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    51 results match your criteria Alcoholism Treatment Quarterly [Journal]

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    Relationship between Provider Stigma and Predictors of Staff Turnover among Addiction Treatment Providers.
    Alcohol Treat Q 2017 12;35(1):63-70. Epub 2016 Dec 12.
    RAND Corporation, Santa Monica, California, USA.
    To further our knowledge about feasible targets for improving quality of addiction treatment services, the current study provides preliminary assessment of the relationship between provider stigma and indicators of staff turnover. As predicted, results suggest that higher provider stigma was significantly related to lower ratings of job satisfaction and workplace climate. However, provider stigma was not significantly related to burnout. Read More

    Bringing alcohol treatment to driving under the influence programs: Perceptions from first-time offenders.
    Alcohol Treat Q 2017 20;35(2):113-129. Epub 2017 Mar 20.
    Center for Health Services and Society, Department of Psychiatry and Biobehavioral Sciences, 10920 Wilshire Blvd. Suite 300, Los Angeles, CA 90024, USA.
    Alcohol use disorders (AUDs) are common among first-time driving under the influence (DUI) offenders. Individuals with a DUI arrest may attend a DUI alcohol education program for license reinstatement. We evaluated the acceptability of cognitive behavioral treatment (CBT) for AUDs adapted for DUI programs. Read More

    Relationship Themes Present between Parents and Children in Recovery Homes.
    Alcohol Treat Q 2017 16;35(3):200-212. Epub 2017 May 16.
    Center for Community Research, DePaul University, Chicago, Illinois, USA.
    Approximately 12.5% of children have a parent with a substance use disorder. These children are likely to experience developmental delays, especially if they are placed into foster care. Read More

    Does Age Moderate the Effect of Spirituality/Religiousness in Accounting for Alcoholics Anonymous Benefit?
    Alcohol Treat Q 2017 20;35(2):96-112. Epub 2017 Mar 20.
    Center on Alcoholism, Substance Abuse, & Addictions, University of New Mexico.
    Objective: Gains in spiritual/religious (S/R) practices among Alcoholics Anonymous (AA) members are associated with reductions in drinking. This study had the following aims: (a) examine spirituality/religiousness as a mediator of the relationship between AA attendance and reductions in drinking behavior to replicate past research findings and to (b) examine age-cohort as a moderator of the mediational analyses given that empirical evidence (e.g. Read More

    Counselors' Perspectives of Positive Psychology for the Treatment of Addiction: A Mixed Methods Pilot Study.
    Alcohol Treat Q 2016 5;34(4):370-385. Epub 2016 Oct 5.
    Department of Social Work, Eastern Nazarene College, Quincy, Massachusetts, USA.
    Little is known about the use of positive psychology interventions (PPI) in addictions treatment. Questionnaires and interviews with alcohol and substance use disorder counselors explored theories of how PPIs might work, the degree to which they are used, and downsides. Results suggested that positive and pathology-based themes were attended in equal proportion, that substance abuse treatment should help clients develop a good life in recovery; that counselors already use PPI; and that PPI might counter negative cognitions and affect. Read More

    The Role of Ego Networks in Studies of Substance Use Disorder Recovery.
    Alcohol Treat Q 2016;34(3):315-328. Epub 2016 Jun 21.
    DePaul University, Chicago, IL, USA.
    Those who study treatment and recovery from alcohol use disorder (AUD) and substance use disorder (SUD) generally agree that an individual's social context impacts his or her success (or failure) in recovery. Recently, as the use of social network analysis has increased, studies on SUD recovery and treatment have adopted ego networks as a research tool. This review aims to tie together a thread of research for an efficient and effective summary. Read More

    Reducing Economic Disparities for Female Offenders: The Oxford House Model.
    Alcohol Treat Q 2016;34(3):292-302. Epub 2016 Jun 21.
    DePaul University, Center for Community Research, Chicago, Illinois, USA.
    Background: In the past 30 years the rate of increase in incarceration for females who abuse substances has outpaced that of men. Women have increased health and economic disparities, and face barriers to economic mobility, increasing their risk of returning to the criminal justice system. Past research suggests that there is a positive relationship between living in Oxford House and employment wages, yet the impact of having a criminal history on this relationship was unknown. Read More

