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ReStart Collegiate Recovery Program:
A Community Needs Assessment
Kate Chiseri | Julia Jordan | Monika Ramnarayan | Anamika Satsangi | Emily Witt
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Welcome!
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Overview
Background
Key Informant Interviews
Primary Data Collection Instrument
ReStart Needs & Priorities
Recommendations
Limitations
Lessons Learned
Acknowledgements
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Definition of Recovery
ReStart
Minimum of 9 months of
sustained sobriety from a
substance use disorder
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What is ReStart?
 Initiative of

the Division of Campus Life
Managed by the Office of Health Promotion (OHP)
 Students
in the recovery process while attending Emory
Criteria for joining the Recovery House
1. Minimum of 9 months of sustained recovery & sobriety from a substance use
disorder
2. Desire to work aftercare/recovery plan in a clean & sober space
3. Application & interview
4. Submission to random drug screening
5. Willingness to provide mentorship to other members of ReStart community
6. 12 step meetings with possibility of chairing meetings
7. Participation in ReStart events
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What does the literature say?
Alcohol Use
Illicit Drug Use

Substance use: a critical public
health issue among college-age
youth (CDC, 2014)

~22% of college-age
respondents reported use of
illicit drugs (NSDUH, 2012)

Alcohol use on college
campuses

In a longitudinal study
conducted in NC and VA,
roughly 30% of students
reported marijuana use when
entering college (Suerkin et al., 2014).

Marijuana and other drug use
reduce chances of continuous
college enrollment (Arria et al., 2013)

Increasing prevalence of
nonmedical prescription drug
use (Arria & Dupont, 2010)



60.3% of college-age respondents
(18-25) report heavy or binge
drinking (NSDUH, 2012).
Specific aspects of college
environment encourage drinking
(NIAAA, 2012).
Georgia’s rates of alcohol and
drug dependence at or below
national rates for 18-25 age group
(HHS, 2008)

Adderall, Ritalin, Concerta
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Substance Abuse vs. Dependency
Abuse

Recurrent substance use
resulting in a failure to fulfill
obligations at work, school, or
home

Recurrent substance use in
situations in which it is
physically hazardous

*The
Recurrent substance-related
legal problems
2013 Diagnostic and Statistical Manual of Mental
Disorders (DSM-5) replaces the use of the terms “substance
abuse” and “substance dependency” with the overarching
term “substance use disorder” (Rastegar, 2014).
Dependency

Tolerance
 Need for increased amounts
of substance to achieve
desired effect
 Diminished effect with the
same amount of substance

Withdrawal
 Characteristic withdrawal
syndrome
 Taking the same or similar
substance to relieve/avoid
withdrawal symptoms
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What does the literature say?
Collegiate Recovery Programs
 “Support
for students in recovery from addiction
seeking a degree in higher education.”
-Association of Recovery in Higher Education
(ARHE) definition
 Campus-based
support is provided through a
positive social and community environment,
relapse prevention, and promotion of academic
performance (ARHE 2014)
+Midwest
Region
Northeast
Region
Southern
Region
Western
Region
(8 programs)
(4 programs)
(18 programs)
(7 programs)
-Kennesaw State
University Student
Success Services
Center for Young
Adult Addiction and
Recovery (Georgia)
-University of
California- Santa
Barbara
(California)
-Georgia Southern
University Center for
Addiction Recovery
(Georgia)
-University of
Nevada- Reno
(Nevada)
-Emory University
Office of Health
Promotion ReStart
(Georgia)
-Southern Oregon
University
(Oregon)
-Augsburg College
StepUP Program
(Minnesota)
-University of
Michigan
Collegiate
Recovery Program
(Michigan)
-St. Cloud State
University
Recovery
Community
(Minnesota)
-Ohio University
(Ohio)
-The College of St.
Scholastica Clean
(Minnesota)
-University of
Vermont Collegiate
Recovery
Community
(Vermont)
-Penn State
Collegiate Recovery
Community
(Pennsylvania)
-Fairfield University
(Connecticut)
-Rutgers Alcohol &
Other Drugs
Assistance Program
Recovery House
(New Jersey)
-University of Georgia
Collegiate Recovery
Community (Georgia)
-Texas Tech University
Center for the Study
of Addiction and
Recovery (Texas)
-University of
Oregon (Oregon)
-Oregon State
University
(Oregon)
Adapted from: http://collegiaterecovery.org/programs
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What does the literature say?
Collegiate Recovery in Georgia

