged 18 or older with past year mental health issues were more likely than other adults to report use of illicit substances (approx. 33% versus 15%)1

• Suicide is the 2nd leading cause of death in youth ages 10 –242

1. https://store.samhsa.gov/product/Behavioral-Health-Among-College-Students-Information-and-

Resource-Kit/sma19-5052

2. https://www.nimh.nih.gov/health/statistics/suicide.shtml

Recognizing the Gap

• Average age of Narcotics Anonymous (NA) members is 48

years old with the young adult population being just 12

percent of the overall fellowship3

• Average age of Alcoholics Anonymous (AA) members is 50

years old with the young adult population being just 12

percent of the overall fellowship4

• Campus recovery services are not a replacement for these

traditional forms of recovery support, yet they do serve to

narrow the age gap that exists and provide much needed

connection.

3.https://www.na.org/admin/include/spaw2/uploads/pdf/pr/MembershipSurvey_2016.pdf

4.https://www.aa.org/assets/en_US/p-48_membershipsurvey.pdf

The Numbers:

• Total number of students enrolled in some Institute of Higher

Learning is 323,600 in the state of Tennessee5

• 221,775 of which are either Community Colleges or Public

Universities5

• For three consecutive years postsecondary education

enrollment has increased in the state of Tennessee5

• Adult enrollment has increased by 17.4 percent with the

introduction of Tennessee Reconnect5

5. https://www.tn.gov/thec/news/2018/10/10/tennessee-higher-education-enrollment-increases-for-the-

third-consecutive-year.html

Nontraditional Correlations:

• Recent Reports show nearly 1 million adults in Tennessee

have some post-secondary education credits yet no degree6

• Nearly 6.4 percent or 64,000 of these adults qualify for some

type of substance use disorder7

• 2.4 percent or 24,000 of these adults qualified for co-

occurring substance use and mental health disorders7

6. http://www.completetennessee.org /thestateofhighereducation.pdf

7. https://www.samhsa.gov/data/report/2017-nsduh-annual-national-report

Food for Thought.

• Based on the data provided by SAMHSA1 a campus of 15,000 could have 3,000 students meeting the criteria for alcohol use disorder.

• One study indicates that around four percent of this population will seek help8

• This would indicate around 120 students seek help.

• Assume that fifty percent of these students achieve recovery.

• Based on Tennessee’s average in state tuition cost of 15,638 per Academic year

• Recovery Support could successfully retain $938,280 in tuition for the university per academic year.

8. Clements, R. (1999). Prevalence of alcohol-use disorders and alcohol related problems in a

college student sample. Journal of American College Health, 48: 111-18.

Food for Thought cont.

9.https://safesupportivelearning.ed.gov/sites/default/files/hec/product/fact_sheet2.pdf

Definitions

• TNCRI- Tennessee Collegiate Recovery Initiative

• RFC- Recovery Friendly Campus

• CRC – Collegiate Recovery Community

• CRP- Collegiate Recovery Program

TN Collegiate Recovery Initiative Goals

• Inform campuses across the state on how they may take a proactive role in curbing the addiction epidemic.

• Equip campuses across the state with the necessary means to take a proactive role in the addiction epidemic across the state.

• Encourage campuses and student bodies to leverage available resources.

• To assist campuses in the process of assessing for a CRC or CRP and getting their programs off the ground.

• To reduce stigma through peer sharing and roundtable discussion (Project Lifeline).

Initiative Goals Cont.

• To support and sustain services already in existence through;

visibility campaigns, training, and Peer education services.

• To develop a sustainable database of “Recovery Friendly”

campuses across the state

• To understand the continuum of care and collaborate with it.

Understanding the Initiative

CRP’s,

CRC’s

Resource Dissemination, Referrals, Narcan Trainings

Awareness Building, Prevention Efforts, Trainings, Social Norm Campaigns

Hierarchy of Needs on Campus

• Beginning with base of the triangle, services offered here

serve the broadest population on campus.

• As campuses progress up the triangle the population served

may decrease, yet the need for these services increase.

• Along with this need progression there is also greater

associated risk aversion, the higher you progress up the

triangle.

Hierarchy of Needs on Campus cont.

