Treatment Staff Referrals, Participation Expectations, and Perceived Benefits and Barriers to Adolescent Involvement in Twelve-Step Groups
Treatment Staff Referrals, Participation Expectations, and Perceived Benefits and Barriers to Adolescent Involvement in Twelve-Step Groups
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DOI：
10.1080/07347320802347053
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发表时间：
2008-01-01
影响因子：
0.9
通讯作者：
Myers, Mark G.
中科院分区：
文献类型：
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作者：
Kelly, John F.;Yeterian, Julie D.;Myers, Mark G.
接受药物使用障碍（SUD）治疗的青少年似乎受益于参加匿名戒酒会/匿名戒毒会（AA/NA）。然而，与成年人相比，青少年参加的人数较少，参加的人参加的时间较短，中断的时间也较短。目前尚不清楚这种差异是否是由于治疗他们的临床医生对青年参与的期望降低，因为他们可能会调整基于成人的模型以适应依赖性较低的队列，或者建议是否与与成人和其他因素相关的临床医生相似。所有的临床工作人员（N = 114）在5个青少年计划（3住宅，2门诊）进行了匿名调查的转介做法和其他信念约12步组。工作人员认为AA/NA参与非常重要，有助于青少年的恢复和转诊率都很高（M = 86%，SD = 28%）。期望的参与频率为每周3次以上。该计划的理论方向和护理水平影响了一些结果。研究结果表明，青少年参与12步组不是由于缺乏临床医生的热情或转介，但似乎是由于其他因素。
Adolescents treated for substance use disorders (SUDs) appear to benefit from participation in Alcoholics Anonymous/Narcotics Anonymous (AA/NA). However, as compared with adults, fewer adolescents attend, and those who do attend do so less intensively and discontinue sooner. It is unknown whether this disparity is due to a lowered expectation for youth participation by the clinicians treating them, as they may adapt the adult-based model to fit a less-dependent cohort, or whether recommendations are similar to those of clinicians who work with adults and other factors are responsible. All clinical staff (N = 114) at 5 adolescent programs (3 residential, 2 outpatient) were surveyed anonymously about referral practices and other beliefs about 12-step groups. Staff rated AA/NA participation as very important and helpful to adolescent recovery and referral rates were uniformly high (M = 86%, SD = 28%). Desired participation frequency was over 3 times per week. The theoretical orientation and level of care of the programs influenced some results. Findings suggest lower adolescent participation in 12-step groups is not due to a lack of clinician enthusiasm or referrals, but appears to be due to other factors.