Skip to main content
SpringerLink
Log in

Facilitating Involvement in Twelve-Step Programs

  • Chapter
  • First Online:
Recent Developments in Alcoholism

Part of the book series: Recent Developments in Alcoholism ((RDIA,volume 18))

Abstract.

Twelve-step programs represent a readily available resource for individuals with substance use disorders. These programs have demonstrated considerable effectiveness in helping substance abusers achieve and maintain abstinence and improve their overall psychosocial functioning and recovery. Despite these positive benefits associated with increased involvement in twelve-step self-help programs, many substance abusers do not affiliate or do so for only a short period of time before dropping out. Because of this, clinicians and researchers have sought ways to increase involvement in such self-help groups by facilitating meeting attendance and engagement in other twelve-step activities. The present chapter reviews the impact of treatment program orientation and specific interventions designed to facilitate twelve-step program involvement, subsequent meeting attendance, engagement in twelve-step activities, and alcohol and drug use. The findings of studies evaluating these approaches indicate that it is possible to increase twelve-step involvement and that doing so results in reduced substance use. The results suggest that incorporating these evidence-based interventions into standard treatment programs may lead to improved outcomes.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 129.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 169.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 169.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Humphreys K. (1999). Professional interventions that facilitate 12-step self-help group involvement. Alcohol Research and Health, 23(2), 93–98.

    PubMed  CAS  Google Scholar 

  2. Kelly J. F. (2003). Self-help for substance-use disorders: History, effectiveness, knowledge gaps, and research opportunities. Clinical Psychology Review, 23(5), 639-663.

    Article  PubMed  Google Scholar 

  3. Room R, & Greenfield T. (1993). Alcoholics Anonymous, other 12-step movements and psychotherapy in the US population, 1990. Addiction, 88(4), 555–562.

    Article  PubMed  CAS  Google Scholar 

  4. Fuller R. K., & Hiller-Sturmhofel S. (1999). Alcoholism treatment in the United States. An overview. Alcohol Health & Research World, 23(2), 69–77.

    CAS  Google Scholar 

  5. Hasin D. S., & Grant B. F. (1995). A.A. and other helpseeking for alcohol problems: Former drinkers in the U.S. general population. Journal of Substance Abuse, 7(3), 281–292.

    Article  PubMed  CAS  Google Scholar 

  6. Kaskutas L. A., Weisner C, & Caetano R. (1997). Predictors of help seeking among a longitudinal sample of the general public, 1984–1992. Journal of Studies on Alcohol, 58(2), 155–161.

    PubMed  CAS  Google Scholar 

  7. Alford G. S., Koehler R. A., & Leonard J. (1991). Alcoholics Anonymous-Narcotics Anonymous model inpatient treatment of chemically dependent adolescents: A 2-year outcome study. Journal of Studies on Alcohol, 52(2), 118–126.

    PubMed  CAS  Google Scholar 

  8. McElrath D. (1997). The minnesota model. Journal of Psychoactive Drugs, 29(2), 141–144.

    Article  PubMed  CAS  Google Scholar 

  9. Stinchfield R, & Owen P. (1998). Hazelden's model of treatment and its outcome. Addictive Behaviors, 23(5), 669–683.

    Article  PubMed  CAS  Google Scholar 

  10. Etheridge R. M., Craddock S. G., Hubbard R. L., & Rounds-Bryant J. L. (1999). The relationship of counseling and self-help participation to patient outcomes in DATOS. Drug and Alcohol Dependence, 57(2), 99–112.

    Article  PubMed  CAS  Google Scholar 

  11. Fiorentine R. (1999). After drug treatment: Are 12-step programs effective in maintaining abstinence? American Journal of Drug and Alcohol Abuse, 25(1), 93–116.

    Article  PubMed  CAS  Google Scholar 

  12. Humphreys K. (2003). Alcoholics Anonymous and 12-step alcoholism treatment programs. Recent Developments in Alcoholism, 16, 149–164.

    Article  PubMed  Google Scholar 

  13. Tonigan J. S., Toscova, R., & Miller, W.R. (1996). Meta-analysis of the literature on Alcoholics Anonymous: Sample and study characteristics moderate findings. Journal of Studies on Alcohol, 57, 65–72.

