Campus Connections: Barriers and Facilitators of Implementing Mutual-Help Groups in Collegiate Recovery Programs Using the CFIR

Noel Vest, PhD
Boston University

ABSTRACT:
Mutual-help groups (MHGs) are an evidence-based recovery support for young adults, yet college campuses remain an overlooked setting for these interventions. Collegiate Recovery Programs (CRPs) have the structure and reach to make MHGs accessible to students navigating both academic and recovery challenges, but little is known about how to effectively implement them in higher education contexts.

This presentation draws on qualitative findings from interviews with 18 CRP directors and campus administrators across five U.S. universities. Guided by the Consolidated Framework for Implementation Research (CFIR 2.0), we explored multilevel barriers and facilitators influencing MHG adoption within CRPs.

Participants highlighted strong confidence in MHG effectiveness, administrative leadership, donor engagement, and recovery-centered spaces as key facilitators. Challenges included limited inclusivity of traditional 12-Step models, misalignment with university development priorities, and unstable funding streams.

Practical recommendations will be shared to enhance the accessibility, sustainability, and inclusivity of mutual-help programming on college campuses—offering implementation strategies that strengthen recovery ecosystems in higher education.