Youth Recovery Contexts: The Incremental Effects of 12‐Step Attendance and Involvement on Adolescent Outpatient Outcomes
- 17 April 2012
- journal article
- Published by Wiley in Alcohol: Clinical and Experimental Research
- Vol. 36 (7), 1219-1229
- https://doi.org/10.1111/j.1530-0277.2011.01727.x
Abstract
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.Keywords
This publication has 44 references indexed in Scilit:
- 12-Step involvement among a U.S. national sample of Oxford House residentsJournal of Substance Abuse Treatment, 2011
- Facilitating Comprehensive Assessment of 12-Step Experiences: A Multidimensional Measure of Mutual-Help ActivityAlcoholism Treatment Quarterly, 2011
- How safe are adolescents at Alcoholics Anonymous and Narcotics Anonymous meetings? A prospective investigation with outpatient youthJournal of Substance Abuse Treatment, 2011
- Can 12-step group participation strengthen and extend the benefits of adolescent addiction treatment? A prospective analysisDrug and Alcohol Dependence, 2010
- Effectiveness of Making Alcoholics Anonymous Easier: A group format 12-step facilitation approachJournal of Substance Abuse Treatment, 2009
- Twelve‐Step affiliation and 3‐year substance use outcomes among adolescents: social support and religious service attendance as potential mediatorsAddiction, 2009
- Changing network support for drinking: Network Support Project 2-year follow-up.Journal of Consulting and Clinical Psychology, 2009
- Facilitating involvement in Alcoholics Anonymous during out‐patient treatment: a randomized clinical trialAddiction, 2009
- Adolescents' Participation in Alcoholics Anonymous and Narcotics Anonymous: Review, Implications and Future DirectionsJournal of Psychoactive Drugs, 2007
- Assessment of Alcohol and Other Drug Use by Runaway YouthsAlcoholism Treatment Quarterly, 2004