    PubMed  CAS  Google Scholar 

  14. Donovan D. M. (1999). Efficacy and effectiveness: Complementary findings from two multisite trials evaluating outcomes of alcohol treatments differing in theoretical orientations. Alcoholism: Clinical and Experimental Research, 23(3), 564–572.

    Article  CAS  Google Scholar 

  15. Humphreys K, Wing S, McCarty D, Chappel J, Gallant L, Haberle B, et al. (2004). Self-help organizations for alcohol and drug problems: toward evidence-based practice and policy. Journal of Substance Abuse Treatment, 26(3), 151–158.

    Article  PubMed  Google Scholar 

  16. Kelly J. F., Stout R, Zywiak W, & Schneider R. (2006). A 3-year study of addiction mutual-help group participation following intensive outpatient treatment. Alcoholism: Clinical & Experimental Research, 30(8), 1381–1392.

    Article  Google Scholar 

  17. Moos R. H., & Moos B. S. (2005). Paths of entry into alcoholics anonymous: consequences for participation and remission. Alcoholism: Clinical and Experimental Research, 29(10), 1858–1868.

    Article  Google Scholar 

  18. Emrick C. D., Tonigan J. S., Montgomery H., & Little L. (1993). Alcoholics Anonymous: What is currently known? In: B. S. McGrady & W. R. Miller, (Eds.) Research on Alcoholics Anonymous: Opportunities and Alternatives (pp. 41–76). New Brunswick, NJ: Rutgers Center of Alcohol Studies.

    Google Scholar 

  19. Fiorentine R., & Hillhouse M. P. (2000). Drug treatment and 12-step program participation: the additive effects of integrated recovery activities. Journal of Substance Abuse Treatment, 18(1), 65–74.

    Article  PubMed  CAS  Google Scholar 

  20. Fiorentine R, & Hillhouse M. P. (2000). Exploring the additive effects of drug misuse treatment and Twelve-Step involvement: does Twelve-Step ideology matter? Substance Use and Misuse , 35(3), 367–397.

    Article  PubMed  CAS  Google Scholar 

  21. Harris, J, Best, D, Gossop, M, Marshall, J, Man, L. H., Manning, V, et al. (2003). Prior Alcoholics Anonymous (A.A.) affiliation and the acceptability of the Twelve Steps to patients entering UK statutory addiction treatment. Journal of Studies on Alcohol, 64(2), 257–261.

    PubMed  Google Scholar 

  22. Kaskutas, L. A., Ammon, L., Delucchi, K., Room, R., Bond, J., & Weisner, C. (2005). Alcoholics anonymous careers: patterns of A.A. involvement five years after treatment entry. Alcoholism: Clinical and Experimental Research, 29(11), 1983–1990.

    Article  Google Scholar 

  23. Kaskutas, L. A., Bond, J., & Humphreys, K. (2002). Social networks as mediators of the effect of Alcoholics Anonymous. Addiction, 97(7), 891–900.

    Article  PubMed  Google Scholar 

  24. McKay, J. R., Merikle, E., Mulvaney, F. D., Weiss, R. V., & Koppenhaver, J. M. (2001). Factors accounting for cocaine use two years following initiation of continuing care. Addiction, 96(2), 213–225.

    Article  PubMed  CAS  Google Scholar 

  25. Montgomery, H. A., Miller, W. R., & Tonigan, J. S. (1995). Does Alcoholics Anonymous involvement predict treatment outcome? Journal of Substance Abuse Treatment, 12, 241–246.

    Article  PubMed  CAS  Google Scholar 

  26. Moos, R. H., & Moos, B. S. (2004). Long-term influence of duration and frequency of participation in alcoholics anonymous on individuals with alcohol use disorders. Journal of Consulting & Clinical Psychology, 72(1), 81–90.

    Article  Google Scholar 

  27. Moos, R. H., & Moos, B. S. (2006). Participation in treatment and alcoholics anonymous: A 16-year follow-up of initially untreated individuals. Journal of Clinical Psychology, 62(6), 735–750.

