Iu students and Substance use - HealthLINC Indiana...BECOME FAMILIAR WITH INDIANA...

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Transcript of Iu students and Substance use - HealthLINC Indiana...BECOME FAMILIAR WITH INDIANA...

Page 1: Iu students and Substance use - HealthLINC Indiana...BECOME FAMILIAR WITH INDIANA UNIVERSITY-BLOOMINGTON SUBSTANCE USE TRENDS •LEARN ABOUT OASIS’ COMPREHENSIVE APPROACH • EXPLORE
Page 2: Iu students and Substance use - HealthLINC Indiana...BECOME FAMILIAR WITH INDIANA UNIVERSITY-BLOOMINGTON SUBSTANCE USE TRENDS •LEARN ABOUT OASIS’ COMPREHENSIVE APPROACH • EXPLORE

GOALS

• BECOME FAMILIAR WITH INDIANA UNIVERSITY-

BLOOMINGTON SUBSTANCE USE TRENDS

• LEARN ABOUT OASIS’ COMPREHENSIVE APPROACH

• EXPLORE COLLEGIATE ADDICTION RECOVERY

• FURTHER IMPLICATIONS FOR INTEGRATION

Page 3: Iu students and Substance use - HealthLINC Indiana...BECOME FAMILIAR WITH INDIANA UNIVERSITY-BLOOMINGTON SUBSTANCE USE TRENDS •LEARN ABOUT OASIS’ COMPREHENSIVE APPROACH • EXPLORE

SUBSTANCE USE ON CAMPUS

ALCOHOL

• 57.9% 21 AND UNDER (PAST MONTH)

• 81.9% 21 AND OVER (PAST MONTH)

• 51.9% REPORT BINGE DRINKING (PAST 2

WEEKS)

• 21.3% REPORT BINGE DRINKING 3+ (PAST 2

WEEKS)

• NO DIFFERENCE IN GENDER

OTHER DRUGS

• MARIJUANA, RX DRUGS, OTHER HALLUCINOGENS

• 25.2% MJ USE IN PAST MONTH

• 7.3% REPORT RX MISUSE PAST MONTH

• MALES USE MORE THAN FEMALES (RX, MJ AND COCAINE)

• MOST COMMON MISUSED RX: STIMULANTS (16.1%),

BENZOS (4.3%), OPIOIDS (4.1%)

• CLUB DRUGS (MDMA)

• VERY EXPERIMENTAL, CURIOUS

Source: Indiana Collegiate Substance Use Survey, 2014 (N=992)

i.e. what’s really going on?

Page 4: Iu students and Substance use - HealthLINC Indiana...BECOME FAMILIAR WITH INDIANA UNIVERSITY-BLOOMINGTON SUBSTANCE USE TRENDS •LEARN ABOUT OASIS’ COMPREHENSIVE APPROACH • EXPLORE

SUBSTANCE USE ON CAMPUS, CONT'D

ACUTE HEALTH CONSEQUENCES

• INJURIES AND POISONING

• INFECTIONS, ILLNESS

• ACUTE PANCREATITIS

• WEIGHT GAIN, MALNUTRITION

• TRAFFIC ACCIDENTS

• OVERDOSE AND DEATH

Source: Indiana Collegiate Substance Use Survey, 2014 (N=992)

Page 5: Iu students and Substance use - HealthLINC Indiana...BECOME FAMILIAR WITH INDIANA UNIVERSITY-BLOOMINGTON SUBSTANCE USE TRENDS •LEARN ABOUT OASIS’ COMPREHENSIVE APPROACH • EXPLORE

COLLEGE SUBSTANCE USE: CHALLENGES

• SUBSTANCE USE NORMALIZED AMONG THE STUDENT BODY,

STAFF, FACULTY

• #1 PROBLEM LEADING TO POOR HEALTH OUTCOMES, LIMITED

PROGRESSION AND RETENTION, YET NOT PROPERLY

FUNDED OR ADDRESSED ON CAMPUS

• TRADITIONAL PREVENTION FAVORS AN ABSTINENCE BASED

MODEL, WHICH CAN BE ISOLATING

• REACTIVE ENVIRONMENT VS. PROACTIVE

Page 6: Iu students and Substance use - HealthLINC Indiana...BECOME FAMILIAR WITH INDIANA UNIVERSITY-BLOOMINGTON SUBSTANCE USE TRENDS •LEARN ABOUT OASIS’ COMPREHENSIVE APPROACH • EXPLORE

ARE WE GOING TO ACCEPT

CIRCUMSTANCES AND

CONDITIONS AS THEY ARE NOW?

