TSF Program Components

Read through the Scope and Sequence information.

Extra Facilitator guides

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The New Twelve Step Facilitation Program
A Therapeutic Approach to Treatment and Recovery

TSF CollectionMillions of people put their faith in the Twelve Steps every day. As a treatment provider, however, you need more than faith: you need proof to show accountability. Research proves that belonging to a Twelve Step Fellowship group increases the chances of long-term recovery from addictions and is also helpful with treating compulsive behaviors and mental health disorders. Twelve Step Facilitation (TSF) is an evidence-based approach that together with active involvement in a Twelve Step group helps individuals succeed as they move from treatment into recovery.

The revised and expanded Twelve Step Facilitation Program by Joseph Nowinski, PhD, is designed for one-to-one individual facilitation sessions, as well as group treatment. It can be used for clients who are new to a Twelve Step program as well as those who have experience with Alcoholic Anonymous or other Twelve Step groups.

Ideal for organizations seeking a systemized and consistent approach to addiction treatment in community-based, corrections, private practice, and mental health settings, the Twelve Step Facilitation Program offers 64 percent lower health care costs compared to cognitive-behavioral treatments.*

Co-occurring Disorders (TSF-COD) version
Adapted from the TSF program, Twelve Step Facilitation for Co-occurring Disorders offers specialized sessions that address the unique needs of those with both a substance use disorder and a co-occurring mental health disorder such as anxiety, depression, schizophrenia, and PTSD.

*According to the National Institutes of Health.

What's new in the second edition

  • Updated content based on the latest research
  • New, separate version of TSF for co-occurring disorders
  • Integration of Motivational Enhancement Theory (MET) and Cognitive-Behavioral Therapy (CBT)
  • An improved and streamlined approach to research, theory, structure, and format
  • Expanded application for all substance use and compulsive disorders
  • Instructions for individual and group administration, both for youth and adults
  • Instructions for guided discussion of the Twelve Steps of AA and NA
  • Guidelines for coaching, exploring denial and establishing treatment goals and expectations
  • Overview of both TSF and TSF-COD programs
  • Responses to common criticism of TSF
  • Guidance on volunteer- and peer-led facilitation
  • Revised facilitation guides featuring easy-to-follow, step-by-step instructions
  • New assessment tools, expanded outcome measurement tools, and updated fidelity checklists
  • New integrated video content for enhanced instruction and interactivity
  • Expanded application of Recovery Dimensions to ensure balanced treatment plans
  • New client workbook for enhanced learning and participation

Program Implementation Training

On Site Training
Bring program training to your facility. Hazelden program implementation training will bring everyone to the same understanding of how to implement the curriculum, provide better outcomes for implementation, and help to sustain the services you provide.

Click for more info.
Open Enrollment Training

Schedule is being reviewed, check back for updates.

Online Twelve Step Facilitation Course
Twelve Step Facilitation (TSF) author, Dr. Nowinski, is now teaching an online course on the evidence-based practice at the Hazelden Betty Ford Graduate School of Addiction Studies (IR-515 Advanced Twelve Step Facilitation – 3 credits).
Click for more info and to register.

About the author
Joseph Nowinski, PhD, is an internationally recognized clinical psychologist and author. He has held positions as assistant professor of psychiatry at the University of California, San Francisco, associate adjunct professor of psychology at the University of Connecticut, and supervising psychologist, Correctional Health Care Division, University of Connecticut Health Center and has authored books for many different audiences.