Higher Education

A new challenge for colleges: opioid-addicted students

Driven by deaths or state pressure, institutions are opening “recovery houses”

Keith Murphy, recovery counselor, and Lisa Laitman, director of the Alcohol and Other Drug Assistance Program, speaking with a resident of the Rutgers University Recovery House.

Keith Murphy, recovery counselor, and Lisa Laitman, director of the Alcohol and Other Drug Assistance Program, speaking with a resident of the Rutgers University Recovery House.

NEW BRUNSWICK, N.J. — The first time Cherise tried college, she lasted only a couple of months.

Lonely and miserable, the Rutgers University freshman turned to heroin, and quickly became addicted. She dropped out of school and after what she describes as an “intentional overdose” in 2014, wound up in a rehab facility near the campus in New Brunswick, just down the street from fraternity row.

It was there that she heard about Rutgers Recovery House, a year-round dorm where students recovering from drug and alcohol addictions can find friendship and sanctuary from the temptations of college life.

Believing it was “meant to be,” she re-enrolled at Rutgers, and moved into the Recovery House.

“I was home,” said Cherise, now 28, who graduated in the spring.

Almost unheard of five years ago, collegiate recovery programs are multiplying amid an opioid epidemic that claimed the lives of 4,110 Americans under 25 in 2016, the last year for which the figure is available. That’s almost double the number of young people who died of opioid overdoses in 2006.

Those grim statistics, and a flurry of seed funds from state governments and nonprofit organizations, are compelling colleges to take the often joked-about issue of campus drug use much more seriously, acknowledging a problem that still makes many campus leaders — especially in recruitment, development, and alumni offices — uncomfortable.

Before opioids, colleges “were able to sweep it under the carpet better,” said Christopher Freeman, community recovery supervisor at The College of New Jersey. Students were abusing drugs and alcohol — they just weren’t as likely to die.

Related: More high school grads than ever are going to college, but 1 in 5 will quit

In 2013, there were a couple dozen collegiate recovery programs; today, there are around 200, according to advocates.

The epidemic has also accelerated a shift in attitudes toward addiction, these advocates say. Long condemned as a moral failing, addiction is increasingly seen as a public health issue, worthy of public dollars. New Jersey, West Virginia and North Carolina all provide grants to colleges toward the cost of running recovery programs. New Jersey’s legislature passed a law in 2015 requiring most public colleges to have recovery housing.

Research suggests that recovery programs benefit both students and colleges. One national survey found that students who participate in such programs have higher grade point averages than their peers and are more likely to graduate. Just 8 percent relapse, on average.

Residents of the Recovery House, for students recovering from drug and alcohol addiction, peer out at the Rutgers University campus. More and more colleges are opening up facilities like this one.

Residents of the Recovery House, for students recovering from drug and alcohol addiction, peer out at the Rutgers University campus. More and more colleges are opening up facilities like this one.

Still, collegiate recovery programs remain relatively rare — fewer than 5 percent of campuses have them — and many college leaders remain skeptical they’re even needed. There’s not a lot of data on addiction among college students, and what little there is suggests that, contrary to depictions in popular culture, they abuse drugs at lower rates than their peers who aren’t enrolled.

One in five full-time college students reported using an illicit drug other than — and usually in addition to — marijuana at least once in the previous 12 months, a national survey by the University of Michigan for the National Institutes of Health found. That’s slightly lower than the 24 percent of recent high school graduates who aren’t in college who said they’d used them. Another survey, by the federal Substance Abuse and Mental Health Services Administration found rates of illicit drug use among all 18-to-25-year olds to be as high as 38 percent.

Related: Embattled colleges focus on an obvious fix: helping students graduate on time

But advocates for the recovery programs say many college leaders are in a state of willful denial, reluctant to admit a problem that might harm their institutions’ reputations or dampen recruitment.

