• Education and Background
• Collegiate Recovery—Director of “The Center”
• President Association of Recovery In Higher Education
• Clinical Director
• SUD is a Huge Problem
• Extending the Continuum of Care
• Acute versus Chronic Care
• The Power of Peers
• Better Clinical Outcomes—engagement
• Ongoing Evaluation, Creative Methods of Gathering Data
• Reducing Costs
Introduction and Story
Severe Substance Use Disorder or Addiction
is a Huge Problem
Every year SUD claims
more than 125,000 lives.1
22.7 million Americans are struggling
with addiction and only about 2.5
million are getting treatment at a
impact of substance
abuse estimated to be
Emergency room visits
have escalated 98.4
percent from 2004 to
2009 for non-medical use
of prescription drugs.6
Currently, many treatment programs do
not provide sufficient support following
acute treatment and lack a standardized
means to collect data on long-term
treatment program results.4
National Institute of Alcohol Abuse and Alcoholism, Alcohol Facts and Statistics, February 2017: https://www.niaaa.nih.gov/alcohol-health/overview-alcohol-consumption/alcohol-facts-and-statistics
National Institute on Drug Abuse, Trends and Statistics, April 2017: https://www.drugabuse.gov/related-topics/trends-statistics
National Institute on Drug Abuse, Principles of Drug Addiction Treatment: A Research-Based Guide (Third Edition), December 2012: https://www.drugabuse.gov/publications/principles-drug-addiction-treatment-research-based-
“Drug Facts: Drug-Related Hospital Emergency Room Visits.” (2011). National Institute on Drug Abuse. Accessed July 10, 2014.
U.S. Department of Health and Human Services (2018, March 6). What is the U.S. opioid
epidemic? Retrieved from https://www.hhs.gov/opioids/about-the-epidemic/index.html
In the United States
alone, it is estimated that
116 people die every day
due to opioid drug
Department of Health and
Human Services, 2018).
Risk & Protection Active Addiction & Intervention Recovery & Ongoing Support
Bio Psycho Social Behavioral Cognitive
A Comprehensive Systemic
Model of Addiction
Formation & Recovery
Mild Moderate Severe
Assessment & Level of Care
Kimball, T.G., Shumway, S.T., Bradshaw, S.D., & Soloski, K.L. (In Press) A Systemic Understanding of Addiction Formation and the Recovery
Process. Handbook of Systemic Family Therapy.
Engagement Is the Key
1-30 Days 31-60 Days 61-90 Days 12 Months
• 72% Reduction in Post-Acute Average Cost (Treatment Readmissions and
Non-Routine Medical Visits) comparing those who relapsed versus those
who did not).
• 78% Maintained Recovery (No Relapse) While Engaged in the MAP
Recovery Support Program while 22% of the member base relapsed.
• 72% Reduction in Readmissions into Treatment Facilities—the collection of
readmission and relapse data indicates a 72% reduction in readmissions for
the no relapse population.
• 48% Reduction in ER Admissions—The collection of ER admission and
relapse data indicates a 47.86% reduction in ER admissions for the no
Successful Program Completers
• Phenomenology of 5 Peer Recovery Support Specialists
• 18 Years of Experience
• 55 years of Experience
• 2 male, 3 female
• Successful Completers
• Honesty and Integrity and the way they answer questions.
• Gratitude and Humility.
• Willingness to engage MAP program and other recovery supports.
• Willingness to be vulnerable, listen to feedback and incorporate that into
Two of the Six Essentials for a Lasting Recovery
• Hope – The Reawakening After Despair; to Expect
with Greater Confidence
• Healthy Coping Skills – The development of
Effective Skills to Manage the Pain and Stress of Life
Kimball, T.G., Shumway, S.T., Harris, K.S., & Austin-Robillard, H. (2016). Hoping
and coping in recovery: A phenomenology of emerging adults in a
collegiate recovery program. Alcohol Treatment Quarterly.
Shumway, S.T. & Kimball, T.G. (2012). 6 Essentials to a Lasting Recovery.
Shumway, S.T., Dakin, J.B., Smock-Jordan, S.A., Kimball, T.G., Harris, K.S. &
Bradshaw, S. (2014). The development of the hope and coping in
recovery measure (HCRM). Journal of Groups in Addiction and Recovery.