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Youth Recovery Contexts: The Incremental Effects of 12-Step Attendance and Involvement on Adolescent Outpatient Outcomes
| Content Provider | Scilit |
|---|---|
| Author | Kelly, John F. Urbanoski, Karen |
| Copyright Year | 2012 |
| Description | Journal: Alcoholism: Clinical and Experimental Research Background A major barrier to youth recovery is finding suitable sobriety-supportive social contexts. National studies reveal most adolescent addiction treatment programs link youths to community 12-step fellowships to help meet this challenge, but little is known empirically regarding the extent to which adolescents attend and benefit from 12-step meetings or whether they derive additional gains from active involvement in prescribed 12-step activities (e.g., contact with a sponsor and other fellowship members). Greater knowledge in this area would enhance the efficiency of clinical continuing care recommendations. Methods Adolescent outpatients (N = 127; M age 16.7; 75% male; 87% white) enrolled in a naturalistic study of treatment effectiveness were assessed at intake and 3, 6, and 12 months later using standardized assessments. Mixed-effects models, controlling for static and time-varying confounds, examined the concurrent and lagged effects of 12-step attendance and active involvement on abstinence over time. Results The proportion attending 12-step meetings was relatively low across follow-up (24 to 29%), but more frequent attendance was independently associated with greater abstinence in concurrent and, to a lesser extent, lagged models. An 8-item composite measure of 12-step involvement did not enhance outcomes over and above attendance, but separate components did; specifically, greater contact with a 12-step sponsor outside of meetings and more verbal participation during meetings. Conclusions The benefits of 12-step participation observed among adult samples extend to adolescent outpatients. Community 12-step fellowships appear to provide a useful sobriety-supportive social context for youths seeking recovery, but evidence-based youth-specific 12-step facilitation strategies are needed to enhance outpatient attendance rates. |
| Related Links | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3394872/pdf |
| Ending Page | 1229 |
| Page Count | 11 |
| Starting Page | 1219 |
| e-ISSN | 15300277 |
| DOI | 10.1111/j.1530-0277.2011.01727.x |
| Journal | Alcoholism: Clinical and Experimental Research |
| Issue Number | 7 |
| Volume Number | 36 |
| Language | English |
| Publisher | Wiley-Blackwell |
| Publisher Date | 2012-04-17 |
| Access Restriction | Open |
| Subject Keyword | Journal: Alcoholism: Clinical and Experimental Research Alcoholics Anonymous Narcotics Anonymous Substance Use Disorder |
| Content Type | Text |
| Resource Type | Article |
