Sobriety startups shaking up the 12-step model
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Re: Sobriety startups shaking up the 12-step model
#2The headline is misleading, it barely references 12-steps, basically clickbait.
Re: Sobriety startups shaking up the 12-step model
#3The headline is misleading, it barely references 12-steps, basically clickbait.
What more would you like it to mention? I just read the article and it was about startups that are introducing newer and cheaper options for people who may have used the 12 step program, exactly what the headline insinuates.
Maybe it was changed since you commented?
Re: Sobriety startups shaking up the 12-step model
#4The headline is misleading, it barely references 12-steps, basically clickbait.
What more would you like it to mention? I just read the article and it was about startups that are introducing newer and cheaper options for people who may have used the 12 step program, exactly what the headline insinuates. Maybe it was changed since you commented?
12 steps has a 10% success rate.
Naltrexone or nalmafene have a 75% success rate.
Why are we even having this conversation?
Re: Sobriety startups shaking up the 12-step model
#5I want to see data driven novel approaches to addiction management. The 12-step model has dismal success rates [0]. Virtually all of the novel programs and facilities either do not report a success rate or their reported rate is highly suspicious. There are some exceptions [1]. The global addiction market is $4 billion and growing [2]. Any company working in the addiction space should keep accurate records of their success rate and push to improve that rate, because beating AA/NA's success rate at scale would be worth a large portion of the addiction market.
[0] http://articles.latimes.com/2011/mar/03/news/la-heb-sheen-aa... [1] https://www.drugabuse.gov/publications/principles-drug-addic... [2] https://www.transparencymarketresearch.com/addiction-treatme...
Re: Sobriety startups shaking up the 12-step model
#6Earlier quoted context omitted.
What more would you like it to mention? I just read the article and it was about startups that are introducing newer and cheaper options for people who may have used the 12 step program, exactly what the headline insinuates. Maybe it was changed since you commented?
12 steps has a 10% success rate. Naltrexone or nalmafene have a 75% success rate. Why are we even having this conversation?
This is the COMBINE study:
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2945872/
Thus, the results of the COMBINE study demonstrated that a pharmacotherapy, like naltrexone, when given with medical counseling that emphasizes taking medications as prescribed, can yield clinically significant outcomes (reduced drinking/increased abstinence) that are either as compelling, and under some conditions, more compelling than those observed with specialty behavioral therapy. One important implication of the COMBINE results is that naltrexone with MM can be delivered in healthcare settings where traditional specialty treatment is unavailable.
Re: Sobriety startups shaking up the 12-step model
#7Earlier quoted context omitted.
12 steps has a 10% success rate. Naltrexone or nalmafene have a 75% success rate. Why are we even having this conversation?
This is the COMBINE study: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2945872/ Thus, the results of the COMBINE study demonstrated that a pharmacotherapy, like naltrexone, when given with medical counseling that emphasizes taking medications as prescribed, can yield clinically significant outcomes (reduced drinking/increased abstinence) that are either as compelling, and under some conditions, more compelling than…
The foremost pronent of naltrexone (or nalmafene where it is not available) is Claudia Christian:
Re: Sobriety startups shaking up the 12-step model
#8I want to see data driven novel approaches to addiction management. The 12-step model has dismal success rates [0]. Virtually all of the novel programs and facilities either do not report a success rate or their reported rate is highly suspicious. There are some exceptions [1]. The global addiction market is $4 billion and growing [2]. Any company working in the addiction space should keep accurate records of their s…
Very few studies have proper control groups.
https://slatestarcodex.com/2014/10/26/alcoholics-anonymous-m...
> In conclusion, as best I can tell – and it is not very well, because the studies that could really prove anything robustly haven’t been done – most alcoholics get better on their own. All treatments for alcoholism, including Alcoholics Anonymous, psychotherapy, and just a few minutes with a doctor explaining why she thinks you need to quit, increase this already-high chance of recovery a small but nonzero amount. Furthermore, they are equally effective after only a tiny dose: your first couple of meetings, your first therapy session.
Re: Sobriety startups shaking up the 12-step model
#9The christian part is a barrier for atheists and agnostics that would otherwise be OK with participating in Alcoholics Anonymous.
https://en.wikipedia.org/wiki/History_of_Alcoholics_Anonymou...
Re: Sobriety startups shaking up the 12-step model
#10I want to see data driven novel approaches to addiction management. The 12-step model has dismal success rates [0]. Virtually all of the novel programs and facilities either do not report a success rate or their reported rate is highly suspicious. There are some exceptions [1]. The global addiction market is $4 billion and growing [2]. Any company working in the addiction space should keep accurate records of their s…
> Any company working in the addiction space should keep accurate records of their success rate and push to improve that rate
Collecting metrics on lack of relapse from alcoholics and drug addicts seems like a tough task, since once a person becomes an addict (as defined by the DSM-V), this is a population that is often either less than truthful about the severity of their addiction problem, measures their consumption falsely, or will self-report as being sober when they actually are not.