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Active ingredients of effective treatment and self-help groups

Moos RH. Active ingredients of effective treatment and self-help groups. Paper presented at: National Association of Addiction Treatment Providers Annual Conference; 2007 May 19; San Diego, CA.

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This presentation will describe four theoretical perspectives about the role of social contexts in the development, maintenance, and cessation of substance use and misuse: social control theory, social learning theory, behavioral economics or behavioral choice theory, and stress and coping theory. These perspectives will be used to highlight common social processes that underlie the influence of intervention programs (including professional treatment and self-help groups) on remission, and the influence of families, friends, and social networks on remission and relapse. The primary focus will be on social bonding, goal orientation, and monitoring; modeling of abstinence-oriented norms and behavior, involvement in activities that provide alternatives to substance use, and an orientation toward building self-confidence and coping skills to manage life stressors. Findings from research on these common factors will be used to formulate propositions about social contexts that may guide the development of effective interventions to prevent substance misuse and enhance the recovery process.

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