    Love and Service in Adolescent Addiction Recovery.
    Alcohol Treat Q 2016;34(2):197-222. Epub 2016 Mar 30.
    Center for Medical Humanities, Compassionate Care, and Bioethics, Stony Brook University, Stony Brook, New York USA.
    This article is one of the first to examine the relationships among a specific combination of "spiritual virtues" (helping others and the experience of divine love) and outcomes related to criminal involvement, sobriety, and character development among adolescents. One-hundred ninety five adolescents with substance dependency court-referred to residential treatment were assessed at intake, discharge, and 6 months post-treatment. Higher service to others predicted reduced recidivism, reduced relapse, and greater character development. Read More

    Humility and 12-Step Recovery: A Prolegomenon for the Empirical Investigation of a Cardinal Virtue in Alcoholics Anonymous.
    Alcohol Treat Q 2016;34(3):262-273. Epub 2016 Jun 21.
    Program for Prosocial Behavior, Institute for Studies of Religion, Baylor University, Waco, Texas, USA.
    Alcoholics Anonymous (AA) offers a live stage to study how humility is worn by thousands for another day of sobriety and more freedom from the bondage of self. It has been the coauthors' intent to emphasize the significance of humility as a cardinal virtue across the 12-Step program and as essential to all its key elements. The coauthors have placed this emphasis in the context of a wider theological history of thought as this converged on Bill W. Read More

    Important Activities Among Justice-Involved Individuals with Substance Use Disorders in Posttreatment Aftercare Settings.
    Alcohol Treat Q 2016 5;34(4):415-424. Epub 2016 Oct 5.
    Department of Psychology, DePaul University, Chicago, Illinois, USA.
    This study gathered data using the Important Persons and Activities instrument to record changes in popular activities over a 2-year study of 270 justice-involved individuals randomized into three aftercare conditions: self-run Oxford Houses, a staffed therapeutic community (TC), or usual aftercare (UA). Participants listed important activities during the 2-year study at baseline and at four subsequent 6-month intervals. Categorization of these activities and a descriptive analysis were conducted for Wave 1 (baseline), at Wave 3 (Year 1), and Wave 5 (Year 2). Read More

    Abstinence Self-Efficacy and Substance Use at 2 Years: The Moderating Effects of Residential Treatment Conditions.
    Alcohol Treat Q 2016 5;34(4):386-401. Epub 2016 Oct 5.
    Center for Community Research, DePaul University, Chicago, Illinois, USA.
    The relationship between abstinence self-efficacy and substance use at 2 years was examined among a sample (N = 470) of persons with substance use disorders and recent incarceration histories. Participants were assigned to residential (therapeutic community/TC or Oxford House) or nonresidential (usual care) conditions. The authors hypothesized abstinence self-efficacy would predict decreased substance use, and residential treatments would moderate this relationship. Read More

    Trajectories of Drinking Urges During Individual- and Couple-based Cognitive-Behavioral Treatment for Alcohol Use Disorders.
    Alcohol Treat Q 2015;33(2):161-184. Epub 2015 May 5.
    Rutgers University, Center of Alcohol Studies, Piscataway, NJ USA.
    Individuals receiving treatment for alcohol use disorders (AUDs) often experience urges to drink, and reductions in drinking urges during cognitive-behavioral therapy (CBT) predict better treatment outcomes. However, little previous work has examined patterns of daily drinking urges during treatment. The present study examined patterns of change in daily drinking urges among participants in two randomized clinical trials of males (N = 80 with 4401 daily recordings) and females (N = 101 with 8011 daily recordings) receiving individual- or couples-based CBT. Read More

