ABSTRACT Double Trouble in Recovery (DTR) is a “dual focus,” 12 step-based mutual aid program tailored to assist recovery from co-occurring substance use and psychiatric disorders. Objective: To determine consumers' perceptions of DTR's usefulness for their recoveries and the relationships between perceived DTR usefulness and self-help processes, self-efficacy to cope with problems in recovery, and changes in behaviors conducive to dual recovery. Methods: Consumers attending DTR groups, located within a psychiatric day-treatment program, completed anonymous surveys 8 months (N = 19) and 20 months (N = 61) after DTR was implemented. Results: DTR participants rated DTR favorably and length of DTR attendance was significantly associated with increased self-efficacy for recovery and positive changes in recovery-oriented behaviors. Perceived DTR usefulness was significantly associated with greater engagement in three specific self-help processes and increased self-efficacy for recovery; notably, these associations were independent of consumers' overall satisfaction with the treatment program. Conclusion: This study is the first to document consumers' perceived usefulness of DTR in relation to indicators of recovery. Overall, the study provides additional evidence for the benefits of implementing consumer-led dual focus groups in treatment programs.

中文翻译：

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双焦点互助消费者评价

摘要 康复中的双重麻烦 (DTR) 是一个“双重焦点”、基于 12 个步骤的互助计划，旨在帮助从同时发生的药物滥用和精神疾病中康复。目标：确定消费者对 DTR 对康复有用性的看法，以及感知的 DTR 有用性与自​​助过程、应对康复问题的自我效能以及有利于双重康复的行为变化之间的关系。方法：参加精神科日间治疗计划内 DTR 小组的消费者在 DTR 实施后 8 个月（N = 19）和 20 个月（N = 61）完成了匿名调查。结果：DTR 参与者对 DTR 评价良好，并且 DTR 参加时间的长短与恢复自我效能的提高以及以恢复为导向的行为的积极变化显着相关。感知到的 DTR 有用性与更多地参与三个特定的自助过程以及提高康复自我效能显着相关；值得注意的是，这些关联与消费者对治疗计划的总体满意度无关。结论：本研究首次记录了消费者对 DTR 与恢复指标相关的感知有用性。总体而言，该研究为在治疗计划中实施消费者主导的双重焦点小组的好处提供了额外的证据。