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You have found 54 entries after clicking the GO button or a search link in a hot topic. Sorted by the main topic addressed, 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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IN PRACTICE 1999 PDF file 292Kb
Are we right to spend more?

Commissioners in London wanted to know if they were getting value for money from extending residential and day care stays for substance dependent clients. To find out they trialed the Christo Inventory, a new quick and simple monitoring tool.

STUDY 1999 PDF file 175Kb
US study establishes optimal durations for drug detoxification and rehabilitation

A new computerised network which tracked clients across the Boston treatment system revealed cut-off points beyond which greater retention in residential or outpatient treatment was not associated with higher rates of treatment completion.

STUDY 2000 PDF file 166Kb
Rare attempt to compare cost-effectiveness of different treatments for different clients

Studies of the cost-effectiveness of addiction treatment in Ohio suggest that per $, short intensive programmes deliver the best abstinence returns for severely addicted patients, less intensive outpatient programmes for patients using less frequently.

STUDY 2000 PDF file 167Kb
Cocaine treatment nets benefits for society

Major US national project shows that even the least promising of cocaine dependents can dramatically cut drug use and crime, though it often takes long-term residential care. Less problematic clients generally do just as well in non-residential settings.

MATRIX CELL 2018 HTM file
Drug Treatment Matrix cell E4: Treatment systems; Psychosocial therapies

Seminal and key studies on local, regional and national systems for effectively and cost-effectively providing psychosocial therapies and the place of those therapies within these systems. Asks whether mutual aid groups can bridge the widening gap between resources and recovery ambitions, whether residential rehabilitation should be a last resort, and how tightly commissioners should specify services.

DOCUMENT 2012 HTM file
Quality standard for drug use disorders

Official UK quality standards on the treatment of adults for problems related to the use of illegal drugs, intended be used to plan and deliver services to provide the best possible care.

STUDY 1999 PDF file 216Kb
Cost effectiveness of alcohol treatment improved by cutting inpatient stays

This well designed British study showed that outcomes need not suffer when inpatient stays for alcohol treatment are more than halved (but treatment intensity is maintained), with consequent improvements in cost-effectiveness.

STUDY 2001 PDF file 98Kb
Opiate detoxification: spending more may save long term

British study suggests that inadequately supervised outpatient programmes may be a waste of money and that costly specialist inpatient programmes are not necessarily more costly per abstinent outcome, but methodological flaws cloud the picture.

STUDY 2010 HTM file
Long-term outcomes of office-based buprenorphine/naloxone maintenance therapy

Abstinence and recovery characterised by employment are priority UK policy objectives to which the extension of mutual aid is considered a major route. This US study illustrates that both the route and the objectives are not just compatible with, but may be promoted by opiate maintenance prescribing.

REVIEW 2000 PDF file 140Kb
Attending AA: encourage but don't coerce

A synthesis of studies which tested Alcoholics Anonymous groups or AA-based residential programmes against formal/no treatment suggests outcomes are similar to other treatments when the drinker chooses these options. Coercion may be counterproductive.


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