    Conditional Effects of Appearance and Performance Enhancing Drugs (APEDs) Use on Mood in Powerlifters and Bodybuilders.
    Alcohol Treat Q 2015;33(4):444-457. Epub 2015 Oct 13.
    Rutgers, The State University of New Jersey, Center of Alcohol Studies, New Brunswick, NJ, USA.
    Risk factors for steroid mood effects are unclear and few studies have examined drugs used concurrently with steroids (e.g., stimulants) or emotion regulation deficits that may have unique mood effects. Read More

    An Exploratory Investigation of Important Qualities and Characteristics of Alcoholics Anonymous Sponsors.
    Alcohol Treat Q 2015;33(4):367-384. Epub 2015 Oct 13.
    DePaul University, Chicago, Illinois.
    Alcoholics Anonymous recommends members to have sponsors, especially those early in their recovery, yet little research has been done on the qualities of an effective sponsor. 245 adults (117 females, 128 males) currently in substance use disorder recovery participated. 231 of these individuals had experience as a sponsor, sponsee or both (109 had experience as a sponsor). Read More

    Daily Spiritual Experiences and Adolescent Treatment Response.
    Alcohol Treat Q 2014 Apr;32(2-3):271-298
    Department of Psychiatry, Division of Child and Adolescent Psychiatry, Case Western Reserve University School of Medicine, Cleveland, Ohio USA.
    The purpose of this study is to explore changes in belief orientation during treatment and the impact of increased daily spiritual experiences (DSE) on adolescent treatment response. One-hundred ninety-five adolescents court-referred to a 2-month residential treatment program were assessed at intake and discharge. Forty percent of youth who entered treatment as agnostic or atheist identified themselves as spiritual or religious at discharge. Read More

    Smartphone-Based, Self-Administered Intervention System for Alcohol Use Disorders: Theory and Empirical Evidence Basis.
    Alcohol Treat Q 2013 ;31(3)
    University of Alaska, Anchorage Department of Psychology.
    Advances in mobile technology provide an opportunity to deliver in-the-moment interventions to individuals with alcohol use disorders, yet availability of effective "apps" that deliver evidence-based interventions is scarce. We developed an immediately available, portable, smartphone-based intervention system whose purpose is to provide stand-alone, self-administered assessment and intervention. In this paper, we describe how theory and empirical evidence, combined with smartphone functionality contributed to the construction of a user-friendly, engaging alcohol intervention. Read More

    Associations between Relationship Satisfaction and Drinking Urges for Women in Alcohol Behavioral Couples and Individual Therapy.
    Alcohol Treat Q 2013 Jan;31(4)
    University of New Mexico, Center on Alcoholism, Substance Abuse, and Addictions, Albuquerque, NM 87106, USA.
    This study examined the association between relationship satisfaction and drinking urges among women who participated in alcohol behavioral individual therapy (ABIT) and Alcohol Behavioral Couples Therapy (ABCT). Relationship satisfaction and drinking urges were not related on a daily level, but urges were related to mean levels of relationship satisfaction and this association was moderated by treatment condition and time in treatment. Women with higher relationship satisfaction had fewer drinking urges, and women in ABCT with higher relationship satisfaction experienced greater reductions in urges during treatment. Read More

    Does Mandated Treatment Benefit Youth? A Prospective Investigation of Adolescent Justice System Involvement, Treatment Motivation, and Substance Use Outcomes.
    Alcohol Treat Q 2013 Jan;31(4):431-449
    Massachusetts General Hospital, Center for Addiction Medicine, Department of Psychiatry, and Harvard Medical School, Boston, MA 02114.
    Background: The majority of adolescents treated for substance use disorder (SUD) in the United States are now referred by the criminal justice system. Little is known, however, regarding how justice-system involvement relates to adolescent community treatment outcomes. Controversy exists, also, over the extent to which justice system involvement reflects a lack of intrinsic motivation for treatment. Read More

    Interpersonal Climate of 12-step Groups Predicts Reductions in Alcohol Use.
    Alcohol Treat Q 2013 Apr;31(2):167-185
    Center on Alcoholism, Substance Abuse, and Addictions, 2650 Yale S.E., Albuquerque, New Mexico, 87106.
    Research has shown that increases in the size of abstinence-based social networks helps explain the association between 12-step attendance and increased abstinence. This study investigated whether the quality of social interaction in 12-step groups also predicts reduced substance use. Participants reported their perceptions of engagedness, avoidance, and conflict in their 12-step groups and their substance use in four assessments. Read More

