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Presented at the STAGE-12 Protocol Training Meeting, Bethesda, MD, December 3, 2007
Dennis M. Donovan, PhD (Alcohol & Drug Abuse Institute, University of Washington, PN Node).
This presentation examines the evidence supporting, and methods of implementing, 12-step facilitation in substance abuse treatment programs. It begins by providing general background information on 12-step, which is applicable to a broad range of clients, found to be efficacious, and has easily available therapy manuals and other training materials. It also discusses why 12-step facilitation is particularly suitable for a CTN trial, including the fact it can be trained in a short amount of time, can by used by counselors of varying skill levels, and allows for an examination of "treatment as usual" in CTPs vis-a-vis 12-step approaches. The presentation also describes previous research on 12-step involvement, and then provides an overview of the STAGE-12 protocol in the National Drug Abuse Treatment Clinical Trials Network. This protocol will evaluate the degree to which a combined group and individual intervention that also uses recovery mentors, "Stimulant Abuser Groups to Engage in 12-Step" (STAGE-12), improves substance-related outcomes compared to treatment as usual (TAU) without STAGE-12 among stimulant (methamphetamine and/or cocaine) abusers. The presentation also describes three ancillary studies that have attached themselves to STAGE-12: alcohol assessment (AUDIT-C items related to alcohol diagnostic criteria), health services research (agency organizational influence over intervention adoption and therapists protocol fidelity as a predictor of treatment outcome), and cognitive impairment associated with stimulant abuse. (Presentation, PowerPoint slides, English, 2007)
 Keywords: Cocaine | Community health services | Methamphetamine | Stimulant abuse | Twelve-Step Programs
Document No: 390
Submitted by Dennis Donovan, PhD, PN Node, 8/17/2009. |
