Narcotics Anonymous – Wikipedia

reciprocal serve 12-Step organization
Narcotics Anonymous. For information about the related twelve-step program for friends and family of those affected, see This article is about the twelve-step program of. For information about the associate twelve-step program for friends and family of those affect, see Nar-Anon
The NA logo designed by Jimmy K. The NA logo designed by Jimmy K.

The NA Service symbol designed by Jimmy K. The NA Service symbol designed by Jimmy K . The Group Logo explained Narcotics Anonymous ( NA ), founded in 1953, describes itself as a “ nonprofit family or company of men and women for whom drugs had become a major trouble. ” [ 1 ] Narcotics Anonymous uses a 12-step exemplar developed for people with deviate substance use disorders [ 2 ] and is the second-largest 12-step constitution. [ 3 ] As of May 2018 there were more than 70,000 sodium meetings in 144 countries. [ 4 ]

Narcotics anonymous plan [edit ]

membership and organization [edit ]

The third base custom of NA states that the entirely necessity for membership is “ a desire to stop using. ” NA says its meetings are where members can “ meet regularly to help each other stay scavenge. ” All facts and quotes presented in “ The Narcotics anonymous program ” section, unless otherwise sourced, come from the Narcotics Anonymous (Basic Text). [ 5 ] Membership in NA is free, and there are no dues or fees. The foundation of the Narcotics Anonymous program is the Twelve Steps and Twelve Traditions. [ 6 ] Narcotics Anonymous uses a rebuff magnetic declination of give voice in both the Twelve Steps and Twelve Traditions when compared to early Twelve Step groups. According to the Basic Text, Narcotics Anonymous “ has no public opinion on outside issues, ” including those of politics, skill or music, and does not endorse any outside constitution or initiation. The fellowship does not promote itself, but quite attracts fresh members through populace information and outreach. Individuals can besides be compelled to attend by courts or rehab programs. [ 7 ] NA groups and areas supply outside organizations with factual data regarding the NA program, and individual members may carry the NA message to hospitals and institutions, such as treatment centers and jails. [ 8 ]

The nature of addiction [edit ]

According to the philosophy of the NA program, most addicts did not realize they had a problem with drugs until they had no matchless leave. even if other people pointed out they may have a drug problem they were convinced differently. But once an addict on his or her own tries to stop and realizes they can not, they ultimately see that drugs have been controlling them. Addicts lived to use and used to live. NA helps show them a different way of life and helps them fight their disease. [ 9 ] NA describes addiction as a progressive disease with no acknowledge cure, which affects every area of an addict ‘s life : physical, mental, emotional, and religious. NA suggests that the disease of addiction can be arrested, and convalescence is possible through the NA twelve-step program. The steps never mention drugs or drug manipulation, quite they refer merely to addiction, to indicate that addicts have a disease of which drug use is one symptom. In the NA platform, all drugs are considered equal, and alcohol is besides a drug. other symptoms include compulsion, compulsion, denial, and egoism. [ 10 ]

Meetings [edit ]

unconstipated meetings, hosted by NA groups, are the basic unit of the NA family. Meetings are held in a assortment of places such as church service meet rooms, libraries, hospitals, community centers, parks, or any other place that can accommodate a meet. Members who attend the same meeting regularly to establish a recovery network and authentic everyday understand this to be their “ home group. ” Home-group members can participate in the group ‘s business and play an crucial role in deciding how the group ‘s meetings should be conducted .

Formats [edit ]

There are two basic types of meetings : “ open ” and “ closed. ” Anyone is welcome to attend an open meet, while closed meetings are limited to addicts and to people who think they may have a problem with drugs. Meeting formats vary, but often include time devoted to the learn aloud of NA literature regarding the issues involved in living life scavenge which is written by and for members of NA. many meetings are conducted by the president who chooses the speakers. early meetings include an “ loose communion ” component, during which anyone attend has the opportunity to contribution. There is normally no direct feedback during the “ partake ” ; thus only one person always speaks at any given prison term during this share of the converge. These types of meetings are sometimes described as discussion meetings. Some groups choose to host a single speaker ( such meetings are normally denoted “ speaker meetings ” ) to plowshare for the majority of the meet time. other confluence formats include round-robin ( sharing goes about in a circle ), tag suffer ( each speaker picks the next person to share ), and stick meetings ( each member draws a stick with a topic to parcel on ). Some meetings focus on read, writing, and/or sharing about one of the Twelve Steps or some early share of NA literature. Some meetings are “ coarse needs ” ( besides known as special-interest ) meetings, supporting a particular group of people based on sex, sexual identity, age, terminology, or another characteristic. These meetings are not exclusionary, as any addict is welcome at any NA meet. NA communities will often make an effort to have a offprint confluence run at the lapp time for members who do not identify with the common-needs meet. During the meet, some groups allot time for NA-related announcements and many meetings set apart time to recognize clean-time “ anniversaries ” or “ birthdays. ” Individuals are sometimes allowed to announce their clean time to the group. Key tags and medallions, which denote respective amounts of clean time, are distributed to those who have achieved diverse milestones. In some areas, the addict who is celebrating a “ clean-time anniversary ” will be able to have subscribe group members read the readings for the meet and he or she will have a loudspeaker carry the NA message. then the addict lionize will have their patron or a friend or family member give them a medallion at which fourth dimension the friend will share some of the celebrating addict ‘s achievements during the concluding class or from during the integral path of their recovery. then the addict lionize can share their experience, strength, and promise ( ESH ) with the group on how they did it. NA states in the fifth custom that “ each group has but one primary coil function – to carry the message to the addict who still suffers. ” therefore, the newcomer is considered to be the most crucial person in any meet. Our message is hope and the promise is freedom. The NA message, as quoted in the Basic Text, states, “ an addict, any addict, can stop using drugs, lose the desire to use, and find a newfangled way to live ” ( Basic Text p. 68 ). “ NA offers one promise : freedom from active addiction ” ( Basic Text p. 106 ). According to the Narcotics Anonymous Basic Text, the “ Twelve Steps ” are the beginning of this hope and exemption when worked to the best of one ‘s ability .

Service [edit ]

NA literature suggests that serve work is an necessity region of a program of recovery. Service is “ doing the right thing for the right reason, ” and is the best exemplar of “ grace, ” which is the footing for the freedom only from active addiction by the NA plan. Service work is normally chairing a meet, but may be angstrom simple as cleaning up after the meet, putting away chairs, or answering a earphone. additionally, there are basic, formalistic service positions at the group level to help the group perform its function, such as treasurer, secretary, and Group Service Representative ( GSR ), who represents the group in the larger service structure. The NA military service structure operates at the area, regional, and world levels. These levels of service exist to serve the groups and are directly creditworthy to those groups ; they do not govern. World services are accountable to its member regions, who are in turning responsible to member areas. Area service committees directly support member groups and much put on particular events, such as dances and picnics. Area overhaul committees besides provide limited subcommittees to serve the needs of members who may be confined in jails and institutions, and will besides provide a populace interface to the family .

literature [edit ]

  • The Basic Text called Narcotics Anonymous is divided into two books. Book one discusses the basics of the NA program and the twelve steps and traditions. Book two is composed of many personal stories.[11]
  • It Works: How and Why offers detailed discussion of the twelve steps and traditions.[12] and is often called the “green and gold” after its cover.
  • The Step Working Guides is a workbook with questions on each step and is often called the “Flat Book”.
  • Just For Today is a book of daily meditations with quotes from the Basic Text and other NA-approved literature including the “Information Pamphlets”.[13]
  • Sponsorship is an in-depth discussion of the role of sponsorship in NA, including the personal experiences of members.
  • Miracles Happen describes the early years of the NA organization. This book contains many photographs of early literature and meeting places.
  • Living Clean: The Journey Continues was approved by the World Service Conference in May 2012. It contains members’ experiences of staying clean and in recovery as they go through challenges in life such as illness, death, parenthood, spiritual paths, and employment.
  • Guiding Principles; The Spirit of Our Traditions was approved by the World Service Conference in May 2016. The book explores the principles found in the 12 Traditions of NA and is a resource for members of NA to learn what the essence of the Traditions are, as well as understanding their application for NA groups, members, and service committees.

NA has besides produced dozens of “ Informational Pamphlets, ” or “ IPs, ” of varying length that cover a wide-eyed crop of recovery-related topics, including questionnaires for those who think they may have a drug addiction and information for those addicts trying to stay clean while even inside hospitals or institutions .

spirituality [edit ]

NA calls itself a apparitional course of study of recovery from the disease of addiction. The NA plan places importance on developing a working relationship with a “ higher power “. [ 14 ] The literature suggests that members formulate their own personal reason of a higher power. The lone suggest guidelines are that this exponent is “ loving, wish, and greater than one ‘s self and more herculean than the disease of addiction ”. Members are given absolute exemption in coming to an understand of a higher exponent that works for them. Individuals from diverse religious and religious backgrounds, ampere well as many atheists and agnostics, have developed a relationship with their own higher power. [ 11 ] NA besides makes patronize use of the news “ God ” and some members who have difficulty with this term alternate “ higher power ” or read it as an acronym for “ dependable orderly direction ”. The twelve steps of the NA program are based upon apparitional principles, three of which are honesty, open-mindedness, and willingness, embodied in the first three steps. These three are hardly exhaustive. The Basic Text of NA says, in Chapter Four, about all twelve steps, “ These are the principles which made our recovery possible ”. According to NA members these principles, when followed to the best of one ‘s ability, allow for a new way of life. sodium meetings normally close with a circle of the participants, a group hug, and a prayer of some sort. Prayers used to close meetings today include the “ we ” version of the “ Serenity Prayer “ ( “ God, Grant us the peace to accept the things we can not change, the courage to change the things we can, and the wisdom to know the remainder. “ ) ; the Third Step Prayer ( “ Take my will and my life. Guide me in my recovery. Show me how to live. ” ) or the “ Gratitude Prayer ” ( “ That no addict seeking convalescence want ever die. … My Gratitude speak when I care and when I share with others the NA room. ” )
One addict helping another is an essential function of the NA program. [ 15 ] It is consequently highly recommended that NA members find a patron. A sponsor is a member of NA who helps another extremity of the company by sharing their experience, forte, and promise in recovery and serves as a lead through the Twelve Steps. In doing so, NA members much choose a sponsor with experience in applying the NA ‘s Twelve Steps. To feel most comfortable, many NA members have sponsors of the same arouse although members are free to choose any other member as a presenter. It is besides suggested that one should find a patronize who has not only worked the 12 steps of Narcotics Anonymous, but that person besides has a patron who has worked the 12 traditions of Narcotics Anonymous .

