DOCSLIB.ORG

Selected Papers of William L. White

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
Selected Papers of William L. White Selected Papers of William L. White www.williamwhitepapers.com Collected papers, interviews, video presentations, photos, and archival documents on the history of addiction treatment and recovery in America. Citation: Kelly, J. & White, W. (2012) Broadening the base of addiction recovery mutual aid. Journal of Groups in Addiction & Recovery, 7(2-4), 82-101. Posted at www.williamwhitepapers.com Broadening the Base of Addiction Recovery Mutual Aid John F. Kelly, PhD and William L. White, MA Abstract mutual help options. This article presents a concise overview of the Peer-led mutual help organizations origins, size, and state of the science addressing substance use disorder on several of the largest of these (SUD) and related problems have had alternative additional mutual help a long history in the United States. organizations in an attempt to raise The modern epoch of addiction further awareness and help broaden mutual help began in the post- the base of addiction mutual help. prohibition era of the 1930s with the birth of Alcoholics Anonymous (AA). Keywords: Mutual help; mutual aid; self Growing from two members to two help; Alcoholics Anonymous; narcotics million members, AA’s reach and anonymous; SMART recovery; Secular influence has drawn much public organization for Sobriety; Women for health attention as well as Sobriety; Moderation Management. increasingly rigorous scientific investigation into its benefits and 1. Introduction mechanisms. In turn, AA’s growth and success has spurred the At first glance, the notion of development of myriad additional individuals with serious, objectively mutual help organizations. These verifiable, cognitive and social impairments alternatives may confer similar being able to facilitate life-saving changes in benefits to those found in studies of similarly impaired individuals may seem a AA, but have received only peripheral little incongruous; from a derisory attention. Due to the prodigious standpoint, a clear case of “the blind leading economic, social, and medical burden the blind”. It is therefore striking to observe attributable to substance-related that peer led mutual-help organizations problems and the diverse comprised of such individuals have been experiences and preferences of those shown to facilitate the same kinds of salutary attempting to recover from SUD, behavior changes as trained professionals there is potentially immense value in (Humphreys & Moos, 2001; Humphreys & societies’ maintaining and supporting Moos, 2007; Moos & Moos, 2006; Timko, the growth of a diverse array of Moos, Finney, & Lesar, 2000; Timko, williamwhitepapers.com 1 Sempel, & Moos, 2003). A potential reason originating under the auspices of a quasi- for at least some of these mutual help group religious organization known as the Oxford benefits may lie in the humorous quip Group (Alcoholics Anonymous, 1957; frequently expressed within recovery circles, Oxford Group, 1933) and operating at a “We may be sick, but we’re not all sick on the grass-roots community level, AA’s language same day”. and concepts also have profoundly In the addiction field, examples of influenced our professional clinical mutual help organizations have been well approaches to addressing alcohol and other known, even synonymous with addiction drug problems (McElrath, 1997; Roman & recovery for more than 200 years (White, Blum, 1999; White, 1998), and its philosophy 1998). Alcoholics Anonymous (AA) is by far and concepts have imbued our broader the largest and most recognized and its size language and culture (Travis, 2009). and impact have garnered much public AA’s growing influence and purported health and research attention (Emrick, success at facilitating long-term addiction Tonigan, Montgomery, & Little, 1993; Kelly & recovery has garnered increasing public Yeterian, 2012; Tonigan, Toscova, & Miller, health and scientific scrutiny (Ferri, Amato, & 1996). However, many other mutual help Davoli, 2006; Institute of Medicine, 1990; organizations have emerged since AA McCrady & Miller, 1993). In terms of its began, either inspired by, or in opposition to, verifiable impact, hundreds of published it. These AA alternatives have received only studies, many in top scientific journals, have limited attention, but due to their similar supported the beneficial effects of