Selected Papers of William L. White
www.williamwhitepapers.com
Collected papers, interviews, video presentations, photos, and
archival documents on the history of addiction treatment and
recovery in America.
williamwhitepapers.com 1
Citation: Evans, A.C., Achara, I., Lamb, R. and White, W. (2012). Ethnic-specific support systems as a
method for sustaining long-term addiction recovery. Journal of Groups in Addiction and Recovery. 7(2-
3), 171-188. Posted at www.williamwhitepapers.com
Ethnic-specific Support Systems as a Method for Sustaining Long-term
Addiction Recovery
Although addiction recovery mutual aid support groups have grown dramatically and now
span secular, spiritual, and religious frameworks of recovery, most of what is known from
the standpoint of science about these groups is based on the early participation of treated
populations in Alcoholics Anonymous. Many questions remain about the effects of
participation in other mutual aid groups and different pathways and styles of recovery
within and across diverse ethnic groups. This paper reviews existing data on ethnic group
participation in recovery mutual aid groups, summarizes the history of culturally
indigenous recovery movements within Native American and African American
communities in the United States, and describes strategies aimed at increasing recovery
prevalence and the quality of life in recovery for persons of color in Philadelphia,
Pennsylvania, USA.
KEYWORDS: Addiction recovery, mutual aid, race, ethnicity, racial disparities, recovery
support, recovery mutual aid
Introduction
The prevalence of alcohol and other drug (AOD) use and related problems and access to
and participation in treatment and recovery support resources are not equally distributed across
racial/ethnic groups in the United States (Caetano, Baruah, & Chartier, 2011; Chartier &
Caetano, 2011; Mulia, Ye, Greenfield, & Zemore, 2009; Wallace, 1999). Although non-Whites
experience remission from substance use disorders at rates comparable to Whites (Arndt, Vélez,
Segre, & Clayton, 2010), AOD problems within communities of color have been historically
portrayed in the mainstream media through a lens of pathology rather than through the
perspectives of resilience, resistance, and recovery (White & Sanders, 2008). Pejorative racial
stereotypes long imbedded within anti-drug campaigns in the United States have
misrepresented the source, scope, and solutions to AOD-related problems within communities
of color (Helmer, 1975; Leland, 1976; Musto, 1973; Neuspiel, 1996). If there is a yet untold
addictions-related story at public and professional levels, it is the rich tradition through which
communities of color have actively resisted the infusion of alcohol and drugs into their cultures,