Maps for step 12 of twelve steps includes discussion topics for all 12 steps. Combined, these widely used, evidencebased therapies provide a dynamic treatment modality to help strengthen a clients recovery from substance abuse. Step 2 begins the climb out of the darkness of despair for the addict. Designed to enhance learning and participation, this participant workbook is an essential part of the twelve step facilitation program. A womens recovery collection from stephanie covington. Stimulant abuser groups to engage in 12step stage12 april 2009 6 attention in the treatment of substance abuse disorders, particularly as costeffective additions to primary treatment. Twelvestep facilitation therapy is an active engagement strategy designed to increase the likelihood of a substance abuser becoming affiliated with and actively. By giving the addict a connection with the infinite, step 2 establishes a foundation rooted in hope. Tsf is implemented with individual clients over 12 to 15 sessions. Zemore 4 1 senior scientist, alcohol research group, associate adjunct professor, school of public health, university of california berkeley. Integrating dialectical behavior therapy with the twelve steps.
Facilitating patients involvement with 12step selfhelp organizations, such as alcoholics anonymous aa and narcotics anonymous na, is often a goal of substance abuse treatment. The revised and expanded twelve step facilitation program by joseph nowinski, phd, is designed for onetoone individual facilitation sessions, as well as group treatment. Effectiveness of making alcoholics anonymous easier maaez, a group format 12step facilitation approach lee ann kaskutas, 1 mina subbaraman, 2 jane witbrodt, 3 and sarah e. Pdf specialized 12step programs and 12step facilitation for the. In order to introduce recovering addicts to these principles, many programs include 12step facilitation classes. The basic premise of the 12step model in addiction treatment is that people can help one another achieve and maintain abstinence from drugs. Facilitation handout 12 has general information on providing feedback, and handout introduces the feedback cycle for use in this module. The details of the design and implementation of project match will be described in full in forthcoming publications.
Behavioral therapies national institute on drug abuse nida. Twelve step facilitation tsf is an evidencebased treatment approach that, like cognitivebehavioral therapy cbt and motivational enhancement therapy met, has been proven to be successful in treating people with substance use disorders both alcohol and other drugs. Contingency management this approach includes behavioral contracting where clients have opportunities to earn rewards for specific desirable. The revised and expanded twelve step facilitation program by joseph nowinski, phd, is designed for onetoone individual facilitation sessions, as well as. Platter, ms, rn, pmhcnsbc osvaldo cabral, lpc, ma, lac. While 12step facilitation programs dont necessarily follow the steps, they promote the use of a 12step methodology, in the hope that clients will move to a 12step program after rehab to help maintain sobriety. I specialized in creative program design, and in blending a variety of treatment models and therapeutic approaches.
Twelvestep facilitation tsf twelvestep facilitation tsf treatments are a set of semistructured therapies designed to help people abstain from alcohol and other drugs by systematically linking them to, and encouraging their active participation in, communitybased 12step mutualhelp organizations to this point, twelvestep facilitations tsfs have primarily focused on linking. To this point, twelvestep facilitations tsfs have primarily focused on linking individuals to alcoholics anonymous aa, as it was the first and is currently the. The sources for this step are endless and find their roots in the bible itself. The overall goal of twelve step facilitation tsf therapy is to help clients achieve abstinence from alcohol and foster commitment to participation in alcoholics. Typical sequence for introducing root cause analysis to a practice. Drug treatment specialist, federal medical center, bureau of prison. Specialized 12step programs and 12step facilitation for the dually diagnosed article pdf available in community mental health journal 411. Twelvestep facilitation tsf recovery research institute. Cbt and 12step facilitation 12sf in treating cocaine abuse. What is the evidence for 12step support and facilitation therapy. It appears that dually diagnosed individuals do make use of traditional twelve step fellowships such as alcoholics anonymous aa and narcotics anonymous na.
Twelvestep facilitation tsf consists of a brief, structured, and manualdriven approach to facilitating early recovery from alcohol abusealcoholism and other drug abuseaddiction. Dbt and twelve step philosophy have many conceptual similarities. Twelvestep facilitation therapy 12step get real recovery. By the end of the gynecology curriculum, each resident will have demonstrated, at least once, the appropriate. As originally designed, tsf was a 12 to 15session, individually administered, manually. Twelve steps programs and the dually diagnosed traditional twelve step programs provide benefits for people with cooccurring disorders by joseph nowinski.
Twelve step facilitation for cooccurring disorders tsfcod. This twelve step workbook guide substitutes terms and phrases related to alcoholism to include any actingout or obsessivecompulsive addiction patterns such as, drugs and all mind altering substances, sugarfoodovereating, nicotine, gambling, sex love pornography, electronic. The study compared the clinical and cost effectiveness of a comprehensive treatment model that follows a manual developed by the matrix institute with the effectiveness of treatment approaches in use at eight communitybased treatment programs, including. Curriculum vitae 4 populations, and 12step facilitation therapy.