AA in social orientation and group format may helping alleviate alcohol and other drug confer benefits comparable to those of AA. problems. This body of scientific literature Given the diverse experiences and has been summarized in narrative reviews preferences of individuals seeking recovery as well as quantitatively, through rigorous from substance use disorder and the meta-analyses (Emrick, et al., 1993; Ferri, et valuable role that mutual help organizations al., 2006; Humphreys, et al., 2004; have been shown to play, raising the profile Kaskutas, 2009; Kelly, 2003; Kownacki & of a broader array of available mutual help Shadish, 1999; Tonigan, et al., 1996; White, options may enhance the chances of 2009). AA participation is associated with recovery for more people. To this end, the producing and maintaining salutary changes purpose of this article is to describe six of the in alcohol and other drug use that are on par largest addiction recovery mutual help AA with professional interventions while alternatives: SMART Recovery, Secular simultaneously reducing reliance on Organization for Sobriety, Moderation professional services and thus lowering Management, LifeRing, Women for Sobriety, related health care costs (Humphreys & and Celebrate Recovery. We begin by Moos, 2001; Humphreys & Moos, 2007; providing a brief review of the growth and Humphreys, et al., 2004; Kelly & Yeterian, impact of AA followed by a summary of the 2012). Despite some earlier concerns origins, growth, size and reach, and state of regarding AA’s ability to cater effectively to the science on these alternative recovery women, young people, people of color, those mutual help organizations. with co-morbid psychiatric illnesses, and non-religious/spiritual persons, research has 2.1 Alcoholics Anonymous found that AA confers similar benefits to AA experienced an inconspicuous women as men (Del Boca & Mattson, 2001; beginning in Akron, Ohio, amid the post- Kelly, Stout, Zywiak, & Schneider, 2006); to prohibition era of the 1930’s. AA has since young people (Alford, Koehler, & Leonard, grown from two members to more than two 1991; Chi, Kaskutas, Sterling, Campbell, & million members in 2011, and has been Weisner, 2009; Kelly, Brown, Abrantes, adapted and successfully assimilated into a Kahler, & Myers, 2008; Kelly, Dow, Yeterian, variety of cultures globally (Alcoholics & Kahler, 2010; Kelly, Myers, & Brown, Anonymous, 2001; Mäkela, 1996). Despite 2000; Kennedy & Minami, 1993) to many williamwhitepapers.com 2 (e.g., Ouimette, et al., 2001; Timko, Sutkowi, enhance patient outcomes in randomized Cronkite, Makin-Byrd, & Moos, 2011), but controlled investigations (Kahler, Read, not all, persons with psychiatric conditions Ramsey & Brown, 2004; Kaskutas, 2009; (e.g., those with severe social impairments Litt, Kadden, Kabela-Cormier, & Petry, 2009; and/or psychotic spectrum illness Project MATCH Research Group, 1997; (Bogenschutz & Akin, 2000; Kelly, McKellar, Sisson & Mallams, 1981; Timko & & Moos, 2003; Noordsy, Schwab, Fox, & DeBenedetti, 2007; Timko, Debenedetti, & Drake, 1996; Tomasson & Vaglum, 1998); Billow, 2006; Walitzer, Dermen, & Barrick, and to those individuals who are non or less 2009) and, consequently, TSF is now an religious/spiritual (Kelly, et al., 2006; “empirically supported treatment” as defined Winzelberg & Humphreys, 1999). by the American Psychological Association Additional anecdotal concerns have and US federal agencies. centered around AA’s position on potentially With the emergence and increasing helpful medications. In general, surveyed AA availability of illicit substances, addiction to members have been found to be supportive drugs other than alcohol has become more of the use of psychotropic (e.g., anti- prevalent. This led to adaptations of AA’s depressants, anti-psychotics) and relapse formula to address the needs of individuals prevention medications (e.g., naltrexone, addicted to drugs other than alcohol. The acamprosate, disulfiram), although there largest among these is Narcotics may be a vocal minority who oppose it Anonymous founded in 1953, which (Meissen, Powell, Wituk, Girrens, & Arteaga, addresses all substances, but other 12-step 1999; Rychtarik, Connors, Dermen, & based organizations soon emerged focusing Stasiewicz, 2000; Tonigan & Kelly, 2004). on specific substances, such as Potsmokers However, it is unclear whether this Anonymous (1968), Pills Anonymous oppositional minority is specific