OR

ARE WE GOING TO TAKE

RESPONSIBILITY FOR

SUPPORTING CHANGE?

Page 7: Iu students and Substance use - HealthLINC Indiana...BECOME FAMILIAR WITH INDIANA UNIVERSITY-BLOOMINGTON SUBSTANCE USE TRENDS •LEARN ABOUT OASIS’ COMPREHENSIVE APPROACH • EXPLORE

POLLING QUESTION #1

•WHAT ARE COMMON CHALLENGES IN ADDRESSING

SUBSTANCE USE AT IU-BLOOMINGTON?

Page 8: Iu students and Substance use - HealthLINC Indiana...BECOME FAMILIAR WITH INDIANA UNIVERSITY-BLOOMINGTON SUBSTANCE USE TRENDS •LEARN ABOUT OASIS’ COMPREHENSIVE APPROACH • EXPLORE

OASIS MODEL

• OUR MISSION: REDUCE THE HARM CREATED BY THE PRESENCE OF SUBSTANCES

ON CAMPUS

• ADDRESS ENTIRE CONTINUUM OF SUBSTANCE USE ON CAMPUS (ABSTAINERS-

RECOVERING)

• STRUCTURALLY PART OF IU HEALTH CENTER, HOUSED IN RESIDENCE HALL

• REFERRED FOR TREATMENT (MEDICAL WITHDRAWAL SOMETIMES NECESSARY)

• “WELLNESS” AND “RECOVERY” VS. “ABUSE” AND “ADDICTION”

• COLLABORATION IN A WORLD OF SILOS

• MEDICAL STAFF (NURSES, PHYSICIANS, PHARMACISTS, PSYCHOLOGISTS,

PREVENTION AND HEALTH PROMOTION SPECIALISTS)

Page 9: Iu students and Substance use - HealthLINC Indiana...BECOME FAMILIAR WITH INDIANA UNIVERSITY-BLOOMINGTON SUBSTANCE USE TRENDS •LEARN ABOUT OASIS’ COMPREHENSIVE APPROACH • EXPLORE

Nationally, 31% of 18-24 year-olds meet diagnostic criteria for

addictive disorders (SAMHSA, 2015). Only 4% receive help.

Supporting Recovery

Is Part of our

Prevention/Wellness

Responsibility

Recovery

Page 10: Iu students and Substance use - HealthLINC Indiana...BECOME FAMILIAR WITH INDIANA UNIVERSITY-BLOOMINGTON SUBSTANCE USE TRENDS •LEARN ABOUT OASIS’ COMPREHENSIVE APPROACH • EXPLORE

SECONDARY PREVENTION

Screening, Assessment, Brief Intervention, Counseling

Alcohol

Skills

Training

Program

(ASTP)

Brief

Alcohol

Screening

Intervention

For College

Students

(BASICS)CASE

MANAGEMENT

Factoid: OASIS conducts 1,800+ sessions per year. 89% mandated, 11%

self-referred (2015-16)

Page 11: Iu students and Substance use - HealthLINC Indiana...BECOME FAMILIAR WITH INDIANA UNIVERSITY-BLOOMINGTON SUBSTANCE USE TRENDS •LEARN ABOUT OASIS’ COMPREHENSIVE APPROACH • EXPLORE

