What We Know about Drugs in Tennessee and at MTSU

Transitioning into college is a significant milestone in a person’s life. Whether you are fresh out of high school or going back to school after spending some time in the work force, the level of safety provided on campus is extremely important to your educational experience. For this reason, Middle Tennessee State University (MTSU) has instituted a zero-tolerance policy for drug use in the residence halls.

MTSU Substance Abuse Prevention and Treatment

MTSU strives to provide students with a safe learning environment free from drugs and alcohol. MTSU prohibits the use, possession, and distribution of alcohol and illegal drugs on all properties owned, leased, or otherwise controlled by the campus. In addition, violation of any local, state, or federal law (including those related to drug paraphernalia and public intoxication) will result in disciplinary action by the university.1

While school policy may not prevent 100% of alcohol and drug use among students, it does significantly decrease the chances that you or someone you know will face an unsafe situation at school. Abusing drugs and alcohol while in college is very risky and can quickly lead to addiction. Some college students may be predisposed to addiction development because of:2

  • A genetic or familial susceptibility.
  • A history of alcohol use while in high school.
  • Exposure to a variety of stressors (both school related, and otherwise).

Other factors that play a major role in the prevalence of college student drinking and drug use behavior are campus norms related to drinking, as well as campus policies and penalties for underage drinking.2 When students drink heavily, they put both themselves and those around them at risk. A large body of research shows the association between drinking and injuries. Alcohol use is associated with an increased risk for accidents, which are often a result of drunk driving.3 On college campuses, the association between drinking and sexual violence is also a serious issue, as young adults are more likely to commit acts of sexual assault when they are under the influence.4

Statistics and Research on Campus Substance Abuse

Substance abuse during college is a serious issue, and with more students enrolled in higher education programs than ever before, it is important that schools provide adequate resources for students struggling with substance abuse. In fall 2016, roughly 20.5 million students attended colleges and universities in the United States.5 Between 2004 and 2014, the number of students enrolled in higher education increased by 17% and, of these students, those under 25 years old increased by 18%.6 In the state of Tennessee alone, there are roughly 400,000 students enrolled in higher education.7

Just because a campus has policies prohibiting drug and alcohol use does not mean that all students adhere to these rules. In fact, the landmark Harvard School of Public Health College Alcohol Study (CAS) found that although fewer students on dry campuses drink, those students who do drink consume just as much alcohol as those on “wet” campuses.11

Most Commonly Abused Drugs on College Campuses

Every college is different, but some drugs are common on campuses across the U.S. According to the National Survey Results on Drug Use, the following 3 drugs are the most prevalent substances used annually by college students 1 to 4 years beyond high school.15


College campuses across the nation continue to struggle with alcohol use and its related dangers. The majority of students who enter college are under the age of 21 and, unsurprisingly, alcohol is the most common drug of choice. In 2015, 79% of students said they had used alcohol in the past year, and 63% had used alcohol in the past month. Furthermore, 62% said they were drunk at least once in the past year, and 38% were drunk in the past 30 days. It is interesting to note that the rate of binge drinking has actually declined gradually among college males over the past 30 years while remaining constant among college females—closing of the gender gap in regard to high rates of binge drinking.15


Marijuana is currently the most prevalent illicit drug used on college campuses, with nearly 1 in 3 students using the drug within the past 12 months. In the past 10 years, more young people have begun using marijuana because the perceived risk associated with its use has decreased significantly. States across the country have decriminalized the use, sale, and distribution of marijuana—and with the relaxation of these legal penalties comes a reduction in perceived risk.17 In fact, in 2015, roughly 38% of college students reported using marijuana in the past year, compared to 30% of college students in 2006.15 Other factors that contribute to high rates of marijuana use include no oversight from parents, being around peers who use marijuana, and easy access to the drug. Additionally, marijuana is often highly sought after for its effects because it can help students relax and socialize with others.15

Studies show that students with the following characteristics are more likely to use marijuana during college:18

  • Male.
  • White.
  • Single.
  • Members of fraternities or sororities.
  • Non-athletes.
  • Not strongly religious.

