More evidence for the benefits of 12 step facilitation for adolescents:
Results of multivariate logistic GEE models indicated that adolescents with continued 12-Step attendance had better outcomes over time, whereas those in the early but not continued group had no different long-term outcomes compared to those in the low/no attendance group.
A problem, of course, is relatively low participation rates:
The majority (60%) had no or low attendance throughout 7 years. About one-fourth had high probability of attendance in the first year post-treatment entry but discontinued afterwards. Fewer than 15% continued 12-Step attendance throughout the 7 years
Among adolescents with substance use disorders, overall 12-Step attendance was low post-treatment, but robust connection with 12-Step groups was associated with better long-term outcomes. Findings highlight the importance of 12-Step attendance in supporting long-term recovery among adolescents, and suggest that strategies are needed to facilitate 12-Step attendance. Additional research is needed on how the frequency, intensity and duration of 12-Step meeting attendance, as well as the type of activity, is associated with beneficial effects, and whether the relationships vary for different subgroups. Policies to address specific adolescent subgroups, based on severity, age or other characteristics could then be developed for targeting 12-Step facilitation efforts.