J Am Coll Health. 2025 Oct 19:1-8. doi: 10.1080/07448481.2025.2573107. Online ahead of print.

ABSTRACT

Objective: To characterize the demographics, recovery pathways, and support needs of students enrolled in Collegiate Recovery Programs (CRPs) across the U.S. and Canada. Participants: 246 students from 77 institutions who were currently enrolled in CRPs during the 2023-2024 academic year. Methods: Students completed an online survey assessing demographics, recovery history, mental health diagnoses, academic status, and use of on- and off-campus recovery supports. Results: Only 54.1% reported prior formal SUD treatment. Nearly half of participants identified as LGBTQIA+, and one-third reported justice system involvement. Most had co-occurring mental health conditions, particularly depression (79.3%) and anxiety (76.8%). Recovery pathways included 12-step programs (57.3%), counseling (53.3%), CRP only (47.6%), and harm reduction (22.0%). Conclusions: CRP participants reflect a diverse population with complex and evolving needs. Findings underscore the importance of inclusive, flexible recovery supports and highlight CRPs’ role in advancing health equity and reducing stigma in college settings.

PMID:41111154 | DOI:10.1080/07448481.2025.2573107