Twelve-Step Facilitation

Twelve-Step Facilitation (TSF) is an evidence-based, manual-guided, 12-session outpatient treatment program for substance use disorders. TSF had its origins in Project MATCH, a national collaborative study of treatment for alcohol abuse and alcoholism funded by the National Institute on Alcohol Abuse and Alcoholism. Project MATCH sought to test a series of treatment matching hypotheses across three different treatments: TSF, Cognitive Behavioral Therapy (CBT), and Motivational Enhancement Therapy (MET). The hypotheses, based on earlier single-site studies, were based on the assumption that these different treatments would be differentially effective across different client demographics, problem severity, and personality dimensions. The initial outcome data from Project MATCH showed that TSF was effective in significantly reducing drinking behavior and that this improvement was sustained at the time of the ...