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Substance Use Risk Reduction
Published in Gia Merlo, Kathy Berra, Lifestyle Nursing, 2023
Alcoholics Anonymous (AA) and other 12-step programs are abstinence-focused and founded on the original work of Bill Miller, guided by the Big Book (AA, 2002), first published in 1939. Self-help groups provide social support and connectedness that is often foregone with SUDs. AA meetings are free of charge and can be found anywhere in the world. There has been a substantial slate of observational and quasi-experimental studies over the years to support AA as a viable means to long-term recovery. A recent Cochrane Review of 27 studies (21 RCTs/quasi-RCTs, 5 non-randomized, and 1 purely economic study) (N=10,565) provides high quality evidence that manualized peer-led and professionally delivered treatments that facilitate AA involvement are more effective than other established treatments, such as CBT, for increasing abstinence for up to three years (Kelly et al., 2020).
Case 3
Published in Andrew Solomon, Julia Anstey, Liora Wittner, Priti Dutta, Clinical Cases, 2021
Andrew Solomon, Julia Anstey, Liora Wittner, Priti Dutta
Alcoholics Anonymous (AA) is one of the most well-known charities, which holds meetings all around the country, every week, to provide moral support to those with alcohol problems through their 12-step programme. The following are all helpful Web pages for advice and support on how to cut down on alcohol consumption:www.nhs.uk/Livewell/alcohol/Pages/Alcoholsupport.aspxwww.al-anonuk.org.ukwww.addaction.org.ukwww.adfam.org.ukwww.nacoa.org.ukwww.smartrecovery.org.uk
Improving the Old, Embracing the New: Implications of Alcohol Research for Future Practice
Published in Gary Rosenberg, Weissman Andrew, Behavioral and Social Sciences in 21st Century Health Care: Contributions and Opportunities, 2021
Traditional alcoholism treatment, was primarily of a mixture of teaching, persuasion, and a little coercion. Alcoholism treatment borrowed heavily from AA, but also from mental health, human and social services programs. Sometimes, therapies or programs components were added simply because it seemed like a good thing to do. Doing business this way has been with us in the alcohol field for a very long time.
Social relationships, homelessness, and substance use among emergency department patients
Published in Substance Abuse, 2022
Amanda Jurewicz, Deborah K. Padgett, Ziwei Ran, Donna G. Castelblanco, Ryan P. McCormack, Lillian Gelberg, Donna Shelley, Kelly M. Doran
“I Want nothing to do with these people.” Several participants described trying to avoid people who may trigger their substance use, subscribing to the people, places, and things adage of Alcoholics Anonymous. For some participants, avoiding such people even precipitated homelessness. Participant 20, a man in his 40 s, left Camden, New Jersey to seek detoxification services in New York City, where he knew he would be homeless. He elaborated, “so right there [Camden] it’s the most drugs in the USA…you go down like at any corner and you go to dealers and drugs. That’s why it’s too easy to be addicted because they offer you. That’s why I’m here.” Participant 60, a man in his 40 s, reported a similar experience in Trenton, New Jersey. He explained, “this is a smart move for me; it really is because of [my ex-girlfriend] and…the drugs and stuff, the people I know. See, here, I don’t even know where to cop [drugs].” Others reported that they avoided shelters because of open substance use by shelter residents. “I'm homeless right now. I'm scared to go into the shelters ‘cause I don’t know how to stay away from it [substance use],” explained Participant 21, a man in his 40 s.
Storytelling of suicide attempt recovery and its relationship with mental health treatment-seeking attitudes and behaviors: An experimental study
Published in Journal of American College Health, 2022
Raymond P. Tucker, Rachel Haydel, Mark Zielinski, Thomas Niederkrotenthaler
More evidence showing the effect of online sources on treatment-seeking comes from research regarding news stories. Morgan and Jorm12 found positive news stories showing the mental health recovery of a well-known individual decreased negative stigma toward mental illness in Australian youth. There is a trend called the Papageno effect, where news articles of people sharing how they overcame a suicidal crisis protects against suicide.13–15 Storytelling is thought to help others who are listening make connections with the person, or identify with them14,16 and certainly is not a new concept in behavioral health. Alcoholics Anonymous (AA) (AA) meetings, for example, include storytelling as a way to help listeners see the similarities between the experiences of the storyteller and that of the listener.17 The hope in AA programs is that if a listener relates to the speaker and sees how the speaker was able to cope and get professional help, then he or she may also be able to cope/get help in the same way.17
“We all need Purpose and Reason to be here.”: A Qualitative Investigation of howmembers of Alcoholics Anonymous with Long-term Recovery Experience Aging
Published in Alcoholism Treatment Quarterly, 2022
Kevin McInerney, Gulcan Garip, Tony Benson
As well as being the antidote to the isolation associated with growing old, fellowship enables people to acquire a sense of meaning and purpose at a time of life when the individual is prone to both, change and loss (Kimble & Ellor, 2001). AA is essentially about identification and connection. In other words, it is about intersubjectivity. Read at the beginning of every meeting, the AA Preamble, which states: “Alcoholics Anonymous is a fellowship of men and women” (Alcoholics Anonymous World Services, 1947), signifies the central role of fellowship in recovery. The participants’ discourses indicates the importance of fellowship as they have grown older. As well as the friendship and support it offers, Claudia has found fellowship to be a practical coping mechanism. Fellowship is always close to hand, and is vitally important in helping Claudia to manage the chronic pain she has had to learn to live with: … there’s always someone you can talk to; you know you can pick up the phone and talk to … and there’s … The support in AA is amazing. When you’re on a low, even when you’re on a high, the support that you get from fellowship and the unconditional love that pulls you through, you know … and makes you want to fight it, you know. (Claudia)