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November 13, 2008

Participation in Self-Help Groups for Alcohol and Illicit Drug Use: 2006 and 2007

In Brief
  • Combined national data from 2006 and 2007 indicate that an annual average of 5 million persons aged 12 or older (2.0 percent of the population in that age group) attended a self-help group in the past year because of their use of alcohol or illicit drugs
  • Among persons aged 12 or older who attended self-help groups in the past year, 45.3 percent attended a group because of their alcohol use only, and 21.8 percent attended a group because of their illicit drug use only; 33.0 percent attended a group because of their use of both alcohol and illicit drugs
  • Among past year self-help group participants aged 12 or older, 45.1 percent abstained from substance use in the past month
  • Almost one third (32.7 percent) of individuals aged 12 or older who attended a self-help group for their substance use in the past year also received specialty treatment for substance use in the past year

Participation in self-help groups, such as Alcoholics Anonymous and Narcotics Anonymous, is an important adjunct to formal treatment for substance use problems, and it provides valuable peer support throughout the recovery process.1

The National Survey on Drug Use and Health (NSDUH) includes a question for persons aged 12 or older about their participation in the past 12 months in a self-help group for substance use (i.e., alcohol use, illicit drug use, or both). NSDUH also asks questions about past year receipt of treatment for substance use problems in a specialty treatment facility.2

This issue of The NSDUH Report examines the characteristics of persons aged 12 or older participating in self-help groups for substance use in the past year. It also reports on past month alcohol and/or illicit drug use among persons who participated in self-help groups in the past year and on past year receipt of specialty treatment. All findings presented in this report are annual averages based on combined 2006 and 2007 NSDUH data.


Who Attended Self-Help Groups for Substance Use?

An annual average of 5.0 million persons aged 12 or older (2.0 percent of the population in that age group) attended a self-help group in the past year because of their use of alcohol or illicit drugs.3

The majority of people who attended a self-help group for their substance use in the past year were male (66.1 percent) (Table 1). Most attendees (80.2 percent) were over the age of 25, two thirds (67.7 percent) were white, a majority (55.6 percent) lived in a large metropolitan area, and over two thirds (68.1 percent) had a total family income of under $50,000 per year.


Table 1. Percent Distribution of Persons Aged 12 or Older Who Attended a Self-Help Group in the Past Year Because of Their Alcohol or Illicit Drug Use* and of Total Population Aged 12 or Older, by Sociodemographic Characteristics: 2006 and 2007
Sociodemographic
Characteristic
Percent of
Self-Help
Group
Participants
Percent**
of Total
Population
Total 100.0% 100.0%
Gender    
Male   66.1%   48.5%
Female   33.9%   51.5%
Age Group in Years    
12 to 17     4.6%   10.3%
18 to 25   15.3%   13.3%
26 to 49   57.4%   40.6%
50 or Older   22.8%   35.9%
Race/Ethnicity    
White   67.7%   68.3%
Black or African American   15.8%   11.8%
Hispanic or Latino   12.9%   13.7%
American Indian or Alaska Native     1.2%     0.5%
Native Hawaiian or Other Pacific Islander     0.3%     0.3%
Asian     0.7%     4.2%
Two or More Races     1.4%     1.1%
County Type    
Large Metropolitan   55.6%   53.7%
Small Metropolitan   28.9%   29.4%
Non-Metropolitan   15.4%   16.8%
Family Income    
Less Than $20,000   30.5%   18.6%
$20,000 to $49,999   37.6%   33.7%
$50,000 to $74,999   13.4%   17.9%
$75,000 or More   18.5%   29.8%
Source: SAMHSA, 2006 and 2007 NSDUHs.

Among persons aged 12 or older who attended a self-help group in the past year, 45.3 percent attended a group because of their alcohol use only, and 21.8 percent attended a group because of their illicit drug use only (Figure 1). One third (33.0 percent) attended a group because of their use of both alcohol and illicit drugs.4

Figure 1. Percentages of Past Year Self-Help Group Attendees Aged 12 or Older, by Substance(s) for Which They Attended Self-Help Group***: 2006 and 2007
This figure is a vertical bar line graph comparing percentages of past year self-help group attendees aged 12 or older, by substance(s) for which they attended self-help group***: 2006 and 2007. Accessible table located below this figure.

Figure 1 Table. Percentages of Past Year Self-Help Group Attendees Aged 12 or Older, by Substance(s) for Which They Attended Self-Help Group***: 2006 and 2007
Past Year Self-Help Group Attendees Percent
Attended Because of Alcohol Use Only 45.3%
Attended Because of Illicit Drug Use Only 21.8%
Attended Because of Both Illicit Drug and Alcohol Use 33.0%
Source: SAMHSA, 2006 and 2007 NSDUHs.


How Many Attendees Had Stopped Using Substances, and How Many Continued to Use?

Among past year self-help group participants aged 12 or older, 45.1 percent abstained from substance use in the past month, and the remaining 54.9 percent continued to use substances.

Rates of abstinence differed depending on the substance(s) for which individuals were attending self-help groups. For example, past month abstinence from alcohol and illicit drug use was reported by 33.3 percent of those who attended a self-help group for their illicit drug use only (Figure 2). This compares with 47.3 percent of those who attended a self-help group for their alcohol use only and 52.5 percent of those who attended a self-help group for their use of both alcohol and illicit drugs.

Figure 2. Percentages of Past Month Abstention from Alcohol and Illicit Drug Use among Persons Aged 12 or Older, by Substances for Which They Attended Self-Help Group***: 2006 and 2007
This figure is a vertical bar line graph comparing percentages of past month abstention from alcohol and illicit drug use among persons aged 12 or older, by substances for which they attended self-help group***: 2006 and 2007 Accessible table located below this figure.

