Labbe Allison K, Slaymaker Valerie, Kelly John F
a Center for Addiction Medicine, Massachusetts General Hospital, Department of Psychiatry, and Harvard Medical School , Boston , Massachusetts , USA.
Subst Abus. 2014;35(4):399-407. doi: 10.1080/08897077.2014.950001.
12-Step Facilitation (TSF) interventions designed to enhance rates of engagement with 12-step mutual-help organizations (MHOs) have shown efficacy among adults, but research provides little guidance on how to adapt TSF strategies for young people.
To inform TSF strategies for youth, this study used qualitative methods to investigate the self-reported experiences of 12-step participation, and reasons for nonattendance and discontinuation among young adults (18-24 years; N = 302). Responses to open-ended questions following residential treatment were coded into rationally derived domains.
Young adults reported that cohesiveness, belonging, and instillation of hope were the most helpful aspects of attending 12-step groups; meeting structure and having to motivate oneself to attend meetings were the most common aspects young adults liked least; logistical barriers and low recovery motivation and interest were the most common reasons for discontinued attendance; and perceptions that one did not have a problem or needed treatment were cited most often as reasons for never attending.
Findings may inform and enhance strategies intended to engage young people with community-based recovery-focused 12-step MHOs and ultimately improve recovery outcomes.
旨在提高参与12步互助组织（MHOs）比率的12步促进（TSF）干预措施已在成年人中显示出疗效，但关于如何使TSF策略适用于年轻人的研究提供的指导很少。
为了为针对青少年的TSF策略提供信息，本研究采用定性方法调查了18至24岁的年轻人（N = 302）自我报告的12步参与经历，以及未参加和退出的原因。对住院治疗后开放式问题的回答被编码到合理推导的领域中。
年轻人报告说，凝聚力、归属感和希望的灌输是参加12步小组最有益的方面；会议结构以及必须自我激励去参加会议是年轻人最不喜欢的最常见方面；后勤障碍以及康复动力和兴趣低是退出参加的最常见原因；而认为自己没有问题或不需要治疗最常被引述为从未参加的原因。
研究结果可为旨在让年轻人参与以社区为基础的、注重康复的12步MHOs的策略提供信息并加以改进，并最终改善康复结果。
