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This study examines the relationship between social isolation, giving and receiving social support in Alcoholics Anonymous during treatment, and post-treatment outcomes among juvenile offenders court-referred to addiction treatment. Adolescents ( N = 195) aged 14 to 18 years were prospectively assessed at treatment admission, treatment discharge, 6 months, and 12 months after treatment discharge. The influence of social isolation variables on relapse and severe criminal activity in the 12-months post-treatment was examined using negative binomial logistic regressions and event history methods. Juveniles entering treatment with social estrangement were significantly more likely to relapse, be incarcerated, and commit a violent crime in the 12-months post-treatment. Giving help to others in Alcoholics Anonymous during treatment significantly reduced the risk of relapse, incarceration, and violent crime in the 12-months post-treatment whereas receiving help did not.<\/jats:p>","DOI":"10.1177\/0044118x15617400","type":"journal-article","created":{"date-parts":[[2015,12,1]],"date-time":"2015-12-01T21:45:07Z","timestamp":1449006307000},"page":"529-550","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":37,"title":["Alone on the Inside: The Impact of Social Isolation and Helping Others on AOD Use and Criminal Activity"],"prefix":"10.1177","volume":"50","author":[{"given":"Byron R.","family":"Johnson","sequence":"first","affiliation":[{"name":"Baylor University, Waco, TX, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria E.","family":"Pagano","sequence":"additional","affiliation":[{"name":"Case Western Reserve University, Cleveland, OH, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthew T.","family":"Lee","sequence":"additional","affiliation":[{"name":"University of Akron, Akron, OH, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephen G.","family":"Post","sequence":"additional","affiliation":[{"name":"Stony Brook University, Stony Brook, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2015,12,1]]},"reference":[{"key":"bibr1-0044118X15617400","volume-title":"Best of the grapevine","volume":"1","author":"AA Grapevine, Inc","year":"2003"},{"key":"bibr2-0044118X15617400","volume-title":"Alcoholics Anonymous 1st edition 13th printing: The story of how thousands of men and women recovered from alcoholism","author":"Alcoholics Anonymous","year":"1950"},{"key":"bibr3-0044118X15617400","volume-title":"So you think you\u2019re different?","author":"Alcoholics Anonymous World Service","year":"1976"},{"key":"bibr4-0044118X15617400","volume-title":"Alcoholics Anonymous big book trade edition","author":"Alcoholics Anonymous World Service","year":"2001"},{"key":"bibr5-0044118X15617400","first-page":"150","volume-title":"Treatment matching in alcoholism","author":"Babor T. 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