Although some may argue that marijuana use during college is okay, the drug can have adverse effects on a student’s academic performance. In a sample of college students, those who used marijuana frequently were more likely to skip classes and have lower GPAs.18

Stimulants: Ritalin, Adderall, Methamphetamine, Crystal Meth

The nonmedical use of prescription stimulants is much more common among college students than high school students.19 The use of prescription medications such as Adderall and Ritalin, plus illicit substances such as methamphetamine, crystal meth, and synthetic cathinones (“bath salts”), are of particular concern among college students due to rising rates of misuse. The rate of stimulant use on college campuses has risen 4% since 2008—5.7% of college students reported using amphetamines in 2008, compared to 9.7% in 2015.15

The most commonly abused prescription stimulant among college students is Adderall, which is prescribed to treat Attention Deficit Hyperactivity Disorder (ADHD). The misuse of ADHD drugs is a serious problem not only at colleges, but also at medical and dental schools, with usage rates ranging from 8.1% to a staggering 43%.20

A study conducted of 1,811 undergraduate students found that 34% of students had used ADHD medications illegally during periods of high academic stress in order to:21

  • Reduce fatigue.
  • Increase reading comprehension.
  • Increase memory.

One of the most alarming issues with the misuse of stimulants is that college students take these drugs without a prescription. Young people may be enticed by popular myths and word of mouth, and turn to drug use during stressful testing periods. It’s common for rumors to spread on campus of a particular drug’s ability to enhance performance while studying. The perception of safety can do a lot of harm, and it is important for school administrators, doctors, and parents to make themselves aware of the issue.

One study looked at how commonly the word “Adderall” was used on Twitter during final exams. The most common substances tweeted alongside Adderall included alcohol and stimulants, and the most common side effects tweeted about included trouble sleeping and decreased appetite. The fact that students feel comfortable publicly sharing messages about Adderall and its side effects contributes to students believing that their peers are using drugs and reinforcing community norms surrounding abuse.22

How MTSU Students Can Get Help for Substance Abuse

Addiction is more common among college students than many people realize, and research shows that this group of young people are at a greater risk for falling victim to abusive and addictive behaviors. According to the National Center on Addiction and Substance Abuse, 22.9% of college students meet the medical definition of drug addiction, compared to 8.5% of the general population.39 And sadly, most students don’t seek the help they need. For example, young people are more likely to turn to friends and family for support, rather than treatment professionals. This may be in part due to perceived stigma and embarrassment of seeking help for mental health-related issues such as addiction.40

Reach Out to Campus Staff or the Counseling Center

MTSU is committed to offering resources to help you find treatment and support. Students struggling with substance use can reach out to campus staff or visit Counseling Services, located in Keathley University Center, room 326-S.

