Vest

Noel A. Vest

Assistant Professor of Public Health, Boston University School of Public Health

About Noel

Dr. Vest’s research focuses on addiction, recovery, and higher-education systems, with particular emphasis on collegiate recovery programs, recovery support services, and justice-impacted populations. Overarching themes in Dr. Vest’s writings include recovery pathways, stigma, implementation of recovery-oriented supports, and the role of institutions in shaping health and social outcomes. Dr. Vest uses mixed methods and advanced longitudinal modeling to examine recovery trajectories and program effectiveness. He serves as a faculty member at the Boston University School of Public Health and leads multiple NIH-funded studies focused on recovery and substance use.

In the News

Guest on Public Health On Call, June 4, 2026.
Interviewed in "Meet Noel Vest," Stanford Magazine, March 2020.
Interviewed in "Professor Imparts Value of Collegiate Recovery Services at Congressional Briefing," Boston University School of Public Health, August 4, 2025.
Opinion: "Locked Up in More Ways Than One," Noel A. Vest, Vital City, December 13, 2023.
Research discussed by Isabelle Gerretsen, in "Is There Such a Thing As An Addictive Personality?," BBC, May 8, 2023.
Opinion: "Congress Should Lift the Ban on Pell Grants to Help People in Prison Get a Second Chance," Noel A. Vest, Courier Journal, December 9, 2020.
Interviewed in "Stanford’s resilient researcher," Stanford Report, July 18, 2019.

Publications

"Who participates in collegiate recovery programs? A survey of students in the US and Canada" (with Michelle Flesaker, Christine Timko, Keith Humphreys, Michael D. Stein, Tabor Hoatson, and John F. Kelly). Journal of American College Health (2025).

Looks at who participates in collegiate recovery programs (campus groups that support students recovering from substance use) and what their needs are. Finds that these students come from diverse backgrounds and often face both mental health challenges and complex recovery paths, highlighting the need for flexible, inclusive support systems.

"Characterizing Collegiate Recovery Programs in the United States and Canada: A Survey of Program Directors." (with Michelle Flesaker, Robert Bohler, Christine Timko, John Kelly, Michael Stein, and Keith Humphreys). Journal of Studies on Alcohol and Drugs 86, no. 4 (2025): 633-640.

Surveys collegiate recovery programs in the U.S. and Canada to understand how they are structured and who they serve. Finds that these programs vary in size, services, and resources, but most aim to support students in recovery through community, academic help, and connections to treatment—though many face limits in funding and staffing.

"Identifying patterns of withdrawal among patients in treatment for opioid use disorder: A secondary latent class growth analysis of the CTN XBOT trial" (with Christina E. Freibott, Kelly E. Dunn, P. T. Korthuis, Joshua D. Lee, Edward Nunes, Landhing Moran, and Christine Timko). Journal of Substance Use and Addiction Treatment (2025).

Analyzes patterns of withdrawal symptoms among people receiving treatment for opioid use disorder using data from a large clinical trial. Finds that patients tend to follow a few distinct withdrawal patterns over time, which can help explain why some stay in treatment while others drop out and may guide more personalized care.

"Invited commentary: unveiling the grim reality-suicide mortality among formerly incarcerated individuals in North Carolina" American Journal of Epidemiology 193, no. 10 (2024): 1339-1340.

Comments on research about suicide risk after people leave prison, aiming to highlight how serious the problem is. Finds that formerly incarcerated individuals face about twice the risk of suicide compared to the general population, and argues that better reentry support and systemic changes are urgently needed to reduce this risk.

"Prison population reductions and COVID-19: A latent profile analysis synthesizing recent evidence from the Texas state prison system." (with Lauren Brinkley-Rubinstein, Kathryn Nowotny, and Oshea Johnson). Journal of Urban Health 98 (2020): 53-58.

Analyzes COVID-19 outbreaks across prisons in Texas to understand what factors made some facilities more affected than others. Finds that overcrowding and staffing levels were key drivers, and that keeping prisons at about 85% capacity significantly reduced infections and deaths.