Thematische Bibliographien / Alcoholics Anonymous

Auswahl der wissenschaftlichen Literatur zum Thema „Alcoholics Anonymous“

Autor: Grafiati

Veröffentlicht am 4. Juni 2021

Zuletzt aktualisiert am 1. August 2024

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Zeitschriftenartikel zum Thema "Alcoholics Anonymous"

Vaillant, George E. „Alcoholics Anonymous: Cult or Cure?“ Australian & New Zealand Journal of Psychiatry 39, Nr. 6 (Juni 2005): 431–36. http://dx.doi.org/10.1080/j.1440-1614.2005.01600.x.

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Objective: To discuss the mechanism of action, the efficacy and the safety of Alcoholics Anonymous (AA) in the treatment of alcoholism. Method: The published works on effective treatments for alcoholism is briefly reviewed and a prospective multidisciplinar y follow-up of recovery from alcoholism in two community cohorts of adolescent males followed from 1940 until the present day is reviewed. Conclusions: The suggested mechanism of action of AA is that it employs four factors widely shown to be effective in relapse prevention in addictions: external supervision, substitute dependency, new caring relationships and increased spirituality. In addition, AA serendipitously follows the principles of cognitive behaviour therapy in relapse prevention. Alcoholics Anonymous appears equal to or superior to conventional treatments for alcoholism, and the skepticism of some professionals regarding AA as a first rank treatment for alcoholism would appear to be unwarranted. Alcoholics Anonymous is probably without serious side-effects.

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Globetti, Gerald, und David R. Rudy. „Becoming Alcoholic: Alcoholics Anonymous and the Reality of Alcoholism.“ Social Forces 65, Nr. 4 (Juni 1987): 1169. http://dx.doi.org/10.2307/2579040.

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Minogue, S. J. „ALCOHOLICS ANONYMOUS“. Australian Occupational Therapy Journal 1, Nr. 6 (27.08.2010): 204–10. http://dx.doi.org/10.1111/j.1440-1630.1953.tb00054.x.

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Flores, Philip J. „Alcoholics Anonymous“. Alcoholism Treatment Quarterly 5, Nr. 1-2 (19.12.1988): 73–94. http://dx.doi.org/10.1300/j020v05n01_06.

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Streifel, Cathy, und Heather Servanty-Seib. „Alcoholics Anonymous“. Alcoholism Treatment Quarterly 24, Nr. 3 (17.10.2006): 71–91. http://dx.doi.org/10.1300/j020v24n03_05.

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Wiener, Carolyn. „Becoming Alcoholic: Alcoholics Anonymous and the Reality of Alcoholism (Book).“ Sociology of Health and Illness 10, Nr. 1 (März 1988): 96–97. http://dx.doi.org/10.1111/1467-9566.ep11340144.

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Lorenz, D. C. G. „Alcoholics Anonymous Revisited“. International Journal of Applied Philosophy 4, Nr. 4 (1989): 69–75. http://dx.doi.org/10.5840/ijap1989449.

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Winegar, Norman, Tedd A. Stephens und E. Douglas Varney. „Alcoholics Anonymous and the Alcoholic Defense Structure“. Social Casework 68, Nr. 4 (April 1987): 223–28. http://dx.doi.org/10.1177/104438948706800404.

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Emener, William G., und J. Fred Dickman. „Significant Demographic Characteristics of Persons Recovering from Alcoholism and Other Drugs“. Journal of Applied Rehabilitation Counseling 23, Nr. 1 (01.03.1992): 3–17. http://dx.doi.org/10.1891/0047-2220.23.1.3.

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The primary purpose of this study was to identify the existence of, and relationships among, selected demographic variables of persons recovering from alcoholism. A sample of 229 recovering alcoholics voluntarily remained after their Alcoholics Anonymous meetings and completed a 57 item “Alcoholism Treatment Survey”. Findings are simultaneously presented and discussed within 14 specific demographic areas of investigation with special attention to three overall constructs: (a) gender, viz, women's issues; (b) age, viz, younger (13-32), middle (33-45) and older (46-73); and (c) Alcoholics Anonymous, viz, its make up and composition. Conclusions and recommendations pertinent to prevention, treatment and future research are offered.

