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Addiction-specific support groups consist of groups of people who meet on a regular basis to facilitate and maintain their recovery from substance abuse. Also known as self-help groups, peer-based recovery groups, and mutual-aid support groups, they have voluntary members and are based on the notion that those who have experienced addiction and recovered from it are in a unique position to help those who are suffering from drug and alcohol dependence. The best-known addiction-specific support group is Alcoholics Anonymous (AA), which uses 12 steps to recovery. Other popular 12-step programs include Narcotics Anonymous (NA), Cocaine Anonymous (CA), and Gamblers Anonymous (GA). The 12-step groups are spiritually based but do not adhere to religious doctrine. In contrast, some faith-based groups have developed recovery support groups focused on their particular religious beliefs. For example, The Most Excellent Way offers Christian solutions for addictions. Non-faith-based groups also exist, such as Secular Organizations for Sobriety (SOS) and SMART Recovery. Women for Sobriety (WFS) is based on the New Life Program and includes a spiritual dimension. Some women who attend WFS also attend AA meetings, but many of the WFS attendees interviewed in one study said they like the opportunity afforded them in a gender-based group to focus on women's issues.

Studies have shown that active involvement in an addiction support group correlates with higher rates of sobriety, and that addicts are more like to heed advice from those who share their illness.

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Although the terms support group and self-help group are often used interchangeably, Linda Farris Kurtz notes that self-help groups are a larger and more complex form of group, with a clear mission of helping members change some aspects of themselves. Support groups are smaller and less complicated, and they seek to comfort rather than to change their members. Based on this distinction, 12-step programs, such as AA and NA, and other groups designed to bring about change in addictive behaviors would be classified as self-help groups. For purposes of this discussion, however, the terms self-help and support group are used equivalently.

History

There is a long history of addiction-specific support groups in the United States, going back to the 18th century. William White locates early peer-based recovery groups in Native American recovery circles. A precursor to AA, the Oxford Group had an international following in the 1920s and 1930s, receding in popularity in the 1940s. AA, founded in 1935, was influenced by many of the simple principles of the Oxford Group but has enjoyed considerably more longevity. Although the organization does not keep membership lists, U.S. membership is estimated at 1.3 million, with 39,700 of those members in correctional facilities. Membership overseas is estimated at 704,200. AA and other 12-step programs are based on self-examination and self-honesty, particularly about one's addiction, the identification and acknowledgment of one's character defects, one's effort to make restitution for harms done, and working with others. NA was founded in 1953 and remained relatively small until the 1970s and 1980s, when drug abuse became more prominent in American society. In 2004, it was estimated that 2.1 million people in the United States received assistance from a variety of addiction-specific support groups.

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