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1.
J Subst Abuse Treat ; 47(4): 265-74, 2014 Oct.
Article in English | MEDLINE | ID: mdl-25064421

ABSTRACT

This study examined whether level of exposure to Stimulant Abuser Groups to Engage in 12-Step (STAGE-12), a 12-Step facilitative therapy, is related to treatment outcome. Data were from a large National Drug Abuse Treatment Clinical Trials Network (CTN) study comparing STAGE-12 combined with treatment-as-usual (TAU) to TAU alone. These analyses include only those randomized to STAGE-12 (n=234). Assessments occurred at baseline and 30, 60, 90, and 180 days following randomization. High-exposure patients (n=158; attended at least 2 of 3 individual, and 3 of 5 group, sessions), compared to those with less exposure (n=76), demonstrated: (1) higher odds of self-reported abstinence from, and lower rates of, stimulant and non-stimulant drug use; (2) lower probabilities of stimulant-positive urines; (3) more days of attending and lower odds of not attending 12-Step meetings; (4) greater likelihood of reporting no drug problems; (5) more days of duties at meetings; and (6) more types of 12-Step activities. Many of these differences declined over time, but several were still significant by the last follow-up. Treatment and research implications are discussed.


Subject(s)
Patient Compliance , Self-Help Groups , Substance-Related Disorders/rehabilitation , Adult , Databases, Factual , Female , Humans , Male , Substance Abuse Treatment Centers , Surveys and Questionnaires , Treatment Outcome , United States
2.
Soc Work Public Health ; 28(3-4): 313-32, 2013.
Article in English | MEDLINE | ID: mdl-23731422

ABSTRACT

Social workers and other behavioral health professionals are likely to encounter individuals with substance use disorders in a variety of practice settings outside of specialty treatment. 12-Step mutual support programs represent readily available, no cost community-based resources for such individuals; however, practitioners are often unfamiliar with such programs. The present article provides a brief overview of 12-Step programs, the positive substance use and psychosocial outcomes associated with active 12-Step involvement, and approaches ranging from ones that can be utilized by social workers in any practice setting to those developed for specialty treatment programs to facilitate engagement in 12-Step meetings and recovery activities. The goal is to familiarize social workers with 12-Step approaches so that they are better able to make informed referrals that match clients to mutual support groups that best meet the individual's needs and maximize the likelihood of engagement and positive outcomes.


Subject(s)
Psychotherapy, Group/methods , Social Support , Social Work , Substance-Related Disorders/therapy , Evidence-Based Practice , Humans , Practice Guidelines as Topic , Program Evaluation , Self-Help Groups , Social Work/methods , Social Work/standards
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