“They don’t want parents walking around campus seeing posters that imply there is any kind of a substance abuse problem on campus,” says James Winnefeld, a retired U.S. Navy admiral and former vice chairman of the Joint Chiefs of Staff who started an organization to tackle the opioid epidemic after his son overdosed in his dorm room last year, just four days after enrolling as a freshman at the University of Denver.

A resident in his room at the Rutgers Recovery House, home to 25 students recovering from drug and alcohol addiction. More and more colleges are opening up facilities like this one.

A resident in his room at the Rutgers Recovery House, home to 25 students recovering from drug and alcohol addiction. More and more colleges are opening up facilities like this one.

Some collegiate recovery programs are long established. The first was created at Brown University in 1977, by a classics professor who was himself a recovering alcoholic. Rutgers followed suit in 1983, after a drunk student fell from some bleachers and became paralyzed.

For the next two decades, there were only a handful of collegiate recovery programs. A couple dozen more came on board between 2006 and 2013, under a program that gave colleges federal grants — and, later, private dollars — to copy a curriculum created by Texas Tech University, the third institution to create a program.

But the real growth has come since 2013, when a nonprofit organization called Transforming Youth Recovery began offering grants to colleges to start programs. Over the past five years, the nonprofit, which was started by a woman who lost her son to an opioid overdose, has given out $1.3 million in grants to 161 colleges.

Related: How one university is luring coveted honors students with social justice

Recovery programs vary in size and scope, but most offer 12-step or other support groups, “sober social” events, and awareness-raising activities, according to a survey by Transforming Youth Recovery. Just under half provide professional counseling, and roughly 10 percent include housing. A few have started offering medication-assisted treatment, weaning students off of opioids with the help of drugs that lessen their cravings for them.

At Rutgers, the Recovery House is much more than a chem-free dorm. For Cherise and the 24 other students who live there, it’s an antidote to the loneliness that many recovering addicts feel among peers who don’t understand why they can’t have “just one drink.”

“I don’t want to have a glass of wine, I want the whole bottle. It’s so hard to tell another person what that’s like” said Andrea, a graduate student who like all the students in the house asked that her last name not be used. “Here, I don’t feel alone.”

The dorm is also a refuge from the broader campus, where a culture of casual drug use and binge-drinking can jeopardize recovery. Advocates refer to colleges as “recovery-hostile” environments.

“There are triggers anywhere you go — there’s just more on a college campus,” said Devon, who is a rising sophomore. “You go outside and you smell weed. It’s easier to get drugs here than anywhere else.”

There are two things that keep her from succumbing to these temptations, Devon said as she sat with a group of other women in the Rutgers Recovery House’s lounge. One is that “this place is always open,” even during breaks. The other: Students who relapse are required to move out.

Rutgers University’s New Brunswick campus, which has a special house for students recovering from drug or alcohol addiction.

Rutgers University’s New Brunswick campus, which has a special house for students recovering from drug or alcohol addiction.

From the outside, the Recovery House looks like any college dorm. There are no signs identifying it as a special place. But the inside has been renovated to include that lounge, where students gather for sober social events and group study sessions, and an office where they can meet with Keith Murphy, the recovery counselor.

Related: These formerly homeless single moms beat the odds and are now college grads

Students here say they hold each other accountable and are quick to notice when a dormmate is struggling. When Devon was tempted to relapse recently, she went to her friends and told them, “Don’t let me.” And when Cherise had anxiety attacks during finals week, she said, Jen sat with her and helped her breathe.

Most students aren’t so lucky. On a vast majority of campuses, recovering addicts still face an impossible choice: “Return to the same environment that fed my problem, or prioritize my health and forgo my education,” said Amy Boyd Austin, president of the Association of Recovery in Higher Education.

Advocates say there are two reasons there aren’t more programs: money and stigma.

Rutgers University’s New Brunswick campus, which has a special house for students recovering from drug or alcohol addiction.

Rutgers University’s New Brunswick campus, which has a special house for students recovering from drug or alcohol addiction.