anonymity [edit ]

“ anonymity is the apparitional foundation of all our traditions, ever reminding us to place principles before personalities. ” ( 12th Tradition, Basic Text ) many NA members identify themselves in meetings by their first identify merely. The spirit of anonymity is about placing “ principles before personalities ” and recognizing that no individual addict is superior to another and that individual addicts do not recover without the family or its spiritual principles. The Eleventh Tradition states that NA members “ need always maintain personal anonymity at the level of press, radio, and films ” .

history [edit ]

NA spring from the Alcoholics anonymous Program of the mid-1930s, and was founded by Jimmy Kinnon. [ 16 ] Meetings first emerged in the Los Angeles area of California, United States, in the early 1950s. The NA program, officially founded in 1953, [ 17 ] started as a small U.S. apparent motion that has grown into the global ‘s largest 12 mistreat convalescence program for drug addiction .

Predecessors [edit ]

Alcoholics Anonymous was the first 12-step program, and through it many with drug and drink problems found sobriety. The Fourth Tradition gives each AA group the autonomy to include or exclude non-alcoholic addicts from “ close up ” meetings – where only those with an press out desire to quit drink may attend. At “ loose ” AA meetings, non-alcoholics are welcome. [ 18 ] In 1944, AA ‘s co-founder Bill Wilson discussed a freestanding fellowship for drug addicts. [ 19 ] In 1947, NARCO ( besides called Addicts Anonymous ) met weekly at the U.S. Public Health Service ‘s treatment center ( Federal Medical Center, Lexington ) inside the Lexington, Kentucky federal prison for 20 years. [ 20 ] In 1948, a NARCO member started a ephemeral family besides called “ Narcotics anonymous ” in the New York Prison System in New York City, New York. [ 15 ] This interpretation of NA did not follow the 12 Traditions of NA, which resulted in problems for the company and ultimately the conclusion of that NA in the former 1940s. Jimmy K., who is credited with starting the NA as we know it today, did contact Rae Perez, a precede member of this NA company. Because that fellowship did not want to follow the 12 traditions written by AA, the two NA fellowships never united .

early history of NA [edit ]

In 1953 Narcotics Anonymous, was founded in California by Jimmy Kinnon and others. [ 21 ] Differing from its predecessors, NA formed a family of mutually supporting groups. Founding members, most of whom were from AA, debated and established the 12 Traditions of the NA family. On September 14, 1953, AA authorized NA the use of AA ‘s 12 steps and traditions on the condition that they stop using the AA name, causing the administration to call itself Narcotics Anonymous. In 1954, the first base NA issue was printed, called the “ Little Brown Book ”. It contained the 12 steps and early on drafts of several pieces that would late be included in subsequent literature. [ 3 ] [ 22 ] At that time, NA was not even recognized by society at boastfully as a positive force. The initial group had trouble finding places that would allow them to meet and often had to meet in people ‘s homes. The first meetings of Narcotics Anonymous were held in the basements of churches for the members ‘ protection because at that time an previous law forbid convicted felons from congregation was still being continue and churches offered their basements as a refuge. Addicts would have to cruise around meet places and check for surveillance, to make sure meetings would not be busted by police. It was many years before NA became recognized as a beneficial organization, although some early press accounts were very incontrovertible. [ 23 ] In addition, many NA groups were not following the 12 traditions very closely ( which were quite new at the time ). These groups were at times accepting money from away entities, conflating AA with NA, or even adding religious elements to the meetings. For a variety of reasons, meetings began to decline in the former 1950s, and there was a four-month time period in 1959 when there were no meetings held anywhere at all. [ 15 ] Spurred into carry through by this, Kinnon and others dedicated themselves to restarting NA, promising to hold to the traditions more closely .

revival [edit ]

