Barriers and facilitators to recovery among college students without access to a collegiate recovery program

BackgroundUndergraduate students pursuing substance use recovery face multiple barriers, including widespread substance use on campus, stigma, and limited support. A small number of campuses have collegiate recovery programs to support students. Most students in recovery lack access to such programming, and little research has explored their experiences.MethodsThis study, framed by the recovery capital perspective, utilized thematic analysis to illuminate students' experiences in recovery without a collegiate recovery program on a Midwestern US campus. Seventeen students participated in semi-structured interviews. We sought to understand the barriers to recovery these students faced and how students overcame them.ResultsBarriers exemplified limited or negative recovery capital. Students described substance use and mental health challenges, being overwhelmed with responsibilities, feeling isolated, and negative twelve-step group experiences. Students gained personal recovery capital by mobilizing personal strengths, coping, and self-care strategies. To build family/social capital, they engaged various supports (e.g. mutual aid or activist groups). Community capital was limited to campus counseling services or supportive professors. Notably, not all students chose abstinence.ConclusionThis study augments the literature about how students in recovery overcome barriers without a collegiate recovery program. Universities should offer services to accommodate the range of recovery preferences and experiences.