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STUDY 2006 PDF file 199Kb
A&E units save health service resources by addressing drinking
This US study estimated that each $ spent screening for and offering advice to heavy drinking emergency patients would save nearly $4 in health care costs due to reduced hospital re-attendance. A British trial suggests similar savings might be found in the UK.
STUDY 2006 PDF file 164Kb
UK trial bolsters case for well-supervised alcohol therapy
This major British trial found that an alcohol dependence therapy designed to improve on short motivational approaches led to no greater benefits for patients or cost-savings for society. Instead the study has been used to argue that alcohol treatment overall saves money.
STUDY 2006 PDF file 159Kb
No major 'honeypot' effect after injecting centre opens
Australia's only safer injecting centre did not (as feared before its opening) attract large numbers of drug users and dealers to the neighbourhood or aggravate associated local crime and nuisance.
STUDY 2006 PDF file 264Kb
Ongoing support encourages GPs to advise heavy drinkers
Screening and brief intervention for risky drinking is a major plank in the English alcohol strategy. A WHO trial in six countries including England has shown that personal contact and ongoing support are needed to encourage even modest levels of intervention by GPs.
STUDY 2006 PDF file 152Kb
Naltrexone implants prevent opiate overdose
Short-acting opiate blockers are associated with high overdose rates when heroin-dependent patients stop taking them. This Australian study suggests that a product intended to block opiates for six months can overcome that problem, though patients may resort to sedatives instead.
STUDY 2006 PDF file 172Kb
Adjust therapist directiveness to client resistance
Persuasive evidence from the US Project MATCH alcohol treatment trial that a non-directive therapeutic style suits clients prone anger or defensiveness or who like to take control, and more structured and directive approaches suit those who welcome being given a lead.
NASTY SURPRISES 2006 PDF file 390Kb
Boomerang ads
Not ads for boomerangs, but ads which risk a boomerang effect – specifically, the US government's biggest ever attempt to use the media to turn US youth away from drugs. Could it actually have done the reverse?
STUDY 2006 PDF file 207Kb
Methadone maintenance: the original
In the mid-60s even its originators doubted whether methadone maintenance could work when everything else had failed, gnawing their nails as they waited for patients to return from the temptations outside the ward. What they saw instead was a 'miraculous' transformation.
REVIEW 2010 HTM file
A comparison of methadone, buprenorphine and alpha2 adrenergic agonists for opioid detoxification: a mixed treatment comparison meta-analysis
A new methodology to combine the results of relevant studies suggests buprenorphine has the edge over methadone among the main medications used to help dependent patients complete withdrawal from heroin and allied drugs.
REVIEW 2010 HTM file
A meta-analysis of motivational interviewing: twenty-five years of empirical studies
Better than 'treatment as usual' but not than other specific therapies are the headlines from the most comprehensive synthesis of motivational interviewing studies to date. Along the way are insights in to the equivocal value of manuals and of feeding back assessment results to patients.
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