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The Impact of AA on Non-Professional Substance Abuse Recovery Programs and Sober Living Houses

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Recent Developments in Alcoholism

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

Abstract

In addition to being a widely used and effective approach for alcohol problems, AA has been central to the development of several types of non-professional recovery programs. Known as “social model recovery,” these programs were staffed by individuals in recovery and they encouraged program participants to become involved in AA as a way to address their drinking problems. In addition, they relied on the traditions, beliefs, and recovery practices of AA as a guide for managing and operating programs (e.g., democratic group processes, shared and rotated leadership, and experiential knowledge). This chapter reviews the philosophy, history, and recent changes in several types of these programs, along with a depiction of AA’s influence on them. Programs examined include neighborhood recovery centers, residential social model recovery programs, and two types of sober living houses: California Sober Living Houses and Oxford Houses. Recent outcome evaluations on both types of sober living houses are presented.

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References

  • 12 & 12. (1952). Twelve steps and twelve traditions. New York: Alcoholics Anonymous World Services.

    Google Scholar 

  • Barrows, D. C. (1998). The community orientations of social model and medical model recovery programs. Journal of Substance Abuse Treatment,15(1), 55–64.

    Article  PubMed  CAS  Google Scholar 

  • Borkman, T. (1982). Third generation mutual self-help organizations: Social model alcoholism recovery programs. Paper presented at Southern Sociological Society Annual Meeting, April 15, Memphis, Tennessee

    Google Scholar 

  • Borkman, T. (1983). A Social-Experiential Model in Programs for Alcoholism Recovery: A Research Report on a New Treatment Design. Rockville, MD: National Institute for Alcohol Abuse and Alcoholism, U.S. Department of Health and Human Services, DHHS Publ. No. (ADM) 83–1259.

    Google Scholar 

  • Borkman, T. (1986). The alcohol services reporting system (ASRS) revision study report. Prepared under Contract no. A-0097-4 for the Department of Alcohol and Drug Programs, Health and Welfare Agency, State of California.

    Google Scholar 

  • Borkman, T. (1990). A Comparison of social model and clinical model services. In S. Shaw, & T. Borkman (Eds.), Social model alcohol recovery: An environmental approach (pp. 45–56). Burbank, Calif.: Bridge Focus.

    Google Scholar 

  • Borkman, T. (1998a). Resident self-governance in social model recovery programs. Contemporary Drug Problems, 25(4), 741–771.

    Google Scholar 

  • Borkman, T. (1998b). Is recovery planning any different from treatment planning? Journal of Substance Abuse Treatment, 15(1), 37–42.

    Google Scholar 

  • Borkman, T. (2007). AA and two sober house systems: Work-in-Progress. Paper presented at seminar in Hauser Center for Nonprofit Studies, Harvard University, April 30.

    Google Scholar 

  • Borkman, T., Kaskutas, L. A., & Owens, P. (2007). Contrasting and converging philosophies of three models of alcohol/other drugs treatment: Minnesota model, social model, and addiction therapeutic communities. Alcoholism Treatment Quarterly, 25(3), 21–38.

    Google Scholar 

  • Borkman, T. J., Kaskutas, L. A., Room, J., Bryan, K., & Barrows, D. (1998). An historical and developmental analysis of social model programs. Journal of Substance Abuse Treatment, 15(1), 7–17.

    Article  PubMed  CAS  Google Scholar 

  • Gerstein, D. R., Johnson, R. A., Harwood, H. J., Fountain, D., Sutter, N., & Malloy, K. (1994). Evaluating recovery services: The California drug and alcohol treatment assessment (Contract No. 92-001100). Sacramento: California Department of Alcohol and Drug Programs.

    Google Scholar 

  • Institute of Medicine (1990). Broadening the base of treatment for alcohol problems. Washington, D.C.: National Academy Press.

    Google Scholar 

  • Jason, L. A., Davis, M. I., Ferrari, J. R., & Anderson, E. (2007). The need for substance abuse after-care: Longitudinal analysis of Oxford House. Addictive Behaviors, 32, 803–818.

    Article  PubMed  Google Scholar 

  • Jason, L., Ferrari, J., Davis, M., & Olson, B. (2006a). Creating communities for addiction recovery. New York: Haworth Press.

    Google Scholar 

  • Jason, L. A., Olson, B. D., Ferrari, J. R., & Lo Sasso, A. T. (2006b). Communal housing settings enhance substance abuse recovery. American Journal of Public Health, 91, 1727–1729.

    Google Scholar 

  • Kaskutas, L. A. (1999, April). The social model approach to substance abuse recovery: A program of research and evaluation. Center for Substance Abuse Treatment, Rockville, MD.

    Google Scholar 

  • Kaskutas, L. A., Ammon, L., & Weisner, C. (2003–2004). A naturalistic comparison of outcomes at social and clinical model substance abuse treatment programs, International Journal of Self Help and Self Care, 2(2), 111–133.

    Google Scholar 

  • Kaskutas, L. A., Greenfield, T. K., Borkman, T. J., & Room, J. A. (1998). Measuring treatment philosophy: A scale for substance abuse recovery programs. Journal of Substance Abuse Treatment, 15, 27–36.

    Article  PubMed  CAS  Google Scholar 

  • Kaskutas, L. A., Keller, J. W., & Witbrodt, J. (1999). Measuring social model in California: how much has changed? Contemporary Drug Problems, 26, 607–632

    Google Scholar 

  • Kaskutas, L. A., & McLellan, A. T. (1998). Special issue: The social model approach to substance abuse recovery. Journal of Substance Abuse Treatment, 15(1), 5–6.

