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Online Narcotics Anonymous: An Option for Addressing Methamphetamine Use Disorder.

Marc Galanter, William L White, Brooke Hunter

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    Online Narcotics Anonymous (NA) meetings can support remission for individuals with methamphetamine use disorder (MUD). Subjective experiences within NA are linked to recovery success, suggesting utility for professional referral.

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    12-step recoverymethamphetamineonline treatment provision

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    Area of Science:

    • Addiction Medicine
    • Psychiatry
    • Public Health

    Background:

    • Methamphetamine overdose deaths are a significant public health concern in the US.
    • Effective treatments for methamphetamine use disorder (MUD) are limited.
    • Online Narcotics Anonymous (NA) participation may offer a accessible support system for MUD remission.

    Purpose of the Study:

    • To investigate the role of online NA participation in promoting remission among individuals with MUD.
    • To characterize the clinical status and recovery experiences of MUD patients engaging with online NA.

    Main Methods:

    • An anonymous online survey was administered to individuals accessing online NA meetings.
    • Survey data included clinical status, substance use patterns, and prior website experience.
    • Responses from 356 participants identifying methamphetamine as their primary drug problem were analyzed.

    Main Results:

    • Among participants with MUD, 44% were new to the online site, 44% were longtime abstinent (mean 2.3 years), and 13% were still using methamphetamine.
    • Subjective experiences, including belief in the 12 Steps, spiritual awakening, and distress relief, were associated with remission.
    • Online NA participation showed varying levels of engagement and remission among MUD individuals.

    Conclusions:

    • Online NA meetings can be a valuable resource for supporting abstinence in individuals with MUD.
    • The study highlights the potential utility of online NA for professional referral and warrants further investigation.
    • Understanding the subjective experiences within online NA can inform treatment strategies for MUD.