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Giuffra, Luis A. „A proposed mechanism of action for the Twelve steps of Alcoholics Anonymous“. Revista de Neuro-Psiquiatria 78, Nr. 1 (31.03.2015): 30. http://dx.doi.org/10.20453/rnp.v78i1.2358.

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Among peer-support groups for alcoholics, Alcoholics anonymous (AA) is by far the most widespread and successful with tens of thousands of groups all around the world. However, the mechanism of action of AA’s success is not immediately clear. Advances in understanding the neuroscience of addiction have allowed the identification of two brain areas that, among others, explain the irrational and self-destructive behavior of alcoholics. First, alcohol hijacks the reward systems of the midbrain in charge of detecting and experiencing pleasure (through the release of dopamine in the nucleus accumbens and the ventral tegmental area) with a pleasurable stimulation that far exceeds the normal pleasures of life (such as eating and sexual reproduction). These pleasurable experiences are essential for the survival and evolution of the species. Nature has cleverly linked pleasure with survival, and it is exactly this link that is usurped and hijacked by intoxicants like alcohol. Therefore, the reward system senses the effect of alcohol as essential for the survival of the alcoholic. In addition, the prefrontal cortex (perhaps the only area of the brain that could allow us to understand and prevent the dangers of the excessive and compulsive alcohol use) is also affected by this intoxicant. It becomes hypoactive and unable to counteract the urges and demands of the reward system to constantly repeat the “feel good” (associated over millions of years with survival of the individual and species) that comes from using alcohol. The Twelve Steps of AA help alcoholics reverse these effects. First, through steps 1 to 3, it encourages the use of a Surrogate Decision-Maker (often, it is the AA group itself that acts as such). Second, steps 4- 12 foster the practice of Compensatory Behaviors (a life of honesty and service) devoted to counteract the maladaptive behaviors that facilitate the alcoholic’s behavior of repeating what feels good (i.e. getting intoxicated). Lying, stealing, dishonesty and manipulation are not intrinsic personality defects of the alcoholic: they are the symptoms of a usurped reward system and hijacked prefrontal lobes.

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Dissertationen zum Thema "Alcoholics Anonymous"

Duff, Gordon Cosmo. „Ideological dilemmas of alcoholics anonymous and narcotics anonymous recovery“. Thesis, City, University of London, 2017. http://openaccess.city.ac.uk/17334/.

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The present study aimed to map out how members of Alcoholics Anonymous (AA) and Narcotics Anonymous (NA) construct themselves, in talk, as being in recovery. This study adopted a social constructionist epistemology and a Foucauldian discourse analytic research methodology. A total of nineteen adults in self-reported AA and/or NA recovery were interviewed. Four individual interviews and three discussion groups were held. Analysis found that, on the whole, participants drew on AA/NA discourse in ways that were contradictory, subversive, pragmatic, dilemmatic and aligned with agency. Analysis generated four main themes: difference; possession; powerlessness-agency; and transformation. Participants tended to construct themselves not as objectivised subjects, but as exercising agency to knowingly draw on AA/NA discourse to practice care of the self and ethical selfgovernance. Other recent psychological studies have arrived at similar findings. AA/NA may, then, possess values that are more closely aligned with the humanistic ethic that informs counselling psychology and psychotherapy than is sometimes supposed. This is significant, because some authors have argued that the low rate of practitioner referral into AA/NA is caused by an ideological tension between the humanistic privileging of subjectivity and the perception that AA/NA subjects its members. Given the inexorable expansion of the addiction concept to most forms of human experience, it is likely that practitioners will be increasingly likely to work with addiction presentations in their clinical practice. It is therefore hoped that this study will challenge practitioners to reflect on why they don't work in partnership with 12- step programmes more often. More qualitative research in this important area will help to develop our understandings of subjectivity in AA/NA and other forms of 12-step recovery.

