12 steps program for drug addiction

SAMHSA’s National Helpline | SAMHSA

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SAMHSA’s National Helpline is a free, confidential, 24/7, 365-day-a-year treatment referral and information service (in English and Spanish) for individuals and families facing mental and/or substance use disorders.
Also visit the online treatment locator.

SAMHSA’s National Helpline, 1-800-662-HELP (4357) (also known as the Treatment Referral Routing Service), or TTY: 1-800-487-4889 is a confidential, free, 24-hour-a-day, 365-day-a-year, information service, in English and Spanish, for individuals and family members facing mental and/or substance use disorders. This service provides referrals to local treatment facilities, support groups, and community-based organizations.

Also visit the online treatment locator, or send your zip code via text message: 435748 (HELP4U) to find help near you. Read more about the HELP4U text messaging service.

The service is open 24/7, 365 days a year.

English and Spanish are available if you select the option to speak with a national representative. Currently, the 435748 (HELP4U) text messaging service is only available in English.

In 2020, the Helpline received 833,598 calls. This is a 27 percent increase from 2019, when the Helpline received a total of 656,953 calls for the year.

The referral service is free of charge. If you have no insurance or are underinsured, we will refer you to your state office, which is responsible for state-funded treatment programs. In addition, we can often refer you to facilities that charge on a sliding fee scale or accept Medicare or Medicaid. If you have health insurance, you are encouraged to contact your insurer for a list of participating health care providers and facilities.

The service is confidential. We will not ask you for any personal information. We may ask for your zip code or other pertinent geographic information in order to track calls being routed to other offices or to accurately identify the local resources appropriate to your needs.

No, we do not provide counseling. Trained information specialists answer calls, transfer callers to state services or other appropriate intake centers in their states, and connect them with local assistance and support.

Suggested Resources
What Is Substance Abuse Treatment? A Booklet for Families
Created for family members of people with alcohol abuse or drug abuse problems. Answers questions about substance abuse, its symptoms, different types of treatment, and recovery. Addresses concerns of children of parents with substance use/abuse problems.
It's Not Your Fault (NACoA) (PDF | 12 KB)
Assures teens with parents who abuse alcohol or drugs that, "It's not your fault!" and that they are not alone. Encourages teens to seek emotional support from other adults, school counselors, and youth support groups such as Alateen, and provides a resource list.

After an Attempt: A Guide for Taking Care of Your Family Member After Treatment in the Emergency Department
Aids family members in coping with the aftermath of a relative's suicide attempt. Describes the emergency department treatment process, lists questions to ask about follow-up treatment, and describes how to reduce risk and ensure safety at home.
Family Therapy Can Help: For People in Recovery From Mental Illness or Addiction
Explores the role of family therapy in recovery from mental illness or substance abuse. Explains how family therapy sessions are run and who conducts them, describes a typical session, and provides information on its effectiveness in recovery.
For additional resources, please visit the SAMHSA Store.

Last Updated: 08/30/2022

SAMHSA Behavioral Health Treatment Services Locator

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Elements of the 12-step program

12-step program

We offer a 12-step program for drug addicts, which was created in the early half of the 20th century and is popular today due to its effectiveness. It is based on non-drug methods of influencing a drug addict, helps to accept their problem and get rid of it.

In our clinic we use the 12-step rehabilitation program both separately and in combination with medication. Call or email online to book. We will tell you what you need to do to become a member of the program.

Description of the program 12 steps

Why treatment without medication helps. Drug addiction causes dependence not only physical, but also psychological. The spiritual side of the personality suffers, egoism appears, the desire to commit immoral acts. Group work with attitudes to stop addiction helps you understand that you are not alone, reconsider your attitude to life, loved ones, learn to enjoy life in other ways.
What is the 12 step treatment program based on. She turns drug addicts to the highest spiritual values and activates them in them. Based on 12 principles that patients must accept and follow. Assumes the equality of all members of the group who are struggling together with their addiction. It implies faith in a Higher Power, in the form of which God, relatives, friends, group members, psychologists and other specialists of the center act.
What the program gives. Teaches a person to be honest, to be responsible for his actions, not to harm anyone. Thanks to the spiritual component, it helps to get rid of the inner emptiness that forms in an addicted person, and to find the lost meaning of life thanks to simple human joys, newfound values.

12-step drug treatment principles

1. Drug addicts admit they are powerless over addiction, that they cannot control their lives. This recognition is necessary to begin rehabilitation. It becomes a starting point for further action, when a person is able to make a conscious choice for a life without drugs.
2. If your own strength is not enough to fight drug addiction, only faith in a more powerful force can restore psychological health and sanity.
3. Dependents give their will and life to God, each in his own understanding - to the astral essence, the forces of nature, God. Man gives his life to this force, because drugs are indifferent to it.
4. Participants of the program evaluate the past life in order to feel guilty for their immoral behavior, actions that hurt loved ones.
5. Admit guilt before God, themselves and other people. The feeling of guilt for a past life is fixed and transferred from an internal state to an external one in order to develop personal qualities.
6. At this stage, psychological readiness for change and reliance on a higher power ensures the success of the next steps.
7. Participants in the program humbly ask God to remove their shortcomings. This creates the basis for internal changes, "whitening one's own self."
8. Members of the group make a complete list of the people they harmed. Develop the intention to make amends to them and perform practical actions that help to realize the feeling of guilt.
9. Since the admission of guilt causes aggression towards oneself or others, it must be translated into helping others.
10. It is practiced to transfer guilt into aggression, aggression - into the transformation of oneself, and then to help others.
11. Interaction with a higher power continues to further improve one's Self.
12. A person develops a new concept of past addiction, he learns to keep it under control. He overestimates himself, grows spiritually, focusing on the principles given in the program.

