12-Step Groups2025-07-10T11:52:31+00:00

12-Step Facilitation Therapy In St. Louis | Engage Wellness Missouri

A Practical Process For Recovery and Restoration

Pursuing Recovery With Effective Help and Empowering Hope

Recovery and sobriety are never easy. However, a community of peers who are all working toward the same goals can walk alongside you and offer practical help and valuable insights. 12-step facilitation therapy is a structured support and education group that meets regularly to guide participants through a series of systematic steps that naturally bring them closer to their recovery goals.
At Engage Wellness, we recognize the importance of community and have designed our individualized treatment programs to incorporate community support and engagement with the 12-step process. Come and find the help and hope you need to stay sober and keep healing.

What is 12-Step Facilitation Therapy?

The Twelve Steps or 12-step facilitation therapy is a step-by-step process outlined in Alcoholics Anonymous’ primary curriculum, The Big Book, for developing abstinence and cultivating recovery habits. They’re found in the “How It Works” chapter, which contains a series of steps that create a structured and gradual process for recovery, starting with shifting big picture perspectives and drilling down into actionable tasks.

The 12 steps are appropriate for anyone struggling with substance abuse or alcohol addiction who wants to pursue sobriety. As a therapy model, most groups meet for an hour on a daily or weekly basis, led by a clinician or peer leader.

At Engage Wellness Missouri, we’ve seen the benefits of working the 12 steps firsthand and have blended this time-tested process with a therapy approach to facilitate holistic healing.

How (and Why) Twelve-Step Facilitation Therapy Works

The 12 steps or Twelve Traditions are not a therapy modality on their own, but they create a fellowship of peers who are connected by common experiences and who share a goal of recovery through the application of the 12 steps.[1] In contrast, 12-step facilitation therapy is an integrated model that blends the steps with other mental health techniques to inspire active participation in the steps to promote sustained sobriety.

This approach to addiction treatment is effective because it promotes several key recovery factors, including social support, reduced exposure to triggers, increased independence, positive role models, development of coping skills, opportunities for engaging in positive activities, and fostering hope.[2]

This is merely one of several evidence-based treatments offered at Engage Wellness. As a new client, you or your loved one will be assigned an individualized treatment plan that outlines the specific treatments included and your daily schedule. Other therapy options may consist of cognitive behavioral therapy, medication-assisted treatment, and more.

Depression Treatment

Efficacy of 12-Step Facilitation Therapy

Medical analyses of the effectiveness of the AA process reveal that its strength lies in its ability as a program to increase client participation in recovery measures, which thereby increases abstinence rates.[3] This format for treatment can help you or a loved one struggling with drug or alcohol use disorder to fully invest in long term, community-based addiction recovery support nd sustain sobriety.

Studies show that the median timeline for abstinence increases for those who participate in the 12 steps. Numbers reported by Alcoholics Anonymous (AA) and Narcotics Anonymous (NA) are more than 5 years of abstinence, with one-third of each group in the study charting at 1 to 5 years of abstinence.[4] Additional data shows that consistent support group attendance in 12-step programs, roughly two to four meetings per week, is associated with better abstinence outcomes and long-term sobriety.

What to Expect from 12-Step Facilitation Therapy In St. Louis

The 12-step facilitation approach is useful in navigating substance use disorder and alcohol treatment as it provides a practical and structured framework to actively work through your recovery. Here are the official steps, from Alcoholics Anonymous:[5]

  • Step One: We admit we are powerless over alcohol (or drugs) and that our lives are unmanageable.

  • Step Two: We believe that a Higher Power, who is greater than ourselves, can restore us to sanity.

  • Step Three: We have decided to turn our will and our lives over to this Higher Power.

  • Step Four: We are taking a deep and fearless moral inventory of ourselves.

  • Step Five: We admit to the Higher Power and to ourselves and to others the exact nature of our wrongdoings.

  • Step Six: We’re ready for the Higher Power to eradicate these defects of character.

  • Step Seven: We humbly asked our Higher Power to eliminate our shortcomings.

