Who participates in collegiate recovery programs? A survey of students in the US and Canada

<b>Objective:</b> To characterize the demographics, recovery pathways, and support needs of students enrolled in Collegiate Recovery Programs (CRPs) across the U.S. and Canada. <b>Participants</b>: 246 students from 77 institutions who were currently enrolled in CRPs during the 2023-2024 academic year. <b>Methods:</b> Students completed an online survey assessing demographics, recovery history, mental health diagnoses, academic status, and use of on- and off-campus recovery supports. <b>Results:</b> Only 54.1% reported prior formal SUD treatment. Nearly half of participants identified as LGBTQIA+, and one-third reported justice system involvement. Most had co-occurring mental health conditions, particularly depression (79.3%) and anxiety (76.8%). Recovery pathways included 12-step programs (57.3%), counseling (53.3%), CRP only (47.6%), and harm reduction (22.0%). <b>Conclusions:</b> CRP participants reflect a diverse population with complex and evolving needs. Findings underscore the importance of inclusive, flexible recovery supports and highlight CRPs' role in advancing health equity and reducing stigma in college settings.