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                                                       AA and Healthcare in the Community
1. Healthcare Professionals
2. Making Contact
3. Meeting a Healthcare Professional
4. Hospital/Treatment Centre Meetings
5. Starting a Hospital/Treatment Centre Group
6. The Responsibility of Hospital/Treatment Centre Groups
7. Additional Hints
8. Communication

The purpose of this guidance, in conjunction with the AA Health Resource Pack, is to assist
Health Liaison Officers (HLOs) to carry the message to the still suffering alcoholic through
co-operation with professional healthcare workers.
Intergroups and regions are responsible for the appointment of an HLO who ideally should
work as a member of the local AA combined services or other appropriate committee. The
HLO establishes contact and maintains communication with healthcare professionals, and
reports back to intergroup and/or region.

• National Health Areas may not coincide with region or intergroup areas and it is
important to identify where these differences occur

• The emphasis on hospital based treatment for patients with alcohol problems has
shifted to community based initiatives

• Healthcare is no longer the sole province of the health service; depending on the
area, healthcare may also include the local authority social services departments
and private sector care providers

• Familiarity with the local area and a thorough knowledge of The AA Service and
Structure Handbooks for Great Britain are vital to the role of HLO

Healthcare Professionals
By this we mean doctors, nurses, GPs and others whose remit includes contact with the
active alcoholic. It should also include hospital and treatment centre administrators/
managers. We may also be required to talk to student health care professionals. Do not
be surprised if professionals do not use the word alcoholic, and instead refer to “problem
drinker”, “alcohol dependent” and “alcohol abuse” or “misuse”.

Making Contact
It may be useful together with the Public Information Officer and/or combined services
committee to map the healthcare professionals, hospitals, treatment centres and other
healthcare providers within your area. From this information an action plan for making
contact can be developed. It is important for a list of existing contacts and hospital groups
to be included with your map, as their experience will be a valuable asset in developing new
contacts. Teamwork is the key for this to work effectively. It is also helpful to have a list of
AA members who can help give talks and send out information.

As with other external services, contact by letter or e-mail asking for an appointment is
the first step with perhaps a follow up telephone call. Intergroups and regions should have
headed paper for this purpose.

Meeting a Healthcare Professional
Professional workers tend to have a clear understanding of their areas of responsibility but
few will understand ours. Initially our role might be that of providing information as to
what AA can and cannot do, always remembering that as a Fellowship we are committed to
remaining non-professional. Our approach is based on our ability as recovering alcoholics
to work effectively with the still suffering alcoholic. When co-operating with professionals
we should always adhere to our Traditions.
It is suggested that we:

• Are fully aware of the Traditions

• Turn up on time, suitably dressed

• Politely make ourselves known

• Take writing materials and record items relevant to our region/intergroup

• Do not engage in debates about budgets, bed shortages or any outside issues

• Never discuss individual AA members

• Do not report to non-AA committees but we can and should make AA information
freely available

• Do not give medical advice to anyone

• Provide current times and venues of meetings, the National Telephone Service
number and details of AA literature

• Never commit Alcoholics Anonymous or other AAs beyond your remit or our

Don’t be afraid to ask questions; it’s the only way to learn. Enjoy your role, safeguard the
position and pass on your experience at rotation. AA has been co-operating with healthcare
professionals for over fifty years but, if the experience is new to you, make use of the
experience of other members in your area.

Hospital/Treatment Centre Meetings
There are two forms of meeting suitable for these premises. First there is the regular AA
group meeting, run according to guidance outlined in the Structure Handbook chapter ‘The
Group’ section 1, using the hospital/treatment centre as a venue. These meetings welcome
patients being treated for alcoholism, and should be subject to Tradition Seven. Second
there is the AA sponsored meeting held for in-patients. The outside sponsors attend these
meetings, regularly bringing in outside speakers. These meetings are not open to AA in
general nor listed in AA’s Where to Find. This second type may not be self-supporting
so it may be necessary to provide refreshments and AA literature. In-patients undergo
treatment for relatively short periods so the continuation of the meeting depends heavily on
the outside sponsors. It is usual for these meetings to be open to allow health professionals
to attend.

Starting a Hospital/Treatment Centre Group
Discuss the idea at intergroup, region and combined services meetings to establish the
need and the support of local members. Experience suggests that a minimum of four AA
members are required who are committed to support the group for at least one year. The
Hospital Liaison Officer and another member of the services committee should then make
contact with the hospital/treatment centre so as to discuss the form of meeting to take place
on their premises.

• National Health Service hospitals function through three departments – Medical,
Nursing and Administration. Ensure that each is fully informed as problems can
arise when AA has contacted a person who, though helpful and understanding, may
not have the necessary authority to implement the decisions or arrangements

• Courtesy and experience tell us that we cannot occupy premises without the
permission of the Administrator; that we cannot approach patients without
the permission of the doctor in charge and we cannot enter a ward without the
permission of the Nursing Officer/Charge Nurse/Ward Sister

The Responsibility of Hospital/Treatment Centre Groups
Once a group is established, members may be invited to visit patients in their wards. We do
not solicit members; rather this is an opportunity to share our experience, strength and hope.
You might consider leaving literature or asking if the patient would like to attend a meeting
of the group. Always ask if the staff on duty can make the necessary arrangements and gain
their consent. It is helpful if one or two members take on the responsibility of visiting wards
each week to carry out this task, remembering to be courteous to all staff and to thank them
for allowing admittance to their premises.

Additional Hints

• We may be required to register as a volunteer

• Abide by the rules of the hospital/treatment centre; we are only guests

• Limit yourself to carrying your own simple message of recovery

• Be willing to listen as well as talk

• Have a thorough knowledge of the Traditions and live by their spiritual foundation

• You will be known to be a member of AA by people in the hospital and your
appearance, language, manner and conduct may influence their opinion of AA

• Always maintain a cheerful humility about the amateur status of AA. We are not

• Do not talk about medication, psychiatry or scientific theories on alcoholism

• Never interfere or comment on the treatment or drug regime of patients. This is the
sole responsibility of doctors

• Do not boast about AA. Let results speak for themselves
Finally, when taking responsibility for meetings in a professional centre it is necessary to
keep in frequent, friendly contact with members of staff at the centre.

Regular reporting by intergroup and region Health Liaison Officers is a vital part of their
role. This will keep the Fellowship aware of progress or problems. It will ensure that all
areas of service work together, regardless of boundaries and service titles, to carry AA’s
message to all Health Professionals and, more importantly, the alcoholic who still suffers.
Consider responding flexibly to the needs of the professional community and, through
regular service meetings/workshops, a plan for your area will emerge. Do not be afraid to
ask for help or to contact members in similar service positions in other areas. The Health
Sub-committee members are also available to support and sponsor members into the role of
Health Liaison Officer. A resource pack is also available.
Remember your primary purpose is to stay sober and help other alcoholics to achieve
This is not an exhaustive list of Health Liaison functions/duties.

Suggested Literature (available from GSO)

• AA Health Resource Pack

• AA as a Resource for the Medical Profession

• A Message for Professionals

• 44 Questions and Answers

• A Member’s Eye View of AA

• Speaking at non-AA meetings

• A brief guide to AA

• Who Me?

• For details of Confirmation of Attendance ‘Chits’ see Chapter 9.3.2 page 61
(Probation/Criminal Justice Services)
(Revised 2017)