  • Step Eight: We’ve made a list of all those we’ve harmed, and we are willing to truly make amends.

  • Step Nine: We’ve made amends to all possible parties, except when it would injure them or others to do so.

  • Step Ten: We’ve continued taking personal inventory and are ready to promptly admit wrong.

  • Step Eleven: We’ve pursued prayer and meditation to improve our awareness of the Higher Power, praying for a greater understanding of His will and the ability to follow it.

  • Step Twelve: We’ve experienced a spiritual awakening as a result of following the 12 steps, we’re spreading the word to others who struggle, and we are committed to practicing these principles in every area of life.

Substance Abuse

12-Step Facilitation Therapy In St. Louis at Engage Wellness

At Engage Wellness Missouri, the 12 steps are a core tenet of what we do. Every level of care offers opportunities to participate in this alcohol and substance abuse treatment approach. The scope and timeline for 12-Step Facilitation Therapy will be prescribed based on individualized treatment plans as assigned by our clinicians. Treatment services are offered as part of the following treatment options:

Although we do not offer detoxification treatment on-site, our detox placement services connect clients with essential care during the early stages of recovery. As your system eliminates harmful toxins, you may experience some discomfort, and dedicated, professional care and monitoring  are crucial.

Our IOP program is a part-time and flexible level of care that is intensive and immersive. Clients will receive daily substance use and mental health treatment for holistic healing without missing out on typical work and home life rhythms.

The outpatient program at our Saint Louis treatment center offers ongoing support after higher levels of care are completed. Clients will attend weekly group therapy sessions, maintain access to peer support groups and other resources, including 12-step facilitation therapy. They can also schedule individual therapy or medication-assisted treatment as needed.

With FDA-approved medications, we can address the cravings and withdrawal symptoms associated with early recovery. Some prescriptions can counteract the euphoric effects of some drugs, while others provide symptom relief so you can focus on treatment and recovery.

Frequently Asked Questions about 12-Step Facilitation Therapy in St. Louis

How much does treatment cost in St. Louis?2025-06-04T14:42:41+00:00

The cost of treatment at Engage Wellness in St. Louis will range, depending on the level of care needed, treatment prescribed, and treatment timelines. Cost can also vary with private health insurance, payment assistance, and Medicaid or Medicare. Our recovery center works with all commercial insurance carriers and is an in-network provider with TriCare.

Is there a 12-step program for mental health?2025-06-04T14:42:09+00:00

Yes! 12-step groups are effective for a number of mental health disorders and dual diagnosis treatment. At Engage Wellness, we address a number of co-occurring disorders as part of our 12-step recovery programs, including anxiety, depression, PTSD, bipolar disorder, and ADHD. Learn more about co-occurring disorder treatment here.

What is the hardest stage of sobriety?2025-06-04T14:41:39+00:00

The journey to sobriety is unique for each individual, presenting different symptoms and experiences. In our experience, the most challenging stage of sobriety is the first 90 days when your body and your mind are still catching up to your new goals, distracting you from your course.

[1] facilitation therapy manual. (n.d.-p). https://www.niaaa.nih.gov/sites/default/files/match01.pdf 

[2][4]Donovan, D. M., Ingalsbe, M. H., Benbow, J., & Daley, D. C. (2013). 12-step interventions and mutual support programs for Substance Use Disorders: An overview. Social work in public health. https://pmc.ncbi.nlm.nih.gov/articles/PMC3753023/#S9 

[3]Kelly, J. F., Abry, A., Ferri, M., & Humphreys, K. (2020, October 20). Alcoholics anonymous and 12-step facilitation treatments for alcohol use disorder: A distillation of a 2020 Cochrane review for clinicians and policy makers. Alcohol and alcoholism (Oxford, Oxfordshire). https://pmc.ncbi.nlm.nih.gov/articles/PMC8060988/#sec17 

[5]The twelve steps. Alcoholics Anonymous. (n.d.-a). https://www.aa.org/the-twelve-steps

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