The failure of 12 step programs is something I've written about from time to time. https://medium.com/@marcus17043/efficacy-of-12-step-programs-for-addiction-treatment-c111fbffc10a the subtitle is "Groups and treatment centers must alter their “sit down, shut up, and listen” approach and remove the absolute abstinence requirement that is not found in the Big Book or the 12 and 12"