Full Answer
What is the psychology behind the 12 step treatment model?
The Psychology behind 12-Step Treatment Models. The need for positive, life-improving experiences Because the 12-step philosophy is proven to be one of the most successful approaches to managing the disease of addiction, many drug and alcohol rehab programs have integrated these steps into their treatment models.
What is the “standard practice” of 12-step treatment?
Oftentimes, even in treatment programs that label themselves as 12-Step, the “standard practice” may involve little more than providing the individual with a list and schedule of local self-help meetings and bus routes near them, and encouraging him or her to attend a meeting ( Humphreys & Moos, 2007 ).
What is the difference between drug treatment and 12 steps?
Drug Treatment & Therapy versus the 12 Steps: Drug treatment, as mentioned above, is using different types of therapy modalities and approaches to aid someone in understanding their addiction and themselves so they eventually may learn to live clean and sober. Treatment is performed by therapists and clinicians and are paid services.
How can i Improve my 12-step participation in treatment?
Beginning 12-Step participation while in treatment, especially at group meetings held at the treatment program, and 12-Step attendance at the same time that one is enrolled in specialty treatment, are associated with better outcomes.
What is the most effective treatment for addiction?
Behavioral Therapy. The crux of most drug addiction treatment programs is behavioral therapy, including individual, group, and family counseling.
Is AA the most successful?
AA shines. Most of the studies that measured abstinence found AA was significantly better than other interventions or no intervention. In one study, it was found to be 60% more effective. None of the studies found AA to be less effective.
What are the main components of the 12 step programs?
Admitting to the higher power, oneself, and another person the wrongs done. Being ready to have the higher power correct any shortcomings in one's character. Asking the higher power to remove those shortcomings. Making a list of wrongs done to others and being willing to make amends for those wrongs.
What is effective treatment?
3. Effective Treatment Attends to Multiple Needs of the Individual, not just his or her drug use: To be effective, treatment must address the individual's drug use and any associated medical, psychological, social, vocational, and legal problems.
What is the success rate of 12 step program?
The results concluded that over 70% of those who attended a 12-step program weekly for 6 months before the two-year follow-up point were abstinent from alcohol.
What is the success rate of Celebrate Recovery?
About 85% of the people who go through Celebrate Recovery stay with the church, according to Saddleback Church. The program is offered in more than 37,000 churches across the globe.
What is the goal of a 12-step program?
A 12-step program is a peer-based mutual help program for alcoholism, drug abuse and other addictive and dysfunctional behaviors. The steps are guiding principles that outline how to overcome addiction, avoid triggers and live a healthy, productive life.
What do the 12 Steps mean?
The 12 Steps are a set of principles developed to help individuals struggling with addiction change their beliefs. Together, they act as a framework for sustainable recovery. What's more, 12 Step communities of all types help provide the support and accountability many recovering addicts crave.
Which of the following is an example of a 12-step group?
AA is the largest and most well-known of the 12-step groups. However, there are many other "Anonymous" groups based on the same 12-steps. Examples include Overeaters Anonymous, Narcotics Anonymous, Sex Addicts Anonymous, and Gamblers Anonymous, to name just a few.
What are the 12 principles for effective drug treatment?
An effective treatment program will address all a person's needs, not just his/her addiction....Effective Treatment Programs Yield Beyond Successful ResultsStop drug and alcohol use and consumption.Remain completely free of drugs and alcohol.Thrive productively at work, in society, and with his/her family.
What are some effective treatment options?
There is no treatment that works for everyone – individuals can chose the treatment, or combination of treatments, that works best.Psychotherapy. ... Medication. ... Hospitalization. ... Support Group. ... Complementary & Alternative Medicine. ... Self Help Plan. ... Peer Support.
What are the principles of effective treatment?
To be effective, treatment must address the individual's drug abuse and any associated medical, psychological, social, vocational, and legal problems. It is also important that treatment be appropriate to the individual's age, gender, ethnicity, and culture.
What percentage of treatment centers use 12-step models?
According to the Substance Abuse and Mental Health Services Administration (SAMSHA) in its National Survey of Substance Abuse Treatment Services from 2013, 12-Step models are used, at least occasionally, by approximately 74 percent of treatment centers.
How effective is a 12-step program?
Most experts believe that a research-based, residential treatment program that is customized to an individual’s needs is the most effective method to achieve and maintain recovery. Whether this program includes 12-Step aspects, is based on the 12-Step concept, or is an alternative to this original model of addiction treatment, it’s important that care is customized to the individual. Working with an addiction treatment professional is a good way to find the treatment modality that is appropriate for each person, leading to the best path to recovery.
What is residential treatment?
