Abstract

This study reviews the voluminous empirical evidence on faith’s contribution to preventing people from falling victim to substance abuse and helping them recover from it. We find that 73% of addiction treatment programs in the USA include a spirituality-based element, as embodied in the 12-step programs and fellowships initially popularized by Alcoholics Anonymous, the vast majority of which emphasize reliance on God or a Higher Power to stay sober. We introduce and flesh out a typology of faith-based substance abuse treatment facilities, recovery programs, and support groups. This typology provides important background as we then move on to make an economic valuation of nearly 130,000 congregation-based substance abuse recovery support programs in the USA. We find that these faith-based volunteer support groups contribute up to $316.6 billion in savings to the US economy every year at no cost to tax payers. While negative experiences with religion (e.g., clergy sex abuse and other horrendous examples) have been a contributory factor to substance abuse among some victims, given that more than 84% of scientific studies show that faith is a positive factor in addiction prevention or recovery and a risk in less than 2% of the studies reviewed, we conclude that the value of faith-oriented approaches to substance abuse prevention and recovery is indisputable. And, by extension, we also conclude that the decline in religious affiliation in the USA is not only a concern for religious organizations but constitutes a national health concern.

Highlights

  • America is in the midst of an acute alcohol and drug addiction crisis

  • The evidence we have reviewed and presented above shows that religious beliefs, practices, and belonging as well as spiritual programs inspired by faith in a Higher Being significantly contribute to the prevention of and recovery from substance abuse

  • This study finds that 73% of substance abuse recovery programs in the USA include a spirituality-based element, as embodied in the 12-step programs and fellowships, the majority of which emphasize reliance on God or a Higher Power to stay sober

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Summary

Introduction

America is in the midst of an acute alcohol and drug addiction crisis. Life-saving medicines and psychological interventions are important components of rescue and recovery. Evidence-based studies have found that youths who are spiritually active, participate in a faith community, and invest in a prayerful relationship with their God are less likely to use or abuse drugs and alcohol and engage in related criminal activity (Johnson et al 2015, 2016a, b; Lee et al 2014, 2017; Post et al 2015, 2016). As we have just demonstrated, does faith offer personal and social resources helping people avoid and/or recover from substance abuse, its impact is often made manifest at the local congregational level, as places of worship host spiritual or religious 12-step type fellowship meetings. The study put the annual contribution in dollar terms, with a mid-range estimate of nearly $1.2 trillion This includes the fair market value of community services provided by religious organizations such as an estimated 129,680 congregational substance abuse recovery programs This represents only a portion of the faith-based work addressing the addiction crisis

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