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StepPrograms
12 Step Programs A Brief History of AA Alcoholics Anonymous AA was founded in 1935 By 1950 there were 90,000 members In 1998 there were over 2 million members 100,000 groups in 150 countries (AA) 9% of adults in America have attended an AA Meeting A Brief History of NA Narcotics Anonymous 200 registered groups in 1978 20,000 registered groups in 100 countries Other 12-Step Groups Alanon Alateen Cocaine Anonymous Nicotine Anonymous Emotions Anonymous Overeaters Anonymous Organization (From the Big Book, 1955) No alcoholic, man or woman could be excluded from our society Our leaders might serve but never govern Each group was to be anonymous and there was to be no professional class of therapy There were to be no fees or dues Organization (From the Big Book, 1955) There was to be the least possible organization, even in our service centers Our public relations were to be based upon attraction rather than promotion All members out to be anonymous at the level of press, radio, TV, and films Organization (From the Big Book, 1955) Under no circumstances will we give endorsements, make alliances, or enter public controversies Exercise Generate a list of benefits an addicted client might gain from participation in 12-step recovery program. Generate a list of barriers or problems an addicted client may face in using 12-step recovery as a recovery tool. Effectiveness Methodological problems 40-50% who remain active in AA will have several years of sustained abstinence (Emrick) Increased participation in 12-step practices predicts positive outcomes (Tonigan) Effectiveness Attendance at AA was the single best predictor of abstinence in a 10 year follow up study (Cross) The most effective form of aftercare following treatment (Walsh) 50% of members drop out after 3 months (AA) Exercise Deconstructing 12-Step recovery Deconstructing 12-Step RecoveryMyths According to Van Wormer (2004) AA is coercive AA is disempowering to minorities and women AA adheres to the medical
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