Schools offering collegiate recovery programs:

Collegiate Recovery Community at KSU



Established January 2008
Supportive peer community within campus culture
Addiction Education and Prevention programs
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Office of Health Promotion (OHP)
 Mission: “to facilitate student
flourishing and build
capacity for a Healthy Emory”
 2012 –


2013
115 educational programs
Contact with 3,150 students, 220 staff members, 30 faculty
members
 Program focus




areas:
Sexual health promotion
Sexual assault prevention
Alcohol and drug usage
Flourishing
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Office of Health Promotion
Alcohol/Substance Use

2011 NCHA – 70.7% of Emory students reported having consumed
alcohol in the past 30 days
Frequency of Alcohol Use in the Last 30 Days,
2011 Emory Respondents (N=1,551)

Gift from an anonymous donor in Spring 2014 to establish ReStart
http://studenthealth.emory.edu/hp/alcohol_and_other_drugs/index.html
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CNA Purpose
Assess need for a collegiate recovery program
at Emory University
Explore types of messaging that could
improve the ReStart program
Identify potential collaborative partners in the
Emory community who may be able to help
build safe, alternative spaces for recovering
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Guiding Questions
 Do
students feel that recovery programs are
needed at Emory University?
 How
do members of the Emory community
(faculty, staff, program directors, administrators)
perceive the need for recovery programs at Emory
University?
 How
should the ReStart program begin to facilitate
open communication around recovery from
substance abuse?
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Community Definition
 Undergraduate,
graduate and professional students
attending Emory University
Tertiary Level Needs
Administrators &
Policy Makers
Secondary Level
Needs
ReStart Program
Facilitators
Primary
Level Needs
Emory
Students in
Recovery
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Community Profile
14,513 students
>50% female
Demographics
Majority say
excellent, very
good, or good
Promotes
diversity and
health
Community
Health
Status
Community
Social
Environment
Emory
Community
Health
insurance for all
students
Guidelines for
campus alcohol
use
Community
Health
Systems
Alcohol &
Drug Abuse
Policy
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Geographic Location
(not included)
http://map.emory.edu/
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Community Assets
 Office
of Health Promotion
 Willie
Bannister & Jessica
Hill
 OHP Website
 Drink Like Dooley
 Donation to establish
ReStart
http://studenthealth.emory.edu/hp/
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Windshield Survey
 Purpose: to
gain a more thorough understanding of the
environment students in recovery might encounter on
the Emory Campus and the current programming
available to them
 Areas
surveyed:
Gatewood Neighborhood
 Eagle Row
 Office of Health Promotion
 ReStart webpage

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Windshield Survey
Gatewood & Eagle Row
Gatewood Road. Friday, September 19,
2014 at 10:30 AM
Eagle Row. Friday, September 19,
2014 at 10:30 AM
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Key
Informant
Interviews
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Key Informant Interviews
 Understand current practices of
recruitment and
assistance for collegiate substance abuse recovery
programs
 Interviews
 Key
informed best practices for ReStart
Informants:
• Willie Bannister, Coordinator, ReStart
• Brooke Thyng, ReStart Housing
Director
• Dr. James Spivey, Faculty Advisor for
ReStart
• Lani Walsh, Offsite referral for
substance use for substance use
counseling
• Dr. Michael Huey, Executive Director,
Student Health and Counseling
Services
• Teresa Johnston, Director Center for
Young Adult Addiction and Recovery,
Kennesaw State University
• Jenna Parisi, National Advocate for
Collegiate Recovery
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Key Informant Interviews
Protocol


