Evaluation of a Residential AA Program

Di, Smith

doi:10.3109/10826088609063436

Cited by 20 publications

(6 citation statements)

References 9 publications

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“…Consequently, Smith (1986) doubts that AA alone is sufficient treatment for persons with advanced alcohol problems. While a counselor working the steps with the client may not be the radically new Alcoholism Treatment Quarterly 1993.10:49-61. approach to treatment suggested by Spotts and Shontz (1982), it may be a practical exercise for the counselor to assist the client in deriving the "meaning" from the steps and may help form a therapeutic bond.…”

Section: Sponsorshipmentioning

confidence: 94%

Working the 12 Steps of Alcoholics Anonymous with a Client

Thompson

1993

Alcoholism Treatment Quarterly

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Section: Sponsorshipmentioning

confidence: 94%

Working the 12 Steps of Alcoholics Anonymous with a Client

Thompson

1993

Alcoholism Treatment Quarterly

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“…The list was refined to 99 references, and of these trials, 12 were selected for further analysis. [24][25][26][27][28][29][30][31][32][33][34][35] The remaining 87 trials were rejected for the following reasons: 38 were comparison trials of different types of interventions without control groups ; 21 lacked a control group ; 15 incorporated other therapies (intensive inpatient therapy, hypnotic therapy, aversion therapy, biofeedback, aerobic exercise) [95][96][97][98][99][100][101][102][103][104][105][106][107][108][109] ; and the remaining 13 for other reasons (e.g., retrospective analysis, lack of randomization). [110][111][112][113][114][115][116][117][118][119][120][121][122] General characteristics of the selected 12 clinical trials, summarized in Tables 1 and 2, reveal diversity in study population, inclusion and exclusion criteria, intervention intensity, follow-up rates, outcome measures, and methodologic quality scores.…”

Section: Literature Searchmentioning

confidence: 99%

Meta-analysis of Randomized Control Trials Addressing Brief Interventions in Heavy Alcohol Drinkers

1997

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OBJECTIVE:To assess the effectiveness of brief interventions in heavy drinkers by analyzing the outcome data and methodologic quality. DESIGN:(1) Qualitative analysis of randomized control trials (RCTs) using criteria from Chalmers' scoring system; (2) calculating and combining odds ratios (ORs) of RCTs using the One-Step (Peto) and the Mantel-Haenszel methods. STUDY SELECTION AND DATA ANALYSIS: A MEDLINE andPsycLIT search identified RCTs testing brief interventions in heavy alcohol drinkers. Brief interventions were less than 1 hour and incorporated simple motivational counseling techniques much like outpatient smoking cessation programs. By a single-reviewer, nonblinded format, eligible studies were selected for adult subjects, sample sizes greater than 30, a randomized control design, and incorporation of brief alcohol interventions. Methodologic quality was assessed using an established scoring system developed by Chalmers and colleagues. Outcome data were combined by the One-Step (Peto) method; confidence limits and 2 test for heterogeneity were calculated. RESULTS:Twelve RCTs met all inclusion criteria, with an average quality score of 0.49 ؎ 0.17. This was comparable to published average scores in other areas of research (0.42 ؎ 0.16). Outcome data from RCTs were pooled, and a combined OR was close to 2 (1.91; 95% confidence interval 1.61-2.27) in favor of brief alcohol interventions over no intervention. This was consistent across gender, intensity of intervention, type of clinical setting, and higher-quality clinical trials. CONCLUSIONS:Heavy drinkers who received a brief intervention were twice as likely to moderate their drinking 6 to 12 months after an intervention when compared with heavy drinkers who received no intervention. Brief intervention is a low-cost, effective preventive measure for heavy drinkers in outpatient settings.KEY WORDS: meta-analysis; qualitative analysis; randomized control trial; heavy drinking; brief clinical interventions.

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“…There has been extensive research indicating the advantages of incorporating TSP within a professional setting for treating several types of addiction (e.g., Chen, 2006;Cross, Morgan, Mooney, Martin, & Rapter, 1990;Dermatis, Guschwan, Galanter, & Bunt, 2004;Humphreys, Huebsch, Finney, & Moos, 1999;Moos, Finney, Ouimette, & Suchinsky, 1999;Ouimette, Moos, & Finney, 1998;Smith, 1985Smith, , 1986. TSP may serve either as the sole treatment modality or as one component within an integrated model (Alford, Koehler, & Leonard, 1991;Peyrot, 1985;Ronel, 2000a;Spickard, 1990;Winters et al, 2000).…”

Section: The 12-step Programmentioning

confidence: 99%

Can a 12-Step Program Work in Methadone Maintenance Treatment?

Ronel

Gueta

Abramsohn³

et al. 2010

Int J Offender Ther Comp Criminol

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Three consecutive, professionally led (as opposed to self-help) groups following the 12-step program (TSP) were integrated into a methadone maintenance treatment (MMT) program that included 32 heroin-addicted individuals in recovery. This report describes our experience in meeting the challenges that arose and our conclusions regarding the therapeutic potential of this integration. A professional therapeutic staff guided the groups. In-depth interviews of 10 participants and the reflections of the group leaders provided data for learning about the groups' experience. Initially the participants rejected the concepts of Step 1, powerlessness and unmanageability of life. The assimilation of Step 4 (defining character defect) also aroused some resistance. The participants eventually adopted the pragmatic aspects of TSP, including its terminology. The establishment of a common language of recovery helped to create group coherence and a sense of belonging, and helped to meet the needs of those who felt stigmatized by both the nonaddicted and addicted population undergoing nonmethadone recovery. TSP could be adapted to various aspects of daily life, produced a sense of self-efficacy, and stimulated motivation for change. Therapeutic implications are discussed.

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Evaluation of a Residential AA Program

Cited by 20 publications

References 9 publications

Working the 12 Steps of Alcoholics Anonymous with a Client

Working the 12 Steps of Alcoholics Anonymous with a Client

Meta-analysis of Randomized Control Trials Addressing Brief Interventions in Heavy Alcohol Drinkers

Can a 12-Step Program Work in Methadone Maintenance Treatment?

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