UW-Madison SOCWORK 453 - Mutual help programs and recovery from addiction (10 pages)

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Mutual help programs and recovery from addiction

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Mutual help programs and recovery from addiction


A lecture about mutual help programs and discussion about how they help with addiction.

Lecture number:
Lecture Note
University of Wisconsin, Madison
Socwork 453 - Alcohol and Other Drug Abuse
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Soc Work 453 1st Edition Lecture 21 Outline of Last Lecture I Announcements II What is stigma III Concepts IV Why do people stigmatize others V Unique nature of addiction stigma VI Stigma manifests at multiple levels of the environment a Structural level examples b Social level examples c Individual level examples VII IClicker question and notes VIII Implications for prevention Outline of Current Lecture II Announcements III Mutual help groups for addiction IV Alcoholics Anonymous and Narcotics Anonymous V IClicker and notes VI Spirituality and religion VII Other 12 step programs VIII What is recovery Current Lecture Announcements Study guide will be released Friday night Handouts have been posted to Learn UW for prior lectures Two handouts have been updated Public health and health disparities stigma Walk in office hours Tuesday today 11am 1pm Wednesday 8 11am 12 40 4 30pm Mutual help groups for addiction Peer led meetings in the community to help people overcome their addiction Common features of mutual help groups Obtain practical advice from people who have been where you have been Sense of belonging fellowship A change to use your personal experience to help others Free Alcoholics Anonymous and Narcotics Anonymous 12 step programs Fellowship working towards a fundamental shift in life A lifelong spiritual journey The only requirement for membership is the desire to stop using There is a distinction between a closed and open meeting A closed meeting means that everyone who shows up has to be committed to becoming an AA member That makes it a little less stigmatizing if you show up you won t be the odd one out The open meetings give people who are not in recovery themselves or who don t want to join can see what a group is like Several of the 12 steps heavily paraphrased 1 Admit we were powerless and our lives have become unmanageable 2 Belief in a higher power 5 Admit our wrongdoings 9 Make amends wherever possible 12 Help others Some people don t feel comfortable believing in higher power but others do Sponsors develop relationship with new member and help them along If they feel like they want to use they can call you and get help IClicker Why is Alcoholics Anonymous AA so hard to study a It s free and accessible so it s hard to successfully randomize people to use it or not b Many people don t like AA and drop out c AA tends to retain people who have already hit rock bottom d People who enroll in AA tend to already be committed to sobriety e All of the above Why is it so hard to study AA to understand how much it actually works and how it works If you randomize people to not use AA the assumption is that they won t use it Since it is anonymous there is no way of knowing whether people use it or not People who drop out may complicate a research study because they are like the control group who don t receive AA The people who drop out will be in the same set of people who didn t receive intervention which makes the comparison between people who go to AA and don t difficult The people who stay in AA hit rock bottom which is when you have struggled with substance use problems throughout your life and want to do something about it but don t When you hit rock bottom you re at the worst place you ve ever been in your life and the only choice you have is to stop using This can create a selection bias Those people may find it easier to go to AA there may not be complications they have no other choice but to get better Also people tend to be committed to sobriety this may or may not have to do with AA So this is hard to study What we know today is that AA does work and it tends to work for a specific set of people The set of people have life circumstances that match up with AA principles Iclicker Which of the following pre treatment factors were predictive of dropout in 12 step groups a Lacking insurance and other financial barriers b Less attendance at religious services c Having friends with substance use problems d Meeting criteria for both alcohol use disorder and drug use disorder Could actually have financial barriers like transportation childcare etc For religious services a main principle of AA believes in a higher power There could be a group of people who aren t religious and they don t like talking about the higher power and they are more likely to dropout Or it could be attractive to some people Some people might have a religion that they might be private about This could definitely be a predictive dropout factor Having friends who have problems the peer pressure may make you want to use If you have an established group of friends doing something it will overpower the group aspect of AA Whether or not your friends use doesn t really affect dropout AA is successful in making new friendships and new connections There is a lot of overlap in addiction to alcohol and drugs When it comes down to a choice they may prefer to go to AA or NA There is a mixed group so people are welcoming because the concepts behind addiction are pretty much the same It doesn t seem to influence dropout Spirituality and religion 90 of people in U S report religious affiliation In adolescents involvement in organized religion is strongly protective against developing addiction How might incorporating spirituality make mutual help groups work better A lot of religions have rules similar like 10 Commandments There is already a role base and clear path People may be used to following a clear path If you submit to a higher power in some respect it can take some accountability off you This could either make it more difficult to get better not up to you Or it could be easier if less responsibility is on you Maybe will give addicts more hope Helps foster a sense of community What are the disadvantages of incorporating spirituality in a mutual help program A lot of people think God has a specific plan for them so being an addict maybe part of that plan Religion could turn people off from AA Could be increased guilt if you don t go to church in some religions you feel bad about it Overall for people who are spiritual the spirituality factor of AA seems to help How much can we attribute someone s success in achieving abstinence to changes in life that occur during AA Some people stop using in AA and some people don t This graph is saying what about going through AA or changes in life from AA result in abstinence This pie graph shows how changes from AA contribute to abstinence They study looked at multiple

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