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Specialized 12-step programs and 12-step facilitation for the dually diagnosed
1Department of Psychiatry, University of New Mexico Health Sciences Center, 2400 Tucker NE, Albuquerque, NM 87131, USA. mbogenschutz@salud.unm.edu
Community Mental Health Journal
|June 4, 2005
Summary
This pilot study explored modified 12-step facilitation (TSF) therapy for dually diagnosed individuals (DDI). Results show increased 12-step program attendance and reduced substance use in patients with serious mental illness.
Area of Science:
- Psychiatry
- Addiction Medicine
- Clinical Psychology
Background:
- The effectiveness of 12-step programs for dually diagnosed individuals (DDI) with serious mental illness is not well-established.
- Dual diagnosis presents unique challenges for treatment engagement and recovery.
Purpose of the Study:
- To evaluate a modified 12-step facilitation (TSF) therapy approach for dually diagnosed individuals.
- To assess the impact of this modified TSF on 12-step program engagement and substance use.
Main Methods:
- A pilot study involving 10 patients with serious mental illness and co-occurring substance use disorders.
- Participants received a 12-week modified TSF therapy focused on engagement in a specialized 12-step program for DDI.
Main Results:
- Significant increases in 12-step meeting attendance were observed.
- A significant decrease in substance use was reported by participants during the treatment period.
Conclusions:
- Modified TSF shows promise for improving 12-step engagement and reducing substance use in DDI.
- Further research with larger sample sizes and longer follow-up is necessary to confirm efficacy and compare with other treatments.