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Rayburn, Rachel. „WE ARE NOT RESPONSIBLE FOR OUR ADDICTIONS, BUT WE ARE RESPONSIBLE FOR OUR RECOVERY": A QUALITATIVE EXPLORATORY STUDY OF THE LI“. Master's thesis, University of Central Florida, 2008. http://digital.library.ucf.edu/cdm/ref/collection/ETD/id/2286.

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This is an exploratory, qualitative study of homeless, recovering alcoholics and the problems they encounter maintaining sobriety. Using semi-structured interviews, I analyze the experiences of ten men in their forties, who are in a recovery program designed for homeless men. I ask them how they stay sober without a place to live. Three kinds of problems are inferred from their narrative histories. First, the men have difficulty identifying as alcoholics. They have trouble fully integrating into the AA program. Second, the men struggle to form relationships with others, especially with a sponsor. Third, the process of "working the steps" is adapted complexly, more than in a normal twelve-step setting. The findings indicate that homeless men face special barriers to achieving and maintaining sobriety. I conclude by discussing the larger implications for sobriety, homelessness and social change within this community.
M.A.
Department of Sociology
Sciences
Applied Sociology MA

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Madden, Patricia. „ALCOHOLISM, A.A., AND THE CHALLENGE OF AUTHENTICITY“. Master's thesis, University of Central Florida, 2005. http://digital.library.ucf.edu/cdm/ref/collection/ETD/id/2477.

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This thesis examines the possibilities of living an authentic life for an alcoholic, both in and out of Alcoholics Anonymous. Authenticity is explored using the existential models put forth by Jean-Paul Sartre and Soren Kierkegaard. Alcoholics Anonymous figures prominently in this analysis. It is suggested that A.A. acts inauthentically in its claims that it is not a religious organization. A.A. creates special problems for female alcoholics because of the sexist and masculinist nature of its primary literature. While A.A. claims that its message is the only way by which an alcoholic can recover, other treatment methods exist. Suggestions are made that A.A. revise its main texts, and two alternative organizations to A.A. are briefly discussed.
M.A.
Office of Liberal and Interdisciplinary Studies
Arts and Sciences
Liberal Studies

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Kannamthanam, Sebastian J. „A smooth transition from the "higher power" of Alcoholics Anonymous (AA) to the religious spirituality of Christianity can be achieved in the lives of the recovering Catholic patients in the detoxification unit at the Serenity Hall, Bedford, by effecting a commitment to Christ and Biblical principles and principles of Catholicism“. Theological Research Exchange Network (TREN), 1992. http://www.tren.com.

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Cox, Christopher William. „An approach to alcoholism for the clergy“. Theological Research Exchange Network (TREN) Access this title online, 1989. http://www.tren.com/search.cfm?p051-0023.

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Ermann, Lauren Sheli. „The Lived Experiences of Older Women in Alcoholics Anonymous“. Diss., Virginia Tech, 2013. http://hdl.handle.net/10919/51176.

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The purpose of this study was to describe, analyze, and better understand the lived experiences of women age 50 and older in Alcoholics Anonymous (AA). Guiding this inquiry were the following research questions: 1) How do the older women participants experience the AA program? 2) What aspects of AA do older women consider beneficial? 3) What aspects of AA do older women consider detrimental? 4) What do older women consider as important conditions to succeed in the AA program? 5) How did these older women elicit meaning in their involvement with AA? and 6) How was the narrative aspect of AA experienced by the participants?
Fourteen older women from AA meetings in Southwest Virginia participated in two qualitative interviews. The results were represented by narrative descriptions of each participant\'s experiences and analyzed for common themes across the stories, which were presented and discussed. For these participants, the AA program was found to intersect with narrative therapy. AA, like narrative therapy, highlights deconstructing and re-authoring life stories through personal narratives. Storytelling itself proved to be among the most important traditions of AA and a core benefit to the storyteller (and to a lesser extent, the listener). Study participants found that telling their stories allowed for 1) a way to give back to the program, 2) a feeling of belonging to the group, 3) a welcome reminder to the speaker of her past struggles with alcoholism, and 4) a spiritual experience. Many of the women articulated their early concerns with publicly sharing at meetings, as well as their ongoing considerations of boundaries, over-sharing, and conflicts of interest in storytelling. Finally, in an unexpected finding, the women cultivated and maintained intimate friendships with other women in AA that addressed relevant issues beyond sobriety including everyday needs and life challenges. Social activities often transcended the boundaries of the meetings.

