Alcohol and families

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Alcohol and families

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 80 documents.

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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.

DOCUMENT 2018 HTM file
Rights, Respect and Recovery: Scotland’s strategy to improve health by preventing and reducing alcohol and drug use, harm and related deaths

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.

MATRIX CELL 2018 HTM file
Alcohol Treatment Matrix cell B5: Practitioners; Safeguarding the community

Seminal and key studies on the impact of the practitioner in criminal justice work and safeguarding the community. Explores whether exceptional abilities are needed to forge productive therapeutic relationships in these situations.

MATRIX CELL 2018 HTM file
Drug Treatment Matrix cell A5: Interventions; Safeguarding the community

Seminal and key studies shedding light on treatment’s contribution to safeguarding the community and preventing crime. Commentary addresses two highly controversial issues, asking, “Can it ever be safe to leave children with seriously problematic drug users?”, and examining the ethical considerations and evidence on pressuring opioid-dependent offenders to take the opiate-blocker naltrexone.

STUDY 2017 HTM file
Preventing alcohol and tobacco exposed pregnancies: CHOICES Plus in primary care

Compared to brief advice, the CHOICES Plus intervention significantly lowered the risk of alcohol- and tobacco-exposed pregnancies among women in a low-income primary care population. This US-based trial illustrates the efficacy of a bundle of ‘pre-conception’ services for risky drinking, smoking, and ineffective contraception.


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