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STUDY 2009 HTM file
Drug and alcohol services in Scotland
Scotland's national audit body assesses value for money from drug and alcohol services. It found systems poorly informed by the problems to be addressed and what works in addressing them, and in respect of drugs, unclear about what 'value' consists of.
STUDY 2005 PDF file 149Kb
Addressing medical and welfare needs improves treatment retention and outcomes
In this US treatment study, receiving services matched to need was associated with greater reductions in illegal drug use, supporting calls for services to address not just dependence but also medical, psychological, social, housing, and vocational needs.
STUDY 2005 PDF file 160Kb
Structured nursing advice helps alcohol home detox patients keep staying sober
Restructuring the nursing involved in British home detoxification programmes meant that a year later a third more patients were no longer drinking heavily, creating a highly cost-effective intervention.
STUDY 2005 PDF file 142Kb
Anti-alcohol drug also reduces cocaine use
US trial shows that when cocaine dependence and heavy drinking are intertwined, prescribing the anti-alcohol medication disulfiram helps resolve both problems, unless patients are so wedded to drink that they stop taking the pills.
STUDY 2005 PDF file 170Kb
'Real-world' studies show that medications do suppress heavy drinking
Three trials found that drugs commonly used to treat alcohol dependence improve outcomes for an appreciable minority of patients, even under conditions close to normal practice. Together they offer clues to who benefits most from each medication.
IN PRACTICE 2005 PDF file 927Kb
Barriers cleared in Endell Street
How a team in London's West End set about systematically overcoming the barriers which prevented the residents of a homelessness hostel getting the treatment they needed. The key step was simple – asking the residents just what it was which stood in the way.
IN PRACTICE 2005 PDF file 1242Kb
Wet day centres in Britain part 1: planning and setting up
Solid guidance based on a detailed analysis of UK centres offering street drinkers a place where they can start to reverse years of deterioration without having first to stop drinking. In this extraordinarily difficult task, good planning is key.
REVIEW 2008 HTM file
A systematic review of cognitive and behavioural therapies for methamphetamine dependence
After trawling the world literature for randomised trials, reviewers found it is less the case that 'nothing works' with methamphetamine users, more the case that, within reason, everything works for some people to some degree and for some time.
REVIEW 2008 HTM file
Recovery management and recovery-oriented systems of care: scientific rationale and promising practices
Sweeping, learned but practice-oriented tour-de-force from the US recovery advocate who sees the creation of a recovery-friendly environment as the best way to ensure a lasting resolution of substance use problems with or without abstinence.
STUDY 2009 HTM file
Relating counselor attributes to client engagement in England
The most wide-ranging investigation of the organisational health of British treatment services found clients engaged best when services fostered communication, participation and trust among staff, had a clear mission, but were open to new ideas and practices.
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