to AA (1975), Marijuana Anonymous (1989), membership or is a more general facet of Cocaine Anonymous (1982), Nicotine individuals attempting to recover; at least Anonymous (1985), and Crystal Meth one study of alcohol dependent individuals Anonymous (1994). With the increased found that AA participation was unrelated to acknowledgement of the overlap between opposition to the use of medications co-morbid psychiatric disorders and SUD (Tonigan & Kelly, 2004). Given the (e.g., (Regier, Narrow, & Rae, 1990) “dual- importance of this issue, however, AA itself focused” mutual help organizations have has published a pamphlet on this matter in emerged providing support for both sets of which it states that it is plainly wrong to deny problems simultaneously (e.g., Dual any
Load more

Recommended publications
  • Controlled Drinking: More Than Just a Controversy 05/07/2007 08:37 AM
    Controlled Drinking: More Than Just a Controversy 05/07/2007 08:37 AM www.medscape.com To Print: Click your browser's PRINT button. NOTE: To view the article with Web enhancements, go to: http://www.medscape.com/viewarticle/473554 Controlled Drinking: More Than Just a Controversy Michael E. Saladin; Elizabeth J. Santa Ana Curr Opin Psychiatry 17(3):175-187, 2004. © 2004 Lippincott Williams & Wilkins Posted 04/28/2004 Abstract and Introduction Abstract Purpose of Review: We intend to provide clinicians and clinical scientists with an overview of developments in the controlled-drinking literature, primarily since 2000. A brief description of the controversy surrounding controlled drinking provides a context for a discussion of various approaches to controlled drinking intervention as well as relevant clinical research. Recent Findings: Consistent with previous research, behavioral self-control training continues to be the most empirically validated controlled-drinking intervention. Recent research has focused on increasing both the accessibility/availability and efficacy of behavioral self-control training. Moderation-oriented cue exposure is a recent development in behaviorally oriented controlled drinking that yields treatment outcomes comparable to behavioral self-control training. The relative efficacy of moderation-oriented cue exposure versus behavioral self- control training may vary depending on the format of treatment delivery (group versus individual) and level of drinking severity. In general, the efficacy of both techniques does not appear to vary as a function of drinking severity but may vary as a function of drinking-related self-efficacy. Guided-self change is a relatively new and brief cognitive-behavioral intervention that has demonstrated efficacy with problem drinkers.
    [Show full text]
  • Styles of Secular Recovery
    White, W. & Nicolaus, M. (2005). Styles of secular recovery. Counselor, 6(4), 58-61. Styles of Secular Recovery William L. White and Martin Nicolaus The last essay in this column noted the growing diversity in religious, spiritual and secular frameworks of recovery and sketched the history of religious approaches to addiction recovery. This essay reviews the history and growing varieties of secular recovery and the implications of such diversity for the addictions professional. A History of Secular Recovery The history of non-religious, non-spiritual approaches to the resolution of alcohol and other drug problems begins with the Washingtonian Revival of the 1840s. The Washingtonians removed preachers and physicians from the temperance lectern in favor of men and women who, in the vernacular of the day, were “reformed” or were “reforming.” The Washingtonians replaced religious admonitions not to drink with 1) public confession of one’s addiction, 2) a signed pledge of abstinence, 3) visits to younger members, 4) economic assistance to new members, 5) experience sharing meetings, 6) outreach to the suffering drunkard, and 7) sober entertainment and fellowship. While many Washingtonians entered the life of their local churches, Washingtonian leaders were charged by their religious critics with committing the sin of humanism--placing their own will above the power of God. Recovery support societies that followed the Washingtonians took on a more religious orientation, but secular recovery groups continued in some of the mid- century moderation societies, ribbon reform clubs and support societies that grew out of early treatment institutions, e.g. the Ollapod Club and the Keeley Leagues.
