Outpatient mental health care, self‐help groups, and patients' one‐year treatment outcomes

Moos, Rudolf H.; Schaefer, Jeanne A.; Andrassy, Jill M.; Moos, Bernice S.

doi:10.1002/jclp.1011

Cited by 108 publications

(68 citation statements)

References 39 publications

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“…For example, in all three Project MATCH treatments, participation in AA in the first few months after treatment was associated with a higher likelihood of abstinence in the subsequent 6 months (Connors, Tonigan, & Miller, 2001;Tonigan, Connors, & Miller, 2003). In two other multisite studies, patients who attended more self-help group meetings had better 1-year outcomes than did patients who were less involved in such groups (Moos et al, 2001;Ouimette et al, 1998).…”

Section: Duration Of Participation In Treatment and Outcomementioning

confidence: 90%

“…Patients with substance use disorders who receive more extended episodes of outpatient care tend to have better short-term outcomes (Fiorentine & Anglin, 1996;Moos, Finney, Federman, & Suchinsky, 2000;Moos, Schaefer, Andrassy, & Moos, 2001;Ouimette, Moos, & Finney, 1998), and are more likely to be remitted 2 years after discharge from residential care than are patients who have outpatient care for a shorter interval. Prior studies of variations in the duration of care have focused primarily on individuals with severe and chronic substance use disorders.…”

Section: Duration Of Participation In Treatment and Outcomementioning

confidence: 99%

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Participation in treatment and Alcoholics Anonymous: A 16‐year follow‐up of initially untreated individuals

Moos¹,

Moos²

2006

J Clin Psychol

218

122

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This study focused on the duration of participation in professional treatment and Alcoholics Anonymous (AA) for previously untreated individuals with alcohol use disorders. These individuals were surveyed at baseline and 1 year, 3 years, 8 years, and 16 years later. Compared with individuals who remained untreated, individuals who obtained 27 weeks or more of treatment in the first year after seeking help had better 16-year alcohol-related outcomes. Similarly, individuals who participated in AA for 27 weeks or more had better 16-year outcomes. Subsequent AA involvement was also associated with better 16-year outcomes, but this was not true of subsequent treatment. Some of the association between treatment and long-term alcohol-related outcomes appears to be due to participation in AA.*

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Section: Duration Of Participation In Treatment and Outcomementioning

confidence: 90%

Section: Duration Of Participation In Treatment and Outcomementioning

confidence: 99%

Participation in treatment and Alcoholics Anonymous: A 16‐year follow‐up of initially untreated individuals

Moos¹,

Moos²

2006

J Clin Psychol

218

122

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“…As with formal treatment, longer duration and higher level of 12-step meeting attendance are associated with better outcomes (e.g., Fiorentine, 1999;Moos, Schaefer and Moos et al, 2001;. Until recently, relatively little was known of the effectiveness of 12-step attendance among drugdependent samples since most research was conducted among alcohol-dependent populations.…”

Section: Research On 12-step Participationmentioning

confidence: 99%

“…Most research has been conducted on 12-step fellowships, perhaps because other organizations are more recently established and less geographically widespread. Attendance at 12-step meetings fosters reductions in alcohol and illicit drug use (Fiorentine, 1999;Gossop, Harris, Best, Man, Manning, Marshall, Strang, 2003;Humphreys and Moos, 2001;Moos, Schaefer, Andrassy and Moos, 2001;Morgenstern, Labouvie, McCray, Kahler and Frey, 1997;Morgenstern, Bux, Labouvie, Morgan, Blanchard, and Muench, 2003;Project MATCH Research Group, 1997; for review Tonigan et al, 1996). Among individuals concurrently attending treatment, 12-step meeting attendance produces independent and additive effects on treatment outcomes (Fiorentine and Hillhouse, 2000).…”

mentioning

confidence: 99%

An Exploration of the Effect of On-Site 12-Step Meetings on Post-Treatment Outcomes among Polysubstance-Dependent Outpatient Clients

