Drug addiction recovery groups are voluntary associations of people who share a common desire to overcome their
drug addiction
Addiction is a neuropsychological disorder characterized by a persistent and intense urge to use a drug or engage in a behavior that produces natural reward, despite substantial harm and other negative consequences. Repetitive drug use can ...
. Different groups use different methods, ranging from completely secular to explicitly spiritual. Some programs may advocate a reduction in the use of drugs rather than outright abstention. One survey of members found active involvement in any addiction recovery group correlates with higher chances of maintaining sobriety. Although there is not a difference in whether group or individual therapy is better for the patient, studies show that any therapy increases positive outcomes for patients with substance use disorders. The survey found group participation increased when the individual members' beliefs matched those of their primary support group (many addicts are members of multiple addiction recovery groups).
Analysis of the survey results found a
significant positive correlation between the
religiosity of members and their participation in
twelve-step programs (these programs describe themselves as ''spiritual'' rather than ''religious'') and to a lesser level in non-religious
SMART Recovery
SMART Recovery is an international community of peer support groups that aims to help people recover from addictive and problematic behaviors. SMART stands for Self-Management and Recovery Training. The SMART approach is secular and research-b ...
groups, the correlation factor being three times smaller for SMART Recovery than for twelve-step addiction recovery groups. Religiosity was inversely related to participation in
Secular Organizations for Sobriety.
A survey of a
cross-sectional sample of clinicians working in
outpatient
A patient is any recipient of health care services that are performed by healthcare professionals. The patient is most often ill or injured and in need of treatment by a physician, nurse, optometrist, dentist, veterinarian, or other healt ...
facilities (selected from the
SAMHSA
The Substance Abuse and Mental Health Services Administration (SAMHSA; pronounced ) is a branch of the U.S. Department of Health and Human Services (HHS). SAMHSA is charged with improving the quality and availability of treatment and rehabilitat ...
On-line Treatment Facility Locator) found that clinicians referring clients to only twelve-step groups were more likely than those referring their clients to twelve-step groups and "twelve-step alternatives" to believe less strongly in the effectiveness of
cognitive behavioral and
psychodynamic-oriented therapy, and were likely to be unfamiliar with twelve-step alternatives. A
logistic regression
In statistics, a logistic model (or logit model) is a statistical model that models the logit, log-odds of an event as a linear function (calculus), linear combination of one or more independent variables. In regression analysis, logistic regres ...
of clinicians' knowledge and awareness of cognitive behavioral therapy effectiveness and preference for the twelve-step model was correlated with referring exclusively to twelve-step groups.
Twelve-step recovery groups
Twelve-step programs are
mutual aid organizations for the purpose of recovery from substance
addiction
Addiction is a neuropsychological disorder characterized by a persistent and intense urge to use a drug or engage in a behavior that produces natural reward, despite substantial harm and other negative consequences. Repetitive drug use can ...
s,
behavioral addiction
Behavioral addiction, process addiction, or non-substance-related disorder is a form of addiction that involves a compulsive behavior, compulsion to engage in a rewarding non-Chemical substance, substance-related behavior – sometimes called a n ...
s, and
compulsions. Developed in the 1930s by alcoholics, the first twelve-step program,
Alcoholics Anonymous
Alcoholics Anonymous (AA) is a global, peer-led Mutual aid, mutual-aid fellowship focused on an abstinence-based recovery model from alcoholism through its spiritually inclined twelve-step program. AA's Twelve Traditions, besides emphasizing anon ...
(AA), aided its membership to overcome
alcoholism
Alcoholism is the continued drinking of alcohol despite it causing problems. Some definitions require evidence of dependence and withdrawal. Problematic use of alcohol has been mentioned in the earliest historical records. The World He ...
.
Since that time,
dozens of other organizations have been derived from AA's approach to address problems as varied as
drug addiction
Addiction is a neuropsychological disorder characterized by a persistent and intense urge to use a drug or engage in a behavior that produces natural reward, despite substantial harm and other negative consequences. Repetitive drug use can ...
