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Chapter 15 - Addiction Recovery Mutual-Aid Organisations

Published online by Cambridge University Press:  02 November 2021

By
John F. Kelly ,
Alexandra Abry  and
Brandon G. Bergman
Edited by
Ed Day
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Summary

The complexity of addiction has led to the emergence of free community-based peer-led resources for their management, which have grown substantially in many countries to help initiate and sustain recovery-related changes. This chapter highlights the similarities and differences between these mutual help organisations (MHOs; also referred to as mutual-aid or self-help groups), such as Alcoholics Anonymous (AA), Narcotics Anonymous and other 12-step-based entities, as well as newer entities, such as SMART Recovery, LifeRing, Women for Sobriety and Celebrate Recovery. The chapter begins by outlining the different major MHOs and reviewing the scientific research conducted on them pertaining to recovery benefits; the mechanisms of behaviour change through which they are purported, and have been shown, to convey benefits; and the potential for healthcare cost reductions and cost effectiveness. In the final section commonalities among these ostensibly different MHOs are described and future directions are discussed.

Keywords

recoverymutual aidmutual help organisation12-step fellowshipSMART recoveryLifeRingWomen for SobrietyCelebrate Recoverymechanismevidence
Type
Chapter
Information
Seminars in Addiction Psychiatry , pp. 266 - 279
Publisher: Cambridge University Press
Print publication year: 2021