    Effectiveness of a Feedback-Based Brief Intervention to Reduce Alcohol Use in Community Substance Use Disorders.
    Alcohol Treat Q 2013 ;31(186):186-205
    Hartford Hospital/Institute of Living, Center for Cognitive Behavioral Therapy, Hartford, Connecticut 06106.
    Feedback brief interventions for alcohol use problems have been highly effective with undergraduate populations. However, there has been little research on the effectiveness of administering feedback alone to community treatment populations. The goal of the current study was to assess the effectiveness of a feedback brief intervention in a community treatment setting with patients characterized largely by dependence on alcohol and drugs, ethnic diversity, and low socioeconomic status. Read More

    The Brief Treatment Cost Analysis Tool (TCAT-Lite) for Substance Abuse Treatment: Reliability and Application.
    Alcohol Treat Q 2012 Oct 12;30(4):377-396. Epub 2012 Oct 12.
    Schneider Institutes for Health Policy, Heller School, Brandeis University, Waltham, MA.
    Although several costing instruments have been previously developed, few have been validated or applied systematically to the delivery of evidence-based practices (EBPs). Using data collected from 26 organizations implementing the same EBP, this paper examined the reliability, validity, and applicability of the brief Treatment Cost Analysis Tool (TCAT-Lite). The TCAT-Lite demonstrated good reliability-correlations between replications averaged 0. Read More

    Behavioral Couples Therapy When Both Partners Have a Current Alcohol Use Disorder.
    Alcohol Treat Q 2012 Jan 12;30(4):407-421. Epub 2012 Oct 12.
    Cincinnati VA Medical Center and University of Cincinnati, Cincinnati, Ohio USA.
    Although behavioral couples therapy (BCT) has considerable support in treating alcohol use disorder (AUD), studies have not examined BCT for dual problem couples in which both partners have current AUD. This study compared outcomes after BCT for dual problem couples (n = 20) with outcomes for single problem couples in which only one partner had AUD (n = 386). Results showed that dual problem and single problem couples did not differ significantly on degree of improvement in abstinence following BCT. Read More

    Comparison of Objective Screening and Self-Report for Alcohol and Drug Use in Traumatically Injured Patients.
    Alcohol Treat Q 2012 Oct 12;30(4):433-442. Epub 2012 Oct 12.
    Baxter Healthcare Corporation, One Baxter Parkway, Deerfield, IL, 60015.
    Alcohol and drug use is prevalent in trauma patients. Concerns over the validity of self-reporting drug use could make non laboratory screening problematic. This study sought to validate patient self-report of substance use against objective screening to determine the reliability of self-report in trauma patients. Read More

    The Relationship between Substance Abuse Performance Measures and Mutual Help Group Participation after Treatment.
    Alcohol Treat Q 2012 13;30(2):190-210. Epub 2012 Apr 13.
    Brandeis University, Waltham, MA.
    We examined the relationship between treatment quality, using during-treatment process measures, and mutual help group (e.g., Alcoholics Anonymous) attendance after outpatient substance use disorder (SUD) treatment for 739 clients in the Alcohol and Drug Services Study. Read More

    Re-envisioning Addiction Treatment: A Six-Point Plan.
    Alcohol Treat Q 2012 Jan 4;30(1):109-128. Epub 2012 Jan 4.
    This article is focused on improving the quality of addiction treatment. Based on observations that patients are leaving treatment too early and/or are continuing to use substances during their care, the authors propose six actions that could help reorient and revitalize this kind of clinical work: (1) conceptualize and treat addictive disorders within a psychiatric/mental health framework; (2) make the creation of a strong therapeutic alliance a core part of the healing process; (3) understand patients' addictions and other problems using models based on multiple internal parts, voices, or modes; (4) make contingency management and the use of positive reinforcement systems a standard and central practice in all treatment settings; (5) envision long-term change and healing through the lens of identity theory; and (6) integrate the growing developments in recovery culture with formal treatment. Read More