Recruitment – purposive
sampling, emails sent to
prospective key informants
Data Collection – most interviews
were conducted in person (2 via
phone)
 Verbal consent to have
interview recorded
 Verbal consent to use their real
name
 2 interviewers present
 Semi-structured interview
guides (ReStart affiliates,
Administrators & Professionals)


Data Analysis

Thematic analysis using
MaxQDA

Inductive & Deductive Coding
Data Management

Members of the CNA team only people with access to
recorded interviews and
transcriptions

Once the project is complete,
interview data will be deleted.
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Key Informant Interviews
Sample Interview Questions
ReStart Affiliations
• What types of programs and assistance do you
believe are necessary for college students to
have a successful recovery?
Collegiate
Recovery
Professionals
• Can you share some of your expert advice on
organizing a collegiate recovery program?
• How have you garnered support from your school’s
administration?
• How do you ‘advertise’ [collegiate recovery program]?
Administrators
• What are some challenges you have faced or
anticipate as an administrator when
collaborating with collegiate recovery programs?
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Themes
Alcohol & Drug Use
At Emory
General College
Environment
“[Collegiate recovery programs are] critical in terms of neuroscience and
what we know in the field, I think it’s also critical for the environment and
the context that students find themselves in because often campuses are
‘recovery hostile.’ There is partying and cultures that make it very difficult
for people to maintain sobriety when they aren’t seeing that modeled by
their peers or talked about by their institutions.”
-Jenna Parisi, Transforming Youth Recovery
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Themes
Messaging & Promotion
De-stigmatizing
Recovery
Awareness,
Education &
Outreach
Presenting
ReStart to
Emory
Administration
“I think the students are going to have to be the ones to say
we want this, we need this…The student voice matters
much more typically than the staff members’ voices.”
-Brooke Thyng, ReStart Housing Director
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Themes
Needs
Emory
Community
“Increased comfort in being able to talk about difficult
things should be part of what one’s experience at this
university should be about”
-Willie Bannister, Coordinator of ReStart
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Themes
Benefits
For Students
For Emory
“But people do come here, and they do have problems, and…if we’re
going to make the commitment to help them succeed, excel and go out
and, you know, positively transform the world, then we gotta have the
support here that they need. So I think that [for] an Emory student who
goes through [the] recovery process and is ready to come back, this is a
really good thing for the university to do.”
-Dr. Michael Huey, Director of Emory University Student Health
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Primary Data
Collection Survey
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Primary Data Collection
Survey Instrument
Assess need for a
collegiate recovery
program at Emory
Understand students’
perceptions of
substance use
Gauge students’
willingness to intervene
in a friend’s substance
abuse behaviors
Determine students’
knowledge of
substance use
Identify students’
communication
preferences
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Primary Data Collection
Protocol

Recruitment – Convenience
sampling & snowball sampling




Tables set up in the DUC &
Rollins Cafe
Survey sent via email to
undergraduate acquaintances &
BeWellExcel listserv

Data Collection – Google Forms

Verbal consent

5-10 minutes

24 questions
Data Management

Google Forms data exported
into a password protected Excel
and SPSS files

Once the project is complete, all
data will be destroyed
Sample –68 students total

Undergraduate students (n=47)