  1. MTSU. (2016). University Policies: III:00:03 Student Disciplinary Rules.
  2. White, A., & Hingson, R. (2014). The burden of alcohol use: Excessive alcohol consumption and related consequences among college students. Alcohol research: current reviews, 35(2), 201.
  3. Harvard School of Public Health. (2009). Binge Drinking.
  4. National Council on Alcoholism and Drug Dependence. (2015). Alcohol, Drugs, and Crime.
  5. National Center for Education Statistics. (2016). Fast Facts: Back to School Statistics.
  6. National Center for Education Statistics. (2016). Fast Facts: Enrollment.
  7. Tennessee Higher Education Commission. (2015). Fact Book.
  8. U.S. Department of Education. (n.d.). Compare Data for Multiple Schools.
  9. Tennessee Department of Public Health. (2016). 1,451 Tennesseans Die from Drug Overdoses in 2015.
  10. National Survey on Drug Use and Health. (2012). Substance Use and Mental Disorders in the Nashville-Davidson-Murfreesboro-Franklin MSA.
  11. Wechsler, H., Lee, J. E., Kuo, M., Seibring, M., Nelson, T. F., & Lee, H. (2000). Trends in college binge drinking during a period of increased prevention efforts: Findings from 4 Harvard School of Public Health College Alcohol Study surveys: 1993–2001. Journal of American College Health, 50(5), 203–217.
  12. Tennessee Department of Mental Health and Substance Abuse Services. (n.d.). Overview of the Prescription Drug Epidemic in Tennessee.
  13. Centers for Disease Control and Prevention. (2016). Drug Overdose Death Data.
  14. Tennessee Bureau of Investigation. (n.d.). Drugs.
  15. Monitoring the Future. (2015). College Students & Adults Ages 19–55.
  16. American Public Health Association. (2015). Prevalence and comparisons of alcohol and other drug use among college students identifying as male, female and transgender.
  17. Arria, A. M., Caldeira, K. M., Bugbee, B. A., Vincent, K. B., & O’Grady, K. E. (2015). The Academic Consequences of Marijuana Use during College. Psychology of Addictive Behaviors: Journal of the Society of Psychologists in Addictive Behaviors, 29(3), 564–575.
  18. Suerken, C. K., Reboussin, B. A., Sutfin, E. L., Wagoner, K. G., Spangler, J., & Wolfson, M. (2014). Prevalence of Marijuana Use at College Entry and Risk Factors for Initiation During Freshman Year. Addictive Behaviors, 39(1), 302–307.
  19. The Center on Young Adult Health and Development. (n.d.). Nonmedical Use of Prescription Stimulants.
  20. Center for Behavioral Health Statistics and Quality. (2013). Results from the 2013 National Survey on Drug Use and Health: Detailed Tables. Substance Abuse and Mental Health Services Administration, Rockville, MD.
  21. DeSantis, A. D., Webb, E. M., & Noar, S. M. (2008). Illicit use of prescription ADHD medications on a college campus: a multimethodological approach. Journal of American college health, 57(3), 315-324.
  22. Hanson, C. L., Burton, S. H., Giraud-Carrier, C., West, J. H., Barnes, M. D., & Hansen, B. (2013). Tweaking and tweeting: exploring Twitter for nonmedical use of a psychostimulant drug (Adderall) among college students. Journal of medical Internet research, 15(4), e62.
  23. Center for Behavioral Health Statistics and Quality. (2016). Results from the 2015 National Survey on Drug Use and Health: Detailed Tables. Substance Abuse and Mental Health Services Administration, Rockville, MD.
  24. Kasperski, S. J., Vincent, K. B., Caldeira, K. M., Garnier-Dykstra, L. M., O’Grady, K. E., & Arria, A. M. (2011). College students’ use of cocaine: Results from a longitudinal study. Addictive Behaviors, 36(4), 408–411.
  25. Julien, R.M., et al. (2011). A Primer of Drug Action. Twelfth Edition. New York, NY: Worth Publishers.
  26. National Institute on Drug Abuse. (2016). What is MDMA?
  27. Palamar, J. J., Salomone, A., Vincenti, M., & Cleland, C. M. (2016). Detection of “bath salts” and other novel psychoactive substances in hair samples of ecstasy/MDMA/“Molly” users. Drug and Alcohol Dependence, 161, 200–205.
  28. Massachusetts Institute of Technology. (n.d.). Drug Chart.
  29. National Institute on Drug Abuse. (2017). What is Marijuana?
  30. Walters, S. T., Foy, B. D., & Castro, R. J. (2002). The agony of ecstasy: Responding to growing MDMA use among college students. Journal of American college health, 51(3), 139–141.
  31. Substance Abuse and Mental Health Services Administration. (1999). Treatment for Stimulant Use Disorders: Chapter 5—Medical Aspects of Stimulant Use Disorders.
  32. National Institute on Drug Abuse for Teens. (2017). Cocaine.
  33. Benson, K., Flory, K., Humphreys, K. L., & Lee, S. S. (2015). Misuse of stimulant medication among college students: a comprehensive review and meta-analysis. Clinical child and family psychology review, 18(1), 50–76.
  34. Centers for Disease Control and Prevention. (2015). Alcohol Poisoning Deaths.
  35. Mundt, M. P., & Zakletskaia, L. I. (2012). Prevention for college students who suffer alcohol-induced blackouts could deter high-cost emergency department visits. Health Affairs, 31(4), 863–870.
  36. Schifano, F., Oyefeso, A., Corkery, J., Cobain, K., Jambert‐Gray, R., Martinotti, G., & Ghodse, A. H. (2003). Death rates from ecstasy (MDMA, MDA) and polydrug use in England and Wales 1996–2002. Human psychopharmacology: clinical and experimental, 18(7), 519–524.
  37. National Institute on Drug Abuse. (2017). Overdose Death Rates.
  38. Drug Abuse Warning Network. (2011). National Estimates of Drug-Related Emergency Department Visits.
  39. The National Center on Addiction and Substance Abuse. (2007). New CASA Report Finds: Half of College Students Binge Drink, Abuse Prescription and Illegal Drugs.
  40. Gulliver, A., Griffiths, K. M., & Christensen, H. (2010). Perceived barriers and facilitators to mental health help-seeking in young people: a systematic review. BMC psychiatry, 10(1), 113.