Standards and Recommendations
Even though colleges/universities are different in many respects, ARHE is dedicated to and must ensure the integrity of our institutional members. Thus, the following standards and recommendations are provided to offer clear information for students, family members, and college/university officials to make informed decisions and to foster growth and development within the field. These are also offered to help emerging and new CRPs strive for excellence. We consider the following 8 standards and recommendations the “best practices” to date based on the wisdom and experiences of the past 30+ years as well as our understanding of the available research
1. CRPs embrace abstinence-based recovery as the standard of our field
ARHE strongly believes that supporting abstinence-based recovery, in an environment that is hostile to abstinence and to abstinence based recovery is essential and that CRPs need specialized programming and services for this vulnerable, marginalized, and underserved population.
ARHE recognizes Medication Assisted Treatment and Recovery (MAT/MAR) as a pathway to recovery. Students in recovery from substance use disorder/addiction, may be prescribed an opioid agonist as part of MAT/MAR, or may be prescribed medication for mental health diagnoses (e.g., anxiety, depression, and attention deficit disorder). We believe that students who are on MAT/MAR or are taking medication for a mental health condition are not in conflict with abstinence-based recovery, so long as these medications are prescribed and taken appropriately under the supervision of a healthcare professional.
ARHE recognizes that in community populations, alcohol and drug problems are frequently managed in ways that do not include complete abstinence (e.g., harm reduction models, moderation). ARHE is aware that there is a great need to support alternatives to problematic alcohol and other drug use, and that those in recovery from mental health conditions also require ongoing support. ARHE strongly encourages colleges and universities to provide these services, in addition to adopting substance use disorder recovery supports such as collegiate recovery programs.
2. CRPs have dedicated physical space for students in recovery to gather and support one another.
Dedicated space is vital to the mission of supporting students in recovery. Students need safe spaces to gather, meet, support each other and find respite from the dominant narrative around drinking and drug use found on college campuses. Dedicated space communicates pride and belief in the value of the recovery identity. Most underserved identities on college campuses have such spaces and accommodations and ARHE embraces the community building power of dedicated space for students in recovery.
3. CRPs have within them a collegiate recovery community (CRC) with students who offer each other peer support.
It is essential for CRPs to have a community of students to provide peer support to one another. Peer support provides a sense of belonging, community, fun, accountability, and leadership opportunities while pursuing higher education.
4. CRPs provide a variety of recovery support programmatic elements to assist students in maintaining and protecting their recovery.
In general, programmatic elements must account for a full range of recovery stages and pathways (e.g., 12-Step; Medication Assisted Recovery; Faith Based approaches, etc.). Stages range from early recovery (i.e., requiring greater levels of structure and support) to sustained recovery (i.e., allowing greater autonomy, but still able to benefit from CRP resources and supports). ARHE offers the following points in developing these programmatic elements
CRPs provide a variety of recovery support services to assist students in maintaining and protecting their recovery. Such services may include but are not limited to:
i. Seminars related to recovery or relapse prevention.
ii. Skills training (e.g., coping skills, time management, financial management).
iii. Easily accessible mutual aid meetings (on or off campus).
iv. Clinical and/or Case management for recovery support.
v. Academic support (i.e., formal or informal advising).
vi. Team and community building activities.
vii. Admission assistance/support to navigate the admissions process and entry into the institution.
viii. Financial assistance (e.g., scholarships).
ix. Recovery-based housing support.
o CRPs maintain clearly understood requirements for continued student participation (e.g., abstinence, support for fellow students, participation requirements, and drug testing when appropriate).
o CRPS include a pre-planned response for student relapse, including referral to treatment services as needed and a continuation of education as appropriate.
o CRPs recognize the prevalence of co-occurring disorders as well as behavioral addictions or problems (e.g., eating disorders, gambling, gaming, sex, self-harm). CRPs are encouraged to develop appropriate programming and referral resources for students who face these challenges.
o CRPs may offer recovery housing. Where possible, CRPs offer dedicated recovery housing on campus (different from substance free housing) or provide access to recovery-oriented housing options off-campus..
o CRPs may advertise their services across the campus (e.g., signage, web presence, and social media).
o CRPs may publicize the program to incoming students and parents (e.g., orientation/convocation for general student population and/or for incoming CRP students and their families).
o CRPs often assist non-participating students who reach out for support by facilitating referrals and offering support in the transition into recovery and where necessary, back into school.
o CRPs serve as a liaison by providing referral services to other campus resources as needed (e.g., career services, counseling services, disability services, identity-based services, academic support services, financial aid services).
o CRPs serve as liaison by providing referral services to off campus resources (e.g., individual therapy, medication management, family therapy, and recovery community organizations).
5. CRPs have paid, qualified, trained, ethical, and dedicated professionals who support students in recovery.
The primary mission of professionals in the collegiate recovery field is to support students who are in recovery in higher education settings. This mission is best accomplished by having at least one paid qualified, trained and dedicated professional employed by the college/university who can assess the needs of the community and each individual student to ensure appropriate levels of structure and support are provided. Such staff may come from a broad range of educational backgrounds and experience. Staff oversight and guidance helps maintain the health of the community as a whole and promotes recovery and the holistic development of each student. As a CRP grows to include more students, appropriate staff to student ratios should be considered.
6. CRPs are non-profit entities.
A non-profit organization status promotes the ability to keep the mission and structure above the personal interests of individuals and other for-profit motives. Thus, students should not be charged for standard supports (e.g., recovery coaching, not-for credit seminars, use of recovery space). Students may be charged for additional supports (e.g., trips, on-campus housing, study abroad, and for-credit course work) at usual university rates. When students are charged for these additional supports and activities, every effort should be made to ensure access for all students regardless of financial status.
7. CRPs are housed within Institutions of Higher Education that confer degrees (e.g., associates, bachelors, masters, and/or doctorate degrees).
Both students who are in recovery and the campus culture benefit the most when academic institutions take ownership of recovery supports on their campuses. Therefore, CRPs should be institutionalized within the structure of the college or university and should not be provided by an outside entity.
8. CRPs often identify and collaborate with on and off campus partners and stakeholders.
• CRPs may partner with campus entities that support alcohol and other drugs (AOD) prevention efforts and recovery (e.g., student health infrastructures, naloxone distribution and training with first responders and residential life). Strengthening these partnerships may also assist in increasing supports to students with needs along the substance use continuum (e.g. those who may benefit from a harm reduction or moderation approach).
• CRPs may engage in outreach to the larger student body to create awareness of substance use, misuse, and addiction in order to educate and promote recovery.
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COLLEGIATE RECOVERY PROGRAM
A Collegiate Recovery Program (CRP) is a college or university-provided program that includes a supportive environment within the campus culture. CRPs reinforce the decision to engage in a lifestyle of recovery from addiction/substance use disorder. It is designed to provide an educational opportunity alongside recovery supports to ensure that students do not have to sacrifice one for the other.