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- Title
The role of twelve-step approaches in dual diagnosis treatment and recovery.
- Authors
Bogenschutz, Michael P.; Geppert, Cynthia M. A.; George, Jennifer
- Abstract
The authors reviewed the empirical literature concerning the use of twelve-step programs and treatments by patients with co-occurring substance use disorders and other psychiatric disorders. Strong evidence was found that dually diagnosed individuals (DDI), with the possible exception of those with psychotic disorders, attend twelve-step programs at rates comparable to non-DDI. Twelve-step involvement is consistently associated with improved substance use outcomes. Although there have been numerous clinical trials involving twelve step-oriented interventions for DDI, most of the studies suffered from substantial methodological limitations. More work is needed to determine what kinds of twelve-step treatments and programs are effective for various types of patients and elucidate the mechanisms by which these approaches facilitate recovery.
- Subjects
DUAL diagnosis; SUBSTANCE abuse treatment; TREATMENT programs; MENTAL illness; PSYCHOSES; DRUG abuse; ADDICTIONS; PATHOLOGICAL psychology; PERSONALITY disorders; PSYCHIATRIC diagnosis; PSYCHIATRIC epidemiology; SUBSTANCE abuse diagnosis; ALCOHOLICS Anonymous; COMPARATIVE studies; RESEARCH methodology; EVALUATION of medical care; UTILIZATION review (Medical care); MEDICAL cooperation; REHABILITATION of people with mental illness; RESEARCH; SUPPORT groups; STATISTICS; SUBSTANCE abuse; SYSTEMATIC reviews; COMORBIDITY; EVALUATION research; PATIENT dropouts
- Publication
American Journal on Addictions, 2006, Vol 15, Issue 1, p50
- ISSN
1055-0496
- Publication type
journal article
- DOI
10.1080/10550490500419060