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STUDY 2006 PDF file 196Kb
Patient-focused alcohol treatment aids wives and children too
Whether families benefit from alcohol treatment as well as the patients has rarely been studied. This US analysis demonstrated that they do, positioning alcohol treatment as also contributing to child and family welfare objectives.
STUDY 2004 PDF file 117Kb
Outcomes maintained when UK alcohol unit cut day programme from ten to six weeks
First a Liverpool alcohol treatment unit cut inpatient stays from eight to four weeks, then cut its day programme from ten to six weeks. In both cases there was no significant reduction in the proportion of patients with good drinking outcomes.
STUDY 1999 PDF file 228Kb
Shared care encourages GPs to treat addiction
In London access to good quality primary care opiate addiction treatment was expanded by a mixture of support from a local specialist GP, training, peer support, financial reimbursements, and shared care guidelines and protocols.
STUDY 2003 PDF file 208Kb
Ways to expand shared care for opiate addicts
Offering specialist support can transform the proportion of opiate users treated by GPs on a 'shared care' basis was the clear message of a randomised study in the north west of England.
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 2004 PDF file 153Kb
Naltrexone helps GPs and practice nurses manage alcohol dependence
Further indications that naltrexone can aid the treatment of dependent drinkers in primary care settings have come from a US trial which tested the efficacy of the drug allied with the kind of consultations normally undertaken by GPs and practice nurses.
ABSTRACT 2011 HTM file
Guidance for the use of substitute prescribing in the treatment of opioid dependence in primary care
Evidence-based guidance for British GPs on how to withdraw heroin and other opioid addicts from opiate-type drugs or to maintain them by long-term prescribing of legal substitutes, with a focus on the use methadone and buprenorphine, the main medications used for these purposes in the UK.
STUDY 2010 HTM file
Cluster-randomized controlled trial of dissemination strategies of an online quality improvement programme for alcohol-related disorders
No matter which dissemination strategy was tried, just 4 in 10 GPs in Germany logged in to a government funded online alcohol intervention education and support system. Even among the few practices who joined the study, training was poorly attended.
STUDY 2017 HTM file
Practices and attitudes of general practitioners in the delivery of alcohol brief interventions in Scotland
Insight into what helps and hinders the delivery of brief alcohol interventions in general practice, from the perspective of doctors working in Scotland.
REVIEW 2012 HTM file
Behavioral counseling after screening for alcohol misuse in primary care: a systematic review and meta-analysis for the U.S. Preventive Services Task Force
Amalgamated findings from studies of risky drinkers identified and counselled in primary care settings indicate that compared to screening and assessment only, brief counselling lead to greater reductions in drinking, gains reflected less strongly in some indicators of health. However, it is unclear whether the generally small impacts would be sustained in routine practice.
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