When comparing cognitive-behavioral coping skills therapy, motivational enhancement therapy, and twelve-step facilitation, which approach has the best client outcomes?

Twelve-step facilitation is often recognized for its strong foundation in peer support and community involvement, which are crucial components in promoting long-term sobriety. This approach engages clients in the twelve-step philosophy, encouraging them to connect with others who have similar experiences. The social support and shared accountability found in group settings can significantly enhance a client's motivation to maintain recovery.

Research indicates that individuals who participate in twelve-step programs tend to have better outcomes over time, particularly when they are engaged in a community of recovering individuals. This community aspect fosters a sense of belonging and understanding, which can be especially beneficial for those who have faced stigma or isolation due to their addiction.

While cognitive-behavioral coping skills therapy and motivational enhancement therapy are effective in their own rights, particularly for individuals in the earlier stages of recovery or those requiring skill-building strategies, they may not provide the same level of ongoing support and shared experience as twelve-step facilitation. The holistic and communal aspects of the twelve-step approach play a significant role in sustaining recovery and addressing the underlying issues of substance use disorder.