Conceptual bases of Christian, faith-based substance abuse rehabilitation programs: qualitative analysis of staff interviews.

Section of General Internal Medicine, Evans Department of Medicine, Boston University School of Medicine, Boston, MA, USA.
Substance Abuse (Impact Factor: 2.1). 10/2004; 25(3):1-11.
Source: PubMed


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.

1 Follower
13 Reads
  • Source
    • "Teen Challenge is a worldwide Christianity-based treatment provider. The rationale for us to select Christian programs was because they are widely represented in faith-based substance recovery programs in the United States (McCoy et al., 2004). Faith-based counselors were randomly selected from 232 facilities affiliated with Teen Challenge treatment programs in the United States based on a list of all facilities listed on the 2006 Teen Challenge Facility Directory (Sung, Chu, Richter, & Shlosberg, 2009; Teen Challenge USA, 2006). "
    [Show abstract] [Hide abstract]
    ABSTRACT: Understanding substance abuse counselors' professional confidence and job satisfaction is important since such confidence and satisfaction can affect the way counselors go about their jobs. Analyzing data derived from a random sample of 110 counselors from faith-based and non-faith-based treatment programs, this study examines counselors' professional confidence and job satisfaction in both faith-based and non-faith-based programs. The multivariate analyses indicate years of experience and being a certified counselor were the only significant predictors of professional confidence. There was no significant difference in perceived job satisfaction and confidence between counselors in faith-based and non-faith-based programs. A majority of counselors in both groups expressed a high level of satisfaction with their job. Job experience in drug counseling and prior experience as an abuser were perceived by counselors as important components to facilitate counseling skills. Policy implications are discussed.
    International Journal of Offender Therapy and Comparative Criminology 07/2014; 58(8):975-992. DOI:10.1177/0306624X13491388 · 0.84 Impact Factor
    • "Instead let the Holy Spirit fill and control you'' (Ephesians 5:18, New Believer's Bible 1996). The concept of a spiritual awakening is central to Christianity, the 12-steps, and also important to the staff of faith-based rehabilitation programs (Arnold et al. 2002; McCoy et al. 2004), but there is currently no operational definition of what a spiritual awakening actually involves. According to Maslow (1977), sudden core religious experiences are ''peak experiences'' – life changing mystical events that promote feelings of transcendence (Feist and Feist 2002). "
    [Show abstract] [Hide abstract]
    ABSTRACT: Faith-based treatment programs are a viable treatment option for many individuals with substance use disorders; however, the psychological mechanisms that explain the relationship between spirituality and a recovery from substance use disorders have not been established. The Spirituality, Forgiveness, and Purpose (SFP) model of recovery proposes that forgiveness and purpose in life may mediate the spirituality–recovery relationship. As a preliminary step in exploring this theory, a cross-sectional investigation of 277 clients of the Australian Salvation Army Rehabilitation Service Centres was performed. A multiple regression found that forgiveness of others, forgiveness of self, receiving forgiveness from others, and receiving forgiveness from God predicted resentment. Furthermore, multiple mediation analyses found that forgiveness of self and receiving forgiveness from others and God mediated the relationship between daily spiritual experiences and purpose and engagement in life.
    Addiction Research and Theory 10/2011; 19(5-5):459-469. DOI:10.3109/16066359.2011.555022 · 1.03 Impact Factor
  • [Show abstract] [Hide abstract]
    ABSTRACT: Religie en spiritualiteit hebben grote invloed op alcohol- en drugsgebruik. Invloed op preventie, behandeling en vooral op de zelfhulpbeweging. De invloed van spiritualiteit en religie wordt in dit artikel nader onderzocht, aan de hand van de literatuur waarvan een overzicht wordt gegeven. Zowel effecten als factoren van invloed worden besproken. De auteurs geven tevens werkbare definities en analyseren hoe in zelfhulpbewegingen spiritualiteit een belangrijke rol speelt en waarom die onvoldoende onderkend wordt door wetenschappers.
    Verslaving 09/2007; 3(3):89-95. DOI:10.1007/BF03075417
Show more