Residential treatment programs provide the highest level of rehab services for individuals suffering from alcohol addiction. Residential programs are offered at professional rehab facilities, providing an alcohol-free environment that eliminates any potential triggers and temptations to drink.
What is the ability to recognize and admit that one is experiencing an addiction problem?
The ability to recognize and admit that one is experiencing an addiction problem. A surrender to the fact that the addiction exists and a decision to seek control through an outer guide. Self-observation and awareness of the behaviors that were part of and arose from the addiction, as well as those that.
What is the 12-step program?
The 12-Step program, first developed and used by Alcoholics Anonymous, is a 12-step plan in order to overcome addictions and compulsions. The basic premise of this model is that people can help one another achieve and maintain abstinence from substances of abuse, but that healing cannot come about unless people with addictions surrender ...
How to help someone with addiction?
help promote self-restraint. A chance to practice that restraint and build self-esteem in one’s positive capabilities. Achievement of self-acceptance and the ability to change behaviors. Compassion, both for those who have been affected by the addiction and for others who similarly struggle with addiction.
Where did the 12 step model come from?
As stated above, and as evident by the steps themselves, the 12-Step model originated from a Christian point of view. Those who are not Christian have modified the steps to refer to their specific religious or spiritual practice as a way to connect more with the structure of the 12-Step program.
When was the first 12-step program published?
The History of 12-Step Programs. The first 12-step program was published in 1935 when the founders of AA, Bill Wilson and Dr. Robert Smith, released the group’s guiding document, Alcoholics Anonymous: The Story of How Many Thousands of Men and Women Have Recovered from Alcoholism, better known as “The Big Book”.
How do the first four steps help?
The first four steps help to increase a person’s readiness to change. Not everyone attends treatment or a 12-step meeting with the same level of enthusiasm for addressing their addictions. Some are just curious, others go to placate family members, and some are even there on a court order.
What was Jung's only hope of recovery after relapse?
Jung told Hazard that his only hope of recovery after several relapses was to “become the subject of a spiritual or religious experience” or a “genuine conversion,” as reported by Wilson in “The Big Book”.
How many steps are there in spiritual healing?
Each of the 12 steps is a specific action towards the goal of spiritual healing, from increasing your awareness of your substance abuse problem to helping others achieve their goals. The steps can be broken into sections that are designed to accomplish a few major goals.
Who came up with the idea that addiction is a bad habit?
That understanding was partly pioneered in the middle of the 20th century by Alcoholics Anonymous (AA). The idea that addiction wasn’t just a bad habit or a moral failing, but a disease that is complicated, but treatable.
Is there a 12-step program for addiction?
Of course, a rule of thumb for addiction treatment is that there is no one option that will work for everyone across the board. But with so many treatment centers utilizing the 12-step method or referring people to programs like AA and NA, it’s important to know if that’s a positive next step after treatment.
Who wrote the 12 steps?
The 12 steps were first conceived by Wilson and Smith and published in “The Big Book”. They have been adapted for dozens of other addiction programs, 12-step groups, and other support group organizations. However, the wording generally remains the same and is only revised when the steps specifically mention alcohol.
Abstract
Social workers and other behavioral health professionals are likely to encounter individuals with substance use disorders in a variety of practice settings outside of specialty treatment.
INTRODUCTION
Substance use disorders (SUDs) are highly prevalent and negatively affect physical, psychological, social, legal, vocational, familial, educational, and other areas of life function.
EPIDEMIOLOGY OF 12-STEP PROGRAMS AND MEMBERS
There are many paths to recovery from alcohol and SUDs, and one that has been travelled by many and is associated with positive long-term outcomes is involvement in 12-Step and mutual/self-help groups ( Laudet, Savage, & Mahmood, 2002; Moos & Moos, 2005, 2006 ).
EFFECTIVENESS OF 12-STEP PROGRAMS
Although such mutual support groups are readily available, an important question is whether they are effective in achieving their goal of members becoming alcohol and drug free. Each of the three main 12-Step programs conducts periodic surveys of its members to assess demographic characteristics and to determine the length of members’ abstinence.
HOW DO 12-STEP GROUPS WORK? MECHANISMS OF ACTION
Researchers have investigated the mechanisms of action or the “active ingredients” of 12-Step programs that contribute to their effectiveness in increasing the likelihood of abstinence and improved psychosocial function.
BARRIERS TO ATTENDANCE AND ENGAGEMENT
Despite the benefit that can be derived from attending meetings and engaging in 12-Step activities, many individuals with SUDs are reluctant to do so. A number of real or perceived barriers contribute to high attrition and low or inconsistent participation rates. Some of the prominent barriers are listed in Table 2.
WHAT CAN SOCIAL WORKERS AND PROFESSIONALS DO TO HELP?