    Article  PubMed  Google Scholar 

  28. Morgenstern, J., Bux, D. A., Labouvie, E., Morgan, T., Blanchard, K. A., & Muench, F. (2003). Examining mechanisms of action in 12-Step community outpatient treatment. Drug & Alcohol Dependence, 72(3), 237–247.

    Article  Google Scholar 

  29. Morgenstern, J., Labouvie, E., McCrady, B. S., Kahler, C. W., & Frey R. M. (1997). Affiliation with Alcoholics Anonymous after treatment: a study of its therapeutic effects and mechanisms of action. Journal of Consulting and Clinical Psychology, 65(5), 768–777.

    Article  PubMed  CAS  Google Scholar 

  30. Ouimette, P. C., Moos, R. H., & Finney, J. W. (1998) Influence of outpatient treatment and 12-step group involvement on one-year substance abuse treatment outcomes. Journal of Studies on Alcohol, 59(5), 513–522.

    PubMed  CAS  Google Scholar 

  31. Ouimette, P. G., Finney, J. W., & Moos, R. H. (1997). Twelve-step and cognitive-behavioral treatment for substance abuse: A comparison of treatment effectiveness. Journal of Consulting & Clinical Psychology, 65, 230–240.

    Article  CAS  Google Scholar 

  32. Project Match Research Group (1997). Matching alcoholism treatments to client heterogeneity: Project MATCH posttreatment drinking outcomes. Journal of Studies on Alcohol, 58, 7–29.

    Google Scholar 

  33. Timko, C., & Debenedetti, A. (2007). A randomized controlled trial of intensive referral to 12-step self-help groups: One-year outcomes. Drug and Alcohol Dependence, 90(2–3), 270–279.

    Google Scholar 

  34. Timko, C., DeBenedetti, A., & Billow, R. (2006). Intensive referral to 12-Step self-help groups and 6-month substance use disorder outcomes. Addiction, 101(5), 678–688.

    Article  PubMed  Google Scholar 

  35. Tonigan, J. S. (2001). Benefits of alcoholics anonymous attendance: Replication of findings between clinical research sites in Project MATCH. Alcoholism Treatment Quarterly, 19(1), 67–78.

    Article  Google Scholar 

  36. Watson, C. G., Hancock, M., Gearhart, L. P., Mendez, C. M., Malovrh, P., & Raden, M. A. (1997). comparative outcome study of frequent, moderate, occasional, and nonattenders of Alcoholics Anonymous. Journal of Clinical Psychology, 53, 209–214.

    Article  PubMed  CAS  Google Scholar 

  37. Weiss, R. D., Griffin, M. L., Gallop, R. J., Najavits, L. M., Frank, A., Crits-Christoph, P., et al. (2005). The effect of 12-step self-help group attendance and participation on drug use outcomes among cocaine-dependent patients. Drug Alcohol Depend, 77(2), 177–184.

    Article  PubMed  Google Scholar 

  38. Connors, G. J., Tonigan, J. S., Miller, W. R., & Group, M. R. (2001). A longitudinal model of intake symptomatology, A.A. participation and outcome: retrospective study of the Project MATCH outpatient and aftercare samples. Journal of Studies on Alcohol, 62(6), 817–825.

    PubMed  CAS  Google Scholar 

  39. McKellar, J., Stewart, E., & Humphreys, K. (2003). Alcoholics anonymous involvement and positive alcohol-related outcomes: Consequence, or just a correlate? A prospective 2-year study of 2,319 alcohol-dependent men. Journal of Consulting and Clinical Psychology, 71(2), 302–308.

    Article  PubMed  Google Scholar 

  40. Humphreys, K., & Moos, R. H. (2001). Can encouraging substance abuse patients to participate in self-help groups reduce demand for health care? A quasi-experimental study. Alcoholism: Clinical and Experimental Research, 25(5), 71–716.

    Article  Google Scholar 

  41. Humphreys, K, & Moos, R. H. (2007). Encouraging posttreatment self-help group involvement to reduce demand for continuing care services: Two-year clinical and utilization outcomes. Alcoholism: Clinical & Experimental Research, 31(1), 64–68.

