EFFECT OF TWELVE - STEP FACILITATION TECHNIQUE ON OCCUPATIONAL PERFORMANCE AMONG PERSONS WITH SUBSTANCE ABUSE Authors: Punitha P , ARUN KUMAR, MD FAISAL SAYEED M, YOGASHREE. S AND PRASHANTH. A
ABSTRACT
Background: Substance use disorder, also known as drug addiction, is a brain and behavioural illness that impairs
a person’s ability to control their use of drugs or medications, whether they are legal or illegal. This includes
substances such as nicotine, alcohol, and marijuana. Individuals with addiction may continue using these
substances despite the harm they cause. Twelve-Step Facilitation (TSF) therapy is an effective treatment for drug
and alcohol addiction, based on the belief in a “power greater than ourselves” and doing “what works” to avoid
substance use. It includes structured sessions with specific goals, encourages journaling, and requires the
completion of recovery tasks between sessions for sustained recovery.
Objectives: The aim of the study is to determine the effect of twelve - step facilitation technique on occupational
performance among persons with substance abuse
Material And Methods: Thirty participants were divided equally into control and experimental groups. The
DAST scale was used for screening, and the COPM assessed performance levels. The control group received
conventional therapy, while the experimental group participated in Twelve-Step Facilitation therapy. Pre- and
post-test COPM scores were collected and analyzed statistically to evaluate the outcomes of the interventions.Results: Results indicated that the experimental group showed statistically significant improvement of occupational
performance with the use of twelve - step facilitation therapy when compared to the control group.
Conclusion: From the findings of this study, it was concluded that twelve - step facilitation therapy has proved its
effect to improve occupational performance among person with substance abuse.
Keywords: Substance abuse, Occupational performance, Canadian Occupational Performance Measure,
Twelve - step facilitation technique Publication date: 2026/10/01 https://www.ijbpas.com/pdf/2026/October/MS_IJBPAS_2026_10216.pdfDownload PDFdoi.org/10.31032/IJBPAS/2026/15.10.10216