Outpatient treatment and 12-step group involvement

Influence of outpatient treatment and 12-step group involvement on one-year substance abuse treatment outcomes.

We examined whether substance abuse patients self-selecting into 1 of 3 aftercare groups (outpatient treatment only, 12-step groups only, and outpatient treatment and 12-step groups) and patients who did not participate in aftercare differed on 1-yr substance use and psychosocial outcomes.

A total of 3,018 male patients filled out a questionnaire at intake and 1 yr following discharge from treatment.

Patients were classified into aftercare groups at follow-up using information from VA databases and self-reports.

Results;

Patients who participated in both outpatient treatment and 12-step groups fared the best on 1-yr outcomes.
Patients who did not obtain aftercare had the poorest outcomes.
In terms of the amount of intervention received, patients who had more outpatient mental health treatment, who more frequently attended 12-step groups or were more involved in 12-step activities had better 1-yr outcomes.
In addition, patients who kept regular outpatient appointments over a longer time period fared better than those who did not.

Research report; Ouimette, Page Crosby; Moos, Rudolf H; Finney, John W. Influence of outpatient treatment and 12-step group involvement on one-year substance abuse treatment outcomes. Journal of Studies on Alcohol. Vol 59(5), Sep 1998, 513-522.