Author: Bogenschutz, Michael P.

Source: Alcoholism Clinical and Experimental Research, Volume 31, Supplement 3, October 2007 , pp. 64s-66s(3)

Publisher: Wiley-Blackwell

Abstract:

Background: 

Existing data indicate that 12-step program involvement is associated with improved outcomes in the dually diagnosed, but there are questions concerning the magnitude and mechanisms of this effect in various dually diagnosed populations. Methods: 

Publications identified in a comprehensive review of the literature pertaining to 12-step programs and patients with addictions and co-occurring psychiatric disorders were reviewed for any content relevant to understanding the process of change involving dually diagnosed patients involved with 12-step programs. Results: 

Dually diagnosed individuals attend 12-step programs at rates comparable to the nondually diagnosed, although specific diagnoses may have some effect on attendance. The benefits of 12-step attendance do not appear to be markedly different for those with psychiatric disorders. Specialized 12-step programs could have benefits for the dually diagnosed over and above those of traditional 12-step programs. Existing data suggest that nonspecific change mechanisms (self-efficacy, social support) are similar to those found in the general AA literature. Conclusions: 

Based on existing data, the change mechanisms are broadly similar to those found in the general 12-step literature, but additional factors related to mental illness may also play a significant role. Further work is necessary to test the components of this model and to achieve a firm empirical foundation for understanding the processes of 12-step recovery in the dually diagnosed.

Keywords: Dual Diagnosis; Co-occurring Disorders; Mutual Help; 12-Step Programs; 12-Step Facilitation

Document Type: Research article

DOI: http://dx.doi.org/10.1111/j.1530-0277.2007.00496.x

Publication date: 2007-10-01

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