To benefit maximally from 12-Step programs it is necessary to attend meetings and engage in recovery activities, yet, as noted, meeting attendance and engagement may be limited, inconsistent, and sporadic.
What is the 12-step model of treatment?
The Psychology behind 12-Step Treatment Models. Since Alcoholics Anonymous was founded in the 1930s, 12-step treatment models have gained widespread acceptance among psychologists, therapists, social workers and medical doctors. Twelve-step groups like AA have also become a gold standard of recovery for many members of the general public.
Why is the 12-step approach so successful?
Because the 12-step philosophy is proven to be one of the most successful approaches to managing the disease of addiction, many drug and alcohol rehab programs have integrated these steps into their treatment models. If you enter an inpatient or outpatient rehab ...
What is CBT therapy?
Cognitive behavioral therapy, or CBT, is one of the most commonly practiced therapeutic models in addiction treatment. CBT is a practical approach to rehabilitation, teaching the client how to identify and correct the negative thoughts and behaviors that promote substance abuse. According to Psychology Today, 12-step programs take ...
What is the 12 step program?
In spite of their reliance on the disease model of addiction, 12-step groups offer rewarding experiences that reinforce healthy, sober behaviors. In this sense, the 12 steps reflect the principles of positive psychology, notes the Journal of Substance Abuse Treatment. Positive psychology is based on the belief that gratifying experiences will encourage the individual to repeat a healthy behavior, such as attending meetings or reading AA literature, rather than reverting to a self-destructive behavior, such as drinking or using drugs.
What is the emphasis on identifying destructive behaviors?
An emphasis on identifying destructive behaviors by taking a daily inventory of one’s thoughts and actions. Guidance in facing one’s personal fears by making amends to others. A focus on accepting responsibility for one’s decisions. A change of consciousness through prayer and meditation. Newcomers are advised that in order to make serious changes ...
What are the needs of a non profit self help group?
The psychology behind these principles indicates that these non-profit, mutual self-help groups fulfill several important needs, such as: The need for guidance in changing destructive behaviors and thought patterns. The need for support from peers and fellowship with other addicts. The need for spiritual fulfillment.
How can substance abusers recover from their loss of jobs?
Alcoholics who have lost their jobs, families, and dignity can recover their self-respect and restore broken relationships with the help of the fellowship and the 12 steps.
What are the different approaches to addiction?
Psychotherapeutic approaches, including cognitive behavioral therapy (CBT), aim at helping addicts understand why they have adopted addictive behavior and encourage self-reflection and self-efficacy. Motivational Interviewing ( MI) and Motivation Enhancement Therapy (MET) aim at enhancing the addict’s intrinsic motivation to change. Family-based approaches, such as the Community Reinforcement Approach (CRA) and Community Reinforcement and Family Therapy (CRAFT), encourage recovery by changing the addict’s social environment. Other MHGs for addiction include SMART Recovery ® (Self-Management and Recovery Training), Moderation Management TM, and Celebrate Recovery ®. These differ from TS groups in their philosophy and/or goal of recovery and are a better fit for some people. Brief interventions use a variety of approaches, often in emergency or one-time settings. Inpatient and intensive outpatient (IOP) programs also use different approaches, which may or may not include TS groups, TS principles, or TSF [26].
What is the treatment for addiction?
Addiction is a complex phenomenon characterized by a loss of control and compulsive, habitual behavior. Since there is no single, specific cause for addiction, there is no single, standard treatment for it. A variety of approaches are used, including counseling, psychotherapy, medications, and mutual help groups (MHG).
What is common factor theory?
Briefly, common factor theory holds that all therapies share common factors, such as the client-therapist relationship, and that these common factors account for as much or more of the therapeutic effect as the specific technique used in therapy [28, 29].
Who developed the TS program?
TS philosophy. The original TS program was developed by Alcoholics Anonymous ® (AA) ®. AA was founded in 1935 by physician Bob Smith and businessman Bill Wilson, who were both addicted to alcohol and looking to maintain sobriety. The 12 steps used in the program appeared in print in 1939, when Wilson and Smith published Alcoholics Anonymous: The Story of How More than One Hundred Men Have Recovered from Alcoholism [7]. Since then, other TS groups using similar principles have emerged to address other addictions, including Gamblers Anonymous ® (GA ® ), Overeaters Anonymous ® (OA ® ), Narcotics Anonymous ® (NA ® ), and others.
Is TS a modality?
In sum, TS programs of recovery are a respectable modality to recommend to those seeking help with addiction; however, the effect is not sizeable enough for clinicians to insist on TS for everyone seeking treatment for addiction.
What is the 12 step recovery?
