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NUGGETTE 2003 Disappointing results in test of 'culturally competent' services 161Kb PDF file

Contrary to expectations, 'culturally competent' US outpatient treatment services generally did not improve outcomes by improving the take up of health and psychosocial services.

NOTES 2003 Race and gender in the delivery of drug services 186Kb PDF file

Notes on studies concerned with matching treatment staff with patients on race and gender dimensions.

NUGGET 2002 Still little evidence for matching client with same-gender or same-race therapist 164Kb PDF file

Following negative findings for group therapy, a study of cocaine counselling found that even in one-to-one therapy, matching clients and therapists by gender or race does not improve retention or outcomes. Extended text includes comprehensive review.

NUGGET 2000 Client-receptive treatment more important than treatment-receptive clients 112Kb PDF file

A careful analysis of US drug counselling confirms that engaging with treatment is linked to good outcomes and that both depend on how well the counsellor relates to the client, which cannot be reduced to simplistic matching on gender and race.

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