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You have found 127 document(s) after clicking the search option in a hot topic entry. 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been updated and tested, the written content remains as published; written contact details and web addresses may be out of date.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 2006 UK trial bolsters case for well-supervised alcohol therapy 164Kb PDF file

This major British trial found that an alcohol dependence therapy designed to improve on short motivational approaches led to no greater benefits for patients or cost-savings for society. Instead the study has been used to argue that alcohol treatment overall saves money.

STUDY 2006 Adjust therapist directiveness to client resistance 172Kb PDF file

Persuasive evidence from the US Project MATCH alcohol treatment trial that a non-directive therapeutic style suits clients prone anger or defensiveness or who like to take control, and more structured and directive approaches suit those who welcome being given a lead.

REVIEW 2010 A meta-analysis of motivational interviewing: twenty-five years of empirical studies HTM file

Better than 'treatment as usual' but not than other specific therapies are the headlines from the most comprehensive synthesis of motivational interviewing studies to date. Along the way are insights in to the equivocal value of manuals and of feeding back assessment results to patients.

STUDY 2010 Initial preference for drinking goal in the treatment of alcohol problems: II. Treatment outcomes HTM file

Data from Britain's largest alcohol treatment trial is used to address possibly the most contentious issue in the field – whether services should offer moderation as well as abstinence goals to dependent clients. 'Let the patient choose' seems the general conclusion.

STUDY 2005 Screening and motivational interviews work with heroin and cocaine users 145Kb PDF file

Substantial minorities of heroin and cocaine users identified while visiting a US hospital for medical care cut back after assessment and brief motivational counselling, extending the potential of this approach beyond heavy drinkers.

STUDY 2005 Brief interventions short-change some heavily dependent cannabis users 150Kb PDF file

This large US study demonstrated that dependent cannabis users can benefit from individualised therapy which extends beyond the brief approaches previously found to produce outcomes equivalent to longer treatments.

REVIEW 2008 Psychosocial interventions for people with both severe mental illness and substance misuse HTM file

Latest update from the respected Cochrane review process still finds no reason to advocate replacing conventional care with specialised therapeutic approaches/teams when severe mental illness is complicated by substance use.

STUDY 2009 Counselor skill influences outcomes of brief motivational interventions HTM file

Few studies can manage the painstaking analyses needed to identify what makes for successful counselling. This Swiss study broke new ground in dissecting why some brief interventionists had far better results than others with risky drinking A&E patients.

STUDY 2009 Results from two randomized clinical trials evaluating the impact of quarterly recovery management checkups with adult chronic substance users HTM file

In the USA two studies have shown that quarterly check-ups on former patients help identify the need for and motivate further treatment, but gains in substance use/problem reductions only became evident when improved procedures were introduced, and even then remained modest.

STUDY 2005 Therapist directiveness is an important influence on outcomes 118Kb PDF file

One of the few 'matches' found by the huge US Project MATCH alcohol treatment trial was that motivational therapy bettered CBT for clients prone to anger. One of the clinics has shown why – because motivational therapists were less directive.

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