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Twelve-step programs have long been an important part of the recovery process and the basis for many recovery programs. Developed over 65 years ago by a small group of alcoholics, the AA program provides simple tools for living based on a set of spiritual principles and a reliance on the fellowship of men and women who share their experience and offer their support as part of a lifelong process of recovery. This approach has since been adapted for the treatment of many other addictions. According to the 12-Step model, alcohol abuse is the product of a disease. Treatment emphasizes admitting powerlessness over alcohol and other drugs, and adopting the norms and values of a new social group, the AA self-help group, in order to achieve total abstinence, which is the only acceptable outcome goal. There are many excellent 12-Step treatment programs including Alcoholics Anonymous and Narcotics Anonymous. In most communities virtually all treatment programs are based on this orientation. These programs will provide the best match for persons with the following attributes: physically dependent on alcohol or other drugs, benefit from the support of a self-help group, and have a spiritual orientation.
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