    Google Scholar 

  • Kaskutas, L. A., Witbrodt, J., & French, T. (2004). Outcomes and costs of day hospital treatment and nonmedical day treatment for chemical dependency. Journal of Studies on Alcohol, 65(3), 371–382.

    PubMed  Google Scholar 

  • Matthews, R. A., & Weiss, H. L. (1990) Alcoholism as a social disease: the community model of alcohol problems. In S. Shaw & T. Borkman (Eds.), Social model alcohol recovery: An environmental approach (pp. 169–188), Burbank, CA: Bridge Focus, Inc.

    Google Scholar 

  • Nealon-Woods, M. A., Ferrari, J. R., & Jason, L. A. (1995). Twelve-step program use among Oxford House Residents: Spirituality or social support in sobriety? Journal of Substance Abuse, 7(3), 311–318.

    Article  PubMed  CAS  Google Scholar 

  • O’Neill, J. V. (1990). History of Oxford House, Inc. In S. Shaw, & T. Borkman (Eds.), Social model alcohol recovery: An environmental approach (pp. 103–117), Burbank, CA: Bridge Focus, Inc.

    Google Scholar 

  • Oxford House Inc. (2006, September). Oxford House Manual, Silver Spring, MD: Oxford House, Inc.

    Google Scholar 

  • Polcin, D.L. (2001). Sober Living Houses: Potential roles in substance abuse services and suggestions for research. Substance Use and Misuse, 36(2), 301–311.

    Article  PubMed  CAS  Google Scholar 

  • Polcin, D. L. (2006). What about Sober Living Houses for parolees? Criminal Justice Studies: A Critical Journal of Crime Law and society, 19(3): 291–300.

    Google Scholar 

  • Polcin, D. L. (2006, October). Sober Living Houses after, during, and as an Alternative to Treatment. Oral presentation delivered at the Addiction Health Services Research (AHSR) Conference: Understanding the Community Perspective, Little Rock, Arkansas, October 23–25.

    Google Scholar 

  • Polcin, D. L., Galloway, G. P., Taylor, K., & Benowitz-Fredericks (2004). Why we need to study sober living houses. Counselor: The Magazine for Addiction Professionals, 5(5), 36–45.

    Google Scholar 

  • Polcin, D. L., & Henderson, D. (2008). A clean and sober place to live: Philosophy, structure, and purported therapeutic factors in sober living houses. Journal of Psychoactive Drugs, 40(2), 153–160.

    Google Scholar 

  • Polcin, D. L., Prindle, S., & Bostrom, A. (2002). Integrating social model principles into broad based treatment: Results of a program evaluation. American Journal of Alcohol and Drug Abuse, 28, 585–599.

    Article  Google Scholar 

  • Room, J. (1998) Special issue: Qualitative research on the social model approach. Contemporary Drug Problems, 25(4), 643–647.

    Google Scholar 

  • Room. J., Kaskutas, L. A., Piroth, K. V. (1998) Brief overview of the social model approach. Contemporary Drug Problems, 25(4), 649–663.

    Google Scholar 

  • Schonlau, K. (2004, April). Sober and congregate living: Definitions of two types. Santa Monica, CA: The Sober Living Network.

    Google Scholar 

  • Shaw, S., & Borman, T. (Eds.). (1990). Social model alcohol recovery: An environmental approach, Burbank, CA: Bridge Focus, Inc.

    Google Scholar 

  • Toffler, A. (1980). Future shock. New York: Bantam.

    Google Scholar 

  • White, B., & Kurtz, E. (2008). Twelve defining moments in the history of alcoholics anonymous. In M. Galanter, & Kaskutas, L. A. (Eds.), Alcoholism research: Alcoholics Anonymous and spirituality (Vol. 18). New York, NY: Springer Publishing.

    Google Scholar 

  • Witbrodt, J., et al. (2007). Day hospital and residential addiction treatment: Randomized and nonrandomized managed care clients. Journal of Clinical and Consulting Psychology, 75(6), 947–959.

    Google Scholar 

  • Wittman, F. D. (1990) Settings for social model programs. In S. Shaw, & T. Borkman (Eds.), Social model alcohol recovery: An environmental approach (pp. 57–65), Burbank, CA: Bridge Focus, Inc.

    Google Scholar 

  • Wittman, F. D. (1993). Affordable housing for people with alcohol and other drug problems. Contemporary Drug Problems, 20(3), 541–609.

    Google Scholar 

  • Wittman, F. D., Biderman, F., & Hughes, L. (Eds.). (1993). Sober living guidebook for alcohol and drug free housing. California, CA: Department of Alcohol and Drug Programs, ADP 92-0248.

    Google Scholar 

  • Wright. A. (1990). Los Angeles County’s alcohol – free living centers: Long term, low cost sober housing. In S. Shaw, & T. Borkman (Eds.), Social model recovery: An environmental approach (pp. 119–128). Burbank, CA: Bridge Focus Inc.

    Google Scholar 

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Correspondence to Douglas L. Polcin .

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Polcin, D.L., Borkman, T. (2008). The Impact of AA on Non-Professional Substance Abuse Recovery Programs and Sober Living Houses. 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_6

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  • DOI: https://doi.org/10.1007/978-0-387-77725-2_6

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