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Specialized 12-Step Programs and 12-Step Facilitation for the Dually Diagnosed

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Abstract

The role of 12-step programs and 12-step-oriented treatments for dually diagnosed individuals (DDI) remains unclear. Here are presented the results of a pilot study in which 10 seriously mentally ill patients received a modified 12-step facilitation (TSF) therapy emphasizing engagement of DDI in a specialized 12-step program for DDI. Participants significantly increased their 12-step attendance and decreased their substance use during the 12 weeks of treatment. Larger and longer-term studies are needed to assess the efficacy of modified TSF for DDI relative to other treatments, and to determine what forms of TSF are most effective in this population.

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Correspondence to Michael P Bogenschutz.

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Bogenschutz, M.P. Specialized 12-Step Programs and 12-Step Facilitation for the Dually Diagnosed. Community Ment Health J 41, 7–20 (2005). https://doi.org/10.1007/s10597-005-2596-2

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