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Evidence for 12-Step Facilitation and Combining Evidence Based Therapies: Use of TSF with Suboxone Treatment.

Presented at the NIDA Blending Conference, "Blending Addiction Science & Treatment: The Impact of Evidence-Based Practices on Individuals, Families, and Communities," Cincinnati, OH, June 2-3, 2008.

Dennis M. Donovan, PhD (Alcohol & Drug Abuse Institute, University of Washington, PN Node), Mimmie Byrne, ACSW, CAC (Chestnut Ridge Hospital, AT Node).

The first part of this 2008 NIDA Blending Conference session featured a presentation by Dennis Donovan, PhD, looking at the evidence supporting, and methods of implementing, 12-step facilitation in substance abuse treatment programs. It begins by providing a sampling of the data that supports the potential positive benefits of 12-step program involvement for people with substance use disorders, and describes results from previous research on 12-step involvement. From there, it looks at factors that contribute to greater 12-step involvement, such as offering active encouragement and referral during treatment. Using more intensive methods of promoting self-help or 12-step group involvement has been empirically demonstrated to be effective at lowering relapse in patients, and a variety of methods to increase 12-step involvement have been found effective. Three of those methods are described: Twelve Step Facilitation (Project MATCH), Group Drug Counseling plus Individual Drug Counseling, and Systematic Encouragement and Community Access/Intensive Referral. Dr. Donovan concludes his presentation with a description of the the STAGE-12 protocol of the CTN (NIDA-CTN-0031: "Stimulant Abuser Groups to Engage in 12-Step (STAGE-12): Evaluation of a Combined Individual-Group Intervention to Reduce Stimulant and Other Drug Use by Increasing 12-Step Involvement").

The second presentation in this session, by Mimmie Byrne, offers a discussion of the Chestnut Ridge Suboxone clinic model, which combines the use of Twelve-Step Facilitation (TSF) with Suboxone treatment. The clinic adapted standard TSF to include other drugs of choice in addition to alcohol and the use of a treatment group to increase comfort with sharing in self-help. Clinic demographics and data are presented. (Presentation, PDF, English, 2008)

Keywords: Methamphetamine | Pharmacological therapy | Stimulant abuse | Suboxone | Twelve-Step Programs | NIDA Blending Conference, 2008

Document No: 274

Submitted by CTN Dissemination Librarians (6/16/2008).

 
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Donovan, Dennis M. search mail
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Supported by a grant from the National Institute on Drug Abuse to the University of Washington Alcohol and Drug Abuse Institute.
The materials on this site have neither been created nor reviewed by NIDA.
Updated 4/2009 -- http://ctndisseminationlibrary.org/display/274.htm
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