    Article  Google Scholar 

  42. Caldwell, P. E., & Cutter, H. S. (1998). Alcoholics Anonymous affiliation during early recovery. Journal of Substance Abuse Treatment, 15(3), 221–228.

    Article  PubMed  CAS  Google Scholar 

  43. Gilbert, F. S. (1991). Development of a “Steps Questionnaire”. Journal of Studies on Alcohol, 52(4), 353–360.

    PubMed  CAS  Google Scholar 

  44. Montgomery, H. A., Miller, W. R., & Tonigan, J. S. (1995). Does Alcoholics Anonymous involvement predict treatment outcome? Journal of Substance Abuse Treatment, 12, 241–246.

    Article  PubMed  CAS  Google Scholar 

  45. Weiss, R. D., Griffin, M. L., Gallop, R, Onken, L. S., Gastfriend, D. R., Daley, D., et al. (2000). Self-help group attendance and participation among cocaine dependent patients. Drug and Alcohol Dependence, 60(2), 169–177.

    Article  PubMed  CAS  Google Scholar 

  46. Tonigan, J. S., Connors, G. J., & Miller, W. R. (1996). Alcoholics Anonymous Involvement (AAI) scale: Reliability and norms. Psychology of Addictive Behaviors, 10(2), 75–80.

    Article  Google Scholar 

  47. Morgenstern, J., Kahler, C.W., Frey, R.M., & Labouvie, E. (1996). Modeling therapeutic response to 12-step treatment: Optimal responders, nonresponders, and partial responders. Journal of Substance Abuse, 8, 45–60.

    Article  PubMed  CAS  Google Scholar 

  48. Godlaski, T. M., Leukefeld, C., & Cloud, R. (1997). Recovery: With and without self-help. Substance Use and Misuse, 32(5), 621–627.

    Article  PubMed  CAS  Google Scholar 

  49. Kelly, J. F., & Moos, R. (2003). Dropout from 12-step self-help groups: prevalence, predictors, and counteracting treatment influences. Journal of Substance Abuse Treatment, 24(3), 241–250.

    Article  PubMed  Google Scholar 

  50. Rawson, R. A., Obert, J. L., McCann, M. J., Castro, F. G., & Ling, W. (1991). Cocaine abuse treatment: A review of current strategies. Journal of Substance Abuse, 3(4), 457–491.

    Article  PubMed  CAS  Google Scholar 

  51. Weiss, R. D., Griffin, M. L., Najavits, L. M., Hufford, C., Kogan, J., Thompson, H. J., et al. (1996). Self-help activities in cocaine dependent patients entering treatment: results from NIDA collaborative cocaine treatment study. Drug and Alcohol Dependence, 43(1–2), 79–86.

    Article  PubMed  CAS  Google Scholar 

  52. Caldwell, P. E. (1999). Fostering client connections with Alcoholics Anonymous: a framework for social workers in various practice settings. Social Work in Health Care, 28(4), 45–61.

    Article  PubMed  CAS  Google Scholar 

  53. Zweben, J. E. (1987). Recovery-oriented psychotherapy: Facilitating the use of 12-step programs. Journal of Psychoactive Drugs, 19(3), 243–251.

    Article  PubMed  CAS  Google Scholar 

  54. Thomassen, L. (2002). A.A. utilization after introduction in outpatient treatment. Substance Use and Misuse, 37(2), 239–253.

    Article  PubMed  Google Scholar 

  55. Wallen, M. C., Weiner, H. D., Mansi, A, & Deal, D. (1987). Utilization of 12-step theme groups in a short-term chemical dependence treatment unit. Journal of Psychoactive Drugs, 19(3), 287–290.

    Article  PubMed  CAS  Google Scholar 

  56. Humphreys, K. (1997). Clinicians' referral and matching of substance abuse patients to self-help groups after treatment. Psychiatric Services, 48(11), 1445–1449.

    PubMed  CAS  Google Scholar 

  57. Laudet, A. B., & White, W. L. (2005). An exploratory investigation of the association between clinicians' attitudes toward twelve-step groups and referral rates. Alcohol Treatment Quarterly, 23(1), 31–45.