In late 1959, meetings began to form again and grow. The NA White Booklet was written in 1962 and became the heart of NA meetings and the footing for all subsequent NA literature. NA was called a “ hep pocket program ” because the stallion literature could fit into a person ‘s hip pocket. This booklet was republished in 1966 as the NA White Book and included the personal stories of many addicts. The beginning NA telephone line started in 1960, and the first gear “ H & I ” group was formed in 1963 ( H & I stands for Hospitals and Institutions, a sub-committee of Narcotics Anonymous that carries the message into hospitals and institutions where people can not get to an external confluence ). That class a “ Parent Service Board ” ( subsequently renamed the World Service Board ) was formed to ensure that NA stayed goodly and followed close to the traditions. Confusingly, in 1962, the Salvation Army started a group besides called “ Narcotics anonymous ” that followed a different “ 13-step ” program, but this program soon died out. The NA program grew lento in the 1960s. Members of the program learned what was effective and what was not. Relapse rates declined over time and friction between NA groups began to decrease. The 1970s was a period of rapid increase in NA ‘s history. In 1970, there were merely 20 regular, weekly meetings, all of them in the United States. Within two years there were 70, including meetings in Germany, Australia, and Bermuda. By 1976, there were 200 regular meetings, including 83 in California alone, and in the early 1980s in Brazil, Canada, Colombia, India, the Republic of Ireland, Japan, New Zealand, and the United Kingdom. In 1980, the beginning London suffer opened in Millman Street, Chelsea, with around six members and a second follow months belated. By 1981, there were 1,100 different meetings all over the earth. A World Service Office was officially opened in 1977. [ 24 ] In 1971, the first NA World Conference was held, and others have followed per annum .

The development of NA literature [edit ]

From the beginnings of NA, the need for official NA literature was discernible. unfortunately, the process of creating and approving official NA literature has seen some of the most contentious periods of argument within the company. Although the Yellow Booklet, Little White Booklet, and Little White Book were used in the 1960s and 1970s, many people desired to have a more detail record on recovery, paralleling the “ bad koran ” of Alcoholics Anonymous. Some meetings offered AA literature at meetings, while others considered writing their own books on recovery. One group even planned to print a bootleg version of AA ‘s big book with every example of the parole “ alcohol ” replaced with “ drugs ”. The need for a unite text approved by the company ‘s “ group conscience ” was recognized, and in October 1979 the first NA World Literature Conference was held in Wichita, Kansas. While previous literature had been written by equitable a few addicts ( chiefly by Jimmy Kinnon ), the NA Basic Text was written as a massive collaboration between hundreds of people. There were a sum of seven World Literature Conferences within three years, all of them open to any addict who wished to help. It was decided that the record would use the Little White Book as its sketch, filling in and expanding on the subjects discussed in that text. In November 1981, a finalize version was distributed to all of NA for approval, and the text was approved with a 2/3 majority required for passage. After enactment, however, the publication was held up ascribable to a game disagreement between the World Service Office and the members who wrote the book regarding a few key sentences which described the nature of the World Service Organization and other NA serve entities. The ledger was printed in 1983 with the passages removed. A second edition that restored the passages quickly followed at the demand of the fellowship. A hasty vote which required Regional Service Representatives to respond within 60 days ( even though most regions merely met every 90 days ) making it impossible to actually poll the NA Groups and membership again removed the sentences in a third edition. [ 25 ] master editors and writers were hired in 1986 to improve the Basic Text so that it was more coherent in timbre and stylus. The attendant 4th edition, released in 1987, was improperly reviewed and had many problems, including 30 lines that were missing and text that was inconsistent with other NA literature. A fifth edition was released in 1988, purportedly correcting those problems.

In 2004, the WSC initiated a project to revise the Basic Text. This new edition would remove some of the personal stories from the 5th edition, and supplement the remainder of the original stories with more diverse personal stories from around the world. The first 10 chapters were to remain the lapp. besides, the precede would remain the same, equally good as the “ symbol ” foliate. There is a modern foreword but the original precede will be called “ foreword to the first edition ”. There were some other changes to the structure of the bible, including the layout and flow of the book, while keeping the original message gain and unaltered. The job of choosing these stories was handed down from the World Service Office to regional meetings, to Area Service Committee meetings, and then to the individual home plate group meetings, where each member had a chance to review the new text. When the Approval Draft came out on September 1, 2006, 7,500 copies were distributed ( 4,493 copies were mailed and 3,009 copies were electronic copies downloaded by members ). The approximate number of remark received was 350 pieces, of which 60 percentage came from individuals, 17 percentage came from groups, and 23 percentage came from committees. More than 20 percentage ( 161 ) of the personal stories submitted came from outside of the United States. Submissions were received from the follow countries ( although by and by on more personal stories were submitted and the extra statistics are strange ) :

  • Argentina
  • Australia
  • Bangladesh
  • Belgium
  • Brazil
  • Canada
  • Colombia
  • Egypt
  • France
  • Germany
  • Greece
  • India
  • Ireland
  • Israel
  • Italy
  • Japan
  • Mexico
  • Nepal
  • Netherlands
  • New Zealand
  • Nicaragua
  • Norway
  • Portugal
  • Puerto Rico
  • Russia
  • Saudi Arabia
  • Singapore
  • South Africa
  • Spain
  • Sweden
  • Switzerland
  • Trinidad
  • Turkey
  • United Kingdom
  • The United States
  • Venezuela
  • West Indies

The 6th version of the NA Basic Text was approved with over forty newly “ personal stories ” from around the world. Because of the addition of so many new stories of NA member experiences, it is larger in size than all earlier editions. After the rapid succession of five editions during the 1980s, this was the first modern edition in twenty years. On October 1, 2008, the 5th edition was replaced by the 6th edition in the Narcotics Anonymous World Services inventory at Copies of the Basic Text are sold, or given away for free at the group ‘s expense, at NA meetings, and are available in over 30 different languages. Millions have been sold global, and have been useful to many addicts .

