Self-help organizations for alcohol and drug problems: Toward evidence-based practice and policy

Humphreys, Keith; Wing, Stephen R.; McCarty, Dennis; Chappel, John N.; Gallant, Lewi; Haberle, Beverly J.; Horvath, A. Thomas; Kaskutas, Lee Ann; Kirk, Thomas; Kivlahan, Daniel R.; Laudet, Alexandre B.; McCrady, Barbara S.; McLellan, A. Thomas; Morgenstern, Jon; Townsend, Mike; Weiss, Roger D.

doi:10.1016/s0740-5472(03)00212-5

Cited by 211 publications

(131 citation statements)

References 16 publications

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“…The cost of using these services is lower than other services and they do not impose any burden on the government. Using these services is also associated with long-term benefits, such as reduced substance use, improved psychosocial functioning and reduced healthcare costs (23). Such benefits have also been reported from inside the Islamic Republic of Iran (24).…”

Section: Discussionmentioning

confidence: 97%

Out-of-pocket cost of drug abuse consequences: results from the Iranian National Mental Health Survey

Amin-Esmaeili

Hefazi

Radgoodarzi

et al. 2017

East Mediterr Health J

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Section: Discussionmentioning

confidence: 97%

Out-of-pocket cost of drug abuse consequences: results from the Iranian National Mental Health Survey

Amin-Esmaeili

Hefazi

Radgoodarzi

et al. 2017

East Mediterr Health J

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“…Peer support by persons suffering from the same problem as those they help has long been recognized as practiced in relation to a large variety of problems (66) and, widely across the overall population, as well, as ascertained in one national probability sample (67). An expert consensus statement has been developed on the need for evidence-based practice and policy on the application of peer-based approaches in relation to alcohol and drug problems (68). Furthermore, the concept of addiction recovery has been operationalized by one consensus panel as characterized by a lifestyle that includes sobriety, personal health, and citizenship (working to the betterment of one's community) (69).…”

Section: Scientific and Clinical Significancementioning

confidence: 99%

Combining medically assisted treatment and Twelve-Step programming: a perspective and review

Galanter

2017

The American Journal of Drug and Alcohol Abuse

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Background: People with severe substance use disorders require long-term rehabilitative care after the initial treatment. There is, however, a deficit in the availability of such care. This may be due both to inadequate medical coverage and insufficient use of community-based Twelve-Step programs in many treatment facilities. In order to address this deficit, rehabilitative care for severe substance use disorders could be promoted through collaboration between practitioners of medically assisted treatment, employing medications, and Twelve-Step-oriented practitioners. Objective: To describe the limitations and benefits in applying biomedical approaches and Twelve-Step resources in the rehabilitation of persons with severe substance use disorders; and to assess how the two approaches can be employed together to improve clinical outcome. Method: Empirical literature focusing on clinical and manpower issues is reviewed with regard (a) to limitations in available treatment options in ambulatory and residential addiction treatment facilities for persons with severe substance use disorders, (b) problems of long-term rehabilitation particular to opioid-dependent persons, associated with the limitations of pharmacologic approaches, (c) the relative effectiveness of biomedical and Twelve-Step approaches in the clinical context, and (d) the potential for enhanced use of these approaches, singly and in combination, to address perceived deficits. Results: The biomedical and Twelve-Step-oriented approaches are based on differing theoretical and empirically grounded models. Research-based opportunities are reviewed for improving addiction rehabilitation resources with enhanced collaboration between practitioners of these two potentially complementary practice models. This can involve medications for both acute and chronic treatment for substances for which such medications are available, and Twelve-Step-based support for abstinence and long-term rehabilitation. Clinical and Scientific Significance: Criteria for developing evidence-based approaches for combined treatment should be developed, and research for evidence-based treatment on this basis can be undertaken in order to develop improved clinical outcome.

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“…Plusieurs auteurs ont alors étudié les modèles d'intégration mis en place pour intégrer ces pairs aidants dans les organisations où ils sont mis à contribution (i.e. Baldacchino et Rassool, 2006 ;Chamberlin, Rogers & Ellison,1996 ;Chinman, Young, Hassell & Davidson, 2006 ;Goldstrom et al, 2006 ;Humphreys et al, 2004 ;O'Hagan, Cyr, McKee & Priest, 2010 ;Rogers, Chamberlin, Ellison & Crean, 1997 ;Shepherd et al, 1999 ;Solomon, 2004Solomon, et 1998White, 2010b). Les résultats de leurs travaux permettent de dégager une typologie des organisations selon la place qui est accordée à des pairs aidants.…”

Section: Méthodologieunclassified

Toutes les organisations ne sont pas égales quant au pouvoir décisionnel de leurs pairs aidants !

Komaroff

Perreault

2014

dss

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Les pairs aidants peuvent être intégrés de différentes façons dans les organisations où ils interviennent. Dans cet article, cinq types de structure organisationnelle où l’on fait appel à des pairs aidants en toxicomanie et en santé mentale sont examinés : les groupes de soutien mutuel, les organisations d’entraide, les organisations autogérées par des pairs aidants, les partenariats avec des organismes de pairs aidants et, enfin, l’intégration des pairs aidants dans des organismes pour dispenser certains services. Cet article met en évidence les conditions qui favorisent l’autonomisation des pairs aidants dans ces différentes situations.There are a variety of ways in which peer support workers can be integrated into organizational structures. In this article, five types of organizational structures that operate in the area of mental health and substance misuse are examined: mutual support groups; self-help organizations; organizations managed by peer support workers; partnerships with peer support worker organizations; and, organizations which integrate peer support workers to deliver certain services. This article highlights the conditions that promote empowerment of peer support workers in these situations.Los pares de ayuda pueden integrarse de diferentes maneras en las organizaciones en las que intervienen. En este artículo, se examinan cinco tipos de estructuras organizativas en las que se recurre a pares de ayuda en toxicomanía y salud mental : los grupos de ayuda mutua, las organizaciones de ayuda mutua, las organizaciones autogestionadas por los pares de ayuda, las asociaciones con organismos de pares de ayuda y, finalmente, la integración de los pares de ayuda en los organismos con el objetivo de proveer ciertos servicios. Este artículo pone en evidencia las condiciones que favorecen la autonomización de los pares de ayuda en diferentes situaciones

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Self-help organizations for alcohol and drug problems: Toward evidence-based practice and policy

Cited by 211 publications

References 16 publications

Out-of-pocket cost of drug abuse consequences: results from the Iranian National Mental Health Survey

Out-of-pocket cost of drug abuse consequences: results from the Iranian National Mental Health Survey

Combining medically assisted treatment and Twelve-Step programming: a perspective and review

Toutes les organisations ne sont pas égales quant au pouvoir décisionnel de leurs pairs aidants !

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