Abstract
Specialized 12-step based groups have emerged to address the needs of persons recovering from both substance abuse and psychiatric illness. This study investigates the role of social support in mediating the association between mutual aid participation and subsequent substance use for dually diagnosed persons. A cohort of Double Trouble in Recovery (DTR) members in New York City were studied prospectively over a two-year period. Longer DTR participation during the first year of the study was associated with lower substance use in the second year; that effect was partially explained by the maintenance of high level of social support. These findings speak of the enduring influence of 12-step attendance on reducing substance use, and underline the importance of both 12-step attendance and supportive networks for dually diagnosed persons.
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