Effectiveness bank home page. Opens new window Hot topic search results

You have found 53 entries after clicking the GO button or a search link in a hot topic. Starting with the most recently added or updated entries, the list shows in orange the type of entry, year the original document was published (or if one of our own documents, the year last updated), and the type of file you will download when you click on the title. In blue is the document’s title followed by a brief description.

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STUDY 2008 HTM file
Does following research-derived practice guidelines improve opiate-dependent patients’ outcomes under everyday practice conditions? Results of the Multisite Opiate Substitution Treatment study

In everyday practice at methadone maintenance clinics and with the full range of patients, does implementing clinical guidelines lead to better outcomes for patients? Two sets of US clinics selected for high versus low adherence to guidelines provided evidence that the recommended high doses and intensive psychosocial services really do make the intended difference.

HOT TOPIC 2017 HTM file
Focus on the families

One of our selection of hot topics on important issues which sometimes generate heated debate. Both as a treatment resource for the patient and a group needing support in their own right, families affected by substance use are, claimed a UK report in 2012, the ‘forgotten’ carers.

HOT TOPIC 2017 HTM file
Substance use treatment as part of a ‘wrap-around’ package of care

One of our hot topic essays on important issues which sometimes generate heated debate. Asks whether supplementing addiction treatment with ‘wrap-around’ services is a distraction, or part of the core business of sustainably overcoming addiction. What’s for sure is that mental health, social and material resources, and the wherewithal for social inclusion, are all often lacking in addiction treatment caseloads; but does addressing these promote recovery from addiction?

REVIEW 2010 HTM file
Assessment and management of cannabis use disorders in primary care

A brief clinical review outlining the harms associated with cannabis use, and the optimal approaches for assessing and managing problem cannabis use in UK primary care.

STUDY 2016 HTM file
After FDAC: outcomes 5 years later (final report)

Five-year follow-up of London families finds better outcomes among those in the Family Drug and Alcohol Court than ordinary care proceedings.

REVIEW 2017 HTM file
An evidence review of the outcomes that can be expected of drug misuse treatment in England

English treatment systems perform at least as well as other countries on a number of measures, but have a considerably higher rate of drug-related deaths than elsewhere in Europe. As well as pursuing harm reduction and recovery, this report stresses the importance of social integration as an objective.

DOCUMENT 2016 HTM file
Coexisting severe mental illness and substance misuse: community health and social care services

NICE guidance on health and social care for substance users with severe mental illness says that rather than creating specialist ‘dual diagnosis’ services, health and social care (including substance misuse) services should adapt to this caseload, and their care should be led by the mental health service.

HOT TOPIC 2016 HTM file
Are the drugs enough? Counselling and therapy in substitute prescribing programmes

One of our hot topics offering background and analysis on important issues which sometimes generate heated debate. Explore the somewhat heretical proposition that the counsellor can virtually be dispensed with in opiate substitute prescribing programmes with little loss of impact. The gain would be that methadone could be spread ‘thin and wide’, reaching more potential patients.

STUDY 2011 HTM file
Monitoring and evaluation of family intervention services and projects between February 2007 and March 2011

Family interventions were at the heart of the UK government’s ambition to ‘turn round’ the lives of 120,000 troubled families in England. In respect of drink and drug problems, substantial remission was seen, but the featured study could not show whether this was due to the interventions, and a report on a successor programme found no significant impacts.

REVIEW 2012 HTM file
Social reintegration and employment: evidence and interventions for drug users in treatment

Report for the EU identifies an urgent need to increase access to social reintegration interventions for problem drug users. Though unable to pin down the best approaches, it stresses that reintegration measures should be embedded into drug treatment at an early stage.


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