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This article explores the relationship between group cohesion and recovery outcome variables in inpatient addiction treatment groups. We surveyed 104 people in group therapy using measures of cohesion, self-efficacy, social support, and coping. Length of stay in treatment has a relationship with cohesion. Significant higher order interactions were found with group cohesion (length of stay by type of addiction and length of stay by type of referral). The interaction of gender by addiction on measures of social support and self-efficacy were also significant. The latent construct of collective efficacy was confirmed using factor analysis, and we discuss collective efficacy and implications for group work with addictions.