12-step facilitation for the dually diagnosed: A randomized clinical trial |
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| Authors: | Michael P. Bogenschutz Samara L. Rice J. Scott Tonigan Howard S. Vogel Joseph Nowinski Donald Hume Pamela B. Arenella |
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| Affiliation: | 1. Department of Psychiatry, University of New Mexico Health Sciences Center, MSC09 5030, 1 University of New Mexico, Albuquerque, NM 87131–0001;2. The University of New Mexico, Center on Alcoholism, Substance Abuse, and Addictions, 2650 Yale Boulevard, SE, MSC11-6280, Albuquerque, NM 87106, USA;3. University of Connecticut Health Center, 263 Farmington Ave, Farmington, CT 06034;4. Recovery Based Solutions, 3200 Carlisle Boulevard NE, #228, Albuquerque, NM 87110–1664 |
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| Abstract: | There are few clinical trials of 12-step treatments for individuals with serious mental illness and alcohol or drug dependence. This randomized trial assessed the effects of adding a 12-session 12-step facilitation therapy (TSF), adapted from that used in Project MATCH, to treatment as usual in an outpatient dual diagnosis program. Participants were 121 individuals dually diagnosed with alcohol dependence and a serious mental disorder, followed during 12 weeks of treatment and 36 weeks post-treatment. Participants receiving TSF had greater participation in 12-step programs, but did not demonstrate greater improvement in alcohol and drug use. However, considered dimensionally, greater participation in TSF was associated with greater improvement in substance use, and greater 12-step participation predicted decreases in frequency and intensity of drinking. Findings suggest that future work with TSF in this population should focus on maximizing exposure to TSF, and maximizing the effect of TSF on 12-step participation. |
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| Keywords: | Dual diagnosis 12-step Alcohol dependence Serious mental illness Clinical trial Alcoholics Anonymous Double trouble in recovery |
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