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As duration and intensity of services decline, the treatment system's success in engaging substance-using clients in self-help (SH) will increasingly influence client outcomes. Clinicians play an important role in involving clients with SH, yet little is known about how referral decisions are made or about the referral process itself. This paper reviews clinicians' attitudes toward SH and their role in referring clients to SH, and identifies types of research needed to elucidate the referral process from both clinicians' and clients' perspectives. Such research can help enhance the number and outcome of referrals to self-help groups.

Substance Abuse Treatment Providers Referral to Self Help: Review and Future Empirical Directions