    [Show full text]
  • ASAM National Practice Guideline for the Treatment of Opioid Use Disorder: 2020 Focused Update
    The ASAM NATIONAL The ASAM National Practice Guideline 2020 Focused Update Guideline 2020 Focused National Practice The ASAM PRACTICE GUIDELINE For the Treatment of Opioid Use Disorder 2020 Focused Update Adopted by the ASAM Board of Directors December 18, 2019. © Copyright 2020. American Society of Addiction Medicine, Inc. All rights reserved. Permission to make digital or hard copies of this work for personal or classroom use is granted without fee provided that copies are not made or distributed for commercial, advertising or promotional purposes, and that copies bear this notice and the full citation on the fi rst page. Republication, systematic reproduction, posting in electronic form on servers, redistribution to lists, or other uses of this material, require prior specifi c written permission or license from the Society. American Society of Addiction Medicine 11400 Rockville Pike, Suite 200 Rockville, MD 20852 Phone: (301) 656-3920 Fax (301) 656-3815 E-mail: [email protected] www.asam.org CLINICAL PRACTICE GUIDELINE The ASAM National Practice Guideline for the Treatment of Opioid Use Disorder: 2020 Focused Update 2020 Focused Update Guideline Committee members Kyle Kampman, MD, Chair (alpha order): Daniel Langleben, MD Chinazo Cunningham, MD, MS, FASAM Ben Nordstrom, MD, PhD Mark J. Edlund, MD, PhD David Oslin, MD Marc Fishman, MD, DFASAM George Woody, MD Adam J. Gordon, MD, MPH, FACP, DFASAM Tricia Wright, MD, MS Hendre´e E. Jones, PhD Stephen Wyatt, DO Kyle M. Kampman, MD, FASAM, Chair 2015 ASAM Quality Improvement Council (alpha order): Daniel Langleben, MD John Femino, MD, FASAM Marjorie Meyer, MD Margaret Jarvis, MD, FASAM, Chair Sandra Springer, MD, FASAM Margaret Kotz, DO, FASAM George Woody, MD Sandrine Pirard, MD, MPH, PhD Tricia E.
    [Show full text]
  • Staying Connected Is Important: Virtual Recovery Resources
    STAYING CONNECTED IS IMPORTANT: VIRTUAL RECOVERY RESOURCES • Refuge Recovery: Provides online and virtual INTRODUCTION support In an infectious disease outbreak, when social https://www.refugerecovery.org/home distancing and self-quarantine are needed to • Self-Management and Recovery Training limit and control the spread of the disease, (SMART) Recovery: Offers global community continued social connectedness to maintain of mutual-support groups, forums including a recovery is critically important. Virtual chat room and message board resources can and should be used during this https://www.smartrecovery.org/community/ time. Even after a pandemic, virtual support may still exist and still be necessary. • SoberCity: Offers an online support and recovery community This tip sheet describes resources that can be https://www.soberocity.com/ used to virtually support recovery from mental/ substance use disorders as well as other • Sobergrid: Offers an online platform to help resources. anyone get sober and stay sober https://www.sobergrid.com/ • Soberistas: Provides a women-only VIRTUAL RECOVERY PROGRAMS international online recovery community https://soberistas.com/ • Alcoholics Anonymous: Offers online support • Sober Recovery: Provides an online forum for https://aa-intergroup.org/ those in recovery and their friends and family https://www.soberrecovery.com/forums/ • Cocaine Anonymous: Offers online support and services • We Connect Recovery: Provides daily online https://www.ca-online.org/ recovery groups for those with substance use and
    [Show full text]
  • SMART Recovery® History
    A Chronology of SMART Recovery® Compiled by Shari Allwood and William White Pre-SMART Recovery Milestones 1975 Jean Kirkpatrick, PhD, founds Women for Sobriety, the first secular alcoholism recovery alternative to Alcoholics Anonymous. 1985 Jack and Lois Trimpey found Rational Recovery (RR). Late 1980s Early 1990s Rational Recovery meetings spread in the US. 1990 Articles in the Boston Globe and the New York Times as well as television coverage on such programs as The Today Show stimulate interest in rational approaches to addiction recovery. The Globe article alone generates more than 400 calls about Rational Recovery. First RR meeting takes place at a hospital: Mount Auburn Hospital, Cambridge, MA, 1990. There are 14 RR groups meeting in the US. 1991 Jack and Lois Trimpey host the first meeting of the informal board of professional advisors to Rational Recovery in February in Dallas, Texas. A number of the individuals who will later start SMART Recovery are in attendance. 1992 Rational Recovery prison meetings start at MCI-Concord (MA) October 6, 1992, led by Barbara Gerstein, RN, and Wally White. Prof. Marc Galanter (NYU) and colleagues conduct a survey study of participants in 30 Rational Recovery groups throughout the US. They conclude that RR engages participants and the likelihood of abstinence increases with the length of participation. 1993 Survey study of Rational Recovery groups by the West End Group, Massachusetts General Hospital, and Harvard Medical School reaches the same conclusions as the 1992 Galanter group study. Rational Recovery training conference is held at Hyatt Harborside Hotel in Boston in conjunction with a scientific meeting featuring James Prochaska and Tom Miller as the main speakers.
