Possible Futures for Harm Reduction in Collegiate Recovery Programs: Exploring Stakeholder Perspectives

Collegiate Recovery Programs (CRPs) are expanding across the United States (US), yet the role of harm reduction (HR) within these settings remains uncertain despite its potential to reduce drug-related harms. HR encompasses various approaches that aim to reduce negative public health outcomes. CRP stakeholders’ perceptions of HR can offer insight into future possibilities. Thematic and discourse analysis were conducted on 60 interview transcripts completed in Fall 2023 with 8 program directors, 4 administrators, 33 students, and 15 staff members from 5 US CRPs across the US. Five conceptualizations of HR were identified and explored through participant definitions, perception of fit within CRP offerings, and CRP-factors affecting fit. Stakeholders’ HR definitions shaped their perception of fit and factors influencing fit within CRPs. Participants perceived opportunities to include and improve the implementation of compatible HR activities in CRPs. Competing perspectives suggest that synthesizing and/or (re)framing HR narratives may expand future intervention opportunities.