,
compulsive gambling, sex and
overeating
Overeating occurs when an individual consumes more calories than the energy that is expended via physical activity or expelled via excretion, or when they consume food past the point of satiation, often leading to weight gain and often obesity. O ...
. All twelve-step programs utilize a version of AA's suggested twelve steps first published in the 1939 book ''
Alcoholics Anonymous: The Story of How More Than One Hundred Men Have Recovered from Alcoholism.''
As summarized by the
American Psychological Association
The American Psychological Association (APA) is the main professional organization of psychologists in the United States, and the largest psychological association in the world. It has over 170,000 members, including scientists, educators, clin ...
(APA), the process involves the following:
Participants attend meetings and are able to make new connections with other members who are striving towards a similar goal. If a person is unable to attend a meeting face-to-face, many of the groups have meetings by phone or online as another option. Each group has its own textbook, workbooks or both, which provide information about their program of recovery and suggestions on how to "work the steps". Often, free literature is available for anyone who asks for it at a meeting. This provides potential new members or family members with relevant information about both the addiction and that specific group's version of the twelve-step process of recovery. New members are invited to work with another member who has already been through the twelve-steps at least once. That person serves as a guide to the new member, answers questions and provides feedback as the new member goes through the steps. These groups are spiritually based and encourage a belief in a power greater than the members. Most do not have one specific conception of what that means and allow the member to decide what spirituality means to them as it applies to their recovery. The groups emphasize living on a spiritual yet not necessarily religious basis. Groups typically advocate for complete abstinence, usually from all drugs including
alcohol
Alcohol may refer to:
Common uses
* Alcohol (chemistry), a class of compounds
* Ethanol, one of several alcohols, commonly known as alcohol in everyday life
** Alcohol (drug), intoxicant found in alcoholic beverages
** Alcoholic beverage, an alco ...
. This is because of the perceived potential for cross-addiction, the idea that there is a tendency to trade one addiction for another. Despite the idea of cross-addiction being accepted as real in many addiction recovery groups, there is said to be little empirical evidence to support the idea and recent research suggests that the opposite is more likely to be true.
The following is a list of twelve-step drug addiction recovery groups. Twelve-step programs for problems other than drug addiction also exist.
*
Alcoholics Anonymous
Alcoholics Anonymous (AA) is a global, peer-led Mutual aid, mutual-aid fellowship focused on an abstinence-based recovery model from alcoholism through its spiritually inclined twelve-step program. AA's Twelve Traditions, besides emphasizing anon ...
(AA) – This group gave birth to the twelve-step program of recovery. Meetings are focused on alcoholism only and advocate complete abstinence. Meetings are held all over the world.
*
Cocaine Anonymous
Cocaine Anonymous (CA) is a twelve-step program formed in 1982, November 18th for people who seek recovery from drug addiction. It is patterned very closely after Alcoholics Anonymous (AA), although the two groups are unaffiliated. While many C ...
(CA) – This group is focused on cessation of cocaine and all other mind-altering substances. The program advocates complete abstinence from all mind-altering substances in order to recover from the disease of addiction. Meetings are held all over the world.
*
Celebrate Recovery
Celebrate Recovery is an American Christian twelve-step program designed to facilitate recovery from a wide variety of troubling behavior patterns. The global headquarters is in Lake Forest, California, United States.
History
The organizat ...
(CR) – Celebrate recovery is a recovery program for any life problem, including addiction to alcohol and other drugs. In contrast to most 12-step programs, the group recognizes
Jesus Christ
Jesus (AD 30 or 33), also referred to as Jesus Christ, Jesus of Nazareth, and many Names and titles of Jesus in the New Testament, other names and titles, was a 1st-century Jewish preacher and religious leader. He is the Jesus in Chris ...
as their higher power. Their groups are located in the United States.
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Crystal Meth Anonymous (CMA) – This group focuses on abstinence from crystal meth although it does recognize the potential for cross-addiction, the tendency for an addict to substitute one addiction for another. Meetings are currently available in eight countries.
*
Heroin Anonymous (HA) – This group is focused on abstinence from heroin along with all other drugs including alcohol. Meetings are held in England and the United States.