    Addiction and "Generation Me:" Narcissistic and Prosocial Behaviors of Adolescents with Substance Dependency Disorder in Comparison to Normative Adolescents.
    Alcohol Treat Q 2012 13;30(2):163-178. Epub 2012 Apr 13.
    Case Western Reserve University, Department of Psychiatry, Division of Child Psychiatry, Cleveland, OH.
    The purpose of this study is to explore narcissistic and prosocial behaviors as reported by adolescents with and without substance dependency disorder (SDD). This study employs a quasi-experimental design using SDD adolescents compared with two normative samples of adolescents. In comparison to normative adolescents, adolescents with SDD were strongly distinguished by overt narcissistic behaviors and less monetary giving. Read More

    Impressions of Alcoholics Anonymous (AA) Group Cohesion: A Case for a Nonspecific Factor Predicting Later AA Attendance.
    Alcohol Treat Q 2012 Jan;30(1):40-51
    Center on Alcoholism, Substance Abuse, and Addictions, University of New Mexico, Albuquerque, New Mexico USA.
    Social support for abstinence in Alcoholics Anonymous (AA) has been reported to be a consistent factor accounting for AA benefit. However, the nonspecific or unintended effects of such support remain poorly understood and rarely investigated. This prospective study investigated how one nonspecific factor-perceived AA group cohesiveness-predicted increased practice of AA-related behaviors. Read More

    Does Pathway into 12-Step Programs Influence 12-Step-Related Benefit?
    Alcohol Treat Q 2012 13;30(2):179-189. Epub 2012 Apr 13.
    University of New Mexico, Center on Alcoholism, Substance Abuse, and Addictions (CASAA), Albuquerque, NM.
    Most 12-step research recruits participants who are seeking treatment (cf. Kaskutas, Turk, Bond, & Weisner, 2003; Robinson, Cranford, Webb, & Brower, 2007), leaving open the question of how non-treatment-seeking individuals respond to 12-step involvement. The current study examined whether participants recruited from community-based Alcoholics Anonymous (AA) clubs or via advertisement/word-of-mouth differed in their 12-step attendance rates, substance use, and the association between these constructs compared to participants recruited from substance abuse treatment. Read More

    The Effects of Self-Regulation and Self-Efficacy on Substance Use Abstinence.
    Alcohol Treat Q 2012 ;30(4):422-432
    DePaul University, Department of Psychology, Chicago, IL, 60614, USA.
    Previous research found that self-regulation and self-efficacy were linked to substance use abstinence. The present study examined the relationships between changes in self-regulation and self-efficacy as predictors of substance use abstinence. A total of 150 adult individuals (62% female; M age = 37. Read More

    Facilitating comprehensive assessment of 12-step experiences: A Multidimensional Measure of Mutual-Help Activity.
    Alcohol Treat Q 2011 Jan;29(3):181-203
    Center for Addiction Medicine, Harvard Medical School, Boston, MA.
    Existing measures of 12-step mutual-help activity typically capture only a narrow range of experiences and combine fellowships with explicitly different substance-specific emphases (e.g., Alcoholics versus Narcotics Anonymous). Read More

    Incentive-Related Human Resource Practices for Substance Use Disorder Counselors: Salaries, Benefits, and Training.
    Alcohol Treat Q 2011 Jan;29(3):230-244
    Institute for Behavioral Research, University of Georgia, Athens, GA.
    Understanding factors associated with incentive-related human resource practices for substance use disorder counselors can help promote a stable workforce in this occupation. We examined three counselor incentives-salaries, benefits, training-and the link with organizational, counselor, and patient characteristics. Data were collected in 2007/08 via face-to-face interviews with 345 administrators/clinical directors in private treatment centers. Read More

