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You have found 123 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been updated and tested, the written content remains as published; written contact details and web addresses may be out of date.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 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.

STUDY 2008 Improving public addiction treatment through performance contracting: the Delaware experiment HTM file

Instead of telling addiction treatment providers what to do to qualify for funding, the US state of Delaware set recruitment and engagement targets and largely left the methods up to the services. Result: more and more engaging treatment without stifling innovation.

STUDY 2005 Match motivational interviews to the client 175Kb PDF file

Motivational interviews are not universally beneficial or at worst neutral – sometimes they make things worse. In this US study they helped ambivalent patients make the most of their treatment but impeded the recovery of those already committed to change.

STUDY 2005 Structured nursing advice helps alcohol home detox patients keep staying sober 160Kb PDF file

Restructuring the nursing involved in British home detoxification programmes meant that a year later a third more patients were no longer drinking heavily, creating a highly cost-effective intervention.

REVIEW 2008 Systematic review and meta-analyses of strategies targeting alcohol problems in emergency departments: interventions reduce alcohol-related injuries HTM file

Combining results from the few available evaluations of emergency department-based alcohol interventions suggests these substantially reduce alcohol-related injuries, but the estimate may not be applicable outside the USA or to all emergency patients.

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