Graduate students (n=21)
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Gender
Prefer Not
to Answer
2%
Men
22%
Women
76%
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Race & Ethnicity
Other
3%
Hispanic
5%
Biracial
12%
Caucasian
43%
Asian
18%
African
American
19%
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As a student, how does Emory
communicate most effectively with you?
97.1%
Email
Emory Website Social Media
Flyers
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Does Emory have campaigns or
programs addressing substance
use?
70.6%
Yes
No
Not Sure
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Substance Abuse is a problem at
Emory University
52.9%
Strongly
Disagree/Disagree
Neither agree nor
disagree
Strongly agree/Agree
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Emory is effective in addressing
substance abuse
13.2%
Strongly
Disagree/Disagree
Neither agree nor
disagree
Strongly agree/Agree
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Comfort discussing high risk use
of substances with peers
53.7%
Very
Neither uncomfortable nor
uncomfortable/Somewhat
comfortable
uncomfortable
Very
comfortable/Somewhat
comfortable
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Comfort discussing a peer’s need for
help to address his/her substance
abuse behaviors
52.2%
Very
Neither uncomfortable nor
uncomfortable/Somewhat
comfortable
uncomfortable
Very
comfortable/Somewhat
comfortable
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Student Responses
Definitions
Substance Abuse
• Overuse and unhealthy use of substances
• Intentionally using alcohol or other drugs to the point where you
are incapacitated/unable to control your actions
• Using a substance beyond recreational use
Substance Dependency
• The need to consume substances to maintain a fully functional life
• The need to use substances in order to feel good or feel “normal”
• Being incapable of quitting use of an addictive substance without
experiencing physical withdrawal symptoms
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Do you know someone who is
dependent on/abuses substances?
47.1%
Depends
Abuses
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Does Emory need a Substance
Abuse Recovery Program?
67.6%
Yes
I don't know
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Data Triangulation
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 Housing
Alternatives
 Administrative
Support
 De-stigmatization
of Substance
Abuse & Recovery
ReStart
Needs:
 Funding
 ReStart-Sponsored
 Substance
Resources
Abuse & Recovery
 Student-led
 Routine
Events
Initiatives
Evaluations
 Increased
Promotion, Awareness &
Messaging
 Education
for Students about
Substance Abuse & Recovery
Priorities
Importance
High
Low
Administrative support
High
More resources
Feasibility
Student-led initiatives
Promotion, awareness &
messaging of substance
abuse programs
More education for
students about substance
abuse & recovery
Housing alternatives
Low
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De-stigmatize substance
abuse & recovery
Increase Funding
ReStart sponsored
events on campus
Routine evaluation to
assess changing program
and student needs
--
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Recommendations
Administrative Support
 Have
students present to voice need & desire for
recovery program
 Emphasize how
recovery program aligns with
Emory’s mission
 Share
program progress, evaluation & results
with administrators to keep them informed
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Recommendations
Substance Abuse & Recovery Resources
 Utilize current campus resources
Faculty & Staff
 Office of Health Promotion
 Counseling Services
 Housing and Residence Life

 Advocate
for recovering students the same way in which
other minority (e.g. LGBT, religious minorities) student
groups are promoted
 Increase ReStart Staffing

REAL student
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Recommendations
Student-led Initiatives
 Recruit
student leaders to speak about their
experiences
 Have
students address administration directly
 Involve
students in ReStart program
development and implementation
 Peer
education about substance abuse &
recovery
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Recommendations
Increased Promotion, Awareness & Messaging for ReStart
 Email
& social media
 Distribute
fliers and pamphlets around campus
 Host a
table at Wonderful Wednesday with
information about ReStart
 Create
a display and distribute information about
ReStart on the Rollins School of Public Health bridge
during Mental Health Awareness Week (Spring)
 Utilize
student orientations to distribute
information about ReStart
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Recommendations
Education for Students about Substance Abuse & Recovery
 Utilize
the Office of Health Promotion
 New campaign to
target high-risk drinkers
 Advertise across undergraduate and graduate
campuses
 Disseminate
information to high-risk groups (e.g.
Greek life, incoming freshmen, etc.)
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Recommendations
Housing Alternatives
 Provide
alternative housing options for ReStart
 New ReStart
residential option to decrease
isolation
 Hire
a housing director with experience in
substance abuse & recovery and equip them with
resources for possible relapse
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Recommendations
De-stigmatization of Substance Abuse
& Recovery
 Educate
student leadership
 Create a
stronger presence of ReStart on campus
 Enlist
“Student Champions” to advocate for
recovery efforts and needs
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Recommendations
Funding
 Apply
for $10,000 grant through Transforming
Youth Recovery
 Rollins
Grant Proposal Writing course
 Reach
out to Alumni & other community
members
 Charter
ReStart as a student group on campus
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Recommendations
ReStart-Sponsored Events
 Increase
awareness of ReStart through campuswide events
 Sober weekend socials
 Educational Sessions
 Outside Lecturers
 Have
some events staffed by student leaders to
increase attendance and student involvement
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Recommendations
Routine Evaluations
 Conduct
evaluations to assess changing needs
 Rollins Conduct
of Evaluation Research course
 Present results to administration for continued
support
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Limitations
 Time constraints
A whole CNA in 3 months?!?!
 Scheduling conflicts
 No qualitative focus groups and/or interviews to complement
quantitative data
 Windshield survey only at one time point