    Article  Google Scholar 

  58. Sisson, R. W., & Mallams, J. H. (1981). The use of systematic encouragement and community access procedures to increase attendance at Alcoholic Anonymous and Al-Anon meetings. American Journal of Drug and Alcohol Abuse, 8(3), 371–376.

    Article  PubMed  CAS  Google Scholar 

  59. Tonigan, J. S., Connors, G. J., & Miller, W. R. (2003). Participation and involvement in Alcoholics Anonymous. In: T. F. Babor & F. K. Del Boca (Eds.). Treatment Matching in Alcoholism (pp. 184–204). New York: Cambridge University Press.

    Google Scholar 

  60. Swindle, R. W., Peterson, K. A., Paradise, M. J., & Moos, R. H. (1995). Measuring substance abuse program treatment orientations: The Drug and Alcohol Program Treatment Inventory. Journal of Substance Abuse, 7(1), 61–78.

    Article  PubMed  CAS  Google Scholar 

  61. Humphreys, K., Huebsch, P. D., Finney, J. W., & Moos, R. H. (1999). A comparative evaluation of substance abuse treatment: V. Substance abuse treatment can enhance the effectiveness of self-help groups. Alcohol: Clinical and Experimental Research, 23(3), 558–563.

    CAS  Google Scholar 

  62. Ouimette, P. C., Finney, J. W., Gima, K., & Moos, R. H. (1999). A comparative evaluation of substance abuse treatment III. Examining mechanisms underlying patient-treatment matching hypotheses for 12-step and cognitive-behavioral treatments for substance abuse. Alcoholism: Clinical and Experimental Research, 23(3), 545–551.

    Article  CAS  Google Scholar 

  63. Carroll, K. M., Nich, C, Ball, S. A., McCance, E., Frankforter, T. L., & Rounsaville, B. J. (2000). One-year follow-up of disulfiram and psychotherapy for cocaine-alcohol users: Sustained effects of treatment. Addiction, 95(9), 1335–1349.

    Article  PubMed  CAS  Google Scholar 

  64. Carroll, K. M., Nich, C, Ball, S. A., McCance, E., & Rounsavile, B. J. (1998). Treatment of cocaine and alcohol dependence with psychotherapy and disulfiram. Addiction, 93(5), 713–727.

    Article  PubMed  CAS  Google Scholar 

  65. Morgenstern, J., Blanchard, K. A., Morgan, T. J., Labouvie, E, & Hayaki, J. (2001). Testing the effectiveness of cognitive-behavioral treatment for substance abuse in a community setting: within treatment and posttreatment findings. Journal of Consulting and Clinical Psychology, 69(6), 1007–1017.

    Article  PubMed  CAS  Google Scholar 

  66. Nowinski, J., & Baker, S. (1992). The twelve step facilitation handbook: A systematic approach to early recovery from alcoholism and addiction. New York: Lexington Books.

    Google Scholar 

  67. Nowinski, J., Baker, S., & Carroll, K. (1992). Twelve step facilitation therapy manual: A clinical research guide for therapists treating individuals with alcohol abuse and dependence. Rockville, MD: National Institute on Alcohol Abuse and Alcoholism.

    Google Scholar 

  68. Project MATCH Research Group (1993). Project MATCH: Rationale and methods for a multisite clinical trial matching patients to alcoholism treatment. Alcoholism: Clinical & Experimental Research, 17, 1130–1145.

    Google Scholar 

  69. Donovan, D. M., Carroll, K. M., Kadden, R. M., & DiClemente, C. C., Rounsavile B. J. (2003). Therapies for matching: Selection, development, implementation, and costs. In: T. F. Babor & F. K. Del Boca (Eds.). Treatment matching in alcoholism (pp. 42–61). New York: Cambridge University Press.

    Google Scholar 

  70. Donovan, D. M., Kadden, R. M., DiClemente, C. C., Carroll, K. M., Longabaugh, R., Zweben, A., et al. (1994). Issues in the selection and development of therapies in alcoholism treatment matching research. Journal of Studies on Alcohol, (Suppl.12), 138–148.

