10.2190/4VXR-74QE-964D-0XKB 4VXR74QE964D0XKB 63 MENTAL HEALTH CLINICIANS' 12-STEP REFERRAL PRACTICES WITH DUALLY DIAGNOSED CLIENTS 63 71 20061002 20061002 20061002 20061002 4VXR74QE964D0XKB.pdf http://baywood.metapress.com/link.asp?target=contribution&id=4VXR74QE964D0XKB 1 CHERIE L. VILLANO PSY.D. ALEXANDRE LAUDET PH.D. ANDREW ROSENBLUM PH.D. CHUNKI FONG MS STEPHEN MAGURA PH.D. THOMAS BETZLER MD HOWARD VOGEL MSW EDWARD KNIGHT PH.D. National Development & Research Institutes, Inc., New York Albert Einstein College of Medicine (AECOM), Bronx, New York Double Trouble in Recovery, Inc., Brooklyn, New York ValueOptions Health Care Services, Colorado Springs This study examines mental health clinicians' beliefs about dually diagnosed clients' self-efficacy and capacity for recovery and attitudes toward and referrals to traditional 12-step groups for such clients. Clinicians evidence moderate confidence in dually diagnosed clients' self-efficacy and capacity for recovery, positive attitudes toward 12-step groups, but rarely refer dually diagnosed clients to traditional 12-step groups. Clinicians' beliefs that dually diagnosed clients were unlikely to achieve total recovery are associated with less frequent 12-step referrals. Findings support the need for a dual-focus 12-step group that addresses both substance use and mental health disorders--such as Double Trouble in Recovery (DTR)--and the importance of staff training on client empowerment for recovery, including 12-step utilization. Carpinello, S. E., Knight, E., Markowitz, F. E., & Pease, E. A. (2000). The development of the mental health confidence scale: A measure of self-efficacy in individuals diagnosed with mental disorders. Psychiatric Rehabilitation Journal, 23(3), 236-243. Chappell, J. L., & DuPont, R. L. (1999). Twelve-step and mutual-help programs for addictive disorders. Addictive Disorders, 22(2), 425-446. Grusky, O., Tierney, K., & Spanish, M. T. (1989). Which community mental health services are most important? Administration & Policy in Mental Health, 17, 3-16. Humphreys, K. (1997). Clinicians' referral and matching of substance abuse clients to self-help groups after treatment. Psychiatric Services, 48(11), 1445-1449. Laudet, A. (2000). Clinicians' roles in enhancing affiliation with self-help recovery groups. Poster presentation at the 128th Annual Meeting of the American Public Health Association, Boston, MA. Laudet, A. (2003). Attitude and beliefs about 12-step groups among addiction treatment clients and clinicians: Toward identifying obstacles to participation. Substance Use and Misuse, 38(14), 2017-2047. Laudet, A., Magura, S., Vogel, H., & Knight, E. (2003). Participation in 12-step-based fellowships among dually diagnosed persons. Alcoholism Treatment Quarterly, 21(2), 19-39. Laudet, A. B. (1999-2000). Substance abuse treatment providers' referral to self-help: Review and future empirical directions. International Journal of Self Help and Self Care, 1(3), 213-225. Magura, S., Laudet, A. B., Mahmood, D., Rosenblum, A., & Knight, E. (2002). Adherence to medication regimens and participation in dual-focus self-help groups. Psychiatric Services, 53(3), 310-316. Moos, R., Finney, J., Ouimette, P. C., & Suchinsky, R. (1999). A comparative evaluation of substance abuse treatment: I. Treatment orientation, amount of care, and 1-year outcomes. Alcoholism Clinical and Experimental Research, 23(3), 529-536. Salzer, M. S., McFadden, L., & Rappaport, J. (1994). Professional views of self-help groups. Administration and Policy in Mental Health, 22(2), 85-95. Vogel, H., Knight, E., Laudet, A. B., & Magura, S. (1998). Double trouble in recovery: Self-help for people with dual diagnosis. Psychiatric Rehabilitation Journal, 21(4), 356-364.