Drugs: the complete collection
 Drugs: the complete collection

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Drugs: the complete collection

All Effectiveness Bank analyses to date of documents related to use and problem use of illegal drugs starting with the analyses most recently added or updated, totalling today 815 documents.

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STUDY 2020 HTM file
“Bed bugs and beyond”: an ethnographic analysis of North America’s first women-only supervised drug consumption site

Boyd J., Lavalley J., Czechaczek S. et al.
International Journal of Drug Policy: 2020, 78, p. 1–10.
‘How can the design of drug consumption rooms be optimised to maximise their benefits?’ – a question that has tended to be overlooked in the wider debate about whether consumption rooms should be established in the first place. The featured study goes inside North America’s first women-only safer injecting facility, which emerged in response to an epidemic of fatal drug overdoses and an epidemic of violence against women.

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

Ashton M.
Seminal and key studies on how local treatment systems can protect the community. The task is to meld enforcement pressure and surveillance focused on crime with the patient-centred ethos of treatment. Asks whether coercion and/or collaboration with enforcement undermine treatment’s community protection impacts, and whether to maximally reduce crime, treatment systems should focus on coercion or on voluntary engagement.

Drug Treatment Matrix cell C5: Management/supervision: Safeguarding the community

Ashton M.
Key studies on the influence of management and supervision on treatment’s impacts on crime and safeguarding the community, with a focus on criminal justice and child protection contexts. Examine the credentials of the most well known model for working with offenders, ask yourself why cognitive-behavioural approaches are so prominent, and explore the feasibility of focusing on the child when the parent is the patient.

REVIEW 2013 HTM file
Maintenance agonist treatments for opiate dependent pregnant women

Minozzi S., Amato L., Bellisario C. et al.
Cochