12-step facilitation for the dually diagnosed: a randomized clinical trial.
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.
Department of Psychiatry, University of New Mexico Health Sciences Center, MSC09 5030, 1 University of New Mexico, Albuquerque, NM 87131-0001; The University of New Mexico, Center on Alcoholism, Substance Abuse, and Addictions, 2650 Yale Boulevard, SE, MSC11-6280, Albuquerque, NM 87106, USA. Electronic address: mbogenschutz@salud.unm.edu.
Michael P
MP
Bogenschutz
The University of New Mexico, Center on Alcoholism, Substance Abuse, and Addictions, 2650 Yale Boulevard, SE, MSC11-6280, Albuquerque, NM 87106, USA.
Samara L
SL
Rice
The University of New Mexico, Center on Alcoholism, Substance Abuse, and Addictions, 2650 Yale Boulevard, SE, MSC11-6280, Albuquerque, NM 87106, USA.
J Scott
JS
Tonigan
Department of Psychiatry, University of New Mexico Health Sciences Center, MSC09 5030, 1 University of New Mexico, Albuquerque, NM 87131-0001.
Howard S
HS
Vogel
University of Connecticut Health Center, 263 Farmington Ave, Farmington, CT 06034.
Joseph
J
Nowinski
Recovery Based Solutions, 3200 Carlisle Boulevard NE, #228, Albuquerque, NM 87110-1664.
Donald
D
Hume
Department of Psychiatry, University of New Mexico Health Sciences Center, MSC09 5030, 1 University of New Mexico, Albuquerque, NM 87131-0001.
Pamela B
PB
Arenella
D000328:Adult; D000428:Alcohol Drinking / Q000453:epidemiology / Q000517:prevention & control*; D000437:Alcoholism / Q000534:rehabilitation*; D000553:Ambulatory Care / Q000379:methods; D017831:Diagnosis, Dual (Psychiatry); D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000150:complications* / Q000503:physiopathology; D008875:Middle Aged; D012657:Self-Help Groups; D012720:Severity of Illness Index; D016896:Treatment Outcome
12-step; Alcohol dependence; Alcoholics Anonymous; Clinical trial; Double trouble in recovery; Dual diagnosis; Serious mental illness