England’s Health Care Gatekeeper Endorses Mutual Aid. Highlight from Effectiveness Bank Alcohol Treatment Matrix Cell E4
ENGLAND’S HEALTH CARE GATEKEEPER ENDORSES MUTUAL AID
‘Backfilled’ as a seminal study for the Alcohol Treatment Matrix, the classic description of the patient who has sustained abstinence after treatment but is still unhappy, unfulfilled and/or nervously hanging on - in other words, not really ‘recovered’.
Key studies on the role of psychosocial therapies in treatment systems. Seemingly the only feasible way to do more (recovery) with less (money), mutual aid is a major theme. Examine the evidence for whether systematically promoting engagement with mutual aid groups boosts outcomes, or just attendance.
Every treatment involves direct or indirect human interaction, but this cell is about interventions in which interaction is the main ingredient, from mutual support groups through to professionally delivered psychological programmes. ‘Programmes’ is perhaps the wrong word though.
12-step fellowships offer a way to reconcile shrunken resources with the desire to get more patients safely out of treatment. Accounting for the self-selection bias which has obscured AA’s impacts, this synthesis of US trials finds that attending more meetings after treatment boosts abstinence. Why then is research equivocal on whether promoting attendance significantly improves drink-related outcomes?