• For example though a social norms campaign may reach a

broader audience, the immediate risk associated with this

population may be relatively low.

• Collegiate Recovery Programs and Communities make the

top of the triangle as though the population they serve may

be small, the level of risk associated with the population is

relatively high.

The Triangle as a Model for Needs Assessment

• The model not only represents needs and risk association

but it also serves as a road map to assess campus capacity

for outreach and support.

• Each tier builds upon one another as the services offered in

the bottom tier help pave the way for services offered in

each subsequent tier.

What are Social Norms?

• Social norms are regarded as collective representations of

acceptable group conduct.

• As well as individual perceptions of particular group conduct.

• They can be viewed as cultural products which represent

individuals' basic knowledge of what others do and think

that they should do

How do we change this….

To this….

Types of Trainings Offered to RFC’s:

• Question, Persuade, Refer: QPR

• Mental Health First Aid

• Building Strong Brains

• ASIST: Two Day Suicide Prevention

• Trauma Informed Care

• Wellness Recovery Action Plan: WRAP

• The Addicted Brain- The Brain Science Behind Addiction

Types of Support Recovery Friendly Campuses can Offer

Recovery Support is not just 12 Steps: • Employment services and job training

• Outreach

• Life skills

• Relapse prevention

• Spiritual and faith-based support

• Housing assistance and services

• Education

• Child care

• Substance abuse education

• Family/marriage education

• Case management and individual services coordination, providing linkages with other services

• Self-help and support groups (e.g., 12-step groups, SMART Recovery®, Women for Sobriety)

• Parent education and child development support services

• Transportation to and from treatment, recovery support activities, employment, etc.

• Peer-to-peer services, mentoring, and coaching

Resources to Leverage

Resources to access and leverage across your state might include:

• Community Anti-Drug Coalitions

• CHASCO Coalition for Healthy and Safe Campus Communities

• Treatment and Recovery Courts

• Addiction Recovery Programs (ARP) Agencies

• Local Health Departments

• Health Educators

• Local Law Enforcement Agencies

• Treatment Centers

• Association of Recovery in Higher Education (ARHE)

See descriptions of most at:

https://www.tn.gov/content/tn/behavioral-health.html

Best Practice Model

• Provide or Refer Support Services for Students actively in or seeking Recovery for substance use disorder and mental health.

• View addiction by its definition - as a treatable disease

• Embrace and support students in recovery

• Disseminate recovery information (the Department will provide)

• Host or refer individuals to recovery support groups– TN Project Lifeline will help guide, if needed

• Become a Certified Recovery Friendly Campus

Build and Assess the Capacity

• Certified Peers

• Faith Based Community Coordinators

• Project Lifeline

• Regional Overdose Prevention Specialists

Network of Certified Peer Recovery Specialists

• Help others on the path to recovery from mental illness or substance abuse.

• They have firsthand experience with mental illness and/or substance abuse and can offer support and understanding.

• Use their personal recovery to help others.

• Promote self-determination, personal responsibility, and empowerment.

For more info:

https://www.tn.gov/behavioral-health/mental-health-services/cprs/peer-recovery-services/certified-peer-recovery-specialist-program.html

Certified Peer Recovery Specialists

Team members:

• Each CPRS has a minimum of two years in active recovery

• Each CPRS is willing to share their personal success story

Faith Based Community Coordinator:

Certified Recovery Congregations

James Harper, BS, CPRS

Faith Based Community Coordinator

• A group of individuals with lived experience that will be responsible for recruiting, training, and certifying congregations as Recovery Congregations

• There are three (3) Faith Based Community Coordinators. One (1) in each of Tennessee’s Grand Divisions

• Each one is housed in an established Substance Abuse Prevention Coalition across the state

For more info:

https://www.tn.gov/behavioral-health/substance-abuse-services/faith-based-initiatives.html

Faith Based Community Coordinator

550 Certified Recovery Congregations

Educational Forums in all 95 Counties

Increased Awareness of Recovery Support Resources

Statewide

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QR Scan Code

Faith Based Community Coordinator Map

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Project Lifeline:

Pathway to Recovery

Will Taylor, CPRS, NCPRSS, LADAC I

What is the Lifeline Peer Project

The Lifeline Peer Project was established to reduce the stigma

related to the disease of addiction and increase community

support for policies that provide for treatment and recovery

services.

