Fourth and Fifth Step Groups: A New and Growing Self-Help Organization for Underserved Latinos with Substance Use Disorders

Garcia, Angela; Anderson, B.; Humphreys, Keith

doi:10.1080/07347324.2015.1018784

Cited by 9 publications

(6 citation statements)

References 18 publications

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“…In principle, 12-step groups are open to adaptation, 29 , 30 and they have proliferated (in sometimes adapted form) in many countries throughout the world, suggesting the potential for wide if not universal appeal. 31 Furthermore, 12-step groups have been culturally adapted specifically for American Indian and Alaska Native, 22 , 23 , 32 , 33 Black, 26 , 27 and Latinx 28 , 34 , 35 populations. For American Indians and Alaska Natives, the Medicine Wheel and 12 Steps program blends Native American traditional teachings with the 12 Steps of Alcoholics Anonymous to provide culture-specific recovery assistance for Native Americans.…”

Section: Unique Barriers To Participation In Mutual Help Groupsmentioning

confidence: 99%

Racial/Ethnic Disparities in Mutual Help Group Participation for Substance Use Problems

Zemore

Gilbert

Pinedo³

et al. 2021

ARCR

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Mutual help groups are a ubiquitous component of the substance abuse treatment system in the United States, showing demonstrated effectiveness as a treatment adjunct; so, it is paramount to understand whether they are as appealing to, and as effective for, racial or ethnic minority groups as they are for Whites. Nonetheless, no known comprehensive reviews have examined whether there are racial/ethnic disparities in mutual help group participation. Accordingly, this study comprehensively reviewed the U.S. literature on racial/ethnic disparities in mutual help participation among adults and adolescents with substance use disorder treatment need. The study identified 19 articles comparing mutual help participation across specific racial/ethnic minority groups and Whites, including eight national epidemiological studies and 11 treatment/community studies. Most compared Latinx and/or Black adults to White adults, and all but two analyzed 12-step participation, with others examining “self-help” attendance. Across studies, racial/ethnic comparisons yielded mostly null ( N = 17) and mixed ( N = 9) effects, though some findings were consistent with a racial/ethnic disparity ( N = 6) or minority advantage ( N = 3). Findings were weakly suggestive of disparities for Latinx populations (especially immigrants, women, and adolescents) as well as for Black women and adolescents. Overall, data were sparse, inconsistent, and dated, highlighting the need for additional studies in this area.

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Section: Unique Barriers To Participation In Mutual Help Groupsmentioning

confidence: 99%

Racial/Ethnic Disparities in Mutual Help Group Participation for Substance Use Problems

Zemore

Gilbert

Pinedo³

et al. 2021

ARCR

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“…While there are some studies of anexos in Mexico (Garcia, 2015; Marín-Navarrete, Eliosa-Hernández, Lozano-Verduzco, Turnbull, & Tena-Suck, 2013; Rosovsky, 2009), and of non-anexo AA modalities utilized by Latino migrants in the U.S. (Anderson & Garcia, 2015; Garcia, Anderson, & Humphreys, 2015; Gordon, 1981), the present study is the first multi-year ethnographic study of U.S.-based anexos.…”

Section: Introductionmentioning

confidence: 94%

Sociopolitical contexts for addiction recovery: Anexos in U.S. Latino communities

