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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.
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.
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.
Are alcohol and drug dependence best treated as chronic conditions needing extended care, or should we expect patients to recover and leave treatment? Whatever the answer, this review finds that generally the offer of long-term continuing care leads to better outcomes.
Over 10 years since the last attempt, in 2006 a national study assessed the progress of patients starting drug treatment in England. A year later drug use and crime were down and social costs saved, but wider life improvements were minor compared to treatment costs.
A study of drug (mainly heroin) users starting treatment in 2001 in Scotland revealed what the researchers believed were worryingly low rates of abstinence nearly three years later, but the findings have been widely misinterpreted.
Scotland's DORIS project found that providing employment-related support as part of the addiction treatment package improved the employment prospects of at least a minority of patients.
Systematically applying simple prompts and motivators can improve aftercare attendance and help sustain progress made during initial residential treatment, offering a way to preserve the benefits of the investment made by patients, services and funders.
A US recovery model has proved its effectiveness in a rare randomised trial of a mutual aid intervention. The self-financing structure may help overcome restrictions on the supply and duration of residential rehabilitation in the UK.
Using advanced methods, this US study asked what makes for an effective treatment agency. Being constrained by funders in terms of services and ability to individualise treatments was the clearest negative factor, quality accreditation the clearest positive.
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