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

@article{Kelly2003DropoutF1,
  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},
  year={2003},
  volume={24 3},
  pages={
          241-50
        }
}
  • 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.
TLDR
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.
Social recovery model: an 8-year investigation of adolescent 12-step group involvement following inpatient treatment.
TLDR
Successful early posttreatment engagement of youth in abstinence-supportive social contexts, such as AA/NA, may have long-term implications for alcohol and drug involvement into young adulthood.
Youth recovery contexts: the incremental effects of 12-step attendance and involvement on adolescent outpatient outcomes.
TLDR
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.
TLDR
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
TLDR
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.
Longitudinal trajectories of readiness to change: alcohol use and help-seeking behavior.
TLDR
Results inform treatment providers about how RC trajectories vary depending on alcohol use, both within and between individuals, and how individuals may mobilize change attitudes and behaviors, especially in relation to AA attendance.
An Exploration of the Effect of On-Site 12-Step Meetings on Post-Treatment Outcomes among Polysubstance-Dependent Outpatient Clients
TLDR
Holding 12-step meetings on-site is a low-cost strategy that programs should consider to foster post-treatment remission maintenance.
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References

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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.
TLDR
Encouraging substance abuse patients to regularly attend both outpatient aftercare and self-help groups may improve long-term outcomes.
Predictors of self-help group attendance in cocaine dependent patients.
TLDR
It is demonstrated that self-help groups can appeal to a wide variety of cocaine dependent patients, and these findings are consistent with past research on alcohol dependent individuals and challenge popular clinical notions about the types of people who attend self-helps.
Twelve-step and cognitive--behavioral treatment for substance abuse: a comparison of treatment effectiveness.
TLDR
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.
Factors predicting attendance at self-help groups after substance abuse treatment: preliminary findings.
TLDR
It is found that Blacks and women were more likely to attend self-help groups and the measures of social stability did not predict attendance, and persons who attended the groups had more severe problems in several domains.
Multiple predictors of dropout from alcoholism treatment.
TLDR
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.
TLDR
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.
Predictors of substance abuse treatment retention among women and men in an HMO.
TLDR
These findings highlight the importance of examining aspects of the course of treatment separately by sex and suggest treatment factors that may enhance retention among insured populations, including employer referrals, psychiatric services, and drug-related services.
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