More recent history [edit ]

The Sixth Edition Basic Text was published in 2008, and there was besides a particular edition released that same year known as the twenty-fifth Anniversary Commemorative ( of the First Edition Basic Text ) Sixth Edition Basic Text. In 2003, NA World Services approved a modern text entitled Sponsorship. [ 26 ] This bible endeavors to help people explore the concept of NA sponsorship. In the more recent months, [ when? ] there has been a motion to revise the tract “ In Times of Illness ”. A gesticulate for a project to create a new koran was put to the World Service Conference in the 2008-2010 conference bicycle. The movement was carried by consentaneous consent in 2010. [ 27 ] over the next two years members of the Narcotics Anonymous fellowship took part in a collective effort to create this new book-length piece of literature. The book was to be titled living cleanse : The Journey Continues. At the 2012 World Service Conference, a gesticulate to approve the concluding enlist of the book was presented to the conference for approval and once again the delegates carried the motion unanimously. Living clean : The Journey Continues was released to the public in 2012. [ 28 ]

membership demographics [edit ]

membership in Narcotics Anonymous is voluntary ; no attendance records are kept either for NA ‘s own purposes or for others. [ 15 ] Because of this, it is sometimes unmanageable to provide interest parties with comprehensive information about NA membership. There are, however, some objective measures that can be shared based on data obtained from members attending one of NA world conventions ; the diverseness of membership, specially cultural background, seems to be representative of the geographic location of the view. The come demographic information was revealed in a surveil returned by about half of the 13,000 attendees at the 2003 NA World Convention held in San Diego, California : • Gender : 55 % male, 45 % female. • Age : 3 % 20 years honest-to-god and under, 12 % 21–30 years old, 31 % 31–40 years old, 40 % 41–50 years previous, 13 % over historic period 51, and 1 % did not answer. • ethnicity : 51 % caucasian, 24 % african-american, 14 % Hispanic, and 11 % early. • employment status : 72 % employed full-time, 9 % employed part-time, 7 % unemployed people, 3 % retired, 3 % homemakers, 5 % students, and 1 % did not answer. • continuous abstinence/recovery : The 2015 Membership Survey showed the rate from less than one year up to 54 years, with a mean average of 8.32 years. The 2015 Membership Survey of 22,803 members is available on, under the “ For the Public ” tab .

rate of growth [edit ]

Because no attendance records are kept, it is impossible to estimate what percentages of those who come to Narcotics Anonymous remain active in NA over time. The only indisputable indicator of the program ‘s success in attracting members is the rapid increase in the number of cross-file Narcotics anonymous meetings in holocene decades and the rapid spread of Narcotics Anonymous outside North America .

  • In 1978, there were fewer than 200 registered groups in three countries.
  • In 1983, more than a dozen countries had 2,966 meetings.
  • In 1993, 60 countries had over 13,000 groups holding over 19,000 meetings.
  • In 2002, 108 countries had 20,000 groups holding over 30,000 meetings.
  • In 2005, 116 countries had over 21,500 groups holding over 33,500 weekly meetings.
  • In 2007, over 25,065 groups were holding over 43,900 weekly meetings in 127 countries.
  • In 2012, there were over 62,700 meetings worldwide in over 142 countries.[29]
  • In 2018, there were more than 70,000 weekly meetings in 144 countries.[30]

organizational structure [edit ]

Members meet at NA Groups ; Representatives of which participate in Area Service Committees ( ASC ) ; several Area Service Committees form a Regional Service Committee ( RSC ) and the Regional Delegates ( RD ) make up NA World Service Committee. [ 31 ] The foundation for this social organization is the Twelve Traditions of NA .

NA Groups [edit ]

Narcotics Anonymous is basically made up of NA Groups. An NA Group is a total of NA members who meet regularly ; normally at the lapp time and place each workweek. Some Groups have more patronize meetings but are considered to be part of a single Group. Groups have one primary purpose, to carry the message to the addict who calm suffers. Groups are largely independent of one another and members of NA are encouraged to choose a “ homegroup ” to belong to, a group they attend regularly and where they will be missed if they are absent. Each Group elects any number of leaders, or “ believe servants ”, to serve the needs of the Group they made include a Group Secretary, a Group Treasurer, a Group Chairperson, a Group Service Representative ( GSR ), and an interchange GSR. This election march is carried out by the Group Conscience which is a business meet made up of the members of the Group who strive for consensus-based decisions. With each group being autonomous, without affecting NA as a solid, the responsibilities of hope servants vary from meeting to meet. These responsibilities or “ group policies ” are contrived through the group ‘s clientele meet by inviting a Higher might to guide each recovering person ‘s decision, besides known as a group conscience. An case of one specific trusted servant ‘s responsibilities are, “ The secretary is responsible for opening the meeting, choosing person to chair the meet, making sure coffee gets made, etc. He or she besides arranges for purchasing supplies and keeping group records. The treasurer keeps fiscal records and pays the group ‘s bills. The GSR attends the Area Service Committee meetings and represents the group to the ASC. The alternate GSR assists the GSR and prepares to replace the GSR when want be. ” [ 32 ]