Ph. D.

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Brent, Suzanne S. (Suzanne Stokes). „The History of Alcoholism Treatment in the United States“. Thesis, University of North Texas, 1996. https://digital.library.unt.edu/ark:/67531/metadc277997/.

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The treatment of alcoholism has had a unique historical development in the United States. This study provides a chronology of how the problem of alcoholism was defined and handled during various time periods in United States history. The process that evolved resulted in an abstinence based, comprehensive, multidisciplinary approach to the treatment of alcoholism as a primary disease based on the principles of Alcoholics Anonymous. This treatment modality, that developed outside of established medicine, is currently used by the majority of treatment providers. Seven individuals who have been actively involved in alcoholism treatment were interviewed. In addition to archival research, biographies and autobiographies were examined to gain a broad perspective. Because alcoholism is both a collective and an individual problem an effort was made to include a microsociological frame of reference within a broad sociological view. Alcoholism, or inebriety, was first perceived as a legal and moral problem. By the end of the 19th century, inebriety was recognized as an illness differing from mental illness, and separate asylums were established for its treatment. Alcoholism is currently accepted and treated as a primary disease by the majority of social institutions, but the legal and moral implications remain. National Prohibition in the early part of the 20th century targeted alcohol instead of the alcoholic delaying any progress toward treatment which was made in the 19th century. The advent of Alcoholics Anonymous brought the first widely accepted hope for alcoholics. The treatment process that developed utilized the principles of Alcoholics Anonymous in a setting of shared recovery which has been difficult to quantify. In 1970 the allocation of federal funds for treatment and research brought the involvement of new disciplines creating both conflicts and possibilities. Alcoholism recovery has elucidated the connection of mind, body, and spirit.

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Barrett, David. „The 12 steps of recovery and the Orthodox scriptural tradition“. Theological Research Exchange Network (TREN), 1998. http://www.tren.com.

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Horarik, Stefan. „Social Environment and Subjective Experience: Recovery from Alcoholism in Alcoholics Anonymous in Sydney, Australia“. Thesis, The University of Sydney, 2005. http://hdl.handle.net/2123/1117.

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This thesis studies the relationship between subjective experience and social environment during recovery from alcoholism in Alcoholics Anonymous (AA). As a result of participation in AA meetings, many alcoholics undergo healing transformations involving a sense of acceptance of themselves, others and the world. In early sobriety these experiences often remove an alcoholic’s desire to drink. Outside AA, however, alcoholics frequently experience subjective unravelling – a sense of conflict with themselves, others and the world. For many, this subjective state is associated with actual or potential craving for a drink. Regular participation in AA meetings alleviates these states. This thesis construes the relationship between subjective experience and immediate social environment in terms of ‘experiential stakes of relevance’. This conceptual category can be used to characterise both the structural properties of the social environment and the key attributes of the subjective experience of agents within this environment. Listening to stories at AA meetings results for many alcoholics in a radical change in ‘experiential stakes of relevance’. It is argued that the process of spontaneous re-connection with one’s past experiences during AA meetings is akin to the process of mobilisation of embodied dispositions as theorised by Bourdieu. Transformation in AA takes place in the space of a mere one and a half hours and involves processes of intensification of experience. These are analysed in terms of Bourdieu’s notion of ‘illusio’ and Chion’s notion of ‘rendu’. The healing experiences of acceptance presuppose a social environment free of interpersonal conflict. This thesis argues that the need to structurally eliminate conflict between alcoholics has turned AA into a social field which is sustained by the very healing subjective experiences that it facilitates. In the process, AA has developed structural elements which can best be understood as mechanisms inverting the social logic of competitive fields. The fieldwork entailed a detailed ethnographic study of one particular group of Alcoholics Anonymous in Sydney’s Lower North Shore as well as familiarisation with the more general culture of AA in Sydney. Methods of investigation included participant observations at AA meetings and interviews with a number of sober alcoholics in AA.

