Mutual-Help Groups for Dually Diagnosed Individuals: Rationale, Description, and Review of the Evidence

Kelly, John F.; Ba, Julie D. Yeterian

doi:10.1080/15560350802424852

Cited by 13 publications

(16 citation statements)

References 66 publications

(76 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The study included multiple sites and participants with diverse characteristics (e.g., differences between Michigan and NYC participants). The study adds to and extends previous findings of dual focus mutual aid (for reviews see: Kelly and Yeterian, 2008; Magura, 2008; Rosenblum et al, 2011). The validity of self-reported drug use was supported by saliva test results; only 10% of the subjects had evidence of under-reporting at follow-up and there was no difference in under-reporting between DTR and control subjects.…”

Section: Discussionsupporting

confidence: 82%

Efficacy of dual focus mutual aid for persons with mental illness and substance misuse

Rosenblum

Matusow

Fong

et al. 2014

Drug and Alcohol Dependence

View full text Add to dashboard Cite

Background Previous studies have indicated that persons with co-occurring mental health and substance use problems can benefit by attending dual-focus mutual aid groups. However, to date, a trial to test the efficacy of these groups has not been published. Method This study randomly assigned 203 substance misusing clients attending a mental health or dual-diagnosis facility to either a dual-focus 12-step group (Double Trouble in Recovery; DTR) or a waiting list control group. Participants were followed for 3–6 months. The primary outcome was substance use (days used in the past 30 with saliva testing to detect under-reporting); secondary outcomes included psychiatric medication adherence, attendance at traditional (single-focus) 12-step meetings (e.g., AA/NA); and improvement in mental health and substance use problems (quality of life). Multilevel model (MLM) regression was used to analyze the nested effect of participants within 8 facilities (7 in New York City and 1 in Michigan). Regression imputation was used to adjust for drug use under-reporting. Results At follow-up 79% of the subjects were interviewed. In intent to treat analysis, DTR subjects compared with control subjects used alcohol (p=.03) and any substances (p=.02) on fewer days. DTR compared with control subjects were also more likely to rate themselves as experiencing better mental health and fewer substance use problems (p=.001). There were no effects for DTR on drug use only, medication adherence or NA/AA attendance. Conclusion Findings reported in previous studies on the association between exposure to DTR and reductions in substance use were partially supported in this efficacy trial.

show abstract

Section: Discussionsupporting

confidence: 82%

Efficacy of dual focus mutual aid for persons with mental illness and substance misuse

Rosenblum

Matusow

Fong

et al. 2014

Drug and Alcohol Dependence

View full text Add to dashboard Cite

show abstract

“…They function on the principle of "members for members" [4], and therefore are not considered as professional treatment. Exceptionally, professionals may be involved in AA work in a counselling role [5], which can be traced to Torre's idea that CAT functions in a way that group members can participate in solving other members' problems [1].…”

Section: Introductionmentioning

confidence: 99%

How do Clubs of Alcoholics in Treatment Function? Differences Between the Perspectives of Members with Addiction and Family Members

Opačić

Oreb

Radat

2019

Arch. Psychiatry Res.

View full text Add to dashboard Cite

Support groups for persons with alcohol addiction can be based on the self-help principle (AA model) or led by a professional, as is the case in Clubs of Alcoholics in Treatment (CAT). In the CAT model it is important to include the person with an addiction and close family members. In this quantitative research we compared these two perspectives to detect the differences in their views on the functioning of the support group. Research was conducted using stratified random sampling in 40 CATs in Croatia with 653 participants: 453 members with an addiction and 200 supporting or accompanying family members. Research instruments for assessing different aspects of CAT as a support group were developed by the authors. Data were analysed using MANOVA analysis to detect differences in the two perspectives. The results show that both groups demonstrate a significant level of satisfaction with different aspects of group work. However, MANOVA indicated the following differences: the accompanying family members are usually women, accompanying family members attend meetings less frequently and have lower insight into the professional's work, group relations and CAT's contribution to their personal development. The research is one of the rare empirical insights into CAT's functioning as a treatment group, with an attempt to distinguish heterogeneity in a membership. Since family members are somewhat more critical towards some features of CATs, in the future more emphasis should be placed on their active engagement in the group's processes.

