Dropout from 12-step self-help groups: prevalence, predictors, and counteracting treatment influences.

  title={Dropout from 12-step self-help groups: prevalence, predictors, and counteracting treatment influences.},
  author={John F. Kelly and Rudolf H. Moos},
  journal={Journal of substance abuse treatment},
  volume={24 3},
  • J. Kelly, R. Moos
  • Published 1 April 2003
  • Psychology
  • Journal of substance abuse treatment
A 3-year study of addiction mutual-help group participation following intensive outpatient treatment.
Use of mutual-help groups following intensive outpatient SUD treatment appears to be beneficial for many different types of patients and even modest levels of participation may be helpful, whereas higher doses may be needed to reduce relapse intensity.
Youth recovery contexts: the incremental effects of 12-step attendance and involvement on adolescent outpatient outcomes.
Community 12-step fellowships appear to provide a useful sobriety-supportive social context for youths seeking recovery, but evidence-based youth-specific 12- step facilitation strategies are needed to enhance outpatient attendance rates.
Predicting dropout in the first 3 months of 12-step residential drug and alcohol treatment in an Australian sample.
Assessing patient's primary drug of concern and levels of forgiveness may be useful for residential drug treatment providers in constructing programs that provide differential treatment based on the results of these assessments.
Treatment Staff Referrals, Participation Expectations, and Perceived Benefits and Barriers to Adolescent Involvement in Twelve-Step Groups
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.
Assessing why substance use disorder patients drop out from or refuse to attend 12-step mutual-help groups: The “REASONS” questionnaire
Substance use disorder (SUD) patients who become involved in 12-step mutual-help groups (MHGs), such as Alcoholics Anonymous, experience better outcomes and have reduced healthcare costs. In spite of
Attachment avoidance and anxiety as predictors of 12-step group engagement.
Relationships between the anxiety and avoidance dimensions of adult attachment and subsequent 12-step meeting attendance, program behaviors, sponsorship, and alcohol use are investigated to support the hypothesis that social demands of behaviors prescribed by 12- step groups may deter high-avoidance individuals from fully engaging in them.
Involvement in 12-step activities and treatment outcomes.
Contradicting research suggesting that meeting attendance contributes little beyond other 12-step activities, the current results highlight the importance of consistent meeting attendance and sponsorship in recovery.


A multivariate process model of adolescent 12-step attendance and substance use outcome following inpatient treatment.
  • J. Kelly, M. Myers, S. Brown
  • Psychology
    Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors
  • 2000
A common recommendation for youth treated for substance abuse is to attend 12-step groups. However, little is known regarding the effects of this adult-derived prescription on substance use outcomes
Influence of outpatient treatment and 12-step group involvement on one-year substance abuse treatment outcomes.
Encouraging substance abuse patients to regularly attend both outpatient aftercare and self-help groups may improve long-term outcomes.
Twelve-step and cognitive--behavioral treatment for substance abuse: a comparison of treatment effectiveness.
The comparative effectiveness of 12-step and cognitive-behavioral models of substance abuse treatment was examined among 3,018 patients from 15 programs at U.S. Department of Veterans Affairs Medical Centers, and the finding of equal effectiveness was consistent over several treatment subgroups.
Multiple predictors of dropout from alcoholism treatment.
A multiple classification analysis technique showed that treatment variables as opposed to client characteristics were the best predictors of dropout, raising questions about current trends toward nonmedical treatment of alcoholism.
Clinicians' referral and matching of substance abuse patients to self-help groups after treatment.
Clinicians were less likely to make a referral to a 12-step self-help group if a patient was an atheist, had a comorbid psychiatric disorder, or had less severe substance abuse problems.
A comparison of predictors of treatment drop-out of women seeking drug and alcohol treatment in a specialist women's and two traditional mixed-sex treatment services.
It is suggested that women who were employed, had a history of sexual assault (especially in adulthood), nominated alcohol as their drug of choice, were not married, older than 25 years of age and had demonstrated a sympathy with the agency's treatment philosophy were less likely to drop-out of treatment.
Completion rates of clients discharged from drug and alcohol treatment programs in Washington State.
The fit between clients and treatment programs may be an important factor explaining why some clients complete treatment and others drop out and state client information systems are an important source of data for analyzing treatment completion and other outcomes.
Motivational Interviewing: Preparing People to Change Addictive Behavior
Since the initial publication of this classic text, motivational interviewing (MI) has been used by countless clinicians in diverse settings. Theory and methods have evolved apace, reflecting new
Prison-based substance abuse treatment, residential aftercare and recidivism.
ITC treatment, especially when followed by residential aftercare, was effective for reducing post-release recidivism rates and Corrections-based treatment policy should emphasize a continuum of care model with high quality programs and services.