    Brief Intervention for Emergency Department Patients with Alcohol Misuse: Implications for Current Practice.
    Alcohol Treat Q 2011 Apr;29(2):146-157
    Texas Tech University Health Sciences Center Paul L. Foster School of Medicine, El Paso Department of Emergency Medicine.
    This article reviews studies and current practices of brief motivational intervention in the emergency department and identifies factors related to the effectiveness of brief intervention. Studies of brief intervention in the emergency department have had mixed results with most studies showing improvements in both intervention and control groups. Most report brief intervention reducing alcohol's negative consequences without reducing consumption. Read More

    How Alcoholics Anonymous (AA) and Narcotics Anonymous (NA) Work: Cross-Disciplinary Perspectives.
    Alcohol Treat Q 2010 Dec;29(1):75-84
    University of Michigan Addiction Research Center, Ann Arbor, Michigan USA.
    Evidence from multiple lines of research supports the effectiveness and practical importance of Alcoholics Anonymous and Narcotics Anonymous. Conference presenters discussed the relationship between 12-Step participation and abstinence among various populations, including adolescents, women, and urban drug users. Insight from the arts and humanities placed empirical findings in a holistic context. Read More

    12-Step Therapy and Women with and without Social Phobia: A Study of the Effectiveness of 12-Step Therapy to Facilitate AA Engagement.
    Alcohol Treat Q 2010 Apr;28(2):151-162
    Department of Psychology, University of New Mexico, Albuquerque.
    Alcoholism treatment often encourages involvement in Alcoholics Anonymous (AA). Little provision is made for women with social phobia (SP), who have been reported to have worse outcomes in twelve-step-facilitation (TSF) relative to cognitive behavioral therapy. This study examined whether SP moderated the effects of gender for these women in TSF. Read More

    Service to Others in Sobriety (SOS).
    Alcohol Treat Q 2010 Apr;28(2):111-127
    Case Western Reserve University, Department of Psychiatry, Division of Child Psychiatry, Cleveland, OH.
    Alcoholics Anonymous participation has been measured in addiction research, but few validated tools distinguish components of this multi-dimensional construct. This study provides psychometric findings for the scale "Service to Others in Sobriety (SOS)", a brief assessment of AA-related helping (AAH). Data are derived from a sample of treatment-seeking alcoholics, and SOS validity and response stability is reported by using a test-retest sample. Read More

    Alcohol-Related Problems among Sexual Minority Women.
    Alcohol Treat Q 2011 12;29(4):403-435. Epub 2011 Oct 12.
    University of Illinois at Chicago, College of Nursing, Department of Health Systems Sciences, Chicago, Illinois USA.
    In this article I describe the historical context for research on sexual minority women's drinking, including the age-old tendency to link homosexuality and alcoholism; I summarize gaps and limitations that characterized much of the research on sexual minority women's drinking over the past several decades; and I review recent literature to highlight progress in the field-with a particular focus on my own research related to risk and protective factors for heavy drinking and drinking-related problems among sexual minority women. I conclude with a discussion of barriers to treatment for sexual minority women and recommendations for substance abuse treatment providers. Read More

    An Internet-Based Computer-Tailored Intervention to Promote Responsible Drinking: Findings from a Pilot Test with Employed Adults.
    Alcohol Treat Q 2011 ;30(1):91-108
    Pro-Change Behavior Systems, Inc., West Kingston, RI.
    This paper describes pilot test findings of an Internet-based, Transtheoretical Model-based, computer tailored intervention for adults who exceed national guidelines for low-risk drinking. In a pilot test, 166 adults recruited from worksites completed one session and evaluated the program. Pre and post assessments indicate intention to make behavioral changes. Read More

    Developing a Group Motivational Interviewing Intervention for Adolescents At-Risk for Developing an Alcohol or Drug use Disorder.
    Alcohol Treat Q 2010 Oct;28(4):417-436
    This study examined how teens who had committed a first-time alcohol or other drug (AOD) offense responded to a motivational interviewing (MI) group intervention. Participants were 101 first-time AOD adolescent offenders (M=15.88; 63% male, 54% Hispanic). Read More