    [Show full text]
  • Sacrifice, Stigma, and Free-Riding in Alcoholics Anonymous (AA): a New Perspective on Behavior Change in Self-Help Organizations for Addiction
    Sacrifice and stigma in AA Sacrifice, stigma, and free-riding in Alcoholics Anonymous (AA): A new perspective on behavior change in self-help organizations for addiction Anna Lembke, MD Stanford University February 2013 Abstract Iannaccone and others have claimed that behavior change in religious organizations is mediated in part by sacrifice and stigma, which enhances participation, augments club goods that make participation worthwhile, and reduces free-riding. As applied to Alcoholics Anonymous (AA), a non-religious self-help organization for addiction, Iannaccone’s ideas shed light on the ways in which sacrifice and stigma influence behavior in AA. AA members’ willingness to embrace a stigmatized identity, give up alcohol, and participate in the AA fellowship, creates the club goods that are integral to ‘recovery’ from addiction. Iannaccone’s model furthermore illuminates the problem of free-riding in AA, providing one explanation for the incredible rate of growth of AA over the years, particularly as compared with less ‘strict’ self-help organizations for alcohol use problems, such as Moderation Management. Keywords Sacrifice, stigma, free-riding, 12-steps, Alcoholics Anonymous, Moderation Management, mechanism of change 1 Sacrifice and stigma in AA Introduction Addictive disorders represent one of the greatest public health threats to the developed world, contributing to the suffering of millions, including over 500,000 substance-use-related U.S. deaths annually (Horgan et al., 2001). Self-help organizations are the most commonly utilized treatment for people with addiction in the United States today (Miller and McCrady, 1993). There exist many different types of self-help organizations for addiction, e.g.
    [Show full text]
  • Addiction : an Information Guide / Marilyn Herie
    A addiction can affect your health, relationships, finances, d d i c career—every aspect of your life. You may not see your t i o substance use as a problem, and even if you do, it can still n Addiction be hard to change. A n Addiction: An Information Guide is for people who are i n f having problems with alcohol or other drugs, their families o r m and friends, and anyone else who wants to better under - a An t i o stand addiction. The guide describes what addiction is, n g what is thought to cause it, and how it can be managed u i d and treated. The guide also includes ways family members e can support people with addiction while taking care of information themselves, and tips on explaining addiction to children. guide This publication may be available in other formats. For information about alternate formats or other CAMH publications, or to place an order, please contact Sales and Distribution: Toll-free: 1 800 661-1111 Toronto: 416 595-6059 E-mail: [email protected] Online store: http://store.camh.net To make a donation, please contact the CAMH Foundation: Tel.: 416 979-6909 E-mail: [email protected] Website: www.camh.net Disponible en français. Marilyn Herie, PhD, RSW 3 4 Tim Godden, MSW, RSW 0 M P Joanne Shenfeld, MSW, RSW / 0 1 0 Colleen Kelly, MSW, RSW 2 - 5 0 / d 3 A Pan American Health Organization / 7 9 World Health Organization Collaborating Centre 3 i Addiction An information guide A GUIDE FOR PEOPLE WITH ADDICTION AND THEIR FAMILIES Marilyn Herie, PhD, RSW Tim Godden, MSW, RSW Joanne Shenfeld, MSW, RSW Colleen Kelly, MSW, RSW A Pan American Health Organization / World Health Organization Collaborating Centre ii Addiction: An information guide Library and Archives Canada Cataloguing in Publication Addiction : an information guide / Marilyn Herie..