Area service committees [edit ]

An ASC is made up of all the participating NA Groups in a given area. The Group Service Representatives ( GSRs ) and interchange GSRs from each Group in an Area suffer regularly in concert for a business merging where issues are raised and discussed to better meet the needs of the groups in the Area. Each ASC elects its own officers : the president, vice-chairperson, repository, treasurer, and regional committee members ( RCMs ). frequently an ASC will have versatile subcommittees ( such as a but not limited to Hospitals and Institutions ( H & I ), public Information ( PI ), Activities, Website, Outreach, Policy, Literature, Literature Review, Newsletter, Recovery By Mail and Convention ) which are led by subcommittee leaders that are elected by the integral ASC. In some regions, several ASCs will be grouped into a Metropolitan Service Committee at the sub-regional degree ; this is typical in particularly boastfully cities, like Los Angeles, that contain multiple ASCs .

Regional service committees [edit ]

An RSC is composed of the regional committee members ( RCMs ) of all the participating ASCs in a region. It is exchangeable in organization to an ASC but is further removed from the daily activities of individual home groups. Many of the issues dealt with by RSCs are the lapp ones that will come before the World Service Conference, with the RSC being the best means for local groups to help craft policies that will affect NA as a solid. In some cases, only the RCMs in a region will meet to vote on issues ; in other situations, all GSRs in a region will be invited to attend an RSC suffer. The RSC elects a delegate to attend the World Service Conference .

Zonal Forums [edit ]

The Zonal Forums are service-oriented organizational structures designed to improve communication between RSCs. They are not decision-making entities. Some Zonal Forums actively participate in “ Fellowship Development ” to help NA fellowships grow in new countries and geographic areas where NA is however forming. Zonal Forums help NA groups, areas, or regions to work together to translate literature, inform the local community about NA and create newly service committees. This is achieved through annual or semiannual Zonal Forum meetings together with development visits to NA groups and members in other countries. Experienced NA members hold workshops, and meetings and present material to help the newer communities. Zonal forums besides provide an significant opportunity for World Services and the World Board to interact with newer and growing NA communities to better understand their needs and challenges. zonal forums are an important part of the growth of NA in some of the most populous and distant parts of the earth. Eastern Europe, central and eastern Asia, and Latin America NA communities have grown significantly through the function of Zonal Forums. Some Zonal Forums are a service-oriented share school term that provides the means by which NA communities in their zone can communicate, cooperate, and grow with one another. Although not a contribution of NA ‘s courtly decision-making system, Zonal Forums interact with World Services in many ways. Each zonal Forum provides a semiannual report on the floor of the World Service Conference and, when requested by the conference, may besides answer specific questions or address the body. To improve communications, the Zonal Forums are provided with conference participant mailings and send each Zonal Forum meet record to World Services. To more effectively serve the family, World Services and the Zonal Forums maintain an ongoing partnership to plan and conduct the Worldwide Workshop system .

NA World Service Conference [edit ]

The NA World Service Conference ( WSC ) is a bi-annual avail converge made up of the Regional Delegates of the seat Regions of the worldly concern and the members of the NA World Board. This overhaul conference has the executive justly to make decisions for the entire NA Fellowship. This includes electing members to serve on the World Board, approving all new NA Literature, service material, and making policy decisions that affect the fellowship including the organizational structure. This province has been executed vitamin a recently as the former 1990s when the World Service Conference voted to re-structure the NA Service structure including the removal of the Board of Trustees, Board of Directors, and several other World Service degree committees ( public Information, Hospitals & Institutions, Literature, and Translations ) replacing them with a single board elected by the league .

NA World Service Office [edit ]

The WSC through the World Board is creditworthy for the NA World Service Office located in the Chatsworth, a neighborhood of Los Angeles, California, United States. This office handles the production of all approve literature, provides resources for projects approved by the WSC, and besides provides limited services to the family as a solid. The function besides administers the legal responsibilities of the family concerning copyrights, cerebral place, and accounting. The office employs many people who carry out these functions .

Finances [edit ]