TERTIARY PREVENTION: REFERRAL AND RECOVERY SUPPORT

• ASSESSMENT REFERRAL TO LOCAL AND NATIONAL RESOURCES FOR TREATMENT

&

• TRANSITIONAL CARE RETURNING TO CAMPUS

• HEALTH AND WELLNESS SUPPORTS

• DUAL CARE (CO-OCCURING CONDITIONS)

• CROSS-TOLERANCE/CROSS-ADDICTION EDUCATION

• CHRONIC CONDITIONS DIABETES, ASTHMA, HEPATITIS, STI

• ACADEMIC SUPPORTS (ACADEMIC AND CAREER ADVISING, LEGAL COUNSELING)

• AMERICANS WITH DISABILITIES ACT(ADA) PRIORITY REGISTRATION

What would happen if we renamed “addiction counselors” to

“recovery counselors?”

Page 12: Iu students and Substance use - HealthLINC Indiana...BECOME FAMILIAR WITH INDIANA UNIVERSITY-BLOOMINGTON SUBSTANCE USE TRENDS •LEARN ABOUT OASIS’ COMPREHENSIVE APPROACH • EXPLORE

COLLEGIATE ADDICTION RECOVERY

• EARLIEST PROGRAMS: 4 BETWEEN 1977-1997, NOW 62+ (NONE IN

INDIANA)

• COLLEGIATE RECOVERY PROGRAMS COMBINE THE BEST OF:

SOCIAL AND PEER SUPPORTS, SPECIALIZED ACADEMIC

RESOURCES, HEALTH AND WELLNESS SUPPORT, MEDICAL CARE

• RECOVERY+ RETENTION+ PROGRESSION=GRADUATION

• EARLY RESEARCH INDICATES: ABOVE AVERAGE GPAS,

ENGAGEMENT AND POSITIVE SOCIAL CONTAGION

Page 13: Iu students and Substance use - HealthLINC Indiana...BECOME FAMILIAR WITH INDIANA UNIVERSITY-BLOOMINGTON SUBSTANCE USE TRENDS •LEARN ABOUT OASIS’ COMPREHENSIVE APPROACH • EXPLORE

IMPLICATIONS• WE CAN NO LONGER AFFORD TO ISOLATE SUBSTANCE USE DISORDER ASSESSMENT,

TREATMENT, AND RECOVERY SUPPORT

• SUCCESS DEPENDS ON IMPROVED SHARING, COMMUNICATION, AND AN

INTERDISCIPLINARY APPROACH

• HEALTH PROMOTION, PREVENTION, INTERVENTION, AND TREATMENT: COMPREHENSIVE

MODEL

• DO WE WANT TO BE RIGHT, OR DO WE WANT TO BE HAPPY?

• IT’S ABOUT THE PERSON/PATIENT/CLIENT/STUDENT, NOT THE PROFESSIONAL.

• GENERATIONAL DIVIDE: TECHNOLOGY, PREFERENCES IN

TIME AND LOCATION, VERY OPEN

Page 14: Iu students and Substance use - HealthLINC Indiana...BECOME FAMILIAR WITH INDIANA UNIVERSITY-BLOOMINGTON SUBSTANCE USE TRENDS •LEARN ABOUT OASIS’ COMPREHENSIVE APPROACH • EXPLORE

POLLING QUESTION #2

•COLLEGIATE RECOVERY PROGRAMS ARE BEST

DESCRIBED AS A GROUP OF INTERVENTIONS ALONG

WHAT PHASE OF THE PREVENTION SPECTRUM?

Page 15: Iu students and Substance use - HealthLINC Indiana...BECOME FAMILIAR WITH INDIANA UNIVERSITY-BLOOMINGTON SUBSTANCE USE TRENDS •LEARN ABOUT OASIS’ COMPREHENSIVE APPROACH • EXPLORE

Q AND A

OFFICE: 1900 E. 10TH STREET, EIGENMANN HALL WEST, ROOM 726

PHONE: (812) 856-3898

EMAIL: [email protected]

SOCIAL MEDIA: FACEBOOK (OASISIUB), TWITTER

(@IUDRUGALCPREV), PINTEREST (OASIS INDIANA U)