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Spirituality in Recovery
September 1st, 2011 / Recovery / Betty Ford Institute
A recent study at the Massachusetts General Hospital and Harvard Medical School examined the relationships between AA, spirituality/religiousness (SR), and alcohol use, and tested whether better outcomes can be explained by spiritual changes. According to these researchers, “increasingly rigorous research conducted in the last 15 years supports the notion that AA participation is associated with better short- and long-term outcomes and may be a cost-effective treatment adjunct.”  AA claims it aids recovery through “spiritual” practices and beliefs but much skepticism and...

AA and NA for Teens
September 1st, 2011 / Recovery / Betty Ford Institute
Only 10% of the estimated 1.4 million teens with an alcohol or drug problem are receiving treatment, compared to 20% of adults. Alcoholics Anonymous and Narcotics Anonymous (AA/NA) are now deemed an effective adjunct to substance abuse treatment for adults. However, little is known about the effectiveness of these programs for teens. This review article looks at teen involvement in Alcoholics Anonymous/Narcotics Anonymous (AA/NA), and at studies of formal teen treatment programs that used an AA/NA model. The article also provides data on the effects of AA/NA attendance on abstinence,...

Addiction Training for US Physicians
August 4th, 2011 / Education / Betty Ford Institute
According to a recent article, accredited residency programs in addiction are only available for psychiatrists specializing in addiction psychiatry (ADP ).  Of the 40 accredited ADP residency programs in the United States, only 7 offer training to non-psychiatrist physicians . The 2008 National Survey of Drug Use and Health found that over 23 million people in the USA need treatment for drug or alcohol use of whom 20.8 million receive no specialized care. To meet this gap in treatment this study examines the need to expand office-based treatment by training both primary care...

Treatments That Do Not Work
May 6th, 2011 / Education / Betty Ford Institute
In recent years there has been an international effort in the addictions field to identify treatments and therapies that have been proven to work.  However, evidence-based practices have rarely identified practices that don’t work.  This two-stage study involved a panel of 75 experts who examined a list of 65 treatments currently practiced in addiction medicine. They rated them on a continuum from “not at all discredited” to “certainly discredited.” A Delphi methodology was used to achieve a professional consensus on discredited treatments.  (Delphi employs structured group...

Comments on a Commentary
March 31st, 2011 / Recovery / Betty Ford Institute
An editorial by John T. O’Neill As a science writer, research has always seemed to me a rather sporting endeavor. One group arrives at new, perhaps exciting, findings and then their peers take swings at it. Someone once said, “Science is the antidote for the poison of enthusiasm”.  In other fields such antagonism would be thought as competiveness. But researchers seem to view others tweaking their work as brotherly/sisterly collaborators on the pathway to truth.  A current example of this kind of synergistic interaction is a commentary by Moos and Finney on the findings...

Science Looks at Spirituality in Recovery
February 4th, 2011 / Recovery / Betty Ford Institute
Alcoholics Anonymous (AA) has grown from an initial membership of less than 100 in the mid 1930’s to more than 1.2 million members meeting in 55,000 meetings in the US alone.  Evidence supports the fact that AA can play a valuable role in recovery from alcoholism.  Rigorous research over the last 15 years shows also that AA is a cost effective treatment adjunct.  A recent study from the Center for Addiction Medicine, Massachusetts General Hospital, and Harvard Medical School hypothesized that AA attendance is associated with positive alcohol use outcomes as well as enhanced...

Study Supports Value of Sober Living Houses
February 4th, 2011 / Abused Drugs / Betty Ford Institute
Research has shown that relapse rates are high when clients in outpatient programs have to live in situations that are not supportive of recovery.  This is especially true in high crime areas and where heavy drinking and drug use is common. In addition, treating homeless persons with addictions is especially challenging because they must deal with survival, health, and safety as well as staying sober. Earlier research showed that when clients received housing as part of their out-patient treatment, they had better retention and achievement of treatment milestones than those who made...

