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Rare glimpse 'under the hood' of contingency management suggests that unless the patient sees themselves
as having actively mastered their dependence and has developed anti-relapse strategies, effects of rewarding
abstinence will be short-lived.
Brief interventions based on motivational interviewing typically incorporate feedback on the individual's risk and use level compared to the norm, but does this really help? A US college study found it did, the combination leading to greater drinking reductions than either on its own.
This German study saved valuable counselling time by only offering further advice to primary care patients who had not yet responded to brief computerised feedback on their risky drinking.
Using teachers' ratings to target the families of high-risk pupils, a US study has shown that a few hours spent improving parental monitoring and response to childrens' behaviour can lead two years later to reductions in substance use.
In Chicago a simple quarterly check up on how former patients were doing doubled the number of relapsers who returned to treatment and hastened their return, in the end cutting the numbers still in need of help.
A unique British study has found that treatment-resistant schizophrenic patients benefit from additional integrated substance use/mental health therapy, which may also save costs by reducing the need for inpatient care.
The Turning Point Centre has to date produced nine manuals distilling its considerable research and practice experience on among other topics, psychosocial therapies, harm reduction, managing withdrawal, and aftercare.
Just a few minutes with specially hired screening and intervention staff can make a difference to emergency patients' drinking, but in the real world the hospital's own staff will usually do this work. A US study tested this real-world scenario and still found (modest) drinking reductions.
Rare attempt at screening and brief intervention for actual or potential problems arising from illegal drug use among primary care patients suggests that screening itself reduces use levels and that further intervention might be worthwhile among high-risk populations.
This huge US study set out to test whether widespread screening and brief intervention for illegal drug use (not just heavy drinking) could be implemented in a variety of general medical settings and whether it was effective. Both tests seem to have been passed, but with some important caveats.
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