    Current and Previous Residents of Self-Governed Recovery Homes: Characteristics of Long-Term Recovery.
    Alcohol Treat Q 2009 Oct;27(4):442-452
    DePaul University, Center for Community Research.
    Environmental and social factors are increasingly recognized as critical aspects of recovery from alcohol/other drug abuse over the long-term. This study surveyed with quantitative and qualitative methodology current (n = 79) and previous (alumni) adult residents (n = 29) of self-governed, mutually supportive recovery homes for alcohol/other drug abuse. Both groups perceived their recovery environment positively, maintained stable employment, and experienced improvements in their family relationships since being in the recovery homes. Read More

    Adolescent Self-reported Alcohol/other Drug Use Consequences: Moderators of Self and Parent Agreement.
    Alcohol Treat Q 2010 ;28(2):101-110
    University of New Mexico, Department of Psychiatry, Albuquerque, NM.
    While the reliability of assessment instruments designed for use with adults is well established, much less is known about the adequacy of these instruments for adolescent substance abusers. As part of a comprehensive intake evaluation, the Inventory of Drug Use Consequences (InDUC) was administered both to forty adolescents assigned to a probationary substance abuse treatment program and to one of their parents. The correlation was statistically significant between Parent and Adolescent InDUC score(s), but the interrater reliability was relatively low. Read More

    Alcoholics Anonymous-Related Helping and the Helper Therapy Principle.
    Alcohol Treat Q 2010 Jan 19;29(1):23-34. Epub 2011 Jan 19.
    Case Western Reserve University School of Medicine, Department of Psychiatry, Division of Child Psychiatry, Cleveland, Ohio USA.
    The helper therapy principle (HTP) observes the helper's health benefits derived from helping another with a shared malady. The HTP is embodied by the program of Alcoholics Anonymous as a method to diminish egocentrism as a root cause of addiction. This article reviews recent evidence of the HTP in alcohol populations, extends to populations with chronic conditions beyond addiction, and concludes with new directions of empirical inquiry. Read More

    Spirituality, Religiousness, and Alcoholism Treatment Outcomes: A Comparison between Black and White Participants.
    Alcohol Treat Q 2010 7;28(2):128-150. Epub 2010 Apr 7.
    University of Michigan Addiction Research Center, Ann Arbor, MI, and The Mandel School of Applied Social Sciences, Case Western Reserve University, Cleveland, OH.
    This study addresses an unexplained finding in the alcoholism treatment field: despite the health and socioeconomic disparities that exist between blacks and whites at intake, blacks and whites achieve equivalent treatment outcomes. Using Project MATCH data, this study explores religiousness and spirituality as strengths in the African American community that may account in part for equivalent outcomes. Using binary logistic regression, this study found that as purpose in life increased, blacks were more likely to achieve sobriety than whites. Read More

    Helping Others and Long-term Sobriety: Who Should I Help to Stay Sober?
    Alcohol Treat Q 2009 Jan;27(1):38-50
    Case Western Reserve University School of Medicine, Cleveland, Ohio.
    Examination of the change strategies associated with successful long-term sobriety remains an understudied area in addiction research. The following study recruited individuals with long-term sobriety (range 16-25 years continuous abstinence). Subjects (n = 11 were surveyed on demographic information, problem history, Alcoholics Anonymous (AA) affiliation, and helping behaviors within several life domains over the course of sobriety. Read More

    Office versus Home-Based Family Therapy for Runaway, Alcohol Abusing Adolescents: Examination of Factors Associated with Treatment Attendance.
    Alcohol Treat Q 2004 ;22(2):3-19
    Natasha Slesnick and Jillian Prestopnik are affiliated with the University of New Mexico, Center on Alcoholism, Substance Abuse and Addictions (CASAA).
    There is a dearth of research examining treatment engagement and attendance among runaway youth and their families. Such research is needed in order to inform treatment providers on factors associated with engagement and maintenance of these difficult to engage families into counseling. This study examined differential treatment attendance for alcohol abusing runaway youth residing at a local shelter. Read More