Are AA Sponsors Beneficial?
November 11th, 2010 / Prevention / Betty Ford Institute
Treatment for addictions based on the Twelve Step teachings and traditional practices of Alcoholics Anonymous is the prevalent clinical model in the U.S.  A primary objective of this model is to connect the recovering person to a community-based AA affiliation. Several studies have shown the beneficial relationship between AA attendance and increased abstinence. Other studies have shown the positive relationship between the social support of AA and substance use reductions. Encouragement to acquire an AA sponsor is common practice and is seen as an important means of increasing the...

AOD Treatment Reduces Family Medical Costs
August 19th, 2010 / Families / Betty Ford Institute
Alcohol and drug use disorders are among the most prevalent chronic illnesses.  Family members of individuals with alcohol and other drug (AOD) disorders have higher medical costs than those with other chronic diseases, such as diabetes and asthma and have more medical and psychiatric conditions than families without AOD disorders. Past studies provided evidence of reduced family medical costs following AOD treatment but most were based on alcohol-based treatment, did not match patients or families with non-AOD affected families (controls), or consider the AOD patient's treatment...

Nicotine Clue to Other Disorders
August 18th, 2010 / Prevention / Betty Ford Institute
The prevalence of nicotine dependence among those suffering from alcohol dependence is as high as 50%. In fact, smokers with a long history of alcohol dependence are more likely to die of smoking-related diseases rather than alcohol-related diseases. Past research also shows an association between nicotine dependence, addictive diseases, and psychiatric disorders. This large scale study examined the socio-demographic factors and mental disorders associated with nicotine dependence among alcohol dependent persons. From a US national survey of 43,000 adults, responses were...

AA and NA Help Teens
August 16th, 2010 / Recovery / Betty Ford Institute
Despite the widespread use of 12-Step approaches and numerous referrals to Alcoholics Anonymous (AA) and Narcotics Anonymous (NA) by youth-service providers, there is little “hard scientific evidence” showing that these groups can improve outcomes among youth who are in recovery. Part of the issue is that mutual-help organizations like AA and NA are community organizations based on anonymity, and cannot be directly controlled by researchers. This study examined how helpful AA and NA may be for adolescents in their transition to young adulthood who were initially enrolled in treatment...

AA and NA Help Teens
January 31st, 2009 / Adolescents / Betty Ford Institute
Despite the widespread use of 12-Step approaches and numerous referrals to Alcoholics Anonymous (AA) and Narcotics Anonymous (NA) by youth-service providers, there is little “hard scientific evidence” showing that these groups can improve outcomes among youth who are in recovery. Part of the issue is that mutual-help organizations like AA and NA are community organizations based on anonymity, and cannot be directly controlled by researchers. This study examined how helpful AA and NA may be for adolescents in their transition to young adulthood who were initially enrolled in treatment...

Do Medical Illness and Medical Services Encourage Recovery?
January 31st, 2009 / Recovery / Betty Ford Institute
Patients in chemical dependency (CD) treatment have high rates of medical diseases that often precede steps toward recovery. There is evidence to suggest that heavy drinkers, especially older individuals, quit drinking or reduce consumption in response to health problems. This study looked at whether the existence of medical problems predicts better long term CD treatment outcomes, and the role played by primary care services in this process. In a sample of 598 CD patients in a private health plan, researchers examined whether substance abuse-related medical conditions, integrated medical...

Good News for Senior Alcoholics
April 30th, 2008 / Elderly / Betty Ford Institute
Much is known about the damaging effects of alcoholism on the cognitive (thinking) function of the brain. There is also a growing body of knowledge on how much recovery occurs with abstinence. However, there is little research available on cognitive functioning in very long term abstinent alcoholics, especially the elderly. This research examined 91 elderly abstinent alcoholics (EAA) (49 men and 42 women) with an average age of 67.3 years and who were abstinent for an average of 14.8 years. They were compared to a comparable light/non-drinking control group. The EAA group was divided...

Spiritual Awakening Aids Recovery
January 31st, 2008 / Recovery / Betty Ford Institute
New evidence suggests that spiritual orientation may play a role in recovery. Previous studies offer evidence that spirituality increases after recovery, that greater spirituality is associated with longer recovery, and that those who reported a spiritual awakening during participation in a 12-Step program were much more likely to report total abstinence after 3 years than were those who never experienced a spiritual awakening. Researchers sought to more precisely determine the role of spiritual change in patients in recovery by examining the relationship between 12-Step involvement,...