*
Marijuana Anonymous (MA) – This group focuses of recovery from marijuana addiction. Groups meet in eleven countries.
*
Narcotics Anonymous (NA) – This group has meetings in 139 countries and focuses on recovery from the use of all drugs and alcohol. The group makes no distinction between any mood or mind-altering substance and encourages members to look for similarities the common problem they all share, rather than focusing on the differences.
[https://www.na.org/admin/include/spaw2/uploads/pdf/litfiles/us_english/IP/EN3122.pdf ]
*
Nicotine Anonymous (NicA) – This group is for those desiring to stop the use of nicotine in all forms. Groups are available in many countries.
*
Pagans in Recovery (PIR) – Pagans in recovery have adapted the twelve-step program of recovery into language that is not overtly Christian as it was originally written so that those with other belief systems can more comfortably work the program. They have their own literature. https://pagansinrecovery.org/ is the website with both in-person and virtual meetings listed.
*
Pills Anonymous (PA) – This group is focused on addiction to pills and all other mind-altering substances. Groups are available in seven countries.
Non-twelve-step recovery groups
These groups do not follow the twelve-step recovery method, although their members may also attend twelve-step meetings. It is common for individuals to try many different meetings and groups while in recovery. What works for one may not work for another, so trying different types of meetings can be helpful to someone seeking recovery from drugs and alcohol.
*
The Washingtonians – A defunct 19th Century mutual aid society founded by alcoholics with a desire to maintain sobriety
*
Association of Recovering Motorcyclists (ARM) – This association of recovering motorcyclists is a brotherhood of men recovering from alcohol and/or drug addiction. They support one another in remaining abstinent from drugs and alcohol while continuing to ride motorcycles together regularly.
*Recovering Women Riders (RWR) – Recovering women riders is a sisterhood of recovering women motorcyclists. Affiliated with the association of recovering motorcyclists, they also seek to support one another in remaining abstinent from drugs and alcohol while continuing to enjoy the lifestyle of riding bikes together.
*
LifeRing Secular Recovery
LifeRing Secular Recovery (LifeRing or LSR) is a Secularity, secular, non-profit organization providing peer-run addiction recovery groups. The organization provides support and assistance to people seeking to recover from Drug addiction, alcohol ...
(LSR)
*
Moderation Management
Moderation Management (MM) is a secular non-profit organization providing peer-run support groups for anyone who would like to reduce their alcohol consumption. MM was founded in 1994 to create an alternative to Alcoholics Anonymous and similar a ...
(MM)
*
Rational Recovery (largely defunct)
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Recovery Dharma (RD)
*
Refuge Recovery
Noah Levine (born 1971) is an American Buddhist teacher and author, son of Stephen Levine. As a counselor known for his philosophical alignment with Buddhism and punk ideology, he identifies his Buddhist beliefs and practices with both the The ...
(RR)
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Secular Organizations for Sobriety (SOS)
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SMART Recovery
SMART Recovery is an international community of peer support groups that aims to help people recover from addictive and problematic behaviors. SMART stands for Self-Management and Recovery Training. The SMART approach is secular and research-b ...
*
Women for Sobriety (WFS)
See also
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List of twelve-step groups
*
Self-help groups for mental health
*
Twelve-step program
Twelve-step programs are international mutual aid programs supporting recovery from substance addictions, behavioral addictions and compulsions. Developed in the 1930s, the first twelve-step program, Alcoholics Anonymous (AA), founded by B ...
*
Sober living houses
References
Further reading
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*{{cite journal , author =Winzelberg, A. , author2=Humphreys, K. , date=Oct 1999 , title= Should patients' religiosity influence clinicians' referral to 12-step self-help groups? Evidence from a study of 3,018 male substance abuse patients , journal=Journal of Consulting and Clinical Psychology , volume=67 , issue=5 , pages=790–794 , doi=10.1037/0022-006X.67.5.790 , pmid=10535246
External links
Association of Recovering MotorcyclistsRecovering Women Riders
Addiction and substance abuse organizations
Drug rehabilitation
Psychiatric rehabilitation
Twelve-step programs