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REVIEW 2019 HTM file
The efficacy of spiritual/religious interventions for substance use problems: a systematic review and meta-analysis of randomized controlled trials
Around the world, programmes which take a spiritual or overtly religious route to overcoming substance use problems are extremely common and in some countries dominant – but do they work any better than the alternatives? This review systematically sifted the evidence from the past 30 years.
STUDY 2000 PDF file 104Kb
'Wet shelter' becomes home for street drinkers
After an uncertain start, an experimental project based in London's East End safely housed long-term rough sleepers unwilling to stop drinking, connecting them to medical and other services whilst allowing drinking on the premises.
STUDY 2000 PDF file 148Kb
English residential rehabilitation services doing well but could do better
A report from the UK National Treatment Outcome Research Study (NTORS) spotlights the achievements of residential services for drug users but more could be done to improve retention and it is unclear how much the treatment had to do with the outcomes.
STUDY 2001 PDF file 209Kb
Simple induction procedures help alcohol and drug users engage with residential rehabilitation
In the USA relatively simple extensions to induction procedures for residential rehabilitation made a radical difference to how deeply coerced and other less motivated clients engaged with the programmes.
STUDY 2002 PDF file 431Kb
For crack users, non-residential rehabilitation can match residential
US crack users with no pressing reasons to enter residential versus non-residential rehabilitation did as well in either. Residential care is still needed (see Extended text) for patients it is unsafe or impractical to treat as outpatients.
STUDY 2003 PDF file 177Kb
Systematic but simple way to determine who needs residential care
In this US study the criteria and the methods used to develop them offer a way to reserve expensive residential rehabilitation for those who need it and to improve treatment completion rates in both residential and non-residential settings.
STUDY 2004 PDF file 140Kb
Crack: making and sustaining the break
The first UK follow-up study of service use by crack users revealed that after residential crisis intervention practically none avoided relapse without the aid of follow-on treatment, especially residential rehabilitation and attending mutual aid groups.
STUDY 2009 HTM file
Methadone patients in the therapeutic community: a test of equivalency
Are therapeutic communities incompatible with methadone maintenance? Not when staff have been prepared to accept and work with methadone patients and programmes adapted to accommodate them. Then patients stay as long and sustain abstinence from illegal drug use just as well as other residents.
STUDY 2007 HTM file
Day hospital and residential addiction treatment: randomized and nonrandomized managed care clients
By selecting clients at the very edge of ethically requiring referral to residential care, this US study confirms that unless there are pressing contraindications, intensive non-residential options deliver equivalent outcomes. Often of course, there ARE pressing contraindications.
STUDY 2008 HTM file
Self-financing resident-run houses maintain recovery after treatment
A US recovery model has proved its effectiveness in a rare randomised trial of a mutual aid intervention. The self-financing structure may help overcome restrictions on the supply and duration of residential rehabilitation in the UK.
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