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STUDY 2015 HTM file
Screen of Drug Use: diagnostic accuracy of a new brief tool for primary care
Just two simple questions (and often just one) correctly identified around 9 in 10 patients with drug use problems among a US primary care sample.
STUDY 1970 HTM file
Frontiers of alcoholism
Later to become founding director of the US National Institute on Alcohol Abuse and Alcoholism, in the late 1950s Dr Morris Chafetz of the Massachusetts General Hospital conducted a remarkable series of studies which proved that an alcohol clinic's intake and performance can be transformed by the simple application of empathy and organisation.
STUDY 2015 HTM file
Identification of smokers, drinkers and risky drinkers by general practitioners
Across six European countries, during normal consultations primary care doctors correctly identified 65% of their adult patients as current drinkers, and diagnosed as problem drinkers under a third of those whose responses during interviews with researchers were indicative of risky drinking.
UK study of how Quality and Outcomes Framework incentives for primary care boosted alcohol screening among patients with severe mental illness shows what could have happened had the incentives been extended across the entire primary care caseload.
This UK study tested the idea that a multi-behaviour healthy living intervention would be more acceptable and more effective among problem drinking patients identified by a screening test than a specific alcohol intervention, but in both options found recruitment and retention challenging.
REVIEW 2008 HTM file
Meta-analysis: Are 3 questions enough to detect unhealthy alcohol use?
Both AUDIT and AUDIT-C are known to accurately detect unhealthy drinking, but is one more accurate than the other? This paper looks for answers in 14 studies from across Europe and in the United States.
REVIEW 2016 HTM file
Patient preferences and shared decision-making in the treatment of substance use disorders: a systematic review of the literature
The first review to evaluate shared decision-making and patient preferences for substance use treatment finds evidence that greater patient involvement in decisions can improve outcomes and has no negative impacts.
HOT TOPIC 2016 HTM file
Individualising treatment: an obviously ‘good thing’?
‘Hot topics’ offer background and analysis on important issues which sometimes generate heated debate. Individualisation might seem an obvious and basic prerequisite to substance use treatment, but in fact services have often striven for uniformity.
STUDY 2016 HTM file
Screening for underage drinking and Diagnostic and Statistical Manual of Mental Disorders, 5th Edition alcohol use disorder in rural primary care practice
A US study of young people in rural primary care settings finds that alcohol use disorders can be identified with a single question about frequency of drinking.
STUDY 2015 HTM file
Navigating the alcohol treatment pathway: A qualitative study from the service users’ perspective
Patient interviews provide insight into low levels of engagement and retention in alcohol treatment services, hindering the effective provision of treatment for dependent drinkers. Findings suggest that treatment pathways should better reflect the capacity and capabilities of people with alcohol dependence.
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