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A major barrier to youth recovery is finding suitable sobriety‐supportive social contexts. National studies reveal most adolescent addiction treatment programs link youths to community 12‐step fellowships to help meet this challenge, but little is known empirically regarding the extent to which adolescents attend and benefit from 12‐step meetings or whether they derive additional gains from active involvement in prescribed 12‐step activities (e.g., contact with a sponsor and other fellowship members). Greater knowledge in this area would enhance the efficiency of clinical continuing care recommendations.

Adolescent outpatients (N = 127; M age 16.7; 75% male; 87% white) enrolled in a naturalistic study of treatment effectiveness were assessed at intake and 3, 6, and 12 months later using standardized assessments. Mixed‐effects models, controlling for static and time‐varying confounds …