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The Twelve Steps and Adolescent Recovery: A Concise Review
1Cizik School of Nursing, University of Texas Health Science Center, Houston, TX, USA.
Adolescents with substance use disorders often relapse after treatment. While 12-step programs aid recovery, few young people participate, necessitating research into their engagement with these support groups.
Area of Science:
- Addiction medicine
- Adolescent psychology
- Recovery science
Background:
- Substance use disorders (SUDs) in adolescents often lead to relapse post-treatment.
- Continuing care and recovery support services are crucial for sustained remission.
- Twelve-step programs (TSPs) are effective for SUD recovery, yet underrepresentation of adolescents is notable.
Purpose of the Study:
- To elucidate the 12-step explanatory model for clinicians.
- To guide clinical decisions regarding referral to 12-step programs for adolescents.
- To review existing research on adolescent engagement with 12-step groups.
Main Methods:
- Literature review of 12-step programs' philosophy and practices.
- Synthesis of research on adolescent participation in 12-step groups.
- Inclusion of qualitative data on adolescent engagement and resistance.
Main Results:
- Adolescents are significantly underrepresented in 12-step programs.
- Understanding the 12-step model can inform clinical referrals.
- Qualitative insights reveal barriers and facilitators to adolescent engagement.
Conclusions:
- Further research is needed to understand and improve adolescent involvement in 12-step recovery support.
- Clinicians require better resources to effectively refer adolescents to these programs.
- Tailoring 12-step approaches may enhance adolescent engagement and long-term recovery.
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