Facilitating Involvement in Twelve-Step Programs
Facilitating Involvement in Twelve-Step Programs
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DOI：
10.1007/978-0-387-77725-2_17
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发表时间：
2008-01-01
期刊：
影响因子：
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通讯作者：
Floyd, Anthony S.
中科院分区：
文献类型：
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作者：
Donovan, Dennis M.;Floyd, Anthony S.
十二步方案为有物质使用障碍的个人提供了一种现成的资源。这些方案在帮助药物滥用者实现和维持戒断以及改善他们的整体心理社会功能和康复方面显示出相当大的成效。尽管这些积极的好处与更多地参与十二步自助计划有关，但许多药物滥用者在退出之前并不加入或只参加了很短一段时间。正因为如此，临床医生和研究人员一直在寻找方法，通过促进会议出席和参与其他十二步活动来增加对此类自助小组的参与。本章回顾了治疗计划导向和旨在促进十二步计划参与、后续会议出席、参与十二步活动以及酒精和药物使用的具体干预措施的影响。评估这些方法的研究结果表明，增加十二步参与是可能的，这样做会减少物质使用。结果表明，将这些循证干预措施纳入标准治疗计划可能会导致结果的改善。
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.