    [Show full text]
  • Experimental and Clinical Psychopharmacology Context and Craving Among Individuals with Alcohol Use Disorder Attempting to Moderate Their Drinking Alexis N
    Experimental and Clinical Psychopharmacology Context and Craving Among Individuals With Alcohol Use Disorder Attempting to Moderate Their Drinking Alexis N. Kuerbis, Sijing Shao, Hayley Treloar Padovano, Anna Jadanova, Danusha Selva Kumar, Rachel Vitale, George Nitzburg, Nehal P. Vadhan, and Jon Morgenstern Online First Publication, January 23, 2020. http://dx.doi.org/10.1037/pha0000349 CITATION Kuerbis, A. N., Shao, S., Treloar Padovano, H., Jadanova, A., Selva Kumar, D., Vitale, R., Nitzburg, G., Vadhan, N. P., & Morgenstern, J. (2020, January 23). Context and Craving Among Individuals With Alcohol Use Disorder Attempting to Moderate Their Drinking. Experimental and Clinical Psychopharmacology. Advance online publication. http://dx.doi.org/10.1037/pha0000349 Experimental and Clinical Psychopharmacology © 2020 American Psychological Association 2020, Vol. 1, No. 999, 000 ISSN: 1064-1297 http://dx.doi.org/10.1037/pha0000349 Context and Craving Among Individuals With Alcohol Use Disorder Attempting to Moderate Their Drinking Alexis N. Kuerbis Sijing Shao City University of New York Center for Addiction Services and Psychotherapy Research, Northwell Health, Great Neck, New York Hayley Treloar Padovano Anna Jadanova, Danusha Selva Kumar, Center for Alcohol and Addiction Studies, Providence, Rachel Vitale, George Nitzburg, Nehal P. Vadhan, Rhode Island and Jon Morgenstern Center for Addiction Services and Psychotherapy Research, Northwell Health, Great Neck, New York Many individuals with alcohol use disorder (AUD) prefer a goal of moderation, because they do not see their drinking as causing severe enough consequences to merit abstinence. Given that individuals attempting to moderate will continue to put themselves in contexts where drinking occurs, understanding how distinct external alcohol cues prompt craving is important for implementing the optimal treatments for individuals with AUD.
    [Show full text]
  • The SMART Recovery 4-Point Program®
    CLICK & Donate to SMART Recovery ® Bringing Science and Reason to Self-help with Addictive Behaviors Volume 24, Issue 3 • July 2018 President, Joe Gerstein, M.D., FACP that SMART, LifeRing and surprising since virtually Women For Sobriety everyone in the recovery President’s Letter (WFS) provide recovery community, including support that is as effective scientists, share a common as Alcoholics Anonymous perception of recovery for people with alcohol use support groups. On the one Time to change the conversation disorders. We are thankful hand, there are AA and about SMART and recovery support to Sarah Zemore and her other 12-Step groups, and by Joe Gerstein, M.D., FACP colleagues at the Alcohol on the other, there are By many measures, Research Group for the “alternatives.” SMART is gaining long- conducting this research, sought respect and success. which tracked recovery We are endorsed by the progress among people Inside: world’s leading govern- using each group over a President’s Letter one-year period.1 ment and health Time to change the conversation about authorities focusing on The many media reports SMART and recovery support .........1 addiction. At our current on this research framed the 4-Point Program®.....................1 growth rate, the number of results in a familiar manner People Power weekly meetings will cross – that three “alternative” the 3,000 milestone this support groups are as SMART T-shirts FUNdraiser ...........3 year. Research published effective as AA – often in Call for board candidates ..............3 several
    [Show full text]
  • Substance Use Disorder & Addiction Services
    ADVOCACY, FUNDING, INFORMATION & REFERRAL SELF-HELP SUPPORT GROUPS Alcoholism/Drug Abuse Coordinator (908) 704-6309 All Recovery Meetings (833) 233-4377 Somerset County Dept. of Human Services RWJ University Hospital Somerset 27 Warren Street, Somerville, NJ 08876 110 Rehill Avenue, Somerville, NJ 08876 Mental Health Administrator (908) 704-6302 Honors all pathways to recovery Somerset County Dept. of Human Services Alcoholics Anonymous (908) 687-8566 27 Warren Street, Somerville, NJ 08876 Individuals with substance use (800) 245-1377 NJCADD (609) 689-0599 (alcohol specific) disorder www.nnjaa.org National Council on Alcoholism and Drug Dependence Al-Anon (973) 744-8686 https://ncaddnj.nationbuilder.com Support groups for family members of www.nj-al-anon.org NAMI of Somerset (732) 940-0991 individuals with substance use (alcohol specific) disorder National Alliance on Mental Illness https://www.nami.org Gamblers Anonymous (800) 426-2537 EMERGENCY & HOTLINE SERVICES Support for individuals with gambling https://800gambler.org addiction and their families A Resource Guide for Adult Protective Services (908) 526-8800 Report abuse of vulnerable Adult Narcotics Anonymous (844) 276-2777 Support for Individuals with www.nanj.org Child Abuse, DCP&P (877) 652-2873 substance use disorder Report child abuse or seek parenting services Substance Use Nar-Anon/Alateen (888) 944-5678 Family Crisis Intervention Unit (908) 704-6330 www.nj-al-anon.org/alateen www.nar-anon.org Food Bank Network of Somerset (732) 560-1813 Support groups for youth and family members Disorder & of individuals with substance use disorder Franklin Township Food Bank (732) 246-0009 NJ Clearinghouse Support Groups (800) 367-6274 Addiction Services HIV/AIDS Hotline (800) 624-2377 Support for individuals experiencing https://www.njgroups.org Information and support a common life situation NJ Addiction Services Hotline (IME) (844) 276-2777 Smart Recovery www.smartrecovery.org 24 hours / 7 days a week for assessment / referral Online support for substance use and gambling addiction.
