Abstract:
:Participation in 12-step groups (12SG) during and after formal treatment has been associated with positive outcome among substance users. However, the effectiveness of 12SG may be limited by high attrition rates and by low participation, areas on which there has been little research. Clinicians play an important role in fostering 12-step participation, and the insights which they develop in their practice can greatly contribute to informing the research process. Yet, little is known about clinicians' attitudes about 12-step groups or about their experiences in referring clients. This study surveyed clients (N = 101) and clinicians (N = 102) in outpatient treatment programs to examine 12-step-related attitudes and to identify potential obstacles to participation. Data collection was conducted between May, 2001 and January, 2002 in New York City. Both client and clinician samples were primarily African-American and Hispanic; 32% of clients reported substance use in the previous month, with crack and marijuana cited most frequently as the primary drug problem. On average, clinicians had worked in the treatment field for 8 years. Both staff and clients viewed 12SG as a helpful recovery resource. Major obstacles to participation centered on motivation and readiness for change and on perceived need for help, rather than on aspects of the 12-step program often cited as points of resistance (e.g., religious aspect and emphasis on powerlessness). Clinicians also frequently cited convenience and scheduling issues as possible obstacles to attending 12SG. Clinical implications of these findings are discussed, including the importance of fostering motivation for change, the need to assess clients' beliefs about and experiences with 12SG on a case-by-case basis, and to find a good fit between clients' needs and inclinations on the one hand, and the tools and support available within 12-step groups on the other.
journal_name
Subst Use Misusejournal_title
Substance use & misuseauthors
Laudet ABdoi
10.1081/ja-120025124subject
Has Abstractpub_date
2003-12-01 00:00:00pages
2017-47issue
14eissn
1082-6084issn
1532-2491journal_volume
38pub_type
杂志文章abstract:BACKGROUND:Ecstasy (MDMA) use has regained popularity in the United States, particularly in the form of "Molly," which is often marketed as pure MDMA. Surveys have generally not included "Molly" in the definition of ecstasy, so rates of use may be underestimated. As popularity of ecstasy increases, research is needed t...
journal_title:Substance use & misuse
pub_type: 杂志文章
doi:10.1080/10826084.2016.1219373
更新日期:2017-01-02 00:00:00
abstract::Few studies have focused on cannabis dependence as compared to other drugs more commonly acknowledged as presenting a substantial need for treatment. This paper presents findings from a 2004-2005 study of drug user treatment clients in Southern Ontario, Canada. Clients with cannabis (n = 128) or cocaine (n = 300) as t...
journal_title:Substance use & misuse
pub_type: 杂志文章
doi:10.1080/10826080802494875
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abstract::This paper briefly reviews the evolution of opioid addiction treatment from humanitarian to scientific and evidence-based, the evidence bases supporting major medication-assisted treatments and adjunctive psychosocial techniques, as well as challenges faced by clinicians and treatment providers seeking to provide thos...
journal_title:Substance use & misuse
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journal_title:Substance use & misuse
pub_type: 杂志文章
doi:10.3109/10826084.2015.1013131
更新日期:2015-01-01 00:00:00
abstract::This 2005 study compared parent-child attachment in 89 American female Adult Children of Alcoholics (ACOAs) as compared to 201 non-ACOAs. Women attended a large university in the southeastern United States. Participants categorized as ACOA on the Children of Alcoholics Screen Test (CAST; Jones, 1983) reported signific...
journal_title:Substance use & misuse
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doi:10.1080/10826080802240906
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abstract::Regular physical activity plays a crucial role in health maintenance and disease prevention. However, excessive exercise has the potential to have adverse effects on both physical and mental health. The scholastic and empirical discussion of excessive physical activity focuses on obsessive and compulsive exercising, a...
journal_title:Substance use & misuse
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journal_title:Substance use & misuse
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journal_title:Substance use & misuse
pub_type: 杂志文章
doi:10.1080/10826080600754900
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journal_title:Substance use & misuse
pub_type: 历史文章,杂志文章
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journal_title:Substance use & misuse
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更新日期:2005-01-01 00:00:00
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journal_title:Substance use & misuse
pub_type: 杂志文章
doi:10.3109/10826084.2012.644122
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journal_title:Substance use & misuse
pub_type: 杂志文章
doi:10.3109/10826084.2012.692754
更新日期:2012-10-01 00:00:00
abstract::This cross-sectional research examined the effects of ethnicity, age, and primary drug (alcohol or other drug) on recovering women's social network size and social support. Study participants included 21 African-American, 39 Anglo-American, and 3 Mexican-American women in continuous recovery for a minimum of 6 months....
journal_title:Substance use & misuse
pub_type: 杂志文章
doi:10.3109/10826089809058952
更新日期:1998-06-01 00:00:00
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journal_title:Substance use & misuse
pub_type: 杂志文章
doi:10.3109/10826084.2015.1027929
更新日期:2015-01-01 00:00:00
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journal_title:Substance use & misuse
pub_type: 杂志文章
doi:10.1080/10826084.2016.1223135
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abstract::Despite public health campaigns and clinical interventions that encourage women to abstain from alcohol during pregnancy, some women continue to drink while pregnant. To provide a more in-depth understanding of how at-risk women regard--and emotionally react to--warnings about drinking alcohol during pregnancy, we con...
journal_title:Substance use & misuse
pub_type: 杂志文章
doi:10.1081/ja-100102629
更新日期:2001-02-01 00:00:00
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journal_title:Substance use & misuse
pub_type: 杂志文章
doi:10.1080/10826084.2017.1302954
更新日期:2017-07-29 00:00:00
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journal_title:Substance use & misuse
pub_type: 杂志文章
doi:10.3109/10826084.2015.1058825
更新日期:2015-01-01 00:00:00
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journal_title:Substance use & misuse
pub_type: 杂志文章
doi:10.3109/10826084.2013.825921
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journal_title:Substance use & misuse
pub_type: 杂志文章
doi:10.3109/10826089909035635
更新日期:1999-01-01 00:00:00
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journal_title:Substance use & misuse
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journal_title:Substance use & misuse
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journal_title:Substance use & misuse
pub_type: 杂志文章
doi:10.3109/10826089909037238
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journal_title:Substance use & misuse
pub_type: 杂志文章
doi:10.1080/10826080802347594
更新日期:2009-01-01 00:00:00
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journal_title:Substance use & misuse
pub_type: 杂志文章
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更新日期:2015-01-01 00:00:00
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journal_title:Substance use & misuse
pub_type: 杂志文章
doi:10.3109/10826084.2011.523316
更新日期:2011-01-01 00:00:00
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journal_title:Substance use & misuse
pub_type: 杂志文章,评审
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更新日期:2010-11-01 00:00:00
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journal_title:Substance use & misuse
pub_type: 杂志文章
doi:10.1081/ja-100107576
更新日期:2001-10-01 00:00:00
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journal_title:Substance use & misuse
pub_type: 杂志文章
doi:10.3109/10826084.2012.699577
更新日期:2012-10-01 00:00:00
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journal_title:Substance use & misuse
pub_type: 杂志文章
doi:10.3109/10826089709027310
更新日期:1997-01-01 00:00:00