show abstract

“…10 No obstante, los Grupos de Ayuda Mutua no son considerados un tratamiento formal ya que no son dirigidos por profesionales de la salud y sus procedimientos carecen de evidencia y validación científica. 18,19 Sin embargo, es evidente que representan un importante complemento del tratamiento profesional, más que una sustitución del mismo. 20 Aunado a lo anterior, los "Grupos Tradicionales",* es decir, los grupos de tipo ambulatorio cuyas sesiones tienen una duración de hora y media, no parecen ser efectivos en los casos de personas que presentan una alta gravedad de la adicción, así como trastornos mentales comórbidos.…”

Section: Introductionunclassified

“…18,19 Sin embargo, es evidente que representan un importante complemento del tratamiento profesional, más que una sustitución del mismo.…”

unclassified

Estudio sobre la experiencia de hombres atendidos en centros residenciales de ayuda mutua para la atención de las adicciones

Marín-Navarrete

Eliosa-Hernández

Lozano-Verduzco

et al. 2013

View full text Add to dashboard Cite

SUMMARYAddictive disorders and behaviors have increased in the past years in Mexico. These behaviors and disorders are considered a public health issue because of the social and economic strains they generate. However, the state is unprepared to attend such high demands. Non government organizations have arisen in order to fulfill this demand, but it is known that many of them do not regard federal health regulations and often they have infringed the basic human rights. The present study has for objective to analyze the experience of men who have been atended in self-help residential substance abuse attention centers. Fifteen focalized interviews were carried out with men of different characteristics, all of them having been attended in at least two centers. The results help to understand the consumption dynamic, usually linked to family abandonment and anger. It further analyzes the unhealthy and inhuman services offered in many of these centers such as poor feeding and hygiene services; many of the men are admitted violently and against their will. It is concluded that even though these centers respond to the demand that addictive disorders have, they do not professionally and skillfully support a rehabilitation process. It is thus of utter importance to guarantee the training and proffessionalization of these centers' staff through an observation and regulation process.Key words: Addictions, treatment, self-help, men. RESUMENLos trastornos y conductas adictivas se han incrementado en México en los últimos años. Estas conductas y trastornos son considerados un problema de salud pública debido a los estragos sociales y económicos que implican. Sin embargo, la demanda de atención ha rebasado las capacidades del Estado, por lo que han surgido organizaciones civiles que buscan responder a dicha problemática, aunque en muchas ocasiones esto suele hacerse sin atender a la reglamentación federal para la atención de la salud y las adicciones, por lo que existen casos en los que se han violentado los derechos humanos básicos. El presente estudio tuvo por objetivo analizar la experiencia de hombres atendidos en centros residenciales de ayuda mutua para la atención de las adicciones. Se llevaron a cabo 15 entrevistas focalizadas con hombres de diferentes características, que habían sido internados en al menos dos de estos centros. Los resultados ayudan a comprender la dinámica de consumo, que usualmente está ligada al abandono familiar y al enojo. Además, se analiza el uso de servicios de estos centros, como alimentación e higiene. Se encontró que muchos de estos hombres fueron ingresados de manera involuntaria y se vieron expuestos a diversas formas de abuso. Se concluye que a pesar de que estos centros responden a una necesidad de la sociedad para atender los problemas de salud que generan las adicciones, es imprescindible garantizar el respeto a los derechos humanos, asegurando la regulación y reglamentación de los centros. INTRODUCCIÓNEl consumo de sustancias psicoactivas afecta de modo significativo la calidad de v...

show abstract

Mutual-Help Groups for Dually Diagnosed Individuals: Rationale, Description, and Review of the Evidence

Cited by 13 publications

References 66 publications

Efficacy of dual focus mutual aid for persons with mental illness and substance misuse

Efficacy of dual focus mutual aid for persons with mental illness and substance misuse

How do Clubs of Alcoholics in Treatment Function? Differences Between the Perspectives of Members with Addiction and Family Members

Estudio sobre la experiencia de hombres atendidos en centros residenciales de ayuda mutua para la atención de las adicciones

Contact Info

Product

Resources

About