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Horarik, Stefan. „Social Environment and Subjective Experience: Recovery from Alcoholism in Alcoholics Anonymous in Sydney, Australia“. University of Sydney, 2005. http://hdl.handle.net/2123/1117.

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Doctor of Philosophy
This thesis studies the relationship between subjective experience and social environment during recovery from alcoholism in Alcoholics Anonymous (AA). As a result of participation in AA meetings, many alcoholics undergo healing transformations involving a sense of acceptance of themselves, others and the world. In early sobriety these experiences often remove an alcoholic’s desire to drink. Outside AA, however, alcoholics frequently experience subjective unravelling – a sense of conflict with themselves, others and the world. For many, this subjective state is associated with actual or potential craving for a drink. Regular participation in AA meetings alleviates these states. This thesis construes the relationship between subjective experience and immediate social environment in terms of ‘experiential stakes of relevance’. This conceptual category can be used to characterise both the structural properties of the social environment and the key attributes of the subjective experience of agents within this environment. Listening to stories at AA meetings results for many alcoholics in a radical change in ‘experiential stakes of relevance’. It is argued that the process of spontaneous re-connection with one’s past experiences during AA meetings is akin to the process of mobilisation of embodied dispositions as theorised by Bourdieu. Transformation in AA takes place in the space of a mere one and a half hours and involves processes of intensification of experience. These are analysed in terms of Bourdieu’s notion of ‘illusio’ and Chion’s notion of ‘rendu’. The healing experiences of acceptance presuppose a social environment free of interpersonal conflict. This thesis argues that the need to structurally eliminate conflict between alcoholics has turned AA into a social field which is sustained by the very healing subjective experiences that it facilitates. In the process, AA has developed structural elements which can best be understood as mechanisms inverting the social logic of competitive fields. The fieldwork entailed a detailed ethnographic study of one particular group of Alcoholics Anonymous in Sydney’s Lower North Shore as well as familiarisation with the more general culture of AA in Sydney. Methods of investigation included participant observations at AA meetings and interviews with a number of sober alcoholics in AA.

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Bücher zum Thema "Alcoholics Anonymous"

Constant, Audrey. Alcoholics Anonymous. Exeter: Religious and Moral Education Press, 1986.

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Bufe, Charles. Alcoholics Anonymous. Chicago: See Sharp Press, 2009.

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Denzin, Norman K. Treating alcoholism: An Alcoholics Anonymous approach. Newbury Park, Calif: Sage Publications, 1987.

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Denzin, Norman K. Treating alcoholism: An Alcoholics Anonymous approach. Newbury Park, Calif: Sage Publications, 1987.

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W, Bill. The Anonymous Press mini edition of Alcoholics Anonymous. Malo, Wash: Anonymous Press, 2000.

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Anonymous, Alcoholics, Hrsg. Alcoholics Anonymous big book. [San Tiego, Chile?]: Editorial Benei Noaj, 2007.

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Robertson, Nan. Getting better: Inside alcoholics anonymous. New York: Morrow, 1988.

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Robertson, Nan. Getting better: Inside Alcoholics Anonymous. London: Macmillan, 1989.

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Bill, W., und Hazelden Foundation, Hrsg. The little red book. Center City, Minn: Hazelden, 1994.

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Joseph, Kessel. Alcoholicos Anonimos/Alcoholics Anonymous. Lectorum Pubns Inc (J), 1986.

