Models of Campus-based Relapse prevention and student characteristics

校园防旧病复发模式及学生特征

基本信息

批准号：
8507198
负责人：
Kitty Harris
金额：
$ 14.39万
依托单位：
NATIONAL DEVELOPMENT AND RESEARCH INSTITUTES, INC.
依托单位国家：
美国
项目类别：
财政年份：
2012
资助国家：
美国
起止时间：
2012-07-15 至 2015-06-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8507198
关键词：
Acute Address Admission activity Adolescence Adoption Adult Age Alcohol consumption Alcohol or Other Drugs use Beryllium Caring Characteristics Clinical Communities Continuity of Patient Care Counseling Data Development Dimensions Disease remission Drug usage Early Intervention Economics Education Elements Enrollment Ensure Environment Evaluation Evaluation Studies Expert Systems Faculty Freedom Future Generations Goals Growth Health High Prevalence Housing Individual Institution Knowledge Life Life Style Modeling Monitor Onset of illness Outcome Peer Pressure Performance Pharmaceutical Preparations Policies Prevention approach Prospective Studies Publishing Recording of previous events Records Recovery Relapse Reporting Research Research Infrastructure Research Support Resources Risk Services Site Solid Source Staging Stress Students Substance Use Disorder Suggestion Supervision Support Groups System Time Universities Variant Youth addiction alcohol use disorder base care systems clinical care college comparison group cost critical period design disorder later incidence prevention experience falls group counseling high school innovation interest knowledge base peer premature prevent programs rapid growth response service utilization sobriety success university student young adult

项目摘要

DESCRIPTION (provided by applicant): Drug and alcohol use disorders (i.e., 'substance use disorders', SUD) triple from adolescence to young adulthood, making this transitional period critical to SUD onset and progression. Research supports the need for early intervention, ongoing monitoring, support, and continuing care to minimize SUD duration and impact. Yet unlike for adults, the youth continuum of care system remains underdeveloped. College attendance is key to financial stability but the high prevalence of drug/alcohol use on campus, paired with the normative challenges of this life stage (new freedoms, less supervision) make college a high relapse risk context for youths in SUD remission ('in recovery'). Universities started campus-based Collegiate Recovery Programs (CRPs) 30 years ago to allow recovering students to extend their participation in continuing care without having to postpone or surrender their educational goals. CRPs combine sober housing, onsite peer support groups and counseling provided by a small staff. Growing concerns about substance use on campus and federal agencies' focus on building a community-based youth continuum of care system have fueled a 5-fold increase in CRPs in the past decade, from 4 in 2000 to 21 in 13 states today with 8 new CRPs opening in Fall 2011. CRPs are consistent with the continuing care paradigm experts recommend, and notably, with the Department of Education's goal of ensuring a continuity of care from high school to college to post-graduation. CRP site-level records suggest promising outcomes but the model has not been systematically examined. The rapid CRP growth underlines the need for such services but individual programs, all started independently, likely vary greatly on key dimensions that may influence student outcomes - e.g., drug/alcohol use monitoring practices, participation requirements, comprehensiveness of services. The lack of CRP standards, formal model and systematic evaluation are increasingly noted as hindering wider adoption. The Department of Education recently called for prospective studies on CRP students' substance use and academic outcomes to inform the higher education system's response to recovering students. Thus the time has come for a systematic and rigorous evaluation of CRPs. However a large scale resource-intensive evaluation is premature as we lack important knowledge to guide the planning of a hypothesis-driven study: Data are needed about the diversity of CRPs and their common elements, about the students CRPs serve, their specific relapse risks and service needs. This developmental R21 study is designed to provide that knowledgebase preparatory to a full scale systematic evaluation through an R01. Capitalizing on our unique access to CRPs and our research expertise, we will address the following developmental aims: (1) Characterize the diversity of CRPs (N = 29) to identify common elements that will be subsequently subjected to systematic evaluation; (2) Describe CRP students' (N = 700) clinical history to guide the selection of a suitable comparison group, and their CRP experience, specific relapse risks and service needs to inform hypotheses about CRP elements underlying student outcomes in the evaluation study.

描述（由申请人提供）：药物和酒精使用障碍（即“物质使用障碍”，SUD）从青春期到年轻人的三倍，这使得这个过渡时期对SUD发作和进展至关重要。研究支持需要尽早干预，持续监测，支持和持续护理，以最大程度地减少SUD的持续时间和影响。然而，与成年人不同，青年护理系统的连续体仍然不发达。大学上学是财务稳定的关键，但是校园里毒品/酒精使用的高龄，再加上这个终身阶段的规范性挑战（新的自由，较少的监督）使大学成为SUD缓解年轻人的高度复发风险背景（“恢复中”）。大学在30年前开始了总部位于校园的大学恢复计划（CRPS），以允许康复学生扩大他们对继续护理的参与，而不必推迟或交出教育目标。 CRP将清醒的住房，现场同伴支持小组和小型员工提供的咨询。人们对校园和联邦机构在建立基于社区的青年护理系统的关注的关注日益加剧，在过去十年中，CRP的增加了5倍，从2000年的4个增加到今天的13个州的21个州，2011年秋季有8个新的CRP在2011年秋季开放。CRPS在2011年秋季开放。CRPS与继续教育的始终如一的教育范围始终如一地与教育的继续前进，并始终如一地向教育范围的培训而努力。 CRP站点级记录提出了有希望的结果，但该模型尚未系统地检查。 CRP快速增长强调了对此类服务的需求，但是各个计划都独立启动，可能会在可能影响学生成果的关键维度上有很大差异，例如，药物/酒精使用监测实践，参与要求，服务的全面性。缺乏CRP标准，正式模型和系统评估越来越多地被认为阻碍了更广泛的采用。教育部最近呼吁对CRP学生的物质使用和学术成果进行前瞻性研究，以告知高等教育系统对恢复学生的反应。因此，时间是对CRP进行系统和严格评估的时间。但是，大规模的资源密集型评估是为时过早的，因为我们缺乏重要的知识来指导以假设为驱动的研究的计划：有关CRP及其共同元素的多样性，学生CRP的服务，其特定的复发风险和服务需求需要数据。这项发展性R21研究旨在通过R01为全尺度系统评估提供知识基础。利用我们获得CRP的独特访问和我们的研究专业知识，我们将解决以下发展目标：（1）表征CRP的多样性（n = 29），以确定随后对系统评估进行的共同元素；（2）描述CRP学生的（n = 700）临床历史，以指导选择合适的比较组的选择，以及他们的CRP经验，特定的复发风险和服务，以告知您有关评估研究中学生结果的CRP元素的假设。