Richardson, Laura; PhD
NEW SCHOOL FOR SOCIAL RESEARCH, 2000
PSYCHOLOGY, CLINICAL (0622); PSYCHOLOGY, SOCIAL (0451)
The present study attempted to describe the social network characteristics of
substance abusers pre-
and post-treatment and to identify changes in network composition related to
outcome. The first problem
considered whether networks change after treatment and if so, whether these
changes last. Greater
affiliation with AA/NA in aftercare was hypothesized to coincide with networks
more supportive of
sobriety. Social networks that were more supportive of abstinence were expected
to predict better
substance use outcomes. Social investment, or the degree to which network members
were liked and
valued, was hypothesized to moderate this relationship. Exploratory analyses
were also conducted to
examine the network characteristics associated with different types of substance
use. Clients entering
residential or intensive day treatment programs (<italic> N</italic> =
119) were assessed at baseline and
followed 6 months and 1 year posttreatment. Results of the present study indicated
long-standing
changes in posttreatment networks: networks contained fewer heavy drug/alcohol
users, and more
members who were abstinent or in recovery than did networks before treatment.
Overall, networks
became smaller, included fewer friends from work and more friends from AA/NA
groups. Affiliation with
AA was associated with less drinking and drug use among daily contacts, less
heavy use by any network
member, and more abstinence for the entire network. The networks of alcoholics,
drug users, and
polysubstance users did not differ in any respect other than posttreatment network
size. The presence
of a spouse alone did not predict substance use outcomes, although partner's
use of drugs/alcohol did.
The presence of family members irrespective of AA/NA affiliation, was associated
with abstinence during
the later half of the one-year period after detox. For clients who did slip,
frequency of use was
determined by the negative influence of heavy users, rather than the more protective
influence of strictly
abstinent network members. These findings suggest that clients in recovery do
make major changes in
their social networks, and some of these changes (most notably severing ties
with heavy users and
maintaining ties with family members) predict better outcomes.
Social
Systems Simulation Group
P.O. Box 6904 San Diego, CA 92166-0904 Roland Werner, Principal Phone/FAX (619) 660-1603 |