12 Steps for Best Practices in Referral to Mutual Self-Help Groups

Kelch, Benjamin P.

doi:10.1080/1556035x.2014.943550

Cited by 3 publications

(1 citation statement)

References 33 publications

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“…Mutual aid groups consist of facilitated discussion of challenges and coping strategies associated with an illness or issue 28. Mutual aid groups may be the most recognisable form of group therapy, as Alcoholics Anonymous has popularised the model 38. These groups use the principle that people can help one another overcome their health and social challenges when trained facilitators—often social workers—help the group maintain respect, stay on topic and explicate connection and shared experience between participants 39.…”

Section: Methods: Participants Interventions and Outcomesmentioning

confidence: 99%

Protocol for a pilot randomised controlled trial evaluating feasibility and acceptability of cognitive remediation group therapy compared with mutual aid group therapy for people ageing with HIV-associated neurocognitive disorder (HAND) in Toronto, Canada

et al. 2019

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IntroductionHIV-associated neurocognitive disorder (HAND) may affect 30%–50% of people ageing with HIV. HAND may increase stress and anxiety, and impede coping. Psychosocial group therapy may ameliorate HAND’s symptoms, yet the ideal intervention is unclear. This protocol outlines a pilot randomised controlled trial (RCT)—designed using community-based participatory research—to pilot cognitive remediation group therapy (CRGT) against an active comparator.Methods and analysisThis is a pilot, parallel design, two-arm RCT that will recruit participants diagnosed with the mild neurocognitive disorder form of HAND from a neurobehavioural research unit at a tertiary care hospital in Toronto, Canada. Eligibility criteria include age ≥40 years, known HIV status for 5+ years, English fluency, able to consent and able to attend 8 weeks of group therapy. Eligible participants will be randomised to one of two treatment arms, each consisting of eight-session group interventions delivered once weekly at 3 hours per session. Arm 1 (novel) is CRGT, combining mindfulness-based stress reduction with brain training activities. Arm 2 (active control) is mutual aid group therapy. The primary outcomes are feasibility, measured by proportions of recruitment and completion, and acceptability, determined by a satisfaction questionnaire. The secondary outcome is intervention fidelity, where content analysis will be used to assess facilitator session reports. A between-group analysis will be conducted on exploratory outcomes of stress, anxiety, coping and use of intervention activities that will be collected at three time points.Ethics and disseminationEthical approval was obtained from the Research Ethics Boards of St. Michael’s Hospital and the University of Toronto. Findings will be disseminated through peer-reviewed publications, conference presentations and community reporting. This study could provide insight into design (eg, recruitment, measures) and intervention considerations (eg, structure, content) for a larger trial to lessen the burden of cognitive decline among people ageing with HIV.Trial registration numberNCT03483740

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Section: Methods: Participants Interventions and Outcomesmentioning

confidence: 99%

Protocol for a pilot randomised controlled trial evaluating feasibility and acceptability of cognitive remediation group therapy compared with mutual aid group therapy for people ageing with HIV-associated neurocognitive disorder (HAND) in Toronto, Canada

et al. 2019

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The Role of Recreation and Recreational Therapists in Developing a Recovery-Oriented Identity for People with Substance Use Disorders

Page¹,

Townsend

2017

Alcoholism Treatment Quarterly

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Narrating the journey of sustained recovery from substance use disorder

Stokes¹,

Schultz

Alpaslan

2018

Subst Abuse Treat Prev Policy

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BackgroundThe reported high rate of relapse in the context of an ever-increasing rate of substance abuse internationally and in South Africa together with the fact that the topic of sustained recovery from Substance Use Disorder (SUD) appears to be totally neglected in extant literature and research agendas motivated the researchers to conduct this investigation. The aim was to obtain an in-depth understanding of how individuals recovering from a SUD experience and sustain their recovery in order to fill the gap in the knowledge base.MethodsA qualitative research approach was followed, employing a narrative and phenomenological research design alongside an explorative, descriptive and contextual strategy of inquiry. Fifteen participants were purposefully recruited; and data were collected by means of individual, face-to-face interviews. Schlossberg’s Transition Process Model (1981) (Schlossberg NK, The Counselling Psychologist 1981;9(2):2-18, Schlossberg NK, Journal of Employment Counselling 2011;48:159-162, Anderson ML et al., Counselling adults in transition: linkingSchlossberg’s theory with practice in a diverse world., 2012) served as a theoretical framework and provided the backdrop to, and foundation for, the presentation of the research findings.ResultsParticipants’ entry into recovery was triggered by an internal or external crisis caused by chemical substance abuse. They had to embrace a psychological mind set change, involving commitment to a new way of life in order to sustain their recovery. This, among others, was facilitated by participants’ acceptance of the concept of ‘disease of addiction’ or finding a new faith-based identity. The 12-Step programme and further education and development were found to spiritually support sustained recovery. Strong ongoing support from specialised substance abuse support and/or religious groups, interpersonal relationships with family, spouses and sponsors as well as supportive work environments played a major role in sustaining recovery. The act of helping others further helped the participants to sustain their own recovery.ConclusionRegardless of the pathway of recovery, there are key aspects that appear to aid sustained recovery. In grouping these according to the four S’s in Schlossberg’s Transition Process Model (Schlossberg NK, The Counselling Psychologist 1981;9(2):2-18, Journal of Employment Counselling 2011;48:159-162, Anderson ML et al., Counselling adults in transition: linkingSchlossberg’s theory with practice in a diverse world., 2012): self, situation, strategies and support, they seem to facilitate the adaptation to transition from addiction to sobriety. Internal psychological and spiritual resources in terms of self; support (from family, church and support groups); strategies to combat cravings and deal with life problems; and avoiding and managing risk-inducing situations to strengthen recovery.

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12 Steps for Best Practices in Referral to Mutual Self-Help Groups

Cited by 3 publications

References 33 publications

Protocol for a pilot randomised controlled trial evaluating feasibility and acceptability of cognitive remediation group therapy compared with mutual aid group therapy for people ageing with HIV-associated neurocognitive disorder (HAND) in Toronto, Canada

Protocol for a pilot randomised controlled trial evaluating feasibility and acceptability of cognitive remediation group therapy compared with mutual aid group therapy for people ageing with HIV-associated neurocognitive disorder (HAND) in Toronto, Canada

The Role of Recreation and Recreational Therapists in Developing a Recovery-Oriented Identity for People with Substance Use Disorders

Narrating the journey of sustained recovery from substance use disorder

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