    CAS  Google Scholar 

  71. Longabaugh, R., Donovan, D. M., Karno, M. P., McCrady, B. S., Morgenstern, J., & Tonigan, J. S. (2005). Active ingredients: How and why evidence-based alcohol behavioral treatment interventions work. Alcoholism: Clinical and Experimental Research, 29(2), 235–247.

    Article  Google Scholar 

  72. Baker S. (1998). Twelve Step Facilitation for Drug Dependence. New Haven, CT: Psychotherapy Development Center, Department of Psychiatry, Yale University.

    Google Scholar 

  73. Brook, D. W., & Spitz, H. I., (Eds.) (2002). The group therapy of substance abuse. New York, NY: The Haworth Medical Press.

    Google Scholar 

  74. Flores, P. J., & Georgi, J. M. (2005). Substance abuse treatment: Group therapy. Rockville, MD: Center for Substance Abuse Treatment, Substance Abuse and Mental Health Services Administration,.

    Google Scholar 

  75. Stinchfield, R., Owen, P. L., & Winters, K. C. (1994). Group therapy for substance abuse: A review of the empirical evidence. In A. Fuhriman & G. M. Burlinggame, (Eds.), Handbook of group psychotherapy: An empirical and clinical synthesis (pp. 458–488). New York: John Wiley & Sons.

    Google Scholar 

  76. Weiss, R. D., Jaffee, W. B., de Menil, V. P., & Cogley, C. B. (2004). Group therapy for substance use disorders: What do we know? Harvard Review of Psychiatry, 12(6), 339–350.

    Article  PubMed  Google Scholar 

  77. Brown, T. G., Seraganian, P., Tremblay, J., Annis, H. (2002). Matching substance abuse aftercare treatments to client characteristics. Addictive Behaviors, 27(4), 585–604.

    Article  PubMed  Google Scholar 

  78. Brown, T. G., Seraganian, P., Tremblay, J., & Annis, H. (2002). Process and outcome changes with relapse prevention versus 12-Step aftercare programs for substance abusers. Addiction, 97, 677–689.

    Article  PubMed  Google Scholar 

  79. Maude-Griffin, P. M., Hohenstein, J. M., Humfleet, G. L., Reilly, P. M., Tusel, D. J., & Hall, S. M. (1998). Superior efficacy of cognitive-behavioral therapy for urban crack cocaine abusers: Main and matching effects. Journal of Consulting & Clinical Psychology, 66(5), 832–837.

    Article  CAS  Google Scholar 

  80. Cisler, R., Holder, H. D., Longabaugh, R., Stout, R. L., & Zweben, A. (1998). Actual and estimated replication costs for alcohol treatment modalities: Case study from Project MATCH. Journal of Studies on Alcohol, 59(5), 503–512.

    PubMed  CAS  Google Scholar 

  81. Humphreys, K, & Moos, R. (2001). Can encouraging substance abuse patients to participate in self-help groups reduce demand for health care? Alcoholism: Clinical and Experimental Research, 25(5), 711–716.

    Article  CAS  Google Scholar 

  82. Bien, T. H., Miller, W. R., & Boroughs, J. M. (1993). Motivational interviewing with alcohol outpatients. Behavioural & Cognitive Psychotherapy, 21(4), 347–356.

    Google Scholar 

  83. Brown, J. M., & Miller, W. R. (1993). Impact of motivational interviewing on participation and outcome in residential alcoholism treatment. Psychology of Addictive Behaviors, 7(4), 211–218.

    Article  Google Scholar 

  84. Walitzer, K. S., Dermen, K. H., & Connors, G. J. (1993). Strategies for preparing clients for treatment. A review. Behavior Modification, 23(1), 129–151.

    Article  Google Scholar 

  85. Connors, G. J., Walitzer, K. S., & Dermen, K. H. (2002). Preparing clients for alcoholism treatment: effects on treatment participation and outcomes. Journal of Consulting and Clinical Psychology, 70(5), 1161–169.

