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STUDY 2007 HTM file
The costs and consequences of three policy options for reducing heroin dependency
Australian study addressing an issue greatly exercising the UK: do you get greater returns per £ from residential rehabilitation or from substitute prescribing? In terms of reduction in the frequency of heroin use, prescribing was one-and-a-half to three times more cost-effective.
STUDY 2008 HTM file
Screening, brief interventions, referral to treatment (SBIRT) for illicit drug and alcohol use at multiple healthcare sites: comparison at intake and 6 months later
This huge US study set out to test whether widespread screening and brief intervention for illegal drug use (not just heavy drinking) could be implemented in a variety of general medical settings and whether it was effective. Both tests seem to have been passed, but with some important caveats.
STUDY 2008 HTM file
Network support for drinking: an application of multiple groups growth mixture modeling to examine client-treatment matching
Reanalysis of the huge US Project MATCH alcohol treatment trial confirms that patients with pro-drinking social circles gained greater remission in drink problems when 'matched' to a therapy focused on generating a social circle (in the form of AA) with the opposite characteristics.
STUDY 2008 HTM file
Reducing alcohol harm: health services in England for alcohol misuse
Official audit of work by the Department of Health and NHS to address the health effects of alcohol misuse. Describes a system whose infrastructure is clearly inadequate compared to the size of the task, but one recently taking steps in the right direction.
STUDY 2008 HTM file
Primary care intervention to reduce alcohol misuse: ranking its health impact and cost effectiveness
In this comprehensive analysis, screening for risky drinking and brief advice was estimated to be among the most cost-effective preventive services GPs could offer, ranking alongside common interventions such as screening for high blood pressure or immunisation against influenza.
STUDY 2007 HTM file
Measuring performance of brief alcohol counseling in medical settings: a review of the options and lessons from the Veterans Affairs (VA) health care system
Having mandated universal screening for alcohol problems, the US health system for ex military personnel here thoughtfully addresses how to measure the degree to which this led to appropriate implementation of brief interventions.
STUDY 2004 PDF file 118Kb
Drug courts can work in Britain
Early studies from Scotland provided affirmative answers to the first two questions about drug courts in Britain – whether they can be made to work and whether offenders can be retained on the court orders.
STUDY 2004 PDF file 87Kb
First British study to tackle excessive drinking by methadone patients
English clinic challenged assumptions by patients and staff that excessive drinking was not a priority for patients dependent on opiates. A short programme of motivational interviewing, plus detox when needed, led many to curb their drinking.
STUDY 2004 PDF file 194Kb
Teachers can teach while nurses do prevention
Promising results from one-to-one brief drinking prevention advice by US school nurses offers a way to release teachers from the bind of objectively teaching about substance use while trying to prevent it.
STUDY 2004 PDF file 167Kb
Police and licensees working together curb violent incidents in Cardiff
A multi-agency project led by police focused on improving the management of licensed premises and modifying violence-generating features of the nighttime city centre. The result was to curb the rise in violence seen elsewhere in Wales.
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