“…Numerous studies have concluded that participation in recovery mutual aid societies can enhance long-term recovery outcomes for diverse populations [63][64][65], as can participation in other recovery community support institutions [66,67]. These potentially salutary effects are offset by addiction professionals' lack of knowledge of recovery mutual aid alternatives, passive (verbal encouragement only) linkage procedures, low rates of posttreatment participation, and high posttreatment dropout rates [32,68].…”
Section: Linkage To Communities Of Recoverymentioning
Severe alcohol and other drug problems typically take a chronic course and often require multiple episodes of intervention before stable recovery is achieved. The conceptualization of addiction as a chronic disorder has critical implications for the design, delivery, evaluation, and funding of addiction treatment. Yet, despite widespread acknowledgement that the nature and long-term course of addiction is similar to other chronic illnesses, such as hypertension and diabetes, it is still treated almost universally as an acute condition. This acute care model has been shaped by a number of influences, including the commercialization of addiction treatment and a system of managed behavioral health care, which have forced treatment into discrete, and ever-briefer, episodes of care. In this chapter, we address the shortfalls of the acute care model and contrast it with a model of sustained recovery management, which aims to remedy the mismatch between the chronic nature of addiction and the approaches designed to treat it. The nature of Recovery Management as a philosophy of organizing addiction treatment and recovery support services to enhance early prerecovery engagement, recovery initiation, long-term recovery maintenance, and the quality of personal/family life in long-term recovery is described. The shift to a model of sustained recovery management includes changes in treatment practices related to the timing of service initiation, service access and engagement, assessment and service planning, service menu, service relationship, locus of service delivery, assertive linkage to indigenous recovery support resources, and the duration of posttreatment monitoring and support.
“…Numerous studies have concluded that participation in recovery mutual aid societies can enhance long-term recovery outcomes for diverse populations [63][64][65], as can participation in other recovery community support institutions [66,67]. These potentially salutary effects are offset by addiction professionals' lack of knowledge of recovery mutual aid alternatives, passive (verbal encouragement only) linkage procedures, low rates of posttreatment participation, and high posttreatment dropout rates [32,68].…”
Section: Linkage To Communities Of Recoverymentioning
Severe alcohol and other drug problems typically take a chronic course and often require multiple episodes of intervention before stable recovery is achieved. The conceptualization of addiction as a chronic disorder has critical implications for the design, delivery, evaluation, and funding of addiction treatment. Yet, despite widespread acknowledgement that the nature and long-term course of addiction is similar to other chronic illnesses, such as hypertension and diabetes, it is still treated almost universally as an acute condition. This acute care model has been shaped by a number of influences, including the commercialization of addiction treatment and a system of managed behavioral health care, which have forced treatment into discrete, and ever-briefer, episodes of care. In this chapter, we address the shortfalls of the acute care model and contrast it with a model of sustained recovery management, which aims to remedy the mismatch between the chronic nature of addiction and the approaches designed to treat it. The nature of Recovery Management as a philosophy of organizing addiction treatment and recovery support services to enhance early prerecovery engagement, recovery initiation, long-term recovery maintenance, and the quality of personal/family life in long-term recovery is described. The shift to a model of sustained recovery management includes changes in treatment practices related to the timing of service initiation, service access and engagement, assessment and service planning, service menu, service relationship, locus of service delivery, assertive linkage to indigenous recovery support resources, and the duration of posttreatment monitoring and support.
“…In part, this racial/ethnic homogeneity reflects the enrollment of the university in which the recovery community is nested. However, it may also reflect the race/ethnicity of those young people with addictions who have the family financial resources to receive intensive treatment for their addictions and attend college (see Cleveland et al, 2007).…”
Section: Demographics Of Analysis Samplementioning
confidence: 99%
“…The goal of these communities is to provide students in recovery the opportunity to receive social support for abstinence from other abstaining individuals. Initial data suggest such communities are successfully helping students remain in recovery (see Cleveland, Harris, Baker, Herbert, & Dean, 2007). However, the details of how individual students within these communities use their membership to access social support for recovery have not be considered.…”
As the population of young adults in recovery from substance abuse increases, colleges are developing collegiate recovery communities. The goal of these communities is to provide students in recovery the opportunity to receive social support for abstinence from other abstaining individuals. To examine how social support in such a recovery community context occurs, this study analyzed 1,304 end-of-day reports made by 55 abstaining college students, 39 males and 16 females (mean age D 22.6). Two ''talking with others about recovery'' outcomes were examined: recovery talks outside of the community drop-in center and recovery talks at the drop-in center. Preliminary analyses revealed that the majority of recovery talks at and outside the drop-in center varied more between days within participants than they did across participants. Primary results revealed that daily levels of cravings and negative mood predicted same-day variation in recovery talks occurring outside of the drop-in center. In contrast, recovery talks at the dropin center were not associated with these predictors. By demonstrating that college students in recovery receive more conversational support for recovery though not at the community drop-in center and that this out-of-center support appears more responsive to members' needs, this study provides insight into how social support for abstinence can succeed within college recovery communities.
“…Initial research has focused on describing the population accessing recovery support services through the CRC. The CRC has collected three waves of data that provide information on demographics of the population, family of origin information, age on onset of first use of tobacco, alcohol, and other drugs, length and intensity of use, and the prevalence of co-occurring disorders (Cleveland, Harris, Baker, Herbert, & Dean, 2007). As a follow-up to this data collection, the CRC is piloting a diary study with its members in which they record their daily access of social support while monitoring their physical, mental, and emotional states simultaneously.…”
The Center for the Study of Addiction and Recovery (CSAR) (a Center within the College of Human Sciences at Texas Tech University, TTU), has developed a comprehensive Collegiate Recovery Community (CRC). This community provides a model of support and relapse prevention for college students recovering from addictive behaviors-primarily alcohol/drug addiction. This model is specifically Kitty S. Harris et al. 221 in the college/university setting and has been used at TTU for 20 years. The purpose of this paper is to briefly review the literature related to substance use among college-aged individuals, discuss the challenges of recovery within this population, describe existing collegiate programs, and provide an extensive description of the CRC model. The CRC model specifically incorporates recovery support, access to higher education/educational support, peer support, family support, and community support/service in an effort to help individuals attain what we describe as systems-based sustained recovery. Preliminary evidence of success indicates that support services offered by the CRC work for the current population as evidenced by an average relapse rate of only 8%, a graduation rate of 70%, and an average GPA of 3.18 among members. Limitations of the model and plans for future research are also discussed.
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