When I worked in the addiction field in the UK in the first decade of this millennium, I was surprised how few treatment practitioners encouraged their ‘clients’ to access Alcoholics Anonymous (AA), Narcotics Anonymous (NA) and other mutual aid groups. This fact was all the more puzzling in that the treatment services that were having the most success in helping people overcome substance use problems always strongly encouraged the people who were seeking help to access mutual aid groups.
Here’s an excellent blog post on Recovery Review from one of my favourite bloggers, Dr David McCartney of Lothians and Edinburgh Abstinence Programme LEAP), about this issue:
‘A few years back in my first few months of working full time in addictions, I attended a seminar on mutual aid. Facilitated by an addiction psychiatrist, the meeting was packed with a variety of addiction treatment professionals.
The facilitator laid out the evidence base for mutual aid as it was at the time and discussed how assertively referring to mutual aid organisations could result in high take-up rates with benefits to patients. This was in the days when most groups were 12-step – SMART and other groups were still to be launched locally.
It was wonderful for me to catch up with ‘Natalie’ whilst I was in Wales in September 2022. She was the first treatment service user I spent in-depth time with, and from whom I learnt a good deal about the nature of heroin addiction and recovery. She told me that when she was using heroin, she did not know how to stop. She could find no information about how to stop using. She knew no one who had stopped using. The solution to these problems was to keep using, letting heroin kill her pain, shame and the hatred of herself for what she had become.