Project approaches include:

• Establishment of evidence-based addiction and recovery

programs

• Educational presentations for civic groups, faith based

organizations, and community leaders to increase

understanding of the disease of addiction and support for

recovery strategies.

Lifeline Peer Project

• There are 10 Lifeline Peer Project Coordinators

• Each located in Substance Abuse Prevention Coalitions across the state

• Lifeline’s Outcomes:

Over 5,000 recovery trainings

• Referred over 9,000 people to treatment and recovery support services

• Started over 500 new recovery meetings

Commissioner Williams and Anne Hazlet

Lifeline Coordinator Map

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“Regional Overdose Prevention Specialist”

Opportunity

Presenter: James Harper

Opportunity: Regional Opioid Prevention Specialists ROPS

• The ROPS have varied backgrounds, including peer nurses’ that are in recovery, paramedics, and peer specialists

• Point of contact for training and education and for the distribution of naloxone.

• Provide trainings to medical professionals, law enforcement, pharmacists, treatment providers, key stakeholders, and lay persons on topics such as best practices for prescribing opioids, pain management, recognizing potential cases of substance use disorder, referrals to treatment programs, chronic pain management without opioids, signs and symptoms of overdose, and preventing overdose.

For more info:

https://www.tn.gov/behavioral-health/substance-abuse-services/prevention/prevention/regional-overdose-prevention-specialists.html

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TN Opioid STR/SOR Prevention Objectives:

1. Provide opioid awareness and overdose trainings in every county In Tennessee to:• First Responders• Individuals at high risk of overdose, their families, and/or friends • Agencies/Organizations that provide treatment/recovery services or

community resources

2. Implement an advertising/media campaign

3. Develop resource guides on treatment, recovery, and social services

4. Distribute Naloxone to:• Individuals at high risk, their families, and peers

•First Responders

•Agencies providing treatment, recovery, or community resources

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The Connection

• Faith Based Community Coordinators recruit and build

relationships with congregations including campus ministries

willing to follow the best practice model

• Project Lifeline Boots on the ground within the community

connecting recovery resources, facilitating training, helping

support group startup

• Regional Overdose Prevention Specialist: Equip individuals with

Naloxone and provide trainings on opioid overdose signs

• All three (3) work to help guide individuals into treatment and

support services

Why its Important:

• College offers a wide variety of stressors which many

students experience for the first time away from their

support system.

• Through fellowship and support these programs foster

resiliency and overwhelming success.

• Students who enter Recovery while attending college Boast

GPA’s of 3.2 and higher with a average Retention rate of 90%

compared to 62% national average.

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References

• https://store.samhsa.gov/product/Behavioral-Health-Among-College-Students-Information-and-

Resource-Kit/sma19-5052

• https://www.samhsa.gov/data/report/2017-nsduh-annual-national-report

• https://www.tn.gov/thec/news/2018/10/10/tennessee-higher-education-enrollment-increases-for-the-

third-consecutive-year.html

• https://www.tn.gov/content/dam/tn/thec/learn-about/ccta/leg-reports/2016/Profiles-Trends-2016.pdf

• https://static1.squarespace.com/static/56cf531db6aa6036fa14e1f8/t/583de4556a49631ee36f01e9/14

80451910074/state-of-higher-education

• https://www.nimh.nih.gov/health/statistics/suicide.shtml

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Additional Information:

• https://www.tn.gov/content/dam/tn/mentalhealth/documents/TDMHSAS_Faith-Based_Toolkit.pdf

• https://www.tn.gov/behavioral-health/mental-health-services/cprs/peer-recovery-services/certified-peer-recovery-specialist-program.html

• https://www.tn.gov/behavioral-health/substance-abuse-services/prevention/prevention/lifeline-peer-project.html

• https://www.tn.gov/behavioral-health/substance-abuse-services/faith-based-initiatives.html

• https://www.tn.gov/behavioral-health/substance-abuse-services/prevention/prevention/regional-overdose-prevention-specialists.html

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