Laudet

Stanick²,

Sands

2007

Eval Rev

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Rates of return to active substance use after addiction treatment tend to be high; participation in 12-step fellowships (e.g., Alcoholics Anonymous) reduces relapse rates but many clients do not attend or attend for a short period only. This quasi-experimental study uses repeated measurement to explore the role of presence/absence of onsite 12-step meetings during treatment on post-treatment outcomes. Polysubstance-dependent clients (N = 219) recruited at a program with and one without 12-step onsite, were followed for one year post-treatment. Onsite 12-step enhanced 12-step attendance, especially during treatment, and predicted continuous abstinence for the post treatment year. Holding 12-step meetings onsite is a low-cost strategy that programs should consider to foster post-treatment remission maintenance. Keywords 12-step; treatment; recovery; self-helpSubstance use disorders (SUD) are conceptualized as chronic (e.g., McLellan, Lewis, O'Brien, C., and Kleber, 2000); the chronicity of SUD is empirically supported by findings on addiction and treatment 'career' indicating that most SUD-affected individuals, especially those with severe dependence, make multiple attempts at remission often involving several treatment episodes prior to resolving their alcohol or drug dependence (e.g., Dennis, Scott, Funk, and Foss, 2005;Hser, Anglin, Grella, Longshore and Prendergast, 1997; Laudet, Stanick, Carway, and Sands, 2004). Because of the multiple costs of long chronic addiction 'careers' that include the acquisition/transmission of infectious diseases (e.g., HIV, HepC), deterioration in mental and physical health and other functioning impairments (e.g., Smith and Larson, 2003), it is critical to identify strategies that contribute to sustaining remission, thus shortening addition careers and resulting nefarious effects to the individual and to society. A number of therapeutic modalities have proven effective at addressing drug and alcohol dependence and improving related functioning but treatment gains are often short lived (Hser, Grella, Hsieh and Anglin, 1999). Participation in post-treatment 'stepped down' continuing (or after) care is associated with sustained treatment gains (McKay, Alterman, Cacciola, Rutherford and O'Brien, 1997;Mckay 2001). In the currently austere fiscal context of health services provision, few drug and alcohol treatment programs offer continuing care, NIH-PA Author ManuscriptNIH-PA Author Manuscript NIH-PA Author Manuscript especially following outpatient treatment, the most prevalent treatment modality in the US. Twelve-step fellowships such as Alcoholics and Narcotics Anonymous are the most frequently used form of aftercare in the United States (Tonigan, Toscova, and Miller, 1996). Twelve-step fellowships are particularly well-suited to provide ongoing recovery support from chronic substance abuse and dependence because, unlike formal services that are limited in time, these groups are widely and consistently available throughout the US and free of charge. As with treatment, 12-st...

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“…The main issue in the effectiveness of the model concerns adherence. Prolonged abstinence has been reported among adherent members (Gossop et al, 2003), and lower relapse rates have been associated with stronger engagement (Morgenstern et al, 1997) or more frequent attendance at meetings (Gossop et al, 2003;R. Moos, Schaefer, Andrassy & B. Moos, 2001).…”

mentioning

confidence: 99%

Internal consistency and factor structure of the adherence scale for alcoholics anonymous

Terra

Barros

Stein

et al. 2011

Estud. psicol. (Campinas)

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The objective of the article was to estimate the internal consistency and factor structure of the Adherence Scale for Alcoholics Anonymous Groups. The scale was applied to 257 alcoholic patients who had been admitted for treatment in 3 hospitals in Porto Alegre, about 6 months earlier. The scale was produced based on an adaptation of the Drug Attitude Inventory Scale. Internal consistency was measured using Cronbach alpha. Data were subjected to a principal component analysis. The coefficient of internal consistency was 0.71. All items showed corrected item-total correlation coefficients above 0.29. Questionnaire items with factor loading of 0.57 or above were considered in the final factor solution. The factor analysis resulted in 2 dimensions which corresponded to 67.01% of the total variance. This scale appears to be a valid instrument for use in a population of alcoholic patients. Uniterms: Alcoholism. Alcoholics anonymous. Internal consistency. Factor analysis. Resumo O objetivo do artigo foi estimar a consistência interna e a estrutura fatorial da Escala de Adesão a Grupos de Alcoólicos

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Outpatient mental health care, self‐help groups, and patients' one‐year treatment outcomes

Cited by 108 publications

References 39 publications

Participation in treatment and Alcoholics Anonymous: A 16‐year follow‐up of initially untreated individuals

Participation in treatment and Alcoholics Anonymous: A 16‐year follow‐up of initially untreated individuals

An Exploration of the Effect of On-Site 12-Step Meetings on Post-Treatment Outcomes among Polysubstance-Dependent Outpatient Clients

Internal consistency and factor structure of the adherence scale for alcoholics anonymous

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