United Kingdom substance misuse treatment workers' attitudes toward 12-step self-help groups

Day, Ed; Gaston, Romina Lopez; Furlong, Elizabeth; Murali, Vijaya; Copello, Alex

doi:10.1016/j.jsat.2005.08.009

Cited by 31 publications

(38 citation statements)

References 13 publications

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“…An extensive literature on the mediators of Alcoholics Anonymous suggests that the positive effects of 12-step group involvement on abstinence for alcohol 12 months later is mediated by quality of friendships, network support for abstinence, and a larger social network and greater network support [38]. Although well established in many parts of the UK, Narcotics Anonymous has not been as prominent in supporting recovery as in the USA or parts of Europe [39], and so a potential source of support may not be fully utilised in the UK context. Only 27 (23%) participants reported at least 1 network member who was in recovery, and there was no association between being abstinent from heroin and number of network members in recovery.…”

Section: Discussionmentioning

confidence: 99%

Social Network Support for Individuals Receiving Opiate Substitution Treatment and Its Association with Treatment Progress

et al. 2013

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Background/Aims: Social networks have been hypothesized to protect people from the harmful effects of stress, but may also provide dysfunctional role models and provide cues associated with drug use. This study describes the range, type and level of social support available to patients engaged in UK opiate substitution treatment (OST) programmes, and explores the association between network factors and continued use of illicit heroin. Methods: A cross-sectional survey of a randomly selected sample of OST patients (n = 118) utilised measures of current substance use and social network structure and support. Results: More than half of the participants had used heroin in the previous month, and most described networks that were both supportive and positive about treatment. Multivariate analysis showed that the substance use involvement of network members was higher in those patients still using heroin, even when other treatment factors were controlled for. Conclusion: There was a strong association between ongoing contact with other drug users and continued use of illicit heroin in this treatment sample. Whilst there is potential for the involvement of social networks in treatment, future research needs to ascertain the exact nature of the relationship between social support and drug use.

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Section: Discussionmentioning

confidence: 99%

Social Network Support for Individuals Receiving Opiate Substitution Treatment and Its Association with Treatment Progress

et al. 2013

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“…Research undertaken in the United Kingdom by Day et al [3,4] demonstrates that its apparently 'religious' nature is a significant factor in skepticism about 12-Step mutual aid among professionals and their clients. As a result, the number of people availing themselves of what Kelly aptly describes as 'the closest thing… to a free lunch in public health' is reduced.…”

Section: A Daily Reprieve Contingent On the Maintenance Of Our Spiritmentioning

confidence: 99%

A daily reprieve contingent on the maintenance of our spiritual condition

Dossett

2017

Addiction

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“…Clinician referral has been shown to be important in fostering engagement with mutual self-help groups [22,23,24,25]. Referral rates are influenced by staff beliefs and knowledge about TSGs [26,27,28], and so a greater understanding of these factors may help to enhance the effectiveness and cost-effectiveness of professional treatment services. Although North American research has highlighted that both staff and patients consider TSGs a helpful resource [29,30], the situation is not always clear cut.…”

Section: Introductionmentioning

confidence: 99%

“…Although North American research has highlighted that both staff and patients consider TSGs a helpful resource [29,30], the situation is not always clear cut. A survey of all addiction treatment professionals in the West Midlands region of England in 2003 found that clinicians were ambivalent towards such groups, with less than half (46%) likely to recommend their use [26]. These findings were supported by a second study conducted in Norway, where only 38% of staff reported actively motivating clients to participate in TSGs [28].…”

Section: Introductionmentioning

confidence: 99%

What Influences Referral to 12-Step Mutual Self-Help Groups by Treatment Professionals?

Wall

Sondhi²,

Day³

2014

Eur Addict Res

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Background/Aims: Twelve-step mutual self-help groups provide cost-effective support for recovery from substance misuse problems. Evidence suggests they are successful as an adjunct to formal treatment and that referral from clinicians is important in fostering engagement. Methods: This study surveyed substance misuse treatment professionals employed within two agencies in Birmingham (UK). Results: A total of 92 clinicians (79.3%) eligible to participate completed a questionnaire that explored their attitudes, knowledge and referral practices with regard to 12-step groups (TSGs). Most (74%) had a positive attitude, and almost 80% referred at least some of their clients to TSGs. However, 30% had not referred any clients in the past month, and multivariate analysis showed that referral was associated with greater objective knowledge about TSGs when other factors were controlled for. Conclusions: These results have implications for linking professional treatment to mutual self-help groups, and potential strategies to increase referral are discussed.

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United Kingdom substance misuse treatment workers' attitudes toward 12-step self-help groups

Cited by 31 publications

References 13 publications

Social Network Support for Individuals Receiving Opiate Substitution Treatment and Its Association with Treatment Progress

Social Network Support for Individuals Receiving Opiate Substitution Treatment and Its Association with Treatment Progress

A daily reprieve contingent on the maintenance of our spiritual condition

What Influences Referral to 12-Step Mutual Self-Help Groups by Treatment Professionals?

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