On the other hand, 12 Step recovery is not treatment or therapy. It involves one addict helping another through the 12 Steps. The 12 Steps are spiritual principles, actions taken by addicts whose sole purpose is to create a psychic change in the addict (or what some call a “spiritual experience”), meaning a change in perception ...
What is Maryland Addiction Recovery Center?
Maryland Addiction Recovery Center, the leader in comprehensive extended care dual diagnosis and addiction treatment, has a YouTube channel filled with videos for the purpose of educating the public about the disease of addiction, treatment services and recovery. The videos on the YouTube channel…
How does yoga help with addiction?
Benefits of Yoga in Addiction Treatment and Recovery. Treatment for addiction must address the whole individual from a mind-body-spirit perspective. Addiction is an illness that not only impacts an individual physically but also impacts them mentally, emotionally and spiritually.
Is there a licensed therapist for AA?
There are no licensed therapists or clinicians that lead AA or NA (although many fellowship members are therapists, clinicians and other well respected professionals like doctors, psychiatrist and mental health administrators.) The important thing to remember is that 12 Step recovery is not treatment or therapy, ...
Is 12 step recovery therapy?
The important thing to remember is that 12 Step recovery is not treatment or therapy, although treatment can incorpora te the 12 Steps of Alcoholics Anonymous or Narcotics Anonymous and certainly both can work together in collaboration. The simple way to look at the process for someone needing help with substance abuse or drug addiction is ...
Do drug rehabs have 12 steps?
Some addiction treatment centers incorporate the 12 Steps into a specific group or as an approach, but 12 Step groups in a drug rehab does not constitute taking the 12 Steps or being involved in a 12 Step program. 12 Step recovery programs like AA and NA are not really “programs” at all, but instead are fellowships of people meeting together ...
What type of therapy is used for substance abuse?
Behavioral Therapy. A study conducted in 2014 found that addiction centers utilized a series of behavioral therapies more than any other type of therapy. Studies have confirmed that there is plenty of evidence to support the efficacy of behavioral therapy when it comes to substance abuse disorders.
How does therapy help addicts?
Therapy gives you the tools to avoid relapse and you develop means of coping with situations that would often make you abuse substances. When you work with addiction therapists, they will motivate you and help you develop skills that will make recovery easier.
How does CBT help with substance abuse?
Cognitive behavioral therapy (CBT) works to reduce behaviors connected to substance abuse. One of the main practices of CBT is to anticipate situations that might put you at risk of using again. There are strategies that help you cope during high risk situations such as avoiding and self-control. You’ll learn what your underlying reasons were for using in the first place. This helps you and the therapist fix the problem at their core. You are then able to recognize triggers and develop the tools to handle situations as they come up.
How to change behavior in addiction?
An addiction therapist will help you change your behaviors through the following: 1 Education and planning – you’ll be educated on your behavior, giving you a better understanding of reward and consequence. The therapist will create a plan with you to change risky behaviors. 2 Relaxation tools – It’s important to find inner calm as you navigate through your addiction recovery. This is introduced with behavioral therapy to reduce stress through challenging moments. 3 Functional analysis – In order to eliminate the unwanted behavior, therapists will ask you to look back to why you began in the first place. By knowing what is reinforcing the behavior, you can modify your motivation prior to triggers. 4 Exposure – You will have to expose yourself to the substance you’re addicted to without using. The more often this is done, the less impulse you’ll have to use.
What is CBT therapy?
Research has found that patients who develop skills through CBT will effectively be able to use them in real life scenarios. Cognitive behavioral therapy for addiction is popular and used in many types of addiction. CBT effectively treats alcohol, smoking, marijuana, methamphetamine, and cocaine addiction. 2.
What is behavioral therapy?
Behavioral therapies are designed to help you figure out why you started certain behaviors that lead to addiction. You will also develop tools to manage situations that would cause you to relapse. When it comes to substance addiction, you’re likely to keep using due to certain factors.
How to change risky behaviors?
Education and planning – you’ll be educated on your behavior, giving you a better understanding of reward and consequence. The therapist will create a plan with you to change risky behaviors. Relaxation tools – It’s important to find inner calm as you navigate through your addiction recovery.
What Is The 12-Step Program?
The History of 12-Step Programs
What Are The Steps of The 12-Step Program?
Types of 12-Step Programs
Are 12-Step Programs Effective?
Are 12-Step Programs Evidence-Based?
Seeking Addiction Treatment
- Addiction is a complicated disease that needs a complex solution. Addiction treatment needs to be able to answer multiple needs at once including psychological, medical, social, and cognitive needs. The 12-step model is primarily focused on helping you with spiritual needs of redemption and forgiveness as well as social needs. While 12-step proves ...