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HOT TOPIC 2018 HTM file
Measuring alcohol-related harm; politics and science

One of our selection of hot topics – important issues which sometimes generate heated debate. At a national level, alcohol-related harm and especially the net cost of harm versus benefits are slippery concepts. Malleability and policy salience combine to make the estimates contested territory.

STUDY 2018 HTM file
The impact of buprenorphine and methadone on mortality: a primary care cohort study in the United Kingdom

Buprenorphine may be associated with a lower risk of mortality than methadone among people engaged in opioid substitution treatment – but is the pattern of short treatment duration in the UK preventing maximal impact at a population level?

MATRIX CELL 2018 HTM file
Alcohol Treatment Matrix cell B5: Practitioners; Safeguarding the community

Seminal and key studies on the impact of the practitioner in criminal justice work and safeguarding the community. Explores whether exceptional abilities are needed to forge productive therapeutic relationships in these situations.

STUDY 2017 HTM file
The intervention effect of local alcohol licensing policies on hospital admission and crime: a natural experiment using a novel Bayesian synthetic time-series method

Variations in the implementation of alcohol licensing policies across England presented a natural opportunity to study the impact of discretionary powers. Between 2011 and 2015, local areas with a more ‘hands on’ approach to enforcement saw moderate reductions in alcohol-related hospital admissions and violent and sexual crimes.

REVIEW 2016 HTM file
Systematic review of interventions to reduce problematic alcohol use in men who have sex with men

Consistent with the broader alcohol treatment literature, there is support for the efficacy of motivational interviewing among cohorts of men who have sex with men. However, research for this population remains ‘alarmingly scarce’, and tends to be derived from theories about problem drinking in the general population.

MATRIX CELL 2018 HTM file
Drug Treatment Matrix cell A5: Interventions; Safeguarding the community

Seminal and key studies shedding light on treatment’s contribution to safeguarding the community and preventing crime. Commentary addresses two highly controversial issues, asking, “Can it ever be safe to leave children with seriously problematic drug users?”, and examining the ethical considerations and evidence on pressuring opioid-dependent offenders to take the opiate-blocker naltrexone.

HOT TOPIC 2018 HTM file
Opiate-blocking implants: magic bullet or dangerous experiment?

‘Hot topics’ offer background and analysis on important issues which sometimes generate heated debate. Opinion is sharply divided on the ethics and effectiveness of long-acting implanted or injected opiate-blocking medications, products not approved for medical practice in the UK, but which some see as a major breakthroughs in overcoming addiction to heroin and allied drugs.

HOT TOPIC 2018 HTM file
Ethics and evidence on naltrexone treatment of offenders

‘Hot topics’ offer background and analysis on important issues which sometimes generate heated debate. Opinion is sharply divided on the ethics and effectiveness of pressuring opioid-dependent offenders to take the opiate-blocker naltrexone. Especially sharp is the controversy over long-acting products not approved for medical practice in the UK. Do they constitute an unacceptable infringement of autonomy, or is forcing them on some offenders as caring as holding back someone about to (by choice or not) walk off a cliff?

DOCUMENT 2018 HTM file
Medications for opioid use disorder: for healthcare and addiction professionals, policymakers, patients, and families: Treatment Improvement Protocol: TIP 63

Expanding access to medication is an important public health strategy for tackling opioid use disorder, concludes US government agency. While some people stop using opioids without medication, many benefit from access to methadone, naltrexone, and buprenorphine for varying lengths of time, including lifelong treatment.

REVIEW 2018 HTM file
Effectiveness of brief alcohol interventions in primary care populations

Please come back again soon. This entry is under construction.


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