Addiction Treatment Models
Twelve Step Program
A twelve-step program is a recovery treatment program based on a set of guiding principles outlining a course of action for recovery from addiction, compulsion, or other behavioral problems, based around 12 principles and practices called The Twelve Steps. Originally proposed by Bill Wilson to Alcoholics Anonymous (AA) as a method of recovery treatment from alcoholism, the Twelve Steps were first published in the 1939 book Alcoholics Anonymous. This method was adapted and became the foundation of other twelve-step groups.
As summarized by the American Psychological Association, the process involves the following:
- Admitting that one cannot control one’s alcoholism, addiction or compulsion
- Recognizing a higher power that can give strength
- Examining past errors, and the underlying “defects of character” which led to them with the help of a sponsor (experienced member)
- Making amends for these errors
- Learning to live a new life with a new code of behavior
- Helping others who suffer from the same alcoholism, addictions, or compulsions.
Over 5 million people annually participate in different Twelve Step Programs for a variety of addictions and psychological disorders. The original twelve-step program, Alcoholics Anonymous, with about 60,000 groups, maintains that it is a spiritual program “not allied with any sect, denomination, politics, organization or institution” including religion.
SMART Recovery Treatment
SMART Recovery (Self-Management And Recovery Training) helps individuals gain independence from addiction (activities and substances). Our work is based on scientific knowledge and evolves as scientific knowledge evolves. The 4-Point Program offers specific tools and techniques for each of the program points:
Point 1: Building and Maintaining Motivation
Point 2: Coping with Urges
Point 3: Managing Thoughts, Feelings, and Behaviors
Point 4: Living a Balanced Life
SMART Techniques & Recovery Tools
The SMART Recovery 4-Point Program employs a variety of techniques and tools to help individuals gain independence from addiction and addictive behaviors. Participants are encouraged to learn how to use each tool and to practice the techniques and tools as they progress toward Point 4 of the program — achieving balance in lifestyle and leading a fulfilling and healthy life. SMART Recovery offers in person and online classes. These tools include:
- Stages of Change
- Change Plan Worksheet
- Cost/Benefit Analysis (Decision Making Worksheet)
- ABCs of REBT for Emotional Upsets
- ABCs of REBT for Urge Coping
- DISARM (Destructive Images and Self-talk Awareness & Refusal Method)
- Hierarchy of Values
- Rehearsing and Role-playing
- USA (Unconditional Self Acceptance)
Refuge Recovery Treatment
Refuge Recovery is a practice, a process, a treatment, a set of tools, and a path to healing addiction and alleviating the suffering caused by addiction. The main inspiration and guiding philosophy for the Refuge Recovery program are the teachings of Siddhartha (Sid) Gautama, a man who was born in India twenty-five hundred years ago. Sid was a spiritual revolutionary and radical psychologist; through his own efforts and practices, he came to understand why human beings experience and cause so much suffering. He referred to the root cause of suffering as “uncontrollable thirst or repetitive craving.” This “thirst” tends to arise in connection with pleasure, but it may also arise as a desire for unpleasant experiences to go away, or as an addiction to people, places, experiences, or things. This is the same thirst of the alcoholic, the same craving as the addict, and the same attachment as the codependent.
Eventually, Sid came to understand and experience a way of living that ended all forms of suffering. He did this through a process and practice that includes meditation, compassion, and wise actions. After freeing himself from the suffering caused by craving, he spent the rest of his life teaching others how to live a life of freedom and well-being, a life free from suffering. Sid became known as the Buddha, and his teachings became known as Buddhism. The Refuge Recovery program has adapted the core teachings of the Buddha as an addiction recovery treatment. Buddhism recognizes a nontheistic approach to spiritual practice. The Refuge Recovery program of recovery does not ask anyone to believe anything, only to trust the process and do the hard work of recovery.
Refuge Recovery offers in-person, online, and phone meetings.