title: Specialized 12-step programs and 12-step facilitation for the dually diagnosed.
abstract: The role of 12-step programs and 12-step-oriented treatments for dually diagnosed individuals (DDI) remains unclear. Here are presented the results of a pilot study in which 10 seriously mentally ill patients received a modified 12-step facilitation (TSF) therapy emphasizing engagement of DDI in a specialized 12-step program for DDI. Participants significantly increased their 12-step attendance and decreased their substance use during the 12 weeks of treatment. Larger and longer-term studies are needed to assess the efficacy of modified TSF for DDI relative to other treatments, and to determine what forms of TSF are most effective in this population.
authors.affiliation: Department of Psychiatry, University of New Mexico Health Sciences Center, 2400 Tucker NE, Albuquerque, NM 87131, USA. mbogenschutz@salud.unm.edu
authors.forename: Michael P
authors.initials: MP
authors.lastname: Bogenschutz
mesh_terms: D001714:Bipolar Disorder / Q000150:complications / Q000628:therapy*; D003156:Community Mental Health Services; D003865:Major Depressive Disorder / Q000150:complications / Q000628:therapy*; D017831:Diagnosis, Dual (Psychiatry); D006801:Humans; D007258:Informed Consent; D008960:Models, Psychological; D010043:Outcome and Process Assessment, Health Care; D010865:Pilot Projects; D012559:Schizophrenia / Q000150:complications / Q000628:therapy*; D012657:Self-Help Groups; D012720:Severity of Illness Index; D012932:Social Facilitation; D019966:Substance-Related Disorders / Q000145:classification / Q000150:complications / Q000628:therapy*