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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This US-focused review calls for parents with substance use problems in the child welfare system to receive integrated services which comprehensively assess health and social problems and systematically match needs to problems in the context of a positive client-provider relationship.
REVIEW 2011 HTM file
A meta-analysis of interventions to reduce adolescent cannabis use
The first synthesis of research on therapeutic interventions for adolescent cannabis users highlighted the relative success of family and multi-component approaches, but the evidence base was too narrow to securely determine what works best.
National UK policy recommendations for pre-school initiatives to forestall later problems including those related to substance use, based partly on a review of the most promising programmes.
Review concludes that neither confrontation nor disengagement from a family member work as well at engaging them in treatment as an approach based on systematically organising the intended patient's social environment to reward treatment entry.
2010 English national drug strategy: "A fundamental difference [from] those that have gone before is that instead of focusing primarily on reducing the harms caused by drug misuse, [we will] go much further and offer every support for people to choose recovery as an achievable way out of dependency."
STUDY 2006 PDF file 196Kb
Patient-focused alcohol treatment aids wives and children too
Whether families benefit from alcohol treatment as well as the patients has rarely been studied. This US analysis demonstrated that they do, positioning alcohol treatment as also contributing to child and family welfare objectives.
Alcohol dependent women experienced more lasting improvements when couples-based therapy embedded therapeutic processes in a lasting relationship with a willing husband or partner, extending an impressive research portfolio for the therapy.
REVIEW 2009 HTM file
The state of pharmacotherapy for the treatment of alcohol dependence
Review finds some but inconsistent and often modest support for each of the four medications approved by the US administration for the treatment of alcohol dependence: disulfiram; acamprosate; oral naltrexone; and once-monthly, injectable, extended-release naltrexone.
STUDY 2005 PDF file 170Kb
'Real-world' studies show that medications do suppress heavy drinking
Three trials found that drugs commonly used to treat alcohol dependence improve outcomes for an appreciable minority of patients, even under conditions close to normal practice. Together they offer clues to who benefits most from each medication.
Sweeping, learned but practice-oriented tour-de-force from the US recovery advocate who sees the creation of a recovery-friendly environment as the best way to ensure a lasting resolution of substance use problems with or without abstinence.
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