    Relationship Between Service Utilization and Runaway Youths' Alcohol and Other Drug Use.
    Alcohol Treat Q 2001 ;19(3):19-29
    Natasha Slesnick, Melissa Meade, and J. Scott Tonigan are affiliated with the Center on Alcoholism, Substance Abuse and Addictions, University of New Mexico, Albuquerque, NM.
    Runaway youths represent a vulnerable, high-risk population that has received little societal attention. Studies show that youths at greatest need are the least likely to access mental health, medical, and other social services. This study evaluated service utilization, including medical visits, psychological, alcohol and drug counseling and 12-step attendance, and substance use. Read More

    Assessment of Alcohol and Other Drug Use by Runaway Youths: A Test-Retest Study of the Form 90.
    Alcohol Treat Q 2004 Jun;22(2):21-34
    Natasha Slesnick and J. Scott Tonigan are affiliated with the Center on Alcoholism, Substance Abuse and Addictions, University of New Mexico, Albuquerque, NM.
    While excellent adolescent alcohol and drug screening tools are available, there are relatively few, if any, psychometrically validated measures to use in the assessment of adolescent treatment outcome. This study conducted a test-retest exercise of the Form 90 Drug and Alcohol (Form 90 DnA) to determine the stability of adolescent responses when administering the day-by-day calendar/grid approach. Homeless youth (N = 37) with alcohol, drug, or alcohol and drug abuse/dependence combined were recruited to participate in the test-retest study. Read More

    TREATMENT STAFF REFERRALS, PARTICIPATION EXPECTATIONS, AND PERCEIVED BENEFITS AND BARRIERS TO ADOLESCENT INVOLVEMENT IN 12-STEP GROUPS.
    Alcohol Treat Q 2008 ;26(4)
    Massachusetts General Hospital, Department of Psychiatry and Harvard Medical School.
    Adolescents treated for substance use disorders (SUD) appear to benefit from AA/NA participation. However, as compared to adults, fewer adolescents attend, and those who do attend do so less intensively and discontinue sooner. It is unknown whether this disparity is due to a lowered expectation for youth participation by the clinicians treating them, as they may adapt the adult-based model to fit a less dependent cohort, or whether recommendations are similar to those of clinicians who work with adults, and other factors are responsible. Read More

    Helping Clients Feel Welcome: Principles of Adapting Treatment Cross-Culturally.
    Alcohol Treat Q 2008 Jan;25(4):11-30
    University of New Mexico Center on Alcoholism, Substance Abuse and Addictions (UNM CASAA).
    Empirically supported interventions (ESIs) for treating substance problems have seldom been made available to or tested with minority populations. Dissemination of ESIs may help reduce the disproportionate health disparities that exist. However, ESIs may require some adaptation to be effective with minority populations. Read More

    Participation in 12-Step-Based Fellowships Among Dually-Diagnosed Persons.
    Alcohol Treat Q 2003 ;21(3):19-39
    The National Development and Research Institutes, Inc, NYC, NY.
    Twelve-step groups (12SG), a useful recovery resource, are underutilized by dually-diagnosed persons. There has been little empirical research in this area. This study followed members of a dual-focus 12-step-based fellowship (N = 277) over one year to gain a greater understanding of participation in both specialized dual focus and traditional 12SG among dually-diagnosed persons, including reasons for attending, perceived benefits of and obstacles to affiliation, and predictors of affiliation. Read More

    The Role of Social Supports, Spirituality, Religiousness, Life Meaning and Affiliation with 12-Step Fellowships in Quality of Life Satisfaction Among Individuals in Recovery from Alcohol and Drug Problems.
    Alcohol Treat Q 2006 ;24(1-2):33-73
    Alexandre B. Laudet is Director, Center for the Study of Addictions and Recovery (C-STAR), National Development and Research Institutes, Inc. (NDRI), 71 West 23rd Street, 8th floor, NY, NY 10010 (E-mail: ).
    Many recovering substance users report quitting drugs because they wanted a better life. The road of recovery is the path to a better life but a challenging and stressful path for most. There has been little research among recovering persons in spite of the numbers involved, and most research has focused on substance use outcomes. Read More

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