According to the National Institute on Drug Abuse, the abuse of alcohol, tobacco, and illicit drugs in United States costs over 740 billion yearly (https://www.drugabuse.gov/relatedtopics/trends-statistics, accessed March 2018). However, statistics like this rarely include the toll that alcohol tobacco, and illegal drugs takes on family members,…

Using a case example from a mid-sized town in East Central Indiana, this article illustrates the development and implementation of a community-academic partnership (CAP), a novel approach to addressing substance misuse in local communities. A CAP can be defined as a formal, strategic partnership between the local community and university faculty,…

Purpose: The profession of rehabilitation counseling has long been responsive to emerging disabilities. To date, however, the profession's attention and response to the ongoing opioid crisis in the United States has been incommensurate with the scope and detriment of opioids and opioid use disorder (OUD) on Americans with disabilities. The opioid…

Although the Collegiate Recovery Community is increasingly seen as the treatment modality of choice for students in recovery, relatively few such programs have been established on small residential campuses. In this article we examine the possible reasons for this reluctance and suggest ways in which the standard model for a Collegiate Recovery…

In this article, the authors present a collegiate recovery model of service that prioritizes a programmatic approach and intentionally designed services, activities, and mentoring that is structured upon a foundation of what we identify as five "Healing Pillars of Collegiate Recovery." The guiding principle of service is to provide…

The RECOVEU project is an effort to conceive of a quality-learning programme with equity for adult learners in recovery. It emerged in the context of European recommendations that member states support recovering users to access education in order to improve their chances of achieving social integration. However, by privileging the voices of those…

This article describes an untapped resource that counselors can use to help serve the multiple needs of college students recovering from addiction: collegiate recovery programs. The authors provide detailed information about the collegiate recovery population and give examples of successful programs. Implications for future research are discussed,…

Substance use and alcohol abuse during pregnancy are significant public health concerns. Neonatal abstinence syndrome (NAS) is a withdrawal syndrome that infants exposed to opioids may experience in the first few days of life. For most infants with NAS, exposure to opioids occurs during pregnancy while they are fetuses. Similarly, prenatal alcohol…

This article describes five creative experiential classroom activities used in teaching addictions. The activities were integrated into the classroom curriculum and were processed weekly in focused dialogue. Student reflections throughout the article add depth to the meaning gained from the experience of the change process. The students' feedback…

Meditation has been studied as a way of reducing stress in counseling clients since the 1960s. Alcoholics Anonymous, Narcotics Anonymous, and new wave behavior therapies incorporate meditation techniques in their programs. This article identifies meditation's curative factors and limitations when using meditation in addiction settings.

Mindfulness is a concept that has taken quite a hold on the therapeutic world in recent years. Techniques that induce "mindfulness" are increasingly being employed in Western psychology and psychotherapy to help alleviate a variety of conditions. So while mindfulness has its conceptual roots in Buddhism it has been translated into a Western…

In this article, the authors discuss the Council for Accreditation of Counseling and Related Educational Programs' (CACREP) role in furthering the specialty of addiction counseling. After sharing a brief history and the role of counselor certification and licensure, the authors share the process whereby CACREP developed the first set of…

This article shares the story of Lucy Bryson, who was hooked on crack cocaine and heroin when she was 17, and was working the streets to fund her addiction. Her future looked bleak when she was imprisoned four years ago but a project that builds trust and responsibility in young people by teaching them to work with animals has transformed her…

Indonesia has one of the fastest growing, injecting drugs user-driven, human immunodeficiency virus (HIV) epidemics in Asia. Coverage of needle and syringe programs (NSPs), opioid substitution therapy (OST), and antiretroviral treatment (ART) is increasing, but is still low, whereas professional training in addiction medicine is not yet…

Chronic noncancer pain (CNCP) is common in the general population as well as in people who have a substance use disorder (SUD) (Exhibit 1-1). Chronic pain is not harmless; it has physiological, social, and psychological dimensions that can seriously harm health, functioning, and well-being. As a multidimensional condition with both objective and…