    [Show full text]
  • Global Support for SMART
    Global Support for SMART U.S. Government and Professional Endorsements Understanding Drug Abuse and Addiction: What Science Says Self Help and Drug Addiction Treatment Self-help groups can complement and extend the effects of professional drug addiction treatment. The most prominent groups are those affiliated with Alcoholics Anonymous (AA), Narcotics Anonymous (NA), and Cocaine Anonymous (CA) … and SMART Recovery. Most drug addiction treatment programs encourage patients to participate in a self- help group during and after formal treatment.1 SMART’s InsideOut program for correctional facilities was funded by $1 million in NIDA Small Business Innovation Research Grants. SMART offers the court-mandated nonreligious recovery support that meets the best practice standards set by the National Association of Drug Court Professionals (NADCP). Major research has established that the program significantly reduces reconviction rates.2 Understanding the Impact of Alcohol on Human Health and Well-Being Medical Attention | The Patient is Drinking Encouraging patients to go to mutual-support groups such as AA or SMART Recovery is the first-line response in this situation. Although some patients will inform you early on that they have no intention of attending these meetings because of previous negative experiences or a fear of groups, encourage them to try these groups by stressing that a different type of group could be helpful (e.g., going to SMART Recovery instead of AA ….).3 NIH funded CheckUp & Choices (www.smartrecovery.org/checkupandchoices), an evidence-based web app based on SMART’s 4-Point Program that helps people stop drinking, which was developed under the leadership of Reid Hester, Ph.D.
    [Show full text]
  • Maintaining Sobriety How Support Groups Can Help
    MAINTAINING SOBRIETY HOW SUPPORT GROUPS CAN HELP Barbara H. Bradford, LICSW March 19, 2014 Overview • What do we know • High cost of substance-related addictive disorders • Role of support groups • Resources What do we know? •More than one-half of American adults have a close family member who has or has had Alcohol Use Disorder (AUD) •The federal government estimates that 8.9 percent of full-time workers have drinking problems •Alcohol costs American business an estimated $134 billion in productivity losses, mostly due to missed work •According to SAMHSA, in 2011, 133.4 million people used alcohol & 22.5 million used illicit drugs. What do we know • 22% of men and 14% of women have some type of substance-related addictive disorder (National Survey on Drug Use and Health 2011) • According to the National Center for Health Statistics – there were 38,329 overdose deaths in the US in 2010. 57.7% of those involved pharmaceuticals, 74.3% were unintentional Support group history • Native Americans • Washingtonians • Oxford Groups • Alcoholics Anonymous • Post AA alternatives Alcoholics Anonymous • 1935 “Dr. Bob & Bill W” • Primary features – Admit to having problem with alcohol – Acknowledge role of “Higher Power” – Sharing experience in meeting settings – Peer mentoring (sponsorship) 2.1 million members in 150 countries Strong on line presence with e-groups available Narcotics Anonymous • 1953 NA began in California • AA endorsed NA to make use of AA 12 Steps/traditions • 1970’s time of rapid growth from 20 meetings nationally to 1100 meetings
    [Show full text]