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Buchteile zum Thema "Alcoholics Anonymous"

Levesque, Roger J. R. „Alcoholics Anonymous“. In Encyclopedia of Adolescence, 118–19. New York, NY: Springer New York, 2011. http://dx.doi.org/10.1007/978-1-4419-1695-2_490.

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O’Neill, Stephen F., und Henrietta N. Barnes. „Alcoholics Anonymous“. In Alcoholism, 93–101. New York, NY: Springer New York, 1987. http://dx.doi.org/10.1007/978-1-4612-4786-9_11.

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Humphreys, Keith. „Alcoholics Anonymous.“ In Encyclopedia of psychology, Vol. 1., 108–11. Washington: American Psychological Association, 2000. http://dx.doi.org/10.1037/10516-034.

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Levesque, Roger J. R. „Alcoholics Anonymous“. In Encyclopedia of Adolescence, 1–4. Cham: Springer International Publishing, 2017. http://dx.doi.org/10.1007/978-3-319-32132-5_490-2.

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Levesque, Roger J. R. „Alcoholics Anonymous“. In Encyclopedia of Adolescence, 196–99. Cham: Springer International Publishing, 2018. http://dx.doi.org/10.1007/978-3-319-33228-4_490.

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McCarron, Kevin. „The Rooms: Alcoholics Anonymous“. In Narratives of Addiction, 183–209. Cham: Springer International Publishing, 2021. http://dx.doi.org/10.1007/978-3-030-88461-1_8.

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Cooper-Sadlo, Shannon, und Jessica L. Chou. „Alcoholics Anonymous, 12-Step Programs“. In Encyclopedia of Couple and Family Therapy, 82–85. Cham: Springer International Publishing, 2019. http://dx.doi.org/10.1007/978-3-319-49425-8_581.

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Kelly, John F., und Julie D. Yeterian. „Alcoholics Anonymous and Young People“. In Young People and Alcohol, 308–26. Chichester, UK: John Wiley & Sons, Ltd, 2014. http://dx.doi.org/10.1002/9781118785089.ch17.

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Kaskutas, Lee Ann, Yu Ye, Thomas K. Greenfield, Jane Witbrodt und Jason Bond. „Epidemiology of Alcoholics Anonymous Participation“. In Recent Developments in Alcoholism, 261–82. New York, NY: Springer New York, 2008. http://dx.doi.org/10.1007/978-0-387-77725-2_15.

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Scott Tonigan, J. „Alcoholics Anonymous Outcomes and Benefits“. In Recent Developments in Alcoholism, 357–71. New York, NY: Springer New York, 2008. http://dx.doi.org/10.1007/978-0-387-77725-2_20.

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Konferenzberichte zum Thema "Alcoholics Anonymous"

Sanger, Sally, Peter A. Bath und Jo Bates. „The sustainability of non-12-step alcohol online support groups: views from group users“. In The 18th international symposium on health information management research. Linnaeus University Press, 2022. http://dx.doi.org/10.15626/ishimr.2020.13.

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Online support groups for people with health issues are important digital sources of information for their users, and this includes alcohol online support groups (AOSGs) which provide help to problem drinkers. It is vital that these groups are sustainable as otherwise their usefulness and contribution to patient self-care and wellbeing is limited. The aim of the study drawn upon in this paper was to explore the impact of AOSGs’ discussion forums on users’ beliefs about problem drinking. The study involved semi-structured interviews with twenty-five users of online support groups for people who do not follow the 12-step programme for recovery of Alcoholics Anonymous. This paper focuses on users’ perspectives on sustainability, and the findings suggest that the general approach of the group to recovery and its social dynamics are especially important. It provides a useful contribution to the literature in offering a rare insight into the voices of users of non-12-step groups.

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Kolesnikova, I. A., und I. E. Lilienthal. „To the question of self-regulation of aggressive behavior in adolescent teenagers“. In INTERNATIONAL SCIENTIFIC AND PRACTICAL ONLINE CONFERENCE. Знание-М, 2020. http://dx.doi.org/10.38006/907345-50-8.2020.853.862.