When money is tight, many colleges prioritize prevention and response, investing their limited dollars in efforts to stop substance abuse and treat it when it occurs. In the past year, some 35,000 students have taken a new online course on prescription drug safety created by the educational-technology company EverFi. A growing number of campuses are stocking the overdose-reversal drug Naloxone, and training residence hall advisors, staff and even students in how to use it.

Many remain focused on the much more pervasive problem of marijuana and alcohol abuse. In the University of Michigan survey, nearly two-thirds of students said they had been drunk at least once in the previous 12 months, and almost 40 percent said they had used marijuana — the highest rate since 1987.

Advocates say the stigma surrounding drug and alcohol addiction is subsiding as students become more open about their struggles. But it’s far from gone. Many college leaders continue to say they don’t have recovering addicts on their campus, a claim made easier by the lack of reliable data on addiction rates among college students.

“Most schools are still in denial,” said Kristen Harper, a consultant with Transforming Youth Recovery.

Often it takes a tragedy to spur a college into action, such as that fall from the bleachers that left a student paralyzed, said Felicia McGinty, of Rutgers, whose promotion to executive vice chancellor of administration and planning was announced this summer. “In higher ed, we’re crisis-driven,” she said. “It takes a death for us to do something.”

Freeman, of The College of New Jersey, said that even if the numbers of students who would benefit from recovery programs is small, it’s an investment worth making.

“For the students who are involved with them, they’re absolutely life-changing,” he said. “If we don’t pay now to help people recover and lead productive lives, we will pay later.”

Cherise, who started down the path to addiction when she was just 11, said she probably wouldn’t have made through college without the recovery house. She said she “learned how to be part of a family” in the dorm.

“This is a priceless place,” she said. “There’s unconditional love.”

This story about drug treatment and recovery for college students was produced by The Hechinger Report, a nonprofit, independent news organization focused on inequality and innovation in education. Sign up here for our higher-education newsletter.

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Re. "A new challenge for colleges: opioid-addicted students"

Young adults between the ages of 18 and 25 years old abuse opioids at a higher rate than the rest of the population. According to the 2015 College Prescription Drug Study (CPDS), 10.2% of undergraduates reported using pain medications for non-medical reasons. Opioid-related deaths among Americans age 24 and under almost doubled from 2005 to 2015, when 3,165 were reported, according to the Kaiser Family Foundation, based on data from the Centers for Disease Control and Prevention.

The Association for Accessible Medicines is the nation’s leading trade association for manufacturers and distributors of generic and biosimilar prescription medicines. Our core mission is to improve the lives of patients by advancing timely access to affordable FDA-approved generic and biosimilar medications and ensuring patient safety is of the utmost importance for generic drug and biosimilars manufacturers. It is critical that we combat the misuse of prescription medication while maintaining legitimate, uninterrupted access to medicines to patients in need.

AAM and its members support enhanced education for prescribers and providers, and we have partnered with leading national organizations dedicated to promoting public health and preventing abuse. Last year, AAM approached Washington, D.C.-based education-technology company EVERFI—the leading provider of alcohol abuse and sexual assault prevention training for our nation's colleges and universities—and asked the organization to develop a module to help students understand the importance of safe use, storage and disposal of prescription drugs.

With AAM’s financial support, EVERFI has developed and made available a prescription drug abuse prevention curriculum, free of charge, to any college in America in order to help this at-risk demographic make healthy decisions. More than 36,000 students – at schools that include some of the largest land grant colleges in the nation, to the Ivy League to our military academies – have already taken the course since its launch last fall and that number is growing with each successive semester.

The course is producing volumes of data to better understand the challenge of prescription drug misuse in the college community, and to measure the impact of the program. Already, 75 percent of students reported that because of the course they are more confident in their ability to intervene if a friend is misusing prescription drugs, while 73 percent said they now know where to find resources for drug abuse at their institution.

We encourage encourages readers to contact their university administration or leadership to adopt it at their institution.

Rachel Schwartz

Director, Communications

Association for Accessible Medicines

- from Rachel Schwartz, Oct 09, 2018