Problems of Social Hygiene, Public Health and History of MedicineProblems of Social Hygiene, Public Health and History of Medicine0869-866X2412-2106Joint-Stock Company Chicot175910.32687/0869-866X-2024-32-s1-625-627Научная статьяFEATURES OF THE IMPLEMENTATION OF 12-STEP TREATMENT PROGRAMS FOR ALCOHOLICS ANONYMOUS AND OTHER PROGRAMS FOR THE TREATMENT OF ALCOHOL USE DISORDERSKravchenkoO. O.AmlaevK. R.MazharovV. N.ZafirovaV. B.KhubievaD. Kh.-D.Stavropol State Medical University, 355017, Stavropol, Russia0907202432762562702072025Copyright © 1970,1970Alcoholism remains an urgent problem, as alcohol-related mortality is approximately 10 times higher than that from all drugs and accounts for 5.1% of the total global burden of disease. The solution to this problem is multifaceted and includes a wide range of medical services. The article on alcohol use disorders provides an overview of one of the largest support programs for people with alcohol dependence — Alcoholics Anonymous (AA). It is noted that the initial AA intervention includes work through social communication and the «12 steps» program. Its purpose is to facilitate internal psychological, emotional and spiritual changes that are considered necessary to maintain the status of abstinence from alcohol.alcoholics anonymous12 step programalcohol use disordersанонимные алкоголикипрограмма «12 шагов»расстройствавызванные употреблением алкоголя1.Stahre M., Roeber J., Kanny D. et al. Contribution of excessive alcohol consumption to deaths and years of potential life lost in the United States // Preventing Chronic Disease. 2014. Vol. 11. P. E109.2.World Health Organization. Global Status Report on Alcohol and Health. Geneva, 2014.3.Rosenbaum B. P., Kshettry V. R., Kelly M. L., Weil R. J. Diagnoses associated with the greatest years of potential life lost for in-hospital deaths in the United States, 1988–2010 // Public Health. 2015. Vol. 129, N 2. P. 173–181.4.Sacks J. J., Gonzales K. R., Bouchery E. E. et al. 2010 national and state costs of excessive alcohol consumption // Am. J. Prevent. Med. 2015. Vol. 49, N 5. P. e73–e79.5.White W. L., Kelly J. F., Roth J. D. New addiction recovery support institutions: Mobilizing support beyond professional addiction treatment and recovery mutual aid // Journal of Groups in Addiction & Recovery. 2012. Vol. 7. P. 297–317.6.Kelly J. K., Yeterian J. Mutual-help groups for alcohol and other substance use disorders. In: McCrady B. S., Epstein E. E. (eds.). Addictions: a comprehensive guidebook. 2nd edition. N.Y.; 2013. P. 500–525.7.Kelly J. Is Alcoholics Anonymous religious, spiritual, neither? Findings from 25 years of mechanisms of behavior change research // Addiction. 2017. Vol. 112, N 6. P. 929–936.8.Knudsen H. K., Roman P. M. Service delivery and pharmacotherapy for alcohol use disorder in the era of health reform: data from a national sample of treatment organizations // Substance Abuse. 2016. Vol. 37, N 1. P. 230–237.9.Walitzer K. S., Deffenbacher J. L., Shyhalla K. Alcohol-adapted anger management treatment: a randomized controlled trial of an innovative therapy for alcohol dependence // Journal of Substance Abuse Treatment. 2015. Vol. 59. P. 83–93. DOI: 10.1016/jjsat.2015.08.003110.Kelly J. F., Greene M. C. The twelve promises of Alcoholics Anonymous: psychometric validation and mediational testing as a 12-step specific mechanism of behavior change // Drug and Alcohol Dependence. 2013. Vol. 133, N 2. P. 633–640.11.Alcoholics Anonymous. One big tent. N.Y.; 2018.