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The data of an experimental study of the features of aggressive behavior in teenage drug addicts, as well as the possibility of controlling and self-regulation of aggressive manifestations in this category of individuals are presented. The growth of aggressive trends in adolescence reflects one of the most acute social problems of modern societies, where drug addiction, alcoholism, and juvenile delinquency have risen sharply in recent years. To study the features of aggressive behavior of teenage drug addicts, we used a battery of valid methods and methods aimed at assessing the specifics of aggressive manifestations, personal, motivational, strong-willed and other features of teenage drug addicts. The article shows that, indeed, the aggressive behavior of teenage drug addicts has its own distinctive features, determined by the presence of accentuation or psychopathy of character, inadequate self-esteem, self-centeredness; violations of attitudes, motivation, affective sphere of personality, with irritability and increased excitability; the predominance of verbal, physical forms of aggression, suspicion; the orientation of aggression to external objects, in addition, the characteristics of the aggressive behavior of teenage drug addicts depend on a number of microsocial factors, etc. In order to increase the effectiveness of preventive and rehabilitation work with aggressive teenage drug addicts, such methods of action show effectiveness as: mandatory and primary treatment of adolescents is drug addicts, the inclusion of adolescents in this category in the anonymous grooms of drug addicts, in the system of socially recognized and socially approved activities the use of psychotherapy, methods of active psychological impact; conducting educational and preventive work with the inner circle of a teenage drug addict, etc. The article presents reasonable conclusions from a stating experiment, and offers recommendations for the prevention and correction of selfregulation of aggressive manifestations in teenage drug addicts.

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Berichte der Organisationen zum Thema "Alcoholics Anonymous"

Arms, Amanda Joy. Foucault Concept Communication: An Examination of Alcoholics Anonymous. Portland State University Library, Januar 2015. http://dx.doi.org/10.15760/honors.174.

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Brown, Candace, Chudney Williams, Ryan Stephens, Jacqueline Sharp, Bobby Bellflower und Martinus Zeeman. Medicated-Assisted Treatment and 12-Step Programs: Evaluating the Referral Process. University of Tennessee Health Science Center, November 2021. http://dx.doi.org/10.21007/con.dnp.2021.0013.

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Purpose/Background Overdose deaths in the U.S. from opioids have dramatically increased since the COVID-19 pandemic. Although medicated-assisted treatment (MAT) programs are widely available for sufferers of opiate addiction, many drop out of treatment prematurely. Twelve-step programs are considered a valuable part of treatment, but few studies have examined the effect of combining these approaches. We aimed to compare abstinence rates among patients receiving MAT who were referred to 12-step programs to those only receiving MAT. Methods In this prospective study, a cohort of participants from a MAT clinic agreeing to attend a 12-step program was compared to 15 controls selected from a database before project implementation. Eligible participants were diagnosed with OUD, receiving buprenorphine (opiate agonist), and at least 18. Participants were provided with temporary sponsors to attend Narcotics Anonymous, Alcoholics Anonymous, and Medication-Assisted Recovery meetings together. The primary endpoint was the change in positive opiate urine drug screens over 6 months between participants and controls. Results Between March 29, 2021, and April 16, 2021, 166 patients were scheduled at the clinic. Of those scheduled, 146 were established patients, and 123 were scheduled for face-to-face visits. Of these, 64 appeared for the appointment, 6 were screened, and 3 were enrolled. None of the participants attended a 12-step meeting. Enrollment barriers included excluding new patients and those attending virtual visits, the high percentage of patients who missed appointments, and lack of staff referrals. The low incidence of referrals was due to time constraints by both staff and patients. Implications for Nursing Practice Low enrollment limited our ability to determine whether combining medication management with a 12-step program improves abstinence. Failure to keep appointments is common among patients with OUD, and virtual meetings are becoming more prevalent post-COVID. Although these factors are unlikely to be controllable, developing strategies to expedite the enrollment process for staff and patients could hasten recruitment.

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