Benefits of 12 Step Drug Treatment

The program does not conflict with any religious beliefs, is based on universal human values, and therefore is suitable for most people.
The Ministry of Health of the Russian Federation recognized the program as one of the most effective methods for overcoming addictions.
When working in a group, no one can support the same dependent as the other. The therapeutic value of the method is based on a benevolent attitude and the desire to quit.
Specialists of our center receive special training to supervise the program and work productively with drug addicts.

If you have any questions, please contact for a free consultation, come to meetings to find out how rehabilitation programs are implemented and treatment is being carried out.

12-step program for the treatment of alcoholism and drug addiction in Moscow

COVID-19. We provide maximum safety for the patients of the Marshak Clinic. 100% of our employees have been vaccinated.

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How do we treat

The 12 Step Program

The main problem that professionals face in addiction treatment is the denial of the illness by the alcoholic or drug addict. It is with “denial” that psychologists and psychotherapists of the Marshak Clinic work at the first stage, using some elements of the “12 Steps” program.

Developed in 1938, the 12 Step program is still successfully used throughout the world for the rehabilitation of alcoholics and drug addicts. One of its main goals is to overcome the denial of the addict and help him realize the full depth and severity of the disease (the first step of the 12-step program).

There are different types of denial:

a drug addict or alcoholic does not consider himself addicted;
people do not consider their use harmful;
the patient is ready to admit some of his "weaknesses", for example, addiction to one type of drug, but denies dependence on other drugs - if this dependence exists;
refuses to admit or does not really realize that drugs and alcohol cause a number of problems, including health problems, destroy social ties, deprive many opportunities;
the patient does not believe in recovery, may to some extent flaunt his predilection.

For more than 18 years of work, our specialists have learned how to successfully create motivation for recovery from scratch. Turning to us for help, patients, of course, want something for themselves. Some of them really want to regain the ability to live without alcohol or drugs. But more often, as practice shows, they have completely different true goals: to reduce the dose and learn to control the use; get off one type of drug (such as heroin) but continue using other drugs; suspend use (for example, until physical recovery; reassure parents, prove that recovery is impossible (to justify use), etc.

The 12-step program used in the clinic has been adapted by our specialists. We took from it only what can really help a person in the process of treatment and rehabilitation. The first thing with which we begin work on the 12 Steps program is to set real tasks for the patient, help to realize his true motives and find new goals in life: live sober, study, work, earn recognition from people who are significant to you, build a healthy family. Is all this possible when a person uses drugs or suffers from alcohol addiction?

The 12 Step Program helps to convince the patient that they can live fully sober. When the patient realized the severity of his disease, wanted to recover and believed that it was possible, together with him we begin to develop the practical skills of a sober life.

These skills are:

overcoming cravings for drugs and alcohol;
control over emotional states that can lead to a breakdown;
healthy communication - first of all in the family, etc.

Stages of the Marshak Clinic's psychological rehabilitation program:

Help the patient face the truth. Get honest recognition of their addiction and the need for medical help.
Building a trusting relationship with the attending physician - naturally, not turning into familiarity, keeping a distance and medical ethics.
Working with the patient's personality through the super-ego. The hope for recovery in many patients is associated with higher powers. It can be faith in God, in the favorable arrangement of the stars, it doesn’t matter, the main thing is to catch the patient’s ability to believe in outside help and direct it in the right direction.
To help the patient to see the past and the present as it really is, to teach the patient to be critical of himself and his actions.
Working with guilt. The most important stage at which a person understands when and why he got into a drug or alcohol pool. If the root of the problem is found, it is easier to move on. The patient is aware that addiction did not solve the problems, but only aggravated them (the departure of his wife, loss of work, the final collapse of plans and hopes, etc.), his conscience gnaws, memories crush him.
There is a desire to get rid of mental pain, the patient is ready for dialogue and cooperation, he is open for communication, does not try to lie and justify himself.
There is a pronounced desire of the patient to start all over again, to distribute the accumulated debts, moral and material, to be rehabilitated in the eyes of others, to correct the "mistakes of youth".
Transformation of conscious guilt into positive energy. A person wants to become different, start helping people, doing good, benefiting society.
The patient - sometimes for the first time in a long time - hears his "I", begins to listen to intuition and inner voice.
Formation of socially acceptable rules of conduct, a kind of moral code. Restoration of lost communication skills in a healthy environment, search for new forms of interaction with people.
Complete renunciation of alcohol and drugs.
Strengthening self-control skills, the patient will not hesitate to say a firm "no" to psychoactive substances.