Narcotics anonymous members are not required to pay any dues or fees. NA is committed to being fully self-supporting, declining any outside contributions. Group expenses are covered wholly by voluntary contributions from its members. Groups meet costs such as converge room lease, tea and coffee, and any literature that the group provides for rid from these contributions, after which excess funds are passed to the service structure. Group much provide some literature items such as IPs ( Double sided single sail pamphlets ) and keytags/chips celebrating scavenge time. Area Service Committees are typically funded from Group contributions plus money raised by events such as dances and recovery events attended by members. In some countries Area committees besides supply literature to the Groups. Areas spend funds on to the Regions, which can besides receive contributions from Groups and besides raise money through conventions attended by hundreds to thousands and tens of thousands of members. Regions besides sometimes run Regional Service Offices which buy literature from the World Service Office and its ramify offices for sale to Areas and Groups. Because Regional Service Offices can purchase in bulk and sell at list monetary value sometimes this excess exceeds the running costs of the function. Regions then pass funds to Zonal Forums and besides the World Service Conference via the World Service Office according to the decision of the Region. At the World Service level of Narcotics Anonymous expenses are met partially by the voluntary donations via the military service structure and besides through the sale of convalescence literature. NA does not accept donations from non-members, organizations, or governments. NA recovery literature is produced by the NA World Service Office ( NAWS ) located in California, USA. Typically NA groups will purchase literature using group funds from local ( area or regional ) service offices, or direct from NAWS. Some literature is provided to new members for barren ( such as the “ Information Pamphlets ” ) while other, typically book-length pieces, are sold at the buy cost to the group. literature is besides purchased from Group contributions and made available to new members. NAWS receives 87 % ( 2004/5 ) of its income from the sale of literature. early expenses include group refreshments, meeting-place rent, etc. fiscal information is publicly available on the NA web site. [ 33 ] The 2007 World Convention of NA ran at a net income fiscal loss of $ 596,000. [ 34 ]

potency [edit ]

The first sophisticated consequence studies of NA were conducted in the early 1990s in London, England. The inaugural study found a approximately linear relationship between the length of membership and abstinence with reduce anxiety and increased self-esteem [ 35 ] While the NA sample had higher anxiety than the non-addicted comparison groups, these levels were equivalent for those with three or more years of membership, which is consistent with the guess that NA membership reduces anxiety arsenic well as substance use. This learn besides, contrary to the authors ‘ expectations, found that religious belief and disease concept beliefs were not prerequisites for attendance of NA and even if these beliefs were adopted they were not found to cause external attributions for former drug use or potential future lapse events. A study of the early on know of new NA members in Victoria Australia in 1995 interviewed 91 members initially and 62 ( 68 % ) after 12 months and found that higher self-help participation as measured by service role involvement, step work, and stable meeting attendance, in the 12 months before the follow-up was associated with a quadruple reduction in levels of hazardous drug and alcohol use, less illicit income and nausea benefits and higher emotional digest at reinterview. [ 36 ] One approach is to provide professional 12-step facilitation ( TSF ) either in an individual or group setting. TSF sessions are designed to introduce the patient to 12-step concepts and facilitate the introduction of the patient into community-based 12-step programs. It must be emphasized that TSF is not NA, it is an execution of 12-step program elements by a professional advocate. NA recommends 12 footstep work with another member who has worked the steps. One report, sponsored by NIDA, [ 37 ] randomly assigned people using cocaine into four groups, individual drug counseling plus group drug guidance ( GDC ), cognitive therapy plus GDC, supportive expressive therapy plus GDC, or GDC alone. individual drug rede was based on the 12-step philosophy. Group drug rede was designed to educate patients about the stages of recovery from addiction, to strongly encourage engagement in 12-step programs, and to provide a supportive group atmosphere for initiating abstinence and an alternative life style. about 500 patients participated in the study. The results suggested that all four treatment conditions resulted in similar reductions in cocaine use with the IDC + GDC group ( TSF ) more effective than the early three groups. One issue with this study is that there was significant abrasion of patients, with importantly larger numbers of dropouts from the TSF groups than from the others .

Fiorentine 1999 [edit ]

Fiorentine 1999 was a 24-month longitudinal cogitation measuring the effectiveness of Alcoholics Anonymous and NA. Like other longitudinal studies, it shows a strong correlation between 12-step attendance and being both clean from drugs and unplayful from alcohol : People who went to 12-step meetings in the study had about a 75 % achiever rate. In more detail, at the 24 month follow up, 77.7 % of people who went to one or more meetings a workweek self-reported being clean ; urinalysis was very close to that figure, showing some 76.4 % of the even attenders begin clean. For participants who did not regularly go to meetings, the self-reported number for being abstainer was 56 % and the drug test showed 57.9 % being clean. The self-reported figures for excessive alcohol manipulation were alike : 74.8 % of unconstipated 12-step attenders self-reported being wholly drab, but entirely 40 % of people who did not go to 12-step meetings claimed to be sober. urinalysis showed 96.6 % of people regularly going to meetings as sober, in contrast to the 88.9 % of people who did n’t go to meetings once a workweek or more whose urine sample was alcohol-free. The report then sees if 12-steps meetings have a specific effect ( in other words, if there is causing or merely correlation coefficient ) by using statistical psychoanalysis to compare participants self-reported level of motivation, 12-step attendance, and successfully getting clean and sober. The result of this observation was that “ Weekly or more patronize 12-step participants are 1.59 times more likely than less-than-weekly participants to maintain abstinence after controlling for the differences in convalescence motivation measured by the scale. ” [ 38 ]

Controversies [edit ]

The NA platform attempts to avoid controversy through its application of the 12 traditions, which specify that “ Narcotics Anonymous has no opinion on away issues ; hence the NA name ought never be drawn into populace controversy. ” even so, the Basic Text points out that there are still “ communication problems, differences of impression, internal controversies, and troubles with individuals and groups outside the Fellowship ”, and diverse controversies of this type have disturbed NA throughout its history .

