Self-help organizations for alcohol and drug problems: Toward evidence-based practice and policy

被引:152
作者
Humphreys, K [1 ]
Wing, S [1 ]
McCarty, D [1 ]
Chappel, J [1 ]
Gallant, L [1 ]
Haberle, B [1 ]
Horvath, AT [1 ]
Kaskutas, LA [1 ]
Kirk, T [1 ]
Klvlahan, D [1 ]
Laudet, A [1 ]
McCrady, BS [1 ]
McLellan, AT [1 ]
Morgenstern, J [1 ]
Townsend, M [1 ]
Weiss, R [1 ]
机构
[1] Vet Affairs Hlth Care Syst, Subst Abuse & Mental Hlth Serv Adm, Vet Hlth Adm Workgrp Subst Abuse Self Help Org, Program Evaluat & Resource Ctr, Menlo Pk, CA 94025 USA
关键词
self-help groups; mutual help organizations; twelve steps; effectiveness research; policy;
D O I
10.1016/S0740-5472(03)00212-5
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
This expert consensus statement reviews evidence on the effectiveness of drug and alcohol self-help groups and presents potential implications for clinicians, treatment program managers and policymakers. Because longitudinal studies associate self-help group involvement with reduced substance use, improved psychosocial functioning, and lessened health care costs, there are humane and practical reasons to develop self-help group supportive policies. Policies described here that could be implemented by clinicians and program managers include making greater use of empirically-validated self-help group referral methods in both specialty and non-specialty treatment settings and developing a menu of locally available self-help group options that are responsive to client's needs, preferences, and cultural background. The workgroup also offered possible self-help supportive policy options (e.g., supporting self-help clearinghouses) for state and federal decision makers. Implementing such policies Could strengthen alcohol and drug self-help organizations, and thereby enhance the national response to the serious public health problem of Substance abuse. (C) 2004 Elsevier Inc. All rights reserved.
引用
收藏
页码:151 / 158
页数:8
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