Figure 2 Table. Percentages of Past Month Abstention from Alcohol and Illicit Drug Use among Persons Aged 12 or Older, by Substances for Which They Attended Self-Help Group***: 2006 and 2007
Past Month Abstention Attendees Percent
Attended Because of Alcohol Use Only 47.3%
Attended Because of Illicit Drug Use Only 33.3%
Attended Because of Both Illicit Drug and Alcohol Use 52.5%
Source: SAMHSA, 2006 and 2007 NSDUHs.


How Many Self-Help Group Attendees Also Received Specialty Treatment in the Past Year?

Almost one third (32.7 percent) of individuals aged 12 or older who attended a self-help group for their substance use in the past year also received specialty treatment for substance use in the past year. About one quarter (26.1 percent) of persons who attended a self-help group for their alcohol use only also received specialty treatment for any substance use, compared with 43.4 percent of those who attended a self-help group because of their illicit drug use only and 32.2 percent of those who attended a self-help group for their use of both alcohol and illicit drugs.


How Many People Who Received Specialty Treatment for Alcohol or Illicit Drugs Also Attended Self-Help Groups?

Two thirds (66.0 percent) of persons aged 12 or older who received any alcohol or illicit drug use specialty treatment in the past year also attended a self-help group in the same time frame. Three fourths (75.6 percent) of the persons who received specialty treatment for both alcohol and illicit drug use also attended a self-help group compared with 65.8 percent of those who received specialty treatment for illicit drug use only and 63.6 percent of those who received specialty treatment for alcohol use only.


Discussion

Recovery from problem substance use and abuse is an ongoing life event that requires long-term support and treatment.5 A substantial body of research has found that attendance at self-help groups improves substance use outcomes, mainly in the form of reductions in the amount used and increases in rates of abstinence.1 Self-help groups often are used in conjunction with specialty treatment and also continue beyond treatment as people go through the recovery process.6


End Notes
1 Moos, R. H., & Moos, B. S. (2004). Long-term influence of duration and frequency of participation in Alcoholics Anonymous on individuals with alcohol use disorders. Journal of Consulting and Clinical Psychology, 72, 81-90.
2 Specialty substance use treatment is defined as treatment received at drug or alcohol rehabilitation facilities (inpatient or outpatient), hospitals (inpatient services only), and mental health centers. Specialty substance use treatment excludes treatment in an emergency room, private doctor's office, self-help group, prison or jail, or hospital as an outpatient.
3 These data include respondents who reported attendance at a self-help group, but did not report for which substance(s) (i.e., alcohol, illicit drugs, or both) they attended. The estimated total of 5.0 million persons aged 12 or older attending a self-help group for their use of alcohol or illicit drugs includes data from an item added in 2006 that asked about attending such groups for help with alcohol or drug use as well as the original item that asked about receiving treatment through a self-help group. This estimate differs methodologically from the estimate of 2.2 million persons attending self-help groups in 2007 that appeared in the Results from the 2007 National Survey on Drug Use and Health: National findings and was based only on the original item asking about receiving treatment through a self-help group.
4 These data exclude respondents who reported attendance at a self-help group, but did not report for which substance(s) (i.e., alcohol, illicit drugs, or both) they attended.
5 Fiorentine, R., & Hillhouse, M. (2000). Drug treatment and 12-step program participation: The additive effects of integrated recovery activities. Journal of Substance Abuse Treatment, 18, 65-74.
6 Fiorentine, R. (1999). After drug treatment: Are 12-step programs effective in maintaining abstinence? American Journal of Drug and Alcohol Abuse, 25, 93-116.


Table and Figure Notes
* See End Note 3.
** Due to rounding, percentages do not total 100 percent.
*** See End Note 4.


Suggested Citation
Substance Abuse and Mental Health Services Administration, Office of Applied Studies. (November 13, 2008). The NSDUH Report - -  Participation in Self-Help Groups for Alcohol and Illicit Drug Use: 2006 and 2007. Rockville, MD.

The National Survey on Drug Use and Health (NSDUH) is an annual survey sponsored by the Substance Abuse and Mental Health Services Administration (SAMHSA). The combined 2006 and 2007 data used in this report are based on information obtained from 135,672 persons aged 12 or older. The survey collects data by administering questionnaires to a representative sample of the population through face-to-face interviews at their place of residence.

The NSDUH Report is prepared by the Office of Applied Studies (OAS), SAMHSA, and by RTI International in Research Triangle Park, North Carolina. (RTI International is a trade name of Research Triangle Institute.)

Information on the most recent NSDUH is available in the following publication:

Office of Applied Studies. (2008). Results from the 2007 National Survey on Drug Use and Health: National findings (DHHS Publication No. SMA 08-4343, NSDUH Series H-34). Rockville, MD: Substance Abuse and Mental Health Services Administration.

Information for the earlier NSDUH is available in the following publication:

2006 NSDUH (DHHS Publication No. SMA 07-4293, NSDUH Series H-32)

Also available online: http://oas.samhsa.gov.

Because of improvements and modifications to the 2002 NSDUH, estimates from the 2002 through 2007 surveys should not be compared with estimates from the 2001 or earlier versions of the survey to examine changes over time.

The NSDUH Report is published periodically by the Office of Applied Studies, Substance Abuse and Mental Health Services Administration (SAMHSA). All material appearing in this report is in the public domain and may be reproduced or copied without permission from SAMHSA. Additional copies of this report or other reports from the Office of Applied Studies are available online: http://oas.samhsa.gov. Citation of the source is appreciated. For questions about this report, please e-mail: shortreports@samhsa.hhs.gov.

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