Constructed for Alcohol Awareness Week 2017 on the theme of ‘Alcohol and Families’, this collection embraces both major roles for the families of problem drinkers – as recipients of support and therapy to promote their own welfare, and as therapeutic agents engaged in promoting the drinker’s welfare through family therapy or less formal involvement in treatment. A collection starting with the analyses most recently added or updated, totalling today 82 documents.
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STUDY 2007 HTM file
Preventing alcohol-exposed pregnancies: a randomized controlled trial
Foetal exposure to alcohol is a leading cause of birth defects and developmental disabilities. Targeting interventions at women before they become pregnant – as with Project CHOICES – could shift the focus in clinical practice from treatment of substance-exposed pregnancies to prevention of a major (and costly) public health concern.
Study set in Canada and the United States finds more than enough financial justification for expanding prevention of foetal alcohol spectrum disorders. But what does ‘expansion’ mean – universal prevention, or focusing resources on those most at risk?
STUDY 1992 HTM file
Disulfiram treatment of alcoholism
Still relevant today, from the early 1990s a UK randomised trial of disulfiram in the treatment of alcohol dependence found that it significantly reduced drinking when there was daily supervision to make sure patients took the tablets, and they knew these would cause unpleasant physical effects if they drank.
REVIEW 2019 HTM file
Family-based prevention programmes for alcohol use in young people
Findings of this comprehensive review seem to almost entirely deflate what in the mid-2000s was a bubble of enthusiasm for parental programmes as a way to prevent or reduce drinking among teenagers – but despite this overall verdict, some interventions have had remarkable results.
STUDY 2019 HTM file
Efficacy and cost-effectiveness of an adjunctive personalised psychosocial intervention in treatment-resistant maintenance opioid agonist therapy: a pragmatic, open-label, randomised controlled trial
Instead of a set programme, a clinic in London tried offering methadone or buprenorphine patients still using heroin or cocaine a selection from a suite of well-supported psychological interventions tailored to the patient and then systematically re-tailored in the light of how they responded. It worked – but did it work well enough, and would the findings be replicated in more typical circumstances?
REVIEW 2018 HTM file
Meta-analysis of the alliance–outcome relation in couple and family therapy
Amalgamation and review of research findings commissioned by the American Psychological Association reveals that working relationships in couple and family therapies are at least as important as in individual therapies. Practice recommendations will help therapists develop these relationships, augmenting the impacts of some of the most effective ways to treat substance use problems.
REVIEW 2016 HTM file
Buprenorphine versus methadone for opioid dependence in pregnancy
Among pregnant women, substitute prescribing is preferable to continued illicit opioid use and supervised withdrawal. Buprenorphine has different properties to the dominant treatment option methadone, but both stand to improve pregnancy and infant outcomes.
Taking a public health and human rights-based approach, the 2018 strategy from Scotland strives to improve citizens’ lives by preventing and reducing the harms of drinking and drug use.
MATRIX CELL 2018 HTM file
Drug Treatment Matrix cell D5: Organisational functioning; Safeguarding the community
Key research on the influence of the treatment organisation on the effectiveness of drug treatment in the criminal justice system and allied settings. Asks whether the criminal justice context enhances or limits treatment (perhaps both), whether quality is better in smaller services, and whether treatment services should see themselves as family services.
MATRIX CELL 2018 HTM file
Drug Treatment Matrix cell B5: Practitioners; Safeguarding the community
Key studies on the contribution of the practitioner to reducing crime and safeguarding the community. Risks formulating a general rule: The trickier the situation, the more the worker matters – suggesting that therapeutic skills are even more important in formally coerced than other forms of treatment. Also asks whether those skills can most effectively be deployed when therapy is divorced from criminal justice supervision.
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