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You have found 104 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been updated and tested, the written content remains as published; written contact details and web addresses may be out of date.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 2009 The alliance in motivational enhancement therapy and counseling as usual for substance use problems HTM file

Rarely has counselling been so deeply analysed as in this US study of mainly alcohol and cocaine dependent patients. The far-reaching implications are that some counsellors generate relationships with clients which feed through to better outcomes – but also that the 'best' relationship builders are not on average the most effective.

STUDY 2012 Four-year outcomes from the Early Re-Intervention (ERI) experiment using recovery management checkups (RMCs) HTM file

Chicago studies have shown that quarterly check-ups on former patients can identify need and pave the way for treatment re-entry. Though extra substance use/problem reductions were modest, these remained significant four years after the patients started treatment. Issue for the UK: how does this square with the stress on lasting treatment exit?

REVIEW 2011 Implementing evidence-based psychosocial treatment in specialty substance use disorder care HTM file

Does implementing evidence-based psychosocial therapies actually lead to the intended practice changes and do these make things better for the clients? From this review, most clearly when the whole organisation is enrolled in the effort and training is bolstered by systematic and expert continuing supervision.

HOT TOPIC 2013 Motivational interviewing – the Swiss army knife of substance use counselling HTM file

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 1993 Enhancing motivation for change in problem drinking: a controlled comparison of two therapist styles HTM file

Probably more than any other, this seminal study heightened the profile of the therapist's interpersonal style in substance use counselling, seeming to confirm that by not provoking resistance, the non-confrontational style mandated by motivational interviewing reduced drinking compared to the then more typical blunt and challenging approach.

STUDY 2010 Effect of motivational interviewing on reduction of alcohol use HTM file

At Californian methadone clinics, group education sessions led by a nurse and focused on the risks of aggravating hepatitis infection led to the same substantial reductions in drinking as one-to-one or group motivational interviewing conducted by highly trained counsellors, offering a cost-effective means to reduce alcohol-related risks.

STUDY 2005 How does motivational interviewing work? Therapist skill predicts client involvement within motivational interviewing sessions HTM file

Analysis of counselling session recordings from therapists trained in motivational interviewing suggests that the important quality of seeming 'genuine' can suffer if training mandates unnaturally withholding normal responses; however, departing from these tenets is risky unless done by a socially skilled therapist.

STUDY 2004 An evaluation of workshop training in motivational interviewing for addiction and mental health clinicians HTM file

US study suggests that when it comes to choosing therapists, choosing the 'right' people who have not been trained in motivational interviewing would be better than choosing the 'wrong' people who have been trained; the former not only start at a higher level, but are more able to benefit from and retain training.

STUDY 2013 Effectiveness of screening and brief alcohol intervention in primary care (SIPS trial): pragmatic cluster randomised controlled trial HTM file

The primary care arm of the largest alcohol screening and brief intervention study yet conducted in Britain found that the proportion of risky drinkers fell just as much after the most minimal of screening and intervention methods as after more sophisticated and longer (but still brief) alternatives.

REVIEW 2011 Motivational interviewing for substance abuse HTM file

Across the most rigorous studies, this synthesis of the research finds therapies based on motivational interviewing better than doing nothing, but no more effective than usual/other treatments for problem drinkers and drugtakers – powerful further support for the 'Dodo bird' verdict that all bona fide therapies are equivalent.

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