Intensive 12 Step Referrals Enhance Recovery
January 31st, 2008 / Recovery / Betty Ford Institute
Participation in 12-Step self-help groups has been shown to both reduce post-treatment relapse and the need to repeat treatment. A recent VA study compared two different kinds of 12-Step referral: standard and intensive. For standard referral, patients received a schedule for local 12-Step meetings and were encouraged to attend. For intensive referral, counselors linked patients with 12-Step volunteers and encouraged the use of journals to record 12-Step meeting attendance. Study participants (n=345) – patients in a 28-day treatment program – were randomly assigned to one or the other...

12 Steps Work for the Dually Diagnosed
October 31st, 2007 / Psychotherapy, Dual-Diagnoses & Mental Health / Betty Ford Institute
The term “dually diagnosed” refers to patients with drug problems and co-occurring psychiatric disorders. Although previous research has shown that dually diagnosed individuals attend and benefit from 12-Step programs, the specifics of what may work or not work remains unclear. Existing data suggest that nonspecific change mechanisms (self-efficacy, social support) are similar to those described in general AA literature. This report is based on a review of 83 publications that addressed 12-Step programs serving patients with both addictions and psychiatric disorders. The review shows...

Recovery and Spirituality Linked
August 31st, 2007 / Recovery / Betty Ford Institute
Many people believe that spirituality and/or religiousness (S/R) are important, if not crucial, components of successful recovery from alcohol dependence. This study attempted to quantify changes in S/R, and to see if those changes may have contributed to recovery. Researchers collected longitudinal survey information from 123 outpatients (81 males, 42 females) with alcohol-use disorders at treatment entry and then again six months later. Study participants were asked about 10 measures of S/R, as well as their drinking habits. Results indicate that half of the S/R variables changed...

Measuring Cost of Treatment Versus Value of Recovery
August 31st, 2007 / Recovery / Betty Ford Institute
New medicines and advances in behavioral therapies have led to economic pressures to identify which of these interventions are the most efficacious and also the most cost effective. Even though alcoholism has costs – on personal, social, and health care levels – there have been few studies on how best to measure either the economic burden or the effect of treatment on economic outcomes. This study used the Economic Form 90, designed to measure changes in key economic outcomes following treatment for alcohol dependence. The objective was to examine the cost-effectiveness and...

Cooperate to Graduate
April 30th, 2007 / Recovery / Betty Ford Institute
“Self-efficacy” is a fancy term for what is essentially known as “believing in yourself.” This study applies the term to the field of addictions research in an effort to examine the relationship between substance-abuse treatment and abstinence self-efficacy. Researchers assessed 2,350 clients (99% male) who received treatment at 88 community residential facilities across the United States, both at treatment entry and again one year later. Treatment providers were also asked to report on the patients’ engagement/participation in specific components of treatment. After...

Like It or Not, Spirituality Actually Aids Recovery!
October 31st, 2006 / Recovery / Betty Ford Institute
Surveys indicate that 8% of American drinkers eventually become alcohol-dependent. Treatment providers endeavor to match those who seek treatment with the program most appropriate for their needs. There are two basic models of treatment programs: one is spiritually based such as Alcoholics Anonymous (AA), and the other is a more clinical model without a spiritual component. Past research has shown that spirituality facilitates recovery from alcoholism. Positive outcomes have been reported for AA attendance, length of sobriety, and a general sense of purpose in life. However, some...

Best Recovery Team: AA and Treatment Together
January 31st, 2006 / Recovery / Betty Ford Institute
Given the complex and highly individualized nature of alcohol dependence, there does not appear to be one “right” treatment for alcoholism. Some people choose Alcoholics Anonymous (AA) and some undergo professional treatment. A new study has found that people who become involved in both AA and treatment fare better than those who obtain only treatment. Researchers surveyed 362 individuals (193 females, 169 males) who had initial contact with an alcoholism treatment system for their alcohol-use disorder. Study participants were surveyed at baseline (initial contact) and then again at...

