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HOT TOPIC 2016 HTM file
The therapeutic potential of patients and clients
One of our hot topics offering background and analysis on important issues which sometimes generate heated debate. The recovery agenda emphasises the transformation of problem substance users into solutions to those problems through peer support and involvement in their own care – but perhaps at a deeper level, the patient or client has always been the author of their own recovery.
HOT TOPIC 2016 HTM file
‘Everyone’s not doing it’ message offers hope for prevention
‘Hot topics’ offer background and analysis on important issues which sometimes generate heated debate. ‘Normative education’ comparing the recipient’s use levels to population norms retains some of its shine as the great hope for school- and college-based prevention, but accumulating data demands a reappraisal.
HOT TOPIC 2016 HTM file
Harm reduction: what’s it for?
‘Hot topics’ offer background and analysis on important issues which sometimes generate heated debate. Opposing agendas have led to a shifting balance between seeing harm-reduction as acceptable only in the service of the greater good of reducing or eliminating drug use, versus seeing it as the overriding objective, one which should never be sacrificed to an anti-drugs agenda.
REVIEW 2016 HTM file
Preventing opioid overdose deaths with take-home naloxone
To aid policymaking, experts commissioned by the European Union’s drug misuse monitoring centre review the evidence and offer guidance on the provision of the medication naloxone, which reverses the effects of drugs like heroin, helping to prevent overdoses becoming fatal.
STUDY 2015 HTM file
Randomized controlled trial of motivational interviewing for reducing injection risk behaviours among people who inject drugs
Injectors at risk of infection due to sharing equipment responded best to brief risk-reduction counselling based on motivational rather than educational principles, offering a way to augment the benefits of harm reduction services.
REVIEW 2015 HTM file
The efficacy of acamprosate and naltrexone in the treatment of alcohol dependence, Europe versus the rest of the world: a meta-analysis
Whether differences between the patients mean impacts of the alcohol treatment medications acamprosate and naltrexone vary between Europe and the USA was the issue which motivated this fresh analysis of randomised trials. It confirmed the medications’ efficacy and found no evidence that this differed in European trials versus those conducted elsewhere.
COLLECTION 2016 HTM file
The Old Gold archive
‘Collections’ are customised Effectiveness Bank searches not available via the standard options in the search pages. Archive of entries analysing seminal studies of lasting significance from the past.
REVIEW 2011 HTM file
The efficacy of disulfiram for the treatment of alcohol use disorder
Given effective supervision from family or clinicians to help ensure patients keep taking the tablets, this first systematic synthesis of research finds that on average the drug disulfiram, which produces an unpleasant physical reaction to drinking, does act as an aid to abstinence in the treatment of alcohol dependence.
STUDY 2016 HTM file
Model-based appraisal of the comparative impact of minimum unit pricing and taxation policies in Scotland
Whether alcohol tax rises would be an acceptable and effective alternative could determine the legality under EU law of Scotland’s law permitting a minimum unit price for alcohol. This analysis predicts tax rises would curb consumption and save lives, but not without perhaps unacceptably hitting the pockets of non-harmful drinkers.
REVIEW 2012 HTM file
Screening, brief intervention, and referral for alcohol use in adolescents: a systematic review
‘Inconclusive’ was the verdict of a review which aimed to assess the effectiveness of brief alcohol interventions among patients aged 11 to 21 attending for emergency care in the USA. Most promising targets seem to have been the more heavy or irresponsibly drinking among patients who were young adults rather than adolescents.
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