    Article  PubMed  Google Scholar 

  86. Connors, G. J., Walitzer, K. S., & Dermen, K. H. (2001). Preparation for alcoholism treatment: Effects on treatment attendance and post-treatment drinking. Addiction Biology, 6(3), 276–277.

    Google Scholar 

  87. Kahler, C. W., Read, J. P., Stuart, G. L., Ramsey, S. E., McCrady, B. S., & Brown, R. A. (2004) Motivational enhancement for 12-step involvement among patients undergoing alcohol detoxification. Journal of Consulting and Clinical Psychology, 72(4), 736–741.

    Article  PubMed  Google Scholar 

  88. Blondell, R. D., Looney, S. W., Northington, A. P., Lasch, M. E., Rhodes, S. B., & McDaniels R. L. (2001). Using recovering alcoholics to help hospitalized patients with alcohol problems. Journal of Family Practice, 50(5), E1.

    Google Scholar 

  89. Chappel, J. N., & DuPont, R. L. (1999). Twelve-step and mutual-help programs for addictive disorders. Psychiatric Clinics of North America, 22(2), 425–446.

    Article  PubMed  CAS  Google Scholar 

  90. Collins, G. B., & Barth, J. (1979). Using the resources of A.A. in treating alcoholics in a general hospital. Hospital and Community Psychiatry, 30(7), 480–482.

    PubMed  CAS  Google Scholar 

  91. Owen, P. L., Slaymaker, V, Tonigan, J. S., McCrady, B. S., Epstein, E. E., Kaskutas, L. A., et al. (2003). Participation in alcoholics anonymous: intended and unintended change mechanisms. Alcoholism: Clinical and Experimental Research, 27(3), 524–532.

    Article  Google Scholar 

  92. Kaskutas, L. A., & Oberste, E. (2002). MAAEZ: Making Alcoholics Anonymous Easier. Berkeley, CA: Public Health Institute.

    Google Scholar 

  93. Rudy, D. R. (1986). Becoming alcoholic: Alcoholics Anonymous and the reality of alcoholism. Carbondale, IL: Southern Illinois University Press.

    Google Scholar 

  94. McCrady, B. S. (1994). Alcoholics Anonymous and behavior therapy: Can habits be treated as diseases? Can diseases be treated as habits. Journal of Consulting and Clinical Psychology, 62(6), 159–1166.

    Article  Google Scholar 

Download references

Acknowledgments

Funding for this manuscript was provided in part from Cooperative Agreement 5 U10 DA13714, as part of the National Institute on Drug Abuse (NIDA) National Drug Abuse Treatment Clinical Trials Network, U. S. National Institutes of Health. The opinions expressed in this paper are solely those of the authors, not of the sponsoring agency.

Author information

Authors and Affiliations

  1. Department of Psychiatry & Behavioral Sciences, Alcohol & Drug Abuse Institute and, University of Washington, 1107 NE 45th Street, Suite 120, Seattle, WA 98105-4631, USA

    Dennis M. Donovan

  2. Alcohol & Drug Abuse Institute, University of Washington, 1107 NE 45th Street, Suite 120, Seattle, WA 98105-4631, USA

    Anthony S. Floyd

Authors
  1. Dennis M. Donovan
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Anthony S. Floyd
    View author publications

    You can also search for this author in PubMed Google Scholar

Editor information

Editors and Affiliations

    Rights and permissions

    Reprints and permissions

    Copyright information

    © 2008 Springer Science+Business Media, LLC

    About this chapter

    Cite this chapter

    Donovan, D.M., Floyd, A.S. (2008). Facilitating Involvement in Twelve-Step Programs. In: Kaskutas, L., Galanter, M. (eds) Recent Developments in Alcoholism. Recent Developments in Alcoholism, vol 18. Springer, New York, NY. https://doi.org/10.1007/978-0-387-77725-2_17

    Download citation

    • DOI: https://doi.org/10.1007/978-0-387-77725-2_17

    • Published:

    • Publisher Name: Springer, New York, NY

    • Print ISBN: 978-0-387-77724-5

    • Online ISBN: 978-0-387-77725-2

    • eBook Packages: MedicineMedicine (R0)

    Publish with us

    Policies and ethics

    Search

    Navigation