Partners Make a Difference in Recovery Outcomes
August 31st, 2005 / Recovery / Betty Ford Institute
A respectable amount of data has been collected on predictors of recovery following treatment of individuals with alcohol-use disorders (AUDs). However, most of that information has been either retrospective or looked at only short-term recovery. This study looked at the role of psychological and social factors in a sample of alcoholics and their partners as predictors of recovery during a nine year period. For nine years, researchers assessed and monitored “life functioning” of 134 community-based, coupled men. (Participants were identified from an ongoing study of families at high...

AA Folklore Confirmed
April 30th, 2005 / Recovery / Betty Ford Institute
A recent Brown University Medical School study confirmed the long-held belief that recovering alcoholics who help other alcoholics are better able to stay sober themselves. Alcoholics Anonymous is the largest mutual help organization for alcoholics in the world. Yet little research has been done on its specific mechanisms that enable behavior change. This study, involving 1726 patients, showed that those who were sponsoring others or otherwise doing 12 Step work were more successful at not taking the first drink during the year following treatment. The researchers found no demographic...

Is Recovery Neurobiological?
October 31st, 2004 / Recovery / Betty Ford Institute
Neuroimaging studies have consistently shown that recently detoxified alcoholics have significant and widespread loss of brain cells, a shrinking of the brain’s surface, and a reduction in the size of ventricles that contain spinal fluid. This 1995 study used Magnetic Resonance Imaging (MRI) to measure these changes in 58 chronic alcoholics over the course of seven months after they had received 30 days of treatment. The first MRI showed significant deficiencies in brain cells (gray matter and white matter) in the cortex (the “thinking” outside portion of the brain) in the alcoholics...

Do They Have to “Bottom-Out?”
October 31st, 2004 / Recovery / Betty Ford Institute
Most approaches to intervention with an alcoholic assume that the motivation to cooperate with recovery must emanate primarily from within the drinker. (Perhaps reflecting the old notion that an alcoholic had to “bottom out” before they would accept help). Treatment failures were largely attributed to lack of motivation, resistance or denial – flaws in the individual’s personality. In 1983 W.R. Miller at the University of New Mexico developed a process of motivational interviewing which emphasized that motivation for change can be facilitated by the interviewing techniques of the...

Predictors of Long-Term Recovery
January 31st, 2004 / Recovery / Betty Ford Institute
Although addiction is recognized as a chronic, relapsing condition, few treatment studies have measured long-term outcomes. This study examined the treatment outcomes of individuals six months and five years following alcohol and drug treatment. Researchers interviewed 784 (499 males, 285 females) individuals admitted to treatment at the Kaiser Permanente Sacramento Chemical Dependency Recovery Program between April 1994 and April 1996. Patients were assessed at intake (baseline), six months after the end of the eight-week rehabilitation phase of treatment, and then again five years...

I Say There Old Chap … AA Works Over Here Too!
January 31st, 2004 / Recovery / Betty Ford Institute
The benefits of Alcoholics Anonymous (AA) participation in the recovery from alcoholism has long been documented, and is indeed the most sought form of help in the United States. Studies have shown that frequent AA attendance is highly effective in reducing consumption. Although it is estimated that there are two million AA members world-wide, there has been little research on the effectiveness of AA attendance in other countries. In the first study of its kind in the UK, British researchers investigated the role of AA in conjunction with a National Health Service (NHS) inpatient alcoholism...

One Hundred Alcoholic Doctors: A 21-Year Follow-up
January 31st, 2003 / Professionals in Recovery / Betty Ford Institute
Few reports on substance misuse and recovery among medical professionals exist, and the results of these published reports shed little light on recovery rates and other issues over a long period of time. However, a recent study on one program in England surveyed the recovery results of 100 alcoholic doctors (general practitioners and hospital doctors) over a 21-year period (1980-2001). With abstinence as its primary goal toward recovery, England’s North West Doctors and Dentists Group (NWDDG), a self-help program founded in 1980, found an especially high recovery rate of 73% among its...

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