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You have found 86 document(s). Starting with the documents most recently added to the site, the list shows the Type of document, year first published, the Title (click to see the document or abstract), the size and type of file, and a brief description. Use the page selectors at the bottom to scroll through the list. Remember we only stock documents from Drug and Alcohol Findings itself or abstracts of other documents particularly relevant to drug or alcohol interventions in the United Kingdom. Though the links in the PDF files have been updated and tested, the written content remains as published; written contact details and web addresses may be out of date.

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

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.

REVIEW 2009 A meta-analysis of retention in methadone maintenance by dose and dosing strategy HTM file

For the first time an analysis of relevant studies has assessed the relative contributions of higher doses and flexibility in setting doses to improving retention in opiate substitute prescribing programmes. Both it seems help retain patients in treatment.

REVIEW 2009 Can heroin maintenance help Baltimore? What Baltimore can learn from the experience of other countries HTM file

Though intended for Baltimore this review will be of great value for administrations everywhere considering heroin prescribing programmes. It is particularly useful for its accessible style and hands-on portrayal of existing programmes.

REVIEW 2008 Opioid substitution therapy in prisons: reviewing the evidence HTM file

Brief but thoroughly researched review commends prison methadone programmes as causing no substantial problems while improving the climate in prison, reducing drug use and infection risk behaviours, and improving post-release treatment uptake and recidivism rates.

STUDY 2004 Methadone programme loosens up, increases capacity, patients do just as well 106Kb PDF file

Canadian study documents what happens when you 'deregulate' methadone prescribing and permit greater patient choice in treatment and treatment goals. Result: room for more patients, less conflict and no decrease in effectiveness.

STUDY 2004 Methadone maintenance as low-cost lifesaver 159Kb PDF file

US studies find that even when slow methadone detoxification is bolstered by psychosocial therapy and aftercare, methadone maintenance does better at prolonging the lives of opiate-dependent patients at relatively little extra cost.

STUDY 2004 Opiate antagonist treatment risks overdose 607Kb PDF file

The most comprehensive recent study of serious medical incidents during and after treatment for opioid dependence highlighted the risk of overdose death when patients stop taking opiate-blocking drugs. In comparison, substitute prescribing was safer even after the patient had left treatment.

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

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 2008 A study of methadone maintenance for male prisoners: 3-month postrelease outcomes HTM file

US study shows the value of immediate post-release transfer to an awaiting methadone maintenance slot for formerly heroin dependent prisoners willing to try this treatment but is less clear on the value of actually starting the treatment in prison.

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

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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