Consumers' Experiences in Dual Focus Mutual Aid for Co-occurring Substance Use and Mental Health Disorders

Harlan Matusow, Honoria Guarino, Andrew Rosenblum, Howard Vogel, Thomas Uttaro, Sadiqua Khabir, Martin Rini, Thomas Moore, Stephen Magura, Harlan Matusow, Honoria Guarino, Andrew Rosenblum, Howard Vogel, Thomas Uttaro, Sadiqua Khabir, Martin Rini, Thomas Moore, Stephen Magura

Abstract

Mutual aid fellowships have been shown to improve outcomes for those with co-occurring substance use and mental illness disorders. Processes associated with usefulness include helper therapy (the assumption of a helping role to foster commitment) and reciprocal learning (the sharing of problems and solutions among members). The present qualitative investigation used focus groups comprised a subset of participants in Double Trouble in Recovery (DTR), a 12-step mutual aid group for those with co-occurring disorders, to gather their subjective perceptions of the groups. Participants emphasized that in linking them to others with similar problems, the DTR groups played a vital emotional role in their lives and provided a needed venue for information sharing that might have been otherwise unavailable.

Keywords: 12-step; DTR; Double Trouble in Recovery; co-occurring disorders; dual-diagnosis; focus groups; mutual-Aid.

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References

    1. Substance Abuse and Mental Health Services Administration . Results from the 2010 National Survey on Drug Use and Health: Summary of National Findings. Rockville, MD: Substance Abuse and Mental Health Services Administration; 2011. NSDUH Series H-41, HHS Publication No. (SMA) 11-4658.
    1. Murphy JM. Diagnostic comorbidity and symptom co-occurrence: The Stirling County Study. In: Maser JD, Cloninger CR, editors. Comorbidity of Mood and Anxiety Disorders. Washington, DC: American Psychiatric Press; 1990. pp. 153–76.
    1. Kessler RC. The national comorbidity survey: Preliminary results and future directions. Int J Methods Psychiatr Res. 1995;5:139–51.
    1. Drake RE, Brunette MF. Complications of severe mental illness related to alcohol and drug use disorders. Recent Dev Alcohol. 1998;14:285–99.
    1. Rosenblum A, Magura S, Laudet AB, Vogel H. Mutual aid groups. In: Cooper DB, editor. Intervention in Mental Health–Substance use. New York, NY: Radcliffe Publishers; 2011.
    1. Regier DA, Farmer ME, Rae DS, et al. Comorbidity of mental disorders with alcohol and other drug abuse: Results from the Epidemiologic Catchment Area (ECA) study. JAMA. 1990;264:2511–8.
    1. Laudet AB, Magura S, Vogel H, White WL. Participation in 12-step based fellowships among dually-diagnosed persons. Alcohol Treat Q. 2003;21:19–39.
    1. Vaillant GE. Singleness of Purpose. New York, NY: General Service Office of Alcoholics Anonymous, AA World Services; 2003.
    1. Humphreys K. Clinicians’ referral and matching of substance abuse patients to self-help groups after treatment. Psychiatr Serv. 1997;48:1445–9.
    1. Laudet AB, White WL. An exploratory investigation of the association between clinicians’ attitudes toward twelve-step groups and referral rates. Alcohol Treat Q. 2005;23:31–45.
    1. Kelly JF, Dow SJ, Yeterian JD, Kahler CW. Can 12-step group participation strengthen and extend the benefits of adolescent addiction treatment? A prospective analysis. Drug Alcohol Depend. 2010;110:117–25.
    1. Magura S, McKean J, Kosten S, Tonigan JS. A novel application of propensity score matching to estimate Alcoholics Anonymous’ effect on drinking outcomes. Drug Alcohol Depend. Oct 3, 2012. [Epub ahead of print.]
    1. Bogenschutz MP. 12-step approaches for the dually diagnosed: Mechanisms of change. Alcohol Clin Exp Res. 2007;31:64–6.
    1. Jordan LC, Davidson WS, Herman SE, BootsMiller BJ. Involvement in 12-step programs among persons with dual diagnoses. Psychiatr Serv. 2002;53(7):894–6.
    1. Magura S, Villano CL, Rosenblum A, Vogel HS, Betzler T. Consumer evaluation of dual focus mutual aid. J Dual Diagn. 2008;4(2):170–85.
    1. Vogel HS, Knight E, Laudet AB, Magura S. Double trouble in recovery: Self-help for people with dual diagnoses. Psychiatr Rehabil J. 1998;21(4):356–64.
    1. Double Trouble in Recovery: Basic Guide. Center City, MN: Hazelden Publishing; 1970.
    1. Magura S, Laudet A, Mahmood D, Rosenblum A, Knight E. Medication adherence and participation in self-help groups designed for dually-diagnosed persons. Psychiatr Serv. 2002;53(3):310–6.
    1. Magura S, Rosenblum A, Villano CL, Vogel HS, Fong C, Betzler T. Dual-focus mutual aid for co-occurring disorders: a quasi-experimental outcome evaluation study. Am J Drug Alcohol Abuse. 2008;34:61–74.
    1. Laudet AB. Substance abuse treatment providers’ referral to self-help: Review and future empirical directions. Int J Self Help Self Care. 2000;1:213–25.
    1. Villano CL, Rosenblum A, Magura S, et al. Mental health clinicians’ 12-step referral practices with dually diagnosed patients. Int J Self Help Self Care. 2005;3:63–71.
    1. Laudet AB, Magura S, Cleland CM, Vogel HS, Knight EL, Rosenblum A. The effect of 12-step based fellowship participation on abstinence among dually diagnosed persons: a two-year longitudinal study. J Psychoactive Drugs. 2004;36(2):207–16.
    1. Magura S. Efficacy of “dual focus” mutual aid for persons with co-occurring disorders. 2008. NIDA grant:5R01DA023119.
    1. Carpinello SE, Knight EL. A Qualitative Study of the Perceptions of Meaning of Self-help by Self-help Group Leaders, Members, and Significant Others. Albany, NY: New York State Office of Mental Health, Bureau of Evaluation and Services Research; 1991.
    1. Yalom I. The Theory and Practice of Group Psychotherapy. 3rd ed. New York, NY: Basic Books; 1985.
    1. Bandura A. Self-efficacy: The Exercise of Control. New York, NY: Freeman; 1995.
    1. Glaser BG, Strauss AL. The Discovery of Grounded Theory: Strategies for Qualitative Research. New Brunswick, USA, and London, UK: Aldine Transaction; 1967.
    1. Strauss AL, Corbin J. Basics of Qualitative Research: Techniques and Procedures for Developing Grounded Theory. 2nd ed. Thousand Oaks, CA: Sage Publications; 1998.
    1. Timko C, Finney J, Moos R, Moos B. Short-term treatment careers and outcome of previously untreated alcoholics. J Stud Alcohol. 1995;56:597–610.
    1. Magura S, Laudet AB, Mahmood D, Rosenblum A, Knight E. Adherence to medication regimens and participation in dual-focus self-help groups. Psychiatr Serv. 2002;53:310–6.
    1. Magura S, Rosenblum A, Fong C. Factors associated with medication adherence among psychiatric outpatients at substance abuse risk. Open Addict J. 2011:58–64.
    1. Noodsy DL, Schwab B, Fox L, Drake R. The role of self-help programs in the rehabilitation of persons with severe mental illness and substance use disorders. Community Ment Health J. 1996;32:71–81.
    1. Fiorentine R, Hillhouse MP. Exploring the additive effects of drug misuse treatment and twelve-step involvement: does twelve-step ideology matter? Subst Use Misuse. 2000;35(3):367–97.
    1. Laudet AB, Morgen K, White WL. 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.
    1. Magura S. A few thoughts on addiction and religion. Subst Use Misuse. 2010;45(14):2400–2.
    1. Matusow H, Rosenblum A, Fong C, Laudet AB, Uttaro T, Magura S. Factors associated with mental health clinicians’ referrals to 12-step groups. J Addict Dis. 2012;31(3):303–12.
    1. Alcoholics Anonymous . Comments on AA’s Triennial Surveys. New York, NY: Alcoholics Anonymous World Services, Inc; 1998.

Source: PubMed

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