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You have found 126 document(s) after clicking the search option in a hot topic entry. Starting with the most recently added or updated of our analyses, the list shows in orange whether the original document was a study, review or some other type of document, year it was published, the type of file you will download when you click the title, and for PDFs its size. In blue is the document’s title; click to download. Below is a brief description. Remember we only list documents relevant to the effectiveness of drug or alcohol interventions in the United Kingdom.
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HOT TOPIC 2017 HTM file
The ‘explosion’ that never happened; crack and cocaine use in Britain
In 1989 a whirlwind of concern was stirred up by a US drug enforcement officer who foresaw a US-style “explosion” of violence associated with the ‘almost instantly addictive’ crack version of cocaine in Britain. That did not happen – but what did, where do those claims stand today, and what of cocaine powder, for decades seen as the ‘champagne set’s’ favourite drug?
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.
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.
Further evidence from England that schemes which force people arrested for certain offences to be tested for heroin or cocaine use and if positive to be assessed for treatment do not pay back in terms of treatment engagement or crime reduction.
English treatment systems perform at least as well as other countries on a number of measures, but have a considerably higher rate of drug-related deaths than elsewhere in Europe. As well as pursuing harm reduction and recovery, this report stresses the importance of social integration as an objective.
For the first time the annual accounting of the treatment caseload in England combines both drug and alcohol use patient records, registering a continuing trend down in total numbers due mainly to falls in users of heroin and other opiate-type drugs.
REVIEW 2016 HTM file
Antipsychotic medications for cocaine dependence
Search for antipsychotic drugs to treat cocaine dependence has reached a dead end pronounces authoritative review. Psychosocial therapies remain the mainstay of treatment.
Injectors at risk of infection due to sharing equipment responded best to brief risk-reduction counselling based on motivational rather than educational principles, offering a way to augment the benefits of harm reduction services.
Systematically giving substance use patients a chance to win valuable prizes if they test abstinent offers a lower-cost alternative to ‘contingency management’ systems which provide rewards each time, but does it work? Across 18 studies the answer was ‘Yes,’ though effects soon faded.