However, in the later version of the manual (the fifth edition), to longer uses the terms ‘substance dependence’ and addiction’ have been replaced by ‘substance use disorders’ (SAMHSA, 2016). The Substance Abuse and Mental Health Services Administration (SAMHSA) touches upon how the DSM-5 talks about what is now known as ‘substance use disorders’. Substance use disorders is broken down into three levels of severity: mild, moderate and severe. In order to be diagnosed as having a substance use disorder, the individual must meet certain criteria, as put forth by the DSM-5 (SAMHSA, 2016). According to the DSM-5, “diagnosis of substance use disorder is based on evidence of impaired control, social impairment, risky use and pharmacological criteria” (SAMHSA, …show more content…
Spirituality had become an integral part of the participant’s recovery, as 11% of the residents said that their spirituality grew through Alcoholics Anonymous and the 12 steps (Nealon-Woods, Ferrari and Jason,