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The annual accounting of the treatment caseload in England registers a continuing fall in total numbers and decreasing success with opiate users, while success with drinkers has increased and has for the last few years remained relatively high and stable. An ageing population of opiate users is the proposed explanation for the former trend – but why hasn’t a similarly ageing alcohol caseload also eroded success rates?
STUDY 2015 HTM file
Changing patterns of substance misuse in adult prisons and service responses
Inspection findings on individual prisons were supplemented by fieldwork in eight prisons in 2014 to generate an overall picture of drug use and responses to it in prisons and England and Wales. In the face of rapidly changing and varied drug use patterns, policy and operational responses were seen as insufficiently flexible and dynamic, though treatment had dramatically improved.
Can a brief intervention delivered by trained GPs impact on young patients’ excessive drinking and cannabis use? Set in French-speaking Switzerland, this study examines outcomes over a 12-month period.
HOT TOPIC 2017 HTM file
Cannabis is worth bothering with
‘Hot topics’ offer background and analysis on important issues which sometimes generate heated debate. Despite heroin, crack and overdose deaths at record levels, we examine the proposition that cannabis use is worth bothering with, including reports that stronger products are aggravating harms, prospects of recovery from problem use, and the emerging response to synthetic forms of cannabis like ‘spice’.
Review finds multidimensional family therapy more effective than group therapies and other psychosocial therapies, particularly among adolescents with severe substance use and other behavioural problems.
For the first time in a prison setting a randomised trial rigorously compared intensive residential therapeutic community treatment to outpatient counselling. Confounding expectations, the US prison for problem drug users which hosted the study gained nothing in terms of preventing recidivism by allocating even high-risk prisoners to the more intensive treatment.
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.
The diminishing youth treatment caseload in England is increasingly dominated by under-18s primarily being treated for cannabis use problems as the numbers of primary problem drinkers falls away to just 15% of the caseload.
For the second time the annual accounting of the treatment caseload in England combines records of drug and alcohol use treatment, registering a continuing fall in total numbers and decreasing success with opiate users, while the treatment of drinkers appears to be improving.
Multi-prong therapies centred on the family emerge as probably the most effective in this comprehensive and careful synthesis of the results of trials of non-residential programmes for substance using teenagers – but do the outcomes warrant the extra costs?
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