Twelve Step Facilitation Outpatient Program

The Twelve Step Facilitation Outpatient Program helps you as a clinician maximize the efficacy of TSF with your clients.

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Can you prove that your Twelve Step treatment model is evidence-based? The Twelve Step Facilitation Outpatient Program by Joseph Nowinski is the only manualized version of the model proven effective in Project MATCH. This study found Twelve Step Facilitation (TSF) as effective as other successful treatment modalities.
This 12-session evidence-based outpatient treatment program is for clients with substance abuse disorders. Its primary goal is to facilitate active involvement in a Twelve Step fellowship such as Alcoholics Anonymous or Narcotics Anonymous. The Twelve Step Facilitation Outpatient Program is designed for one-to-one individual facilitation sessions, as well as group treatment. It can be used for clients who have never been exposed to a Twelve Step program as well as those who have already been in previous treatment or have had voluntary involvement in AA or NA. The Twelve Step Facilitation Outpatient Program works in community-based, corrections, private practice, and mental health settings.

How it works

The program consists of the following components:
The core program Four sessions: assessment, acceptance, surrender, and getting active in AA or NA
The elective program Six sessions: genograms, enabling, people-places-routines, emotions, moral inventories, and relationships
The conjoint program (for patients who are in relationships with partners who are willing to participate in sessions) Two topics: enabling and detaching
Termination session


Except for the first and last sessions, each session lasts about 60 minutes.


Materials include

3-ring binder with the facilitator guide and hard copies of reproducible handouts and checklists
CD-ROM containing handouts, checklists, and research information that supports the use of evidence-based materials
Introduction to Twelve Step Groups DVD
Twelve Step Facilitation handbook
Set of 25 medallions