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SMART Recovery

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SMART Recovery (Self Management and Recovery Training) is an international non-profit organization which provides assistance to individuals seeking abstinence from addictive behaviors. The approach used is secular and scientifically-based using non-confrontational motivational, behavioral and cognitive methods. Meeting participants learn recovery methods derived from evidence-based addiction treatments. [1]

Methodology

SMART Recovery is based on scientific knowledge, and is intended to evolve as scientific knowledge evolves.[2] The program uses principles of motivational interviewing found in Motivational Enhancement Therapy (MET),[3] and techniques taken from Cognitive Behavior Therapy (CBT), particularly in the version called Rational Emotive Behavior Therapy (REBT), as well as scientifically validated research on treatment.[4]

The organization's program emphasizes four areas (called the 4-Point Program) in the process of recovery: Building Motivation, Coping with Urges, Problem Solving, and Lifestyle Balance.[5] The "SMART Toolbox" is a collection of various MET, CBT and REBT methods (or "tools") which address the 4 Points.[6]

The program does not use the twelve steps which make up the basis of the various "Anonymous" self-help groups (e.g. AA, NA, etc.) and is generally listed as an "Alternative to AA" or an "Alternative to the Twelve Steps."[7][8][9] Though listed as an "alternative", it is also suggested as a possible "supplement" to twelve-step programs in SMART Recovery's main program publication, The SMART Recovery Handbook.[10]

The Stages of Change as a SMART Recovery Tool

SMART Recovery recognizes that participants may be in one or more of various stages of change and that different exercises may be helpful at different stages. [11]

  1. Precontemplation - At this stage, the participant may not realize that they have a problem.[11]
  2. Contemplation - The participant evaluates the advantages and disadvantages of the addiction by performing a cost/benefit analysis.[11]
  3. Determination/Preparation - The participant completes a Change Plan Worksheet.[11]
  4. Action - The participant seeks out new ways of handling their addiction behavior. This can include self-help, the support of addiction help group or professional guidance.[11]
  5. Maintenance - After a few months, the participant's behavior has been changed and now seeks to maintain their gains.[11]
  6. Relapse - Although not inevitable, relapses are a normal part of the change cycle and if handled well, can serve a learning experience in overcoming an addiction.[11]
  7. Termination - Once a participant has sustained a long period of change, they may choose to move on with their lives and "graduate" from SMART Recovery.[11]

History and Organization

Incorporated in 1992 as the Alcohol and Drug Abuse Self-Help Network (ADASHN), the organization began operating under the SMART Recovery name in 1994.[12][13]

General operations are overseen by a volunteer Board of Directors, which initially included Dr. Marc Kern.[14] Local groups are run by volunteers known as "Facilitators" with the assistance of volunteer recovery professionals called "Volunteer Advisors." A central office is currently maintained in Mentor, Ohio.

SMART Recovery offers its services for free although a donation is requested and its publications are sold.[15]

Meetings

The meetings are free for all wishing to attend, and are intended to be informational as well as supportive.[16] Over 800 weekly group meetings led by volunteer facilitators are held worldwide.[17] In addition, the organization provides online resources and support to the volunteers and those attending the groups and one or more daily online meetings.[18]

Meetings are also held in correctional facilities in many states including: Arizona, California, Florida, Indiana, Massachusetts, Michigan, Minnesota, New Jersey, New York, Vermont, Virginia, Washington, and Wisconsin.[19]

Family & Friends

SMART Family & Friends is an online support group for Concerned Significant Others (CSOs) of people with addiction. The group was started in September 2010. Its purpose is to address specific issues encountered when a family member or friend tries to reach out and help a loved one [20] and it draws from the work of Robert Meyers' CRAFT Community reinforcement and family training program which differs significantly from Alanon in that it is a behavioral program which advocates that the CSO can have a positive impact on the substance abuser. Further, the CRAFT program has been demonstrated in Meyers' research to be more effective than the Vernon Johnson type intervention or Alanon, with less negative side-effects and better outcomes, whether or not the substance abuser enters treatment. [21] [22]

Recognition

SMART is recognized by the American Academy of Family Physicians,[23] as well as the National Institute on Drug Abuse (NIDA)[24] and the National Institute on Alcohol Abuse and Alcoholism (NIAAA).[25] NIDA and NIAAA are agencies of the National Institutes of Health (NIH), a component of the U.S. Department of Health and Human Services.

