12-step participation among dually-diagnosed individuals: a review of individual and contextual factors.
The frequent co-occurrence of substance abuse disorders along with psychiatric disorders creates a number of complexities and needs in terms of long-term treatment for individuals. 12-step groups might provide unique mechanisms by which dually-diagnosed individuals can maintain their abstinence and improve their psychological functioning. This paper reviews the literature on outpatient community 12-step participation among dually-diagnosed individuals, and also focuses on individual factors that may interact with treatment: homelessness, legal status, and ethnicity. A total of 59 articles was included in the review, with an emphasis on these individual factors and findings regarding mechanisms of action. Overall, findings from the studies reviewed suggest a general benefit of 12-step participation across these individual factors and some potential for dual-focus 12-step programs for dually-diagnosed individuals via social support and self-efficacy. However, methodological limitations and lack of research in the area of ethnicity limited some of the conclusions that can be made. Suggestions for further research are discussed.
Aase
Darrin M
DM
DePaul University, Center for Community Research, 990 W. Fullerton Ave, Suite 3100, Chicago, IL 60614, USA. daase@depaul.edu
Jason
Leonard A
LA
Robinson
W LaVome
WL
D017831:Diagnosis, Dual (Psychiatry); D006801:Humans; D001523:Mental Disorders / Q000175:diagnosis* / Q000453:epidemiology*; D020377:Self Efficacy; D019966:Substance-Related Disorders / Q000175:diagnosis* / Q000453:epidemiology*