»»   UNIVERSITY OF IOWA HEALTHCARE, March 2001

Recovery: The Twelve Step Approach

Alcoholics Anonymous (AA) is known to be an effective program for helping alcoholics stay sober. It is based upon using twelve specific steps to recovery. At meetings, people gather to share what members of AA call their "experience, strength, and hope." The AA member uses these twelve steps to stop drinking and to keep from drinking again. The steps were first used by a small group of men who started AA over 50 years ago. These men found that when they did certain things, they could stop drinking. Some of them never drank again.

In AA, an alcoholic is said to be "recovering" from alcoholism if he is:

  • no longer drinking and
  • "working" on his twelve step program

Anyone who has a desire to stop drinking is welcome. In most large cities there are AA meetings daily. In smaller towns there is usually at least one meeting per week.

Members of AA use their first names only. This is what the "anonymous" in AA means. Becoming a member is very simple. All you have to do is decide that the AA Twelve Step program is right for you. There are no dues or fees. A free-will collection is taken to help pay for the coffee and the cost of renting the meeting room.

Admitting you are an alcoholic is the "first step." Other steps talk about how recovering from alcoholism is not something someone can do alone. AA members rely on each other for support. Most of them believe in a "higher power." But believing in one kind of God is not necessary to be a member of AA.

People in AA believe that alcoholism is a disease. They believe that if you want to stop drinking, it can be accomplished by going to meetings regularly and using the twelve steps. This system works for millions of people. Others feel they need to seek medical treatment first. For some, going through a medical detoxification is necessary to safely stop drinking. For others, attending outpatient or inpatient treatment, before or along with AA, works well.

To find out more about AA, look under "Alcoholics Anonymous" in the white pages, or write: General Service Office, Box 459, Grand Central Station, New York, NY 10163. You may also call the national number at (212) 870-3400 for information about the group nearest you.

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