Pagano

García

Recarte

et al. 2016

International Journal of Drug Policy

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Background Anexos are community-based recovery houses that were created in Mexico to serve people struggling with addiction to alcohol and other drugs. Brought to the U.S. by Mexican migrants, anexos provide residential care to primarily male Latino migrants and immigrants who are unable or unwilling to access formal treatment. While some Mexican anexos have come under fire for coercion, confrontational treatment methods, and corporal punishment, little is known about treatment practices in U.S. anexos. Methods We conducted a two-year ethnographic study of three anexos in urban Northern California. The study included over 150 hours of participant observation and semi-structured interviews with 42 residents, 3 directors, 2 assistant directors, and 3 former directors (N = 50). Qualitative data were analyzed thematically using ATLAS.ti software. Results The anexos in our study differed in important ways from Mexican anexos described in the scientific literature. First, we found no evidence of corporal punishment or coercive internment. Second, the anexos were open, allowing residents to leave the premises for work and other approved activities. Third, the anexos were self-supported through residents’ financial contributions. Fourth, collective decision-making processes observed in the California anexos more closely resembled sober living houses than their authoritarian counterparts in Mexico. Conclusion Anexos may operate differently in the U.S. versus Mexico due to variations in sociopolitical context. This exploratory study suggests that anexos are addressing unmet need for addiction treatment in U.S. Latino immigrant and migrant communities. As a community-created, self-sustained, culturally appropriate recovery resource, anexos provide important insights into Latino migrants’ and immigrants’ experiences with substance abuse, help-seeking trajectories, and treatment needs.

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“…Asimismo, las formas de operación de estos grupos, sus significados, los elementos religiosos (Gutiérrez, 2014, Odgers y Olivas, 2018) o espirituales (Córdova, 2018, White, 2015, Garcia, Anderson y Humphreys, 2015 -que terminan por "transformar" al adepto en un ser diferente o, más bien, liberarlo de la dependencia del alcohol, las drogas o conflictos emocionales-, o hasta la misma denominación "grupos de ayuda mutua" (Menéndez, 1991, Martín, et al, 2000, son investigados o asumidos como partes específicas de un "modelo terapéutico" 2 . De este modo, estas organizaciones son definidas por varios investigadores e investigadoras como "grupos creados, desarrollados, utilizados, mantenidos por sus propios miembros; más aún, son los propios miembros del grupo los que se encargan del 'tratamiento'" (Menéndez, 2009: 112).…”

Section: Enfoques Sobre Los Grupos De Autoayudaunclassified

“…En este sentido, la mayoría de los trabajos de investigación sobre los grupos de cuarto y quinto paso que se han realizado hasta la fecha (Vega, 2009, Garcia, Anderson y Humphreys, 2015, White, 2015, González, 2015; y otro que está en proceso de terminarse: Chávez, 2018 3 ) se centran precisamente en el método de "recuperación" que utilizan estas organizaciones, y cómo este repercute en las subjetividades y emociones de las personas, es decir, como un método "transformador" de las mismas. Si bien las investigaciones se realizaron en grupos diferentes, estas dejaron de lado un aspecto que me interesa abordar en este estudio: ¿cómo se produce un grupo de cuarto y quinto paso?, así como ¿qué otros fenómenos sociales se producen en este espacio para su operación?…”

Section: Enfoques Sobre Los Grupos De Autoayudaunclassified

Encontrando mi enfermedad. Producción de las relaciones sociales en el grupo de autoayuda Nuevo Atardecer de cuarto y quinto paso

González

2021

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El objetivo de este artículo es comprender el proceso de producción del mundo social que construyen las y los participantes del grupo Nuevo Atardecer de San Cristóbal de Las Casas, Chiapas. A partir de la antropología del poder, se construyó una radiografía etnográfica para conocer más a fondo cómo operan este tipo de grupos de ayuda mutua y cómo la historia muestra una dinámica de rupturas en la formación de los mismos. Se pretende mostrar los múltiples conflictos, tensiones y negociaciones que se desarrollan al interior de este, para dar a conocer un espacio social que no es sistemático ni cuenta tampoco con una visión o unos intereses comunes. Además, se propone visibilizar diversos fenómenos que se construyen durante el proceso de producción, por ejemplo, la invención de una enfermedad.

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Fourth and Fifth Step Groups: A New and Growing Self-Help Organization for Underserved Latinos with Substance Use Disorders

Cited by 9 publications

References 18 publications

Racial/Ethnic Disparities in Mutual Help Group Participation for Substance Use Problems

Racial/Ethnic Disparities in Mutual Help Group Participation for Substance Use Problems

Sociopolitical contexts for addiction recovery: Anexos in U.S. Latino communities

Encontrando mi enfermedad. Producción de las relaciones sociales en el grupo de autoayuda Nuevo Atardecer de cuarto y quinto paso

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