“…Rigorously conducted research studies with adults and adolescents have shown that use of these free and widely available community resources can help individuals maintain recovery and also reduce the fi nancial burden on the health care system (Chi et al, 2009;Humphreys andMoos, 2001, 2007;. Importantly, 12-step participation during treatment has been shown to increase the likelihood of continued 12-step participation and better outcomes not only for adults Kelly and Moos, 2003;Litt et al, 2009;Walitzer et al, 2009) but also for adolescents (Alford et al, 1991;Chi et al, 2009;Kelly et al, 2000Kelly et al, , 2002Kelly et al, , 2010Kennedy and Minami, 1993).…”