See also

References

  1. ^ "Religiosity and Participation in Self-Help Groups". The Walsh Group. 2007-10-17. Retrieved 2007-12-11.
  2. ^ Steinberger, H. (2004). SMART Recovery Handbook. Mentor Ohio: Alcohol & Drug Abuse Self-Help Network,Inc. pp. Section 1/Page5. ISBN 0-615-13135-2.
  3. ^ Miller, W.R. (1995). "Motivational Enhancement Therapy Manual: A Clinical Research Guide for Therapists Treating Individuals With Alcohol Abuse and Dependence.". Project MATCH Monograph Series. National Institute of Health. {{cite book}}: Unknown parameter |coauthors= ignored (|author= suggested) (help)
  4. ^ Hester & Miller (2002). Handbook of Alcoholism Treatment Approaches: Effective Alternatives. University of Michigan: Allyn and Bacon. ISBN 0-205-36064-5.
  5. ^ Shaw, BR (2005). Addiction & Recovery for Dummies. Wiley Publishing. pp. 176–177. ISBN 0-7645-7625-9. {{cite book}}: Unknown parameter |coauthors= ignored (|author= suggested) (help)
  6. ^ Brooks, A.J. (2003). "Comparing treatments for dual diagnosis: Twelve-Step and Self Management and Recovery Training". American Journal of Drug and Alcohol Abuse. 29 (2): 359–383. doi:10.1081/ADA-120020519. PMID 12765211. {{cite journal}}: Unknown parameter |coauthors= ignored (|author= suggested) (help)
  7. ^ Miller, W. R. (1994). "Models of alcoholism used in treatment: Contrasting A.A. and other perspectives with which it is often confused". Journal of Studies on Alcohol. 55 (2): 159–166. PMID 8189736. {{cite journal}}: Unknown parameter |coauthors= ignored (|author= suggested) (help)
  8. ^ Volpicelli, Joseph (2000). Recovery Options: The Complete Guide. Wiley Publishing. pp. 149–151. ISBN 0-471-34575-X. {{cite book}}: Unknown parameter |coauthors= ignored (|author= suggested) (help)
  9. ^ "SMART Alternative Self-Help Groups Tackle Substance Abuse". Robert Wood Johnson Foundation. Retrieved 2007-12-12.
  10. ^ Steinberger, H. (2004). SMART Recovery Handbook. Mentor Ohio: Alcohol & Drug Abuse Self-Help Network,Inc. pp. Section 1/Page4. ISBN 0-615-13135-2.
  11. ^ a b c d e f g h Steinberger, H. (2004). SMART Recovery Handbook. Mentor Ohio: Alcohol & Drug Abuse Self-Help Network,Inc. pp. Section 2/Page8. ISBN 0-615-13135-2.
  12. ^ Lemanski, Michael J. (2000). "Addiction Alternatives for Recovery". The Humanist. University of Michigan Health System. Retrieved 2007-12-12.
  13. ^ Humphreys, Keith (2003). Circles of Recovery: Self-help Organizations for Addictions. Cambridge University Press. pp. 82–86. ISBN 0-521-79277-0.
  14. ^ "Board of Directors 2007" (PDF). Retrieved 2007-12-12.
  15. ^ Hovarth, A. Thomas (2004). SMART Recovery Handbook. Mentor Ohio: Alcohol & Drug Abuse Self-Help Network,Inc. pp. Section 1/Page5. ISBN 0-615-13135-2.
  16. ^ Shaw, BR (2005). Addiction & Recovery for Dummies. Wiley Publishing. pp. 176–177. ISBN 0-7645-7625-9. {{cite book}}: Unknown parameter |coauthors= ignored (|author= suggested) (help)
  17. ^ "Source SMART Central office. This includes international groups in 7 countries". Retrieved 2013-06-03.
  18. ^ "Online Meeting Schedule". Retrieved 2009-05-29.
  19. ^ "Source - SMART Central Office". Retrieved 2007-12-12.
  20. ^ For Family & Friends SMART Recovery website. Retrieved 2010-10-18.
  21. ^ Smith, J.E. & Meyers, R.J. (2004)Motivating Substance Abusers to Enter Treatment: Working with Family Members; Guilford Press
  22. ^ Meyers, RJ & Wolfe, B. (2004) Get Your Loved One Sober: Alternative to Nagging, Pleading and Threatening by Meyers, Hazelden Press
  23. ^ "Substance Abuse--How To Recognize It". American Family Physician. 67 (7). 2003-04-01. Retrieved 2007-12-12.
  24. ^ "Principles of Drug Addiction Treatment: A Research Based Guide". National Institute on Drug Abuse. Archived from the original on 2007-09-10. Retrieved 2007-12-12.
  25. ^ "Alcohol and Drug Information". US Dept of Health and Human Services. Retrieved 2007-12-12.

Further reading

  • Brown JM. (1998) Self-Regulation and the Addictive Behaviors. in Treating Addictive Behaviors, 2nd ed. Miller WR & Heather N. eds. Plenum Press, NY. ISBN 0-306-45852-7
  • Ellis A. & Velten E. (1992) Rational Steps To Quitting Alcohol: When AA Doesn't Work For You. Barricade Books, NY. ISBN 0-942637-53-4
  • Gerstein J. (1998) Rational Recovery, SMART Recovery and non-twelve step recovery programs. In Principles Of Addiction Medicine, 2nd ed. American Society of Addiction Medicine, Chevy Chase ISBN 1-880425-08-4
  • Mattson ME. (1998) Finding the Right Approach. in Miller WR & Heather N. Treating Addictive Behaviors. 2nd ed. Plenum Press, NY. ISBN 0-306-45852-7
  • Myers PL. (2002) Beware of the Man of One Book: Processing Ideology in Addictions Education. J of Teaching in the Addictions. pp 1:69-90
  • Vuchinich RE & Tucker JA. (1998) Choice, Behavioral Economics, and Addictive Behavior Patterns. in Treating Addictive Behaviors ISBN 0-306-45852-7
  • Whittinghill D., et al. The benefits of a self-efficacy approach to substance abuse counseling in the era of managed care. J Addictions & Offender Counseling. 2000; 20:64-74
  • Brooks, A. J., & Penn, P. E. (2003). "Comparing treatments for dual diagnosis: Twelve-step and Self-Management and Recovery Training". American Journal of Drug and Alcohol Abuse. 29 (2): 359–383. doi:10.1081/ADA-120020519. PMID 12765211.{{cite journal}}: CS1 maint: multiple names: authors list (link)
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