A model of group treatment to facilitate recovery from chemical dependence.

In this article, a model of group treatment is proposed that incorporates four different group approaches (i.e., experiential, physiological-cognitive-behavioral, mutual support, advocacy) sequentially to achieve recovery outcomes among people coping with chemical dependence. The model identifies two strategies (i.e., reflection and restoration, action and support) as overarching frameworks guiding the use of these four treatment approaches. The first strategy of reflection and restoration incorporates experiential and physiological-cognitive-behavioral group approaches to promote precontemplation, contemplation, preparation, and tentative action among group members. The second strategy of action and support uses mutual support and advocacy approaches to help group members achieve and maintain treatment gains, learn from setbacks, and adopt new personal and social roles.