The addictions are chronic disorders and recovery from addiction is a lifelong process. While there is a very large body of empirical data bearing on the effectiveness of various formal and informal treatment modalities typically following clients for one or two years, very little is known about the process of recovery over time. This is particularly unfortunate since multiple treatment episodes do not always succeed in breaking the addiction cycle. This paper reports on a study of individuals (N=52) in long-term recovery from substance abuse and examines the factors they cite as helpful to starting and maintaining their recovery status. At the time of the survey, participants had achieved and maintained abstinence over long periods of time (median=12 years) and were employed, most full-time. Two-thirds had received formal treatment services, many on multiple occasions; all had attended 12-step meetings. Over one-half of participants had used both treatment and self-help groups to recover, particularly those with more severe (longer) substance use. Most were still actively affiliated with 12-step fellowships. The escalating consequences of substance use, the support of family and friends and the 12-step program were cited as important factors in the initiation and maintenance of the abstinence and recovery process. Implications for clinical practice and future research directions are presented. First-hand accounts from recovered individuals can illuminate approaches that have the potential of contributing to the expansion of practice, thereby improving its outcome.
Learning Objectives: At the end of this presentation, participants will be able to: (1) understand that recovery from addictive disorders is a lifelong process (2) recognize that the path to recovery varies across individuals (3) understand the role of social and community support in long-term recovery (4) apply this knowledge to formulating treatment plans that can enhance the likelihood of successful outcomes.
Keywords: Recovery,
Presenting author's disclosure statement:
Organization/institution whose products or services will be discussed: None
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.