Internal controversies [edit ]

early on in the history of NA, different groups emphasized different aspects of recovery. In particular, the constitution and march of creating an NA text was a contentious period for the fellowship. different factions supported unlike versions of the Basic Text, and in the ensuing exponent struggle there were many accusations made and resentments cultivated. The footing of the quarrel was whether the service committees were described as a part of NA, or as a offprint entity, basically a tool of the NA groups with no decision-making power ; rather being charged collecting the decisions of the NA groups themselves. This dispute reached its nadir when the NA World Service Office sued an NA member in an undertake to prevent him from distributing barren versions of the Basic Text. [ 25 ] [ 39 ] today there are some NA groups who use a self-generated interpretation of the Basic Text that has come to be known as the Baby Blue which is basically the Third Edition, Revised Basic Text ( except that it contains originally approved essays on the Traditions ). [ 25 ] Some Traditionalist groups use the second Edition or Approval Draft [ 25 ] ( both of which contain the original Traditions and are about identical to each other ). [ 25 ]

Approaches of other twelve-step groups [edit ]

NA is unusual but not singular in its focus on the symptom/substance not being the core problem, but preferably the disease of addiction, as is stated in the NA Step 1. In NA, it does not matter what substance you used, and alcohol is seen as a drug. 12-step groups differ in their access to the treatment of addiction and convalescence. Alcoholics anonymous “ is a course of study for alcoholics who seek exemption from alcohol ” but does refer to “ some AA members who have misused drugs … in such a manner as to become a menace to the accomplishment and sustenance of soberness ” [ 40 ] and mentions that drugs can “ create a dependence merely american samoa devastating as dependence on alcohol ”. [ 40 ] however, according to AA literature, “ merely those with a desire to stop drink in may attend close meetings. ” Anyone at all may attend an open converge of Alcoholics Anonymous, but non-alcoholics attend as observers. Cocaine Anonymous primitively formed to address the special needs of cocaine addicts, but “ is not a drug particular fellowship ” and “ welcomes anyone with a drug or alcohol problem and offers a solution ”. CA ‘s program involves abstaining from cocaine “ and all other mind-altering substances ”, therefore taking the same position as NA pertaining to abstinence from all drugs, including alcohol and cannabis. [ 41 ] Methadone Anonymous is like to NA, but considers the use of methadone to be a joyride of recovery and not a drug. NA has no opinion on these groups, as these are external issues and the traditions suggest against taking a authoritative stand on outside issues .

See besides [edit ]

  • Nar-Anon, a separate organization for family members and friends of Narcotics Anonymous members

References [edit ]

far read [edit ]

  • Crape, B. L., Latkin, C. A., Laris, A. S., & Knowlton, A. R. (February 2002). “The effects of sponsorship in 12-step treatment of injection drug users”. Drug and Alcohol Dependence. 65 (3): 291–301. doi:10.1016/S0376-8716(01)00175-2. PMID 11841900.
  • Flynn, A. M., Alvarez, J., Jason, L. A., Olson, B. D., Ferrari, J. R., & Davis, M. I. (2006). “African American oxford house residents: Sources of abstinent social networks”. Journal of Prevention & Intervention in the Community. 21 (1–2): 111–119. doi:10.1300/J005v31n01_10. PMID 16595391. S2CID 218553951.
  • Green, L. L., FuIiilove, M. T., & Fullilove, R. E. (February 2005). “Remembering the Lizard: Reconstructing Sexuality in the Rooms of Narcotics Anonymous”. Journal of Sex Research. 42 (1): 28–34. doi:10.1080/00224490509552254. PMID 15795802. S2CID 21498444.
  • Hayes, S. C., Wilson, K. G., Gifford, E. V., Bissett, R., Piasecki, M., Batten, S. V.; et al. (Fall 2004). “A Preliminary Trial of Twelve-Step Facilitation and Acceptance and Commitment Therapy With Polysubstance-Abusing Methadone-Maintained Opiate Addicts”. Behavior Therapy. 35 (4): 667–688. CiteSeerX
  • Kelly, J. F., & Myers, M. G. (September 2007). “Adolescents’ participation in Alcoholics Anonymous and Narcotics Anonymous: Review, implications and future directions”. Journal of Psychoactive Drugs. 39 (3): 259–269. doi:10.1080/02791072.2007.10400612. PMID 18159779. S2CID 25485829.
  • Linehan, M. M., Dimeff, L. A., Reynolds, S. K., Comtois, K. A., Welch, S. S., Heagerty, P.; et al. (June 2002). “Dialectal behavior therapy versus comprehensive validation therapy plus 12-step for the treatment of opioid dependent women meeting criteria for borderline personality disorder”. Drug and Alcohol Dependence. 67 (1): 13–26. doi:10.1016/S0376-8716(02)00011-X. PMID 12062776.
  • Toumbourou, J. W., Hamilton, M., U’Ren, A., Stevens-Jones, P., & Storey, G. (July 2002). “Narcotics Anonymous participation and changes in substance use and social support”. Journal of Substance Abuse Treatment. 23 (1): 61–66. doi:10.1016/S0740-5472(02)00243-X. PMID 12127470.
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