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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DOCUMENT 2007 HTM file
Drug misuse in over 16s: psychosocial interventions
After examining the evidence for psychosocial therapies for problem drug use, the UK’s official health advisers recommend behavioural couples therapy and contingency management, argue against cognitive-behavioural therapies, and pose residential rehabilitation as a last resort – in some respects surprising and controversial recommendations.
This impressive assessment of what evaluation research means for alcohol dependence treatment in Britain is distinguished by reviews of the latest literature on the sub-topics it covers; in some cases these starkly reveal the inadequacies of the evidence base.
Review finds multidimensional family therapy more effective than group therapies and other psychosocial therapies, particularly among adolescents with severe substance use and other behavioural problems.
Multi-prong therapies centred on the family emerge as probably the most effective in this comprehensive and careful synthesis of the results of trials of non-residential programmes for substance using teenagers – but do the outcomes warrant the extra costs?
STUDY 2016 HTM file
After FDAC: outcomes 5 years later (final report)
Five-year follow-up of London families finds better outcomes among those in the Family Drug and Alcohol Court than ordinary care proceedings.
DOCUMENT 2012 HTM file
Quality standard for drug use disorders
Official UK quality standards on the treatment of adults for problems related to the use of illegal drugs, intended be used to plan and deliver services to provide the best possible care.
Family interventions were at the heart of the UK government’s ambition to ‘turn round’ the lives of 120,000 troubled families in England. In respect of drink and drug problems, substantial remission was seen, but the featured study could not show whether this was due to the interventions, and a report on a successor programme found no significant impacts.
REVIEW 2011 HTM file
The efficacy of disulfiram for the treatment of alcohol use disorder
Given effective supervision from family or clinicians to help ensure patients keep taking the tablets, this first systematic synthesis of research finds that on average the drug disulfiram, which produces an unpleasant physical reaction to drinking, does act as an aid to abstinence in the treatment of alcohol dependence.
A computer-delivered brief intervention plus booster mailings increased the alcohol abstinence rate and improved pregnancy outcomes among risky drinking pregnant women recruited at a US antenatal clinic, though in this small pilot trial the results were not statistically significant.
After intensive coaching in parenting conducted with mother and child together, randomly selected mothers in residential treatment demonstrated more sensitive parenting than mothers not allocated to the programme, promising to intercept inter-generational transmission of poor parenting.
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