 Sampling
Purposive sampling (Snowball)
 Convenience sampling
 Small sample size
 Graduate students are underrepresented

 Self-Report
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Lessons Learned
 Flexibility
 Keep
& time management
it simple
 Group
collaboration is key – and we are the
lucky ones! 
 Provide
better incentives for primary data
collection
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Acknowledgements
 Dr.
Dawn Comeau
 Jerrica Hampton
 Willie Bannister
 Dr. Michael Huey
 Dr. James Spivey
 Lani Walsh
 Jenna
Parisi
 Brooke Thyng
 Teresa Johnston
 Heather Zesiger
 Jessica Hill
 Our supportive friends
& classmates
ReStart team at
Fall Fling
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Questions?
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References

Arria, A. M. and R. L. DuPont (2010). "Nonmedical Prescription Stimulant Use among College Students: Why We
Need To Do Something and What We Need To Do." J Addict Dis. 29(4): 417-426.

Arria, A. M., et al. (2013). "Drug use patterns and continuous enrollment in college: results from a longitudinal
study." J Stud Alcohol Drugs 74(1): 71-83.

Association of Recovery in Higher Education (2014). "Recovery Programs." Retrieved September 25, 2014.

Centers for Disease Control and Prevention (2014). "Six Tips for College Health and Safety." Retrieved September
20, 2014.

Emory University and Office of Health Promotion (2014). "About." Retrieved October 3, 2014, from
http://studenthealth.emory.edu/hp/about/index.html.

Kennesaw State University (2013). "Center for Young Adult Addiction and Recovery." Retrieved September 25,
2014.

NIH National Institute on Alcohol Abuse and Alcoholism (2014). "College Drinking." Retrieved September 20, 2014.

Rastegar, D. (2014). Diagnostic and Statistical Manual of Mental Disorders: DSM-5 Replaces DSM-IV. from
http://www.bu.edu/aodhealth/issues/issue_sept13/rastegar_dsm5.html

Services, U. S. D. o. H. a. H. (2008). States In Brief: Substance Abuse and Mental Health Issues At-A-Glance.
http://www.samhsa.gov/data/StatesInBrief/2k9/GEORGIA_508.pdf.

Services, U. S. D. o. H. a. H. (2013). Results from the 2012 National Survey on Drug Use and Health: Summary of
National Findings. Rockville, MD, HHS.

Suerken, C. K., et al. (2014). "Prevalence of marijuana use at college entry and risk factors for initiation during
freshman year." Addict Behav 39(1): 302-307.
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Image References

http://www.ok.gov/odmhsas/Mental_Health_/Certifications,_Credentialing_and_Training/Recovery_Support_Specialist/

http://www.allaboutcounseling.com/

http://universityprimetime.com/top-10-college-drinking-games/

http://www.recoveryconnection.org/recovery-blog/support-for-addiction/a-new-definition-of-recovery-from-addiction/

http://www.emory.edu

http://www.kennesaw.edu/

http://www.georgiasouthern.edu/

http://www.uga.edu/

http://studenthealth.emory.edu/hp/

http://studenthealth.emory.edu/hp/alcohol_and_other_drugs/index.html

http://www.addictionsearch.com/treatment_articles/article/overview-of-substance-abuse-and-addiction-recovery_307.html

http://map.emory.edu/

http://studenthealth.emory.edu/hp/alcohol_and_other_drugs/if_you_drink_drink_like_dooley.html

http://kool98.com/chris-johnson/funny-way-to-handle-having-broken-windshield-wipers/

http://www.vectorstock.com/royalty-free-vector/footprints-vector-702583

http://www.strongchurch.org/a-whole-month-of-thanks/