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References

Degenhardt, L., Whiteford, H., Hall, W. D. The Global Burden of Disease projects: What have we learned about illicit drug use and dependence and their contribution to the global burden of disease? Drug and Alcohol Review. 2014;33 (1):4–12.Google Scholar
Rehm, J., Mathers, C., Popova, S., Thavorncharoensap, M., Teerawattananon, Y., Patra, J. Global burden of disease and injury and economic cost attributable to alcohol use and alcohol-use disorders. The Lancet. 2009; 373 (9682): 2223–33.CrossRefGoogle ScholarPubMed
Kelly, J. F., White, W. L. Broadening the base of addiction mutual-help organizations. Journal of Groups in Addiction and Recovery. 2012; 7 (2–4): 82–101.Google Scholar
Kelly, J. F., Magill, M., Stout, R. L. How do people recover from alcohol dependence? A systematic review on mechanisms of behaviour change in Alcoholics Anonymous. Addiction Research and Theory. 2009; 17 (3): 236–59.CrossRefGoogle Scholar
Kelly, P. J., Raftery, D., Deane, F. P., Baker, A. L., Hunt, D., Shakeshaft, A. From both sides: Participant and facilitator perceptions of SMART Recovery groups. Drug and Alcohol Review. 2017; 36 (3): 325–32.CrossRefGoogle ScholarPubMed
Humphreys, K. Circles of Recovery: Self-Help Organizations for Addiction. Cambridge: Cambridge University Press; 2004.Google Scholar
Alcoholics Anonymous. Alcoholics Anonymous: The Story of How Thousands of Men and Women Have Recovered from Alcoholism. 4th ed. New York: Alcoholics Anonymous World Services; 2001.Google Scholar
Alcoholics Anonymous. Twelve Steps and Twelve Traditions. New York: Alcoholics Anonymous World Services; 1952.Google Scholar
Alcoholics Anonymous. Estimates of AA Groups and Members as of January 1, 2019. New York: Alcoholics Anonymous General Service Office; 2019.Google Scholar
Alcoholics Anonymous. Alcoholics Anonymous: 2014 Membership Survey. New York: AA World Services; 2014.Google Scholar
Rychtarik, R. G., Connors, G. J., Dermen, K. H., Stasiewicz, P. R. Alcoholics Anonymous and the use of medications to prevent relapse: an anonymous survey of member attitudes. Journal of Studies on Alcohol. 2000; 61 (1): 134–8.CrossRefGoogle ScholarPubMed
Tonigan, J. S., Kelly, J. F. Beliefs about AA and the use of medications: A comparison of three groups of AA-exposed alcohol dependent persons. Alcoholism Treatment Quarterly. 2004; 22 (2): 67–78.CrossRefGoogle Scholar
Kelly, J. F. Is Alcoholics Anonymous religious, spiritual, neither? Findings from 25 years of mechanisms of behavior change research. Addiction. 2017; 112 (6): 929–36.CrossRefGoogle ScholarPubMed
Emrick, C. D., Tonigan, J. S., Montgomery, H. A., Little, L. Alcoholics Anonymous: What is currently known? In: Research on Alcoholics Anonymous: Opportunities and Alternatives (eds. McCrady, B. S., Miller, W. R.). New Brunswick: Rutgers Center of Alcohol Studies; 1993; pp 41–76.Google Scholar
Tonigan, J. S., Toscova, R., Miller, W. R. Meta-analysis of the literature on Alcoholics Anonymous: Sample and study characteristics moderate findings. Journal of Studies on Alcohol. 1996; 57: 65–72.Google Scholar
Kelly, J. F., Humphreys, K., Ferri, M. Alcoholics Anonymous and other 12‐step programs for alcohol use disorder. Cochrane Database of Systematic Reviews. 2020 (3).Google Scholar
Tonigan, J. S., Pearson, M. R., Magill, M., Hagler, K. J. AA attendance and abstinence for dually diagnosed patients: A meta-analytic review. Addiction. 2018; 113 (11): 1970–81.Google Scholar
Kelly, J. F. Are societies paying unnecessarily for an otherwise free lunch? Final musings on the research on Alcoholics Anonymous and its mechanisms of behavior change. Addiction. 2017; 112 (6): 943–5.Google Scholar
Bog, M., Filges, T., Brannstrom, L., Jorgensen, A.-M., Fredriksson, M. K. 12-step programs for reducing illicit drug-use: A systematic review. Campbell Systematic Reviews. 2017; 13 (2).Google Scholar
Kelly, J. F., Hoeppner, B. A biaxial formulation of the recovery construct. Addiction Research and Theory. 2015; 23( 1): 5–9.CrossRefGoogle Scholar
Hoeppner, B. B., Hoeppner, S. S., Kelly, J. F. Do young people benefit from AA as much, and in the same ways, as adult aged 30+? A moderated multiple mediation analysis. Drug and Alcohol Dependence. 2014; 143: 181–8.Google Scholar
Kelly, J. F., Hoeppner, B., Stout, R. L., Pagano, M. Determining the relative importance of the mechanisms of behavior change within Alcoholics Anonymous: A multiple mediator analysis. Addiction. 2012; 107 (2): 289–99.Google Scholar
Beck, A. K., Forbes, E., Baker, A. L., Kelly, P. J., Deane, F. P., Shakeshaft, A. et al. Systematic review of SMART recovery: Outcomes, process variables, and implications for research. Psychology of Addictive Behaviors. 2017; 31 (1): 1–20.Google Scholar
Campbell, W., Hester, R. K., Lenberg, K. L., Delaney, H. D. Overcoming addictions, a web-based application, and SMART recovery, an online and in-person mutual help group for problem drinkers, part 2: Six-month outcomes of a randomized controlled trial and qualitative feedback from participants. Journal of Medical Internet Research. 2016; 18 (10): e262-e.CrossRefGoogle Scholar
Zemore, S. E., Lui, C., Mericle, A., Hemberg, J., Kaskutas, L. A. A longitudinal study of the comparative efficacy of Women for Sobriety, LifeRing, SMART Recovery, and 12-step groups for those with AUD. Journal of Substance Abuse Treatment. 2018; 88 (1): 18–26.Google Scholar
O’Sullivan, D., Watts, J. R., Xiao, Y., Bates-Maves, J. Refusal self-efficacy among SMART recovery members by affiliation length and meeting frequency. Journal of Addictions and Offender Counseling. 2016; 37: 87–101.CrossRefGoogle Scholar
Connors, G. J., Dermen, K. H. Characteristics of Participants in Secular Organizations for Sobriety (SOS). American Journal of Drug and Alcohol Abuse. 1996; 22 (2): 281–95.Google Scholar
Nicolaus, M. Empowering Your Sober Self: The LifeRing Approach to Addiction Recovery. Oakland, CA: LifeRing Press; 2014.Google Scholar
Fenner, R. M., Gifford, M. H. Women for sobriety: 35 years of challenges, changes, and continuity. Journal of Groups in Addiction and Recovery. 2012 ;7 (2–4): 142–70.CrossRefGoogle Scholar
Kaskutas, L. A. A road less traveled: Choosing the ‘Women for Sobriety’ program. Journal of Drug Issues. 1996; 26 (1): 77–94.Google Scholar
Brown, A. E., Tonigan, J. S., Pavlik, V. N., Kosten, T. R., Volk, R. J. Spirituality and confidence to resist substance use among celebrate recovery participants. Journal of Religion and Health. 2013; 52 (1): 107–13.Google Scholar
Volkow, N. D., Koob, G. F., McLellan, A. T. Neurobiologic advances from the brain disease model of addiction. New England Journal of Medicine. 2016; 374 (4): 363–71.Google Scholar
Hostinar, C. E., Sullivan, R. M., Gunnar, M.R. Psychobiological mechanisms underlying the social buffering of the hypothalamic-pituitary-adrenocortical axis: A review of animal models and human studies across development. Psychological Bulletin. 2014; 140 (1): 256–82.Google Scholar
Yalom, I. D., Leszcz, M. The Theory and Practice of Group Psychotherapy, 5th ed. New York: Basic Books; 2005.Google Scholar
Kelly, J. F., Greene, M. C., Bergman, B. G. Recovery benefits of the ‘therapeutic alliance’ among 12-step mutual-help organization attendees and their sponsors. Drug and Alcohol Dependence. 2016; 162: 64–71.Google Scholar
Longabaugh, R., Donovan, D. M., Karno, M. P., McCrady, B. S., Morgenstern, J., Tonigan, J. S. Active ingredients: How and why evidence-based alcohol behavioral treatment interventions work. Alcoholism: Clinical and Experimental Research. 2005; 29 (2): 235–47.CrossRefGoogle ScholarPubMed
Kelly, J. F., White, W. L. Addiction Recovery Management. New York: Springer; 2011.CrossRefGoogle Scholar

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