A sample schedule of treatment activities is shown in figure i1. Stage12 stimulant abuser groups to engage in 12step. Twelvestep facilitation therapy tsf is a brief, structured, and manualdriven approach to facilitating early recovery from alcohol abuse, alcoholism. Curriculum, discovery and phenomenon curriculum, media supported lesson plans, fully tutored simulated flights teaching the basics of aircraft operation, and so much more. Approaches to drug abuse counseling, twelvestep facilitation. After you complete this module, you should be able to. Donovan on a chapter, entitled facilitating involvement in 12step programs, in volume. Yes, twelve step facilitation is an evidence based treatment. In addition to abstinence from alcohol, a major goal of the treatment is. Describe a 6step approach to curriculum development describe why curriculum development is a public trust. Twelvestep facilitation therapy is an active engagement strategy designed to increase the likelihood of a substance abuser becoming affiliated with and actively involved in 12step selfhelp groups, thereby promoting abstinence.
Twelvestep facilitation is an internationally utilized clinical curriculum delivered by a counselor which provides education regarding how patients can incorporate 12step groups into their personal recovery plan, coaching on engagement, as well as exploration of ambivalence and past experience. Sample step map t h is is w h a t a d m itte d m eans to m e. Integrating dialectical behavior therapy with the twelve steps a program for treating substance use disorders bari k. Twelvestep programs are often an integral part of the treatment of substance use disorder143. Twelve step facilitation tsf twelve step facilitation tsf treatments are a set of semistructured therapies designed to help people abstain from alcohol and other drugs by systematically linking them to, and encouraging their active participation in, communitybased 12 step mutualhelp organizations to this point, twelve step facilitations tsfs have primarily focused on linking. Professional interventions that facilitate 12step selfhelp group involvement keith humphreys, ph. A significant number of addicts are introduced to the 12 steps for the first time at inpatient rehab facilities. The content of this intervention is consistent with the 12 steps of alcoholics anonymous aa, with primary emphasis given to steps 1 though 5.
Likewise, the feedback cycle also follows a model, as outlined in facilitation handout 12. This therapy is grounded in the concept of alcoholism as a spiritual and medical disease. The facilitation practice follows the model illustrated above. Behavioral approaches help engage people in drug abuse treatment, provide incentives for them to remain abstinent, modify their attitudes and behaviors related to drug abuse, and increase their life skills to handle stressful circumstances and environmental cues that may trigger intense craving for drugs and prompt another cycle of compulsive abuse.
Specialized 12step programs and 12step facilitation for. Step workbook with writing prompts and questions for each step, space for a gratitude list and journal paper podenco press. The institute of behavioral research at texas christian university is pleased to make available, without charge, a wide array of. While inpatient programs may last from 30 to 90 days, completing all 12 of the steps may require months of intensive work with a sponsor. Identification and intervention a guide for marriage and family therapists source. Facilitation 15 purpose of exploring alcoholics anonymous 12 steps 17 crafting a curriculum 20 strengths of an artsbased approach 23 introduction to activities 24 activities 26 week 1 picture of insanity and powerlessness. Professional interventions that facilitate 12step self. The con tent of this intervention is consistent with the 12 steps of alcoholics. About the group facilitation manual page 4 manual contents pages 5. Program components this section describes the logistics and philosophy of each of the five types of counseling sessions.
Primary care practice facilitation curriculum module 11 m114. Addiction literature also clearly demonstrates the utility of twelve step programming in supporting recovery, and this approach is commonly integrated into many addiction treatment programs galanter 2007. Several prospective studies have shown that shg attendance is associated with good substance use outcomes. Twelve step facilitation tsf is an evidencebased approach that together with active involvement in a twelve step group helps individuals succeed as they move from treatment into recovery. It is intended to be implemented on an individual basis in 12 to 15 sessions and is based in behavioral, spiritual, and cognitive principles that form the core of. Twelve step facilitation therapy tsf is a brief, structured, and manualdriven approach to facilitating early recovery from alcohol abuse, alcoholism, and other drug abuse and addiction problems. This oneofakind group course which incorporates dialectical behavior therapy dbt and twelve step facilitation tsf. Anonymous aa, with primary emphasis given to steps 1 though 5. This section outlines the major features of the study. Effectiveness of making alcoholics anonymous easier maaez. Twelve step facilitation therapy manual pubsniaaanihgov. Twelve step facilitation participant workbook pack of 10. This can result in better meeting attendance for a longer period of time. Pdf facilitating involvement in twelvestep programs.
An approach that falls more toward the understanding the concepts end of the continuum of interventions is 12step facilitation therapy tsf. In addition, certain treatment centers base their model for service around some of the ideas promoted through the 12step program. Outcome research on 12step and other selfhelp programs. Twelvestep facilitation therapy manual project match, a 5year study, was initiated by the treatment research branch of niaaa in 1989. Here are presented the results of a pilot study in which 10 seriously mentally ill patients received a modified 12step facilitation tsf therapy emphasizing. Twelvestep program an overview sciencedirect topics. Tsf consists of a brief, structured, and manualdriven approach to facilitating early recovery from alcohol abusealcoholism and other drug abuse. Integrating dialectical behavior therapy with the twelve steps a program for treating substance use disorders. Study finds 12step facilitation reduces damage from substance use in youths volume 29 number 32 august 14, 2017 bottom line standardized approaches for encouraging 12step participation have not been widely researched in young people, but a new study suggests this strategy can lessen the consequences of alcohol and drug use in this group.
1496 934 827 912 830 1258 1127 1434 1277 1231 660 1434 805 1194 28 829 742 951 604 1422 863 431 1342 17 265 387 1375 916 398 926 1227 1060 1007 580 118