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REVIEW 2009 HTM file
Continuing care research: what we have learned and where we are going

Are alcohol and drug dependence best treated as chronic conditions needing extended care, or should we expect patients to recover and leave treatment? Whatever the answer, this review finds that generally the offer of long-term continuing care leads to better outcomes.

STUDY 2005 PDF file 103Kb
Offenders do better in treatment if sanctions credible and clear

Offenders in New York ordered to the same residential therapeutic communities stayed longer and later committed fewer crimes if sent by criminal justice programmes which had credible sanctions and ensured offenders understand these and knew they were being monitored.

STUDY 2005 PDF file 166Kb
Continuity vital after prison treatment

Though the original treatments were diametrically opposed, two long-term follow-up studies have confirmed that post-release continuity is vital to sustain the benefits of treatment in prison.

STUDY 2005 PDF file 195Kb
Abused women gain more from holistic counselling

A major US government project found that women with substance use and mental health problems and traumatised by a history of sexual or physical abuse benefited most from services which offered integrated counselling addressing all these issues.

STUDY 2008 HTM file
Promoting continuing care adherence among substance abusers with co-occurring psychiatric disorders following residential treatment

Further analysis of findings from a US inpatient centre shows that systematically applying simple prompts and motivators especially and substantially improved aftercare attendance among patients with mental health problems, helping sustain progress made during initial treatment.

STUDY 2005 PDF file 149Kb
Addressing medical and welfare needs improves treatment retention and outcomes

In this US treatment study, receiving services matched to need was associated with greater reductions in illegal drug use, supporting calls for services to address not just dependence but also medical, psychological, social, housing, and vocational needs.

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 2007 HTM file
Day hospital and residential addiction treatment: randomized and nonrandomized managed care clients

By selecting clients at the very edge of ethically requiring referral to residential care, this US study confirms that unless there are pressing contraindications, intensive non-residential options deliver equivalent outcomes. Often of course, there ARE pressing contraindications.

STUDY 2009 HTM file
Methadone patients in the therapeutic community: a test of equivalency

Are therapeutic communities incompatible with methadone maintenance? Not when staff have been prepared to accept and work with methadone patients and programmes adapted to accommodate them. Then patients stay as long and sustain abstinence from illegal drug use just as well as other residents.

STUDY 2007 HTM file
The costs and consequences of three policy options for reducing heroin dependency

Australian study addressing an issue greatly exercising the UK: do you get greater returns per £ from residential rehabilitation or from substitute prescribing? In terms of reduction in the frequency of heroin use, prescribing was one-and-a-half to three times more cost-effective.


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