S12-5HOW DOES ENGAGEMENT WITH ONLINE MUTUAL AID SUPPORT RECOVERY FROM PROBLEMATIC ALCOHOL USE?

Abstract

Advances in technology have led to an increased range of possibilities for forms of mutual aid in addictions. However, the effective processes involved may be different online from those that meet in person. 'Soberistas' is a 'social network site for people who are trying to resolve their problematic drinking patterns'. It offers a form of mutual aid, primarily for women, who have often not engaged with other treatment or support. Despite the growing evidence of effectiveness for online interventions based on Cognitive Behavioural Therapy and Self-Management and Recovery Training (SMART) principles, less is known about the mechanisms involved in the use of online groups that are underpinned by mutual aid and social support. Preliminary research into the 'Soberistas' platform suggests that the online, flexible, platform affords members an accessible and anonymous community to address their difficulties and encourages a positive 'alcohol free' identity. We identified three key stages of engagement: 1) 'Lurking' occurred early on, when participants were keen to maintain a degree of secrecy about themselves, but identified with the stories of others on the site. 2) Actively 'participating' on the site, and becoming accountable with other members often reflected an offline commitment to make changes in drinking behaviour. 3) 'Leading' was typically reserved for those who felt securely alcohol-free, and who described a sense of duty to give back to newer members in early recovery. These participants reported an authentic identity, defined by honesty, both on- and off-line. Engagement with online mutual aid might support recovery by affording users the opportunity to construct and adjust their identities in relation to their problematic alcohol use; individuals can use the parameters of being online to protect their identity, but also as a mechanism to change and consolidate their offline alcohol-related identity.