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You have found 38 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
Can 12-step mutual aid bridge recovery resources deficit?

One of our selection of hot topics – important issues which sometimes generate heated debate. At issue is whether mutual aid groups based on AA’s 12 steps can help bridge the gap between heightened ambition for recovery from addiction and diminished public service resources.

REVIEW 2011 HTM file
Alcohol-use disorders: diagnosis, assessment and management of harmful drinking and alcohol dependence

This impressive assessment of what evaluation research means for alcohol dependence treatment in Britain is distinguished by reviews of the latest literature on the sub-topics it covers; in some cases these starkly reveal the inadequacies of the evidence base.

REVIEW 2012 HTM file
The effectiveness of incarceration-based drug treatment on criminal behavior: A systematic review

Strongest support for ‘therapeutic community’ approach to incarceration-based drug treatment according to robust review of evidence – with consistent reductions found in both drug relapse and recidivism.

REVIEW 2014 HTM file
Estimating the efficacy of Alcoholics Anonymous without self-selection bias: an instrumental variables re-analysis of randomized clinical trials

12-step fellowships offer a way to reconcile shrunken resources with the desire to get more patients safely out of treatment. Accounting for the self-selection bias which has obscured AA’s impacts, this synthesis of US trials finds that attending more meetings after treatment boosts abstinence. Why then is research equivocal on whether promoting attendance improves drink-related outcomes?

STUDY 2012 HTM file
Does active referral by a doctor or 12-step peer improve 12-step meeting attendance? Results from a pilot randomised control trial

In the context of current UK policy, this is a key study, testing the ambition to extend recovery beyond formal treatment by systematically linking patients to mutual aid groups, the main way it is being suggested commissioners can square the circle of doing more (recovery is seen as a whole-life transformation) with less.

STUDY 2015 HTM file
Navigating the alcohol treatment pathway: A qualitative study from the service users’ perspective

Patient interviews provide insight into low levels of engagement and retention in alcohol treatment services, hindering the effective provision of treatment for dependent drinkers. Findings suggest that treatment pathways should better reflect the capacity and capabilities of people with alcohol dependence.

HOT TOPIC 2016 HTM file
Is it futile to match alcohol treatments to the patient?

One of our selection of Hot Topics – important issues which sometimes generate heated debate over the facts or their interpretation. Click to read introductory text and trigger a customised search for relevant documents.

STUDY 2014 HTM file
Relative efficacy of mindfulness-based relapse prevention, standard relapse prevention, and treatment as usual for substance use disorders: a randomized clinical trial

Promising signs – but from a single study at a single treatment agency – that integrating Buddhism-inspired mindfulness-based elements creates a more effective supplement to usual (in the US context) 12-step based aftercare than a purely cognitive behavioural approach, helping patients sustain gains from initial intensive treatment.

STUDY 2011 HTM file
Recovery innovations in Yorkshire and Humberside

The enthusiastic shoots of a recovery orientation emerging in treatment systems and services in northern England faced considerable challenges in gaining sufficient coverage to transform the established landscape – literally in the case of a plan to communally build an Iron Age roundhouse village.

STUDY 2010 HTM file
Naltrexone and combined behavioral intervention effects on trajectories of drinking in the COMBINE study

Reanalysis of the largest US study of medication-based alcoholism treatment confirms that either naltrexone or psychological therapy improved outcomes more than medical care and placebos, while the two in combination or acamprosate added little. It also revealed previously invisible benefits when certain types of patients received certain treatments.


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