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STUDY 2010 HTM file
Treatment research in prison: problems and solutions in a randomized trial
In the first study of its kind, as a way of bridging the period after release opiate-dependent prisoners in Norway were randomly allocated to a six-month implant which blocks the effects of heroin or to methadone which substitutes for heroin. Many prisoners rejected treatment, wrongly believing they would sustain abstinence on release.
STUDY 2010 HTM file
Challenges to antagonist blockade during sustained-release naltrexone treatment
Despite being motivated to sustain abstinence and implanted with a drug which should have blocked the effects of opiates, in Norwegian studies most opiate-dependent patients used opiates and about a quarter did so repeatedly.
STUDY 2010 HTM file
Retention in naltrexone implant treatment for opioid dependence
In Norway over half the opiate dependent patients implanted with the opiate blocking drug naltrexone opted for another implant after six months when the first had worn off, giving themselves a year in which to construct a life no longer reliant on the effects of heroin.
REVIEW 2011 HTM file
Barriers and facilitators to implementing screening and brief intervention for alcohol misuse: a systematic review of qualitative evidence
UK-focused review for Britain's National Institute for Health and Clinical Excellence of what impedes or promotes the implementation of brief alcohol interventions at the level of the organisation, the staff doing the work, and the patients targeted by the programme.
STUDY 2010 HTM file
Routine alcohol screening and brief interventions in general hospital in-patient wards: acceptability and barriers
At three London hospitals 4% of inpatients completed a brief alcohol intervention after being screened for hazardous drinking by ward staff. Staff were positive and on one ward nearly half the patients were screened and one in ten counselled, but the overall results are unlikely to dent the public health burden imposed by risky drinking.
STUDY 2011 HTM file
Brief interventions in dependent drinkers: a comparative prospective analysis in two hospitals
In the north of England just a few (and often just one) counselling sessions by a specialist nurse had a remarkable impact on dependent drinkers seeking medical care at an accident and emergency department.
STUDY 2010 HTM file
Does successful school-based prevention of bullying influence substance use among 13- to
16-year-olds?
Intriguing suggestion from a Norwegian study that taking measures to effectively reduce bullying in schools (including improving the social climate and setting clear and consistently enforced boundaries) also curbs the development of forms of substance use most associated with disturbed child development.
STUDY 2011 HTM file
The NTA overdose and naloxone training programme for families and carers
Up to 18 lives were known (and more perhaps unrecorded) to have been saved after the National Treatment Agency in England piloted training for the carers of opiate users on how to administer the overdose-reversing drug naloxone. But how does catering for relapse in this way square with the optimism of the recovery movement?
REVIEW 2008 HTM file
Offender coercion in treatment: a meta-analysis of effectiveness
This comprehensive synthesis of 129 studies of offender treatment for problems such as substance use found increasing treatment impact as the degree to which the offender was free to choose the treatment increased. At the bottom end, mandated treatment in custody appeared a waste of time and money.
REVIEW 2010 HTM file
Effectiveness of policies restricting hours of alcohol sales in preventing excessive alcohol consumption and related harms
UK research is inconclusive, but international research from developed nations supports the belief that increasing on-licence opening hours leads to more drinking and more alcohol-related harm.
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