Alcohol: the complete collection
 Alcohol: the complete collection

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Alcohol: the complete collection

All Effectiveness Bank analyses to date of documents related to alcohol compiled for our partner Alcohol Change UK, starting with the analyses most recently added or updated, totalling today 792 documents.

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REVIEW 2020 HTM file
Controlled drinking – non-abstinent versus abstinent treatment goals in alcohol use disorder: a systematic review, meta-analysis and meta-regression

Henssler J., Müller M., Carreira H. et al.
Addiction: 2020, early view
Comprehensive review and amalgamation of findings from studies enabling a comparison of controlled drinking versus abstinence as treatment goals concludes that even among diagnosably dependent drinkers, neither has the advantage in promoting low-risk (non-)drinking.

HOT TOPIC 2021 HTM file
‘Dangerous data’: drinking after dependence

Ashton M.
First cracked in 1960s London, the orthodoxy that abstinence is the only feasible treatment goal for ‘alcoholics’ seemed shattered in 1973 by evidence that even physically dependent patients could learn to drink in moderation. Controversy was fierce, reaching the US Congress, TV networks and the courts. Explore the history and contested research behind an issue facing every dependent drinker starting treatment.

Alcohol Treatment Matrix cell E5: Treatment systems; Safeguarding the community

Ashton M.
Key studies on local, regional and national systems for treatment in criminal justice settings and/or to benefit the community. A review argues that despite radically different starting points, criminal justice and treatment must collaborate to deliver treatment. Question its key ingredients for collaboration, ask yourself how far collaboration should go, and ponder why problem drinking is so prominent among prisoners, yet not among prison services.

Alcohol Treatment Matrix cell D5: Organisational functioning; Safeguarding the community

Ashton M.
Key studies on organisational influences on alcohol treatment where the main aim or a major outcome is to reduce crime or otherwise safeguard the community. In the context of a market which drives treatment organisations to expand, asks, “Is small beautiful?”, explores the implications of focusing treatment on the family rather than the patient, and finds signs that control responsibilities can undermine therapeutic quality.

Alcohol Treatment Matrix cell A5: Interventions; Safeguarding the community

Ashton M.
Key studies on the impact of alcohol treatment on the community including families, children and crime. Explores the core contradiction between punishment and rehabilitation, asks whether this accounts for the poor record of criminal justice treatment, highlights the most robust test yet of brief alcohol counselling in probation, asks whether it can ever be safe to leave children with severely dependent drinkers, and recounts the alleged deception at the heart of a recommended treatment method.

Alcohol Treatment Matrix cell C5: Management/supervision; Safeguarding the community

Ashton M.
Seminal and key studies on the role of management and supervision in relation to treatment in criminal justice settings and/or for the purpose of safeguarding the community. Just as for the practitioners, for managers the ‘tricky’ challenge is to extract therapeutic benefit out of a coercive, punishment-oriented context.

Alcohol Treatment Matrix cell B5: Practitioners; Safeguarding the community

Ashton M.
Key studies on the impact of the treatment practitioner on safeguarding the community, families and children, and their influence in criminal justice contexts. Explores whether exceptional abilities are needed to forge productive therapeutic relationships in these situations, and invites you to ‘stress test’ a proposed universal rule: The trickier the situation, the more the worker matters.

STUDY 2019 HTM file
Alcohol Abstinence Monitoring Requirement: A review of process and performance from Year 2

Hobson Z., Harrison A., Duckworth L.
Mayor of London Office for Policing and Crime, 2018
What difference could ‘court-ordered sobriety’ make to people committing alcohol-related offences? Two-year study in London boroughs gives a sense of what to expect before a national rollout of the programme in 2020.

Alcohol Treatment Matrix cell C2: Management/supervision; Generic and cross-cutting issues

Ashton M.
Key studies on management and supervision across psychosocial and medical treatments of problem drinking. Highlights that “Manners Matter”, focuses on staff recruitment, queries the ubiquitous stages of change model, and details the fascinating history of the most controversial issue in alcohol treatment: whether to insist dependent drinkers try for abstinence. See the rest of row 2 of the matrix for more on features common to psychosocial and medical treatments.

STUDY 2020 HTM file
Impact of low and no alcohol beers on purchases of alcohol: interrupted time series analysis of British household shopping data, 2015–2018

Anderson P., Llopis E.J., O’Donnell A. et al.
BMJ Open: 2020, 10(e036371).
As the most popular alcoholic beverage in the UK, could beer be a good vehicle for reducing alcohol-related harm? Innovation around low-to-no alcohol and reduced-alcohol beers may offer a way to reduce the grams of alcohol purchased by consumers while preserving the experience of drinking.

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