Professional Interventions That Facilitate 12-Step Self-Help Group Involvement.

FellowshipFacilitating patients’ involvement with 12-step self-help organizations, such as Alcoholics Anonymous (AA) and Narcotics Anonymous (NA), is often a goal of substance abuse treatment.

Twelve-step-facilitation (TSF) interventions have been found to be more effective than comparison treatments in increasing patients’ 12-step group involvement and in promoting abstinence.

Future TSF evaluation research should address the effectiveness of incorporating TSF interventions with cognitive-behavioral treatment methods, the relative impact of brief versus extended TSF interventions, and the cost-effectiveness and health care cost-offset of TSF interventions within managed health care systems.

Although the United States has developed an extensive array of professional alcohol treatment services over the past 30 years, the peer-led, voluntary fellowship known as Alcoholics Anonymous (AA) continues to be the most widely accessed resource for people with alcohol problems (McCrady and Miller 1993).

This article discusses the rationale for interventions that facilitate alcohol-dependent patients’ affiliations with AA and related mutual-help organizations (e.g., Narcotics Anonymous [NA]).

The article also reviews recent research comparing those interventions with other treatment methods.

Research; Professional Interventions That Facilitate 12-Step Self-Help Group Involvement. Journal article by Keith Humphreys; Alcohol Research & Health, Vol. 23, 1999

The Twelve-Step Facilitation Handbook: A Systematic Approach to Early Recovery from Alcoholism and Addiction by Joseph Nowinski