Conceptual Bases of Christian,Faith-Based Substance Abuse Rehabilitation Programs

Abstract

Faith-based substance abuse rehabilitation programs provide residential treatment for many substance abusers. To determine key governing concepts of such programs, we conducted semi-structured interviews with sample of eleven clinical and administrative staff referred to us by program directors at six, Evangelical Christian, faith-based, residential rehabilitation programs representing two large, nationwide networks. Qualitative analysis using grounded theory methods examined how spirituality is incorporated into treatment and elicited key theories of addiction and recovery. Although containing comprehensive secular components, the core activities are strongly rooted in a Christian belief system that informs their understanding of addiction and recovery and drives the treatment format. These governing conceptions, that addiction stems from attempts to fill a spiritual void through substance use and recovery through salvation and a long-term relationship with God, provide an explicit, theory-driven model upon which they base their core treatment activities. Knowledge of these core concepts and practices should be helpful to clinicians in considering referrals to faith-based recovery programs.

Keywords

Substance abuse recovery faith-based programs spirituality

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References

Marwick

. 1998. Parity for Mental Health and Substance Abuse Treatment [Medical News & Perspectives]. JAMA, 279: 1151

Khantzian

E J

and Mack

J E

. 1994. HowAAworks and why it's important for clinicians to understand. J Subst Abuse Treat, 11: 77–92.

Morgenstern

, Frey

R M

, McGrady

B S

, Labouvie

and Neighbors

C J

. 1996. Examining mediators of change in traditional chemical dependency treatment. J Stud Alcohol, 57: 53–64.

Mathew

R J

, Georgi

, Wilson

W H

and Mathew

V W

. 1996. A retrospective study of the concept of spirituality as understood by recovering individuals. J Subst Abuse Treat, 13: 67–73.

Pardini

D A

, Plante

T G

, Sherman

and Stump

J E

. 2000. Religious faith and spirituality in substance abuse recovery: determining the mental health benefits. J Subst Abuse Treat, 19: 347–354.

Tuchfeld

B S

. 1981. Spontaneous remission in alcoholics: empirical observations and theoretical implications. J Stud Alcohol, 42(7): 626–634.

Ludwig

A M

. 1983. Cognitive processes associated with “spontaneous” recovery from alcoholism. J Stud Alcohol, 46: 53–58.

Cunningham

J A

, Sobell

L C

, Sobell

M B

and Kapur

. 1995. Resolution from alcohol problems with and without treatment: reasons for change. J Subst Abuse, 7(3): 365–372.

Gorsuch

R L

. 1993. “Assessing spiritual variables in Alcoholics Anonymous research”. In Research on Alcoholics Anonymous, Edited by: McCrady

B S

and Miller

W R

. 301–318. New Brunswick, NJ: Rutgers Center for Alcohol Studies.

10.

Miller

W R

. 1998. Researching the spiritual dimensions of alcohol and other drug problems. Addiction, 93: 979–990.

11.

Connors

G J

, Tonnigan

J S

and Miller

W R

. 2001. “Religiosity and responsiveness to alcoholism treatments”. In Project MATCH hypotheses: results and causal chain analyses, Project MATCH Monograph Series Edited by: Longabaugh

and Wirtz

P W

. Vol. 8, 166–175. Bethesda, MD: National Institute on Alcohol Abuse and Alcoholism.

12.

Brown

. 1998. Building a better balance for psychologists interested in addictive behaviors. The Addictions Newsletter Special Issue: Spirituality in Addiction and Recovery. American Psychological Association, 6(1): 30–32. Division 50.

13.

Glaser

B G

and Strauss

A L

. 1967. The Discovery of Grounded Theory: Strategies for Qualitative Research, Chicago, IL: Aldine Publishing Co.

14.

Mishler

E G

. 1986. Research Interviewing: Context and Narrative, Cambridge, MA: Harvard University Press.

15.

Leshner

. 1997. Addiction is a brain disease and it matters. Science, 278: 45–47.

16.

Brownell

K D

, Marlett

G A

, Lichtenstein

and Wilson

G T

. 1986. Understanding and preventing relapse. Am Psychol, 41: 765–782.

17.

Shaffer

H J

. 1992. “The psychology of stage change: the transition from addiction to recovery”. In Substance Abuse: A Comprehensive Textbook., 2nd ed., Edited by: Lowinson

J H

. 100–105. Baltimore, MD: Williams and Wilkins.

18.

Sobell

L C

, Sobell

M B

, Toneatto

and Leo

G I

. 1993. What triggers the resolution of alcohol problems without treatment?. Alcoholism: Clin Exp Res, 17: 217–224.

19.

Hart

. 1999. A spiritual interpretation of the 12-steps of A Afrom resentment to forgiveness to love. Journal of Ministry in Addiction & Recovery, 6: 25–40.

20.

Hart

. 1998. The Addictions Newsletter Special Issue: Spirituality in Addiction and Recovery. American Psychological Association, 6(9): 27–28. Division 50.

21.

Miller

W R

and Kurtz

. 1994. Models of alcoholism used in treatment; contrasting AA and other perspectives with which it is often confused. J Stud Alcohol, 55: 159–166.