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Evaluation Review
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An Exploration of the Effect of On-Site 12-Step Meetings on Post-Treatment Outcomes among Polysubstance-Dependent Outpatient Clients

Alexandre Laudet

Center for the Study of Addictions and Recovery (C-STAR), National Development and Research Institutes, Inc.

Virginia Stanick

C-STAR

Brian Sands

Woodhull Medical Center

Rates of return to active substance use after addiction treatment tend to be high; participation in 12-step fellowships (e.g., Alcoholics Anonymous) reduces relapse rates but many clients do not attend or attend for a short period only. This quasi-experimental study uses repeated measurement to explore the role of presence/absence of on-site 12-step meetings during treatment on post-treatment outcomes. Polysubstance-dependent clients (N = 219) recruited at a program with and one without 12-step on-site, were followed for one year post-treatment. On-site 12-step enhanced 12-step attendance, especially during treatment, and predicted continuous abstinence for the post-treatment year. Holding 12-step meetings on-site is a low-cost strategy that programs should consider to foster post-treatment remission maintenance.

Key Words: 12-step • treatment • recovery • self-help

Evaluation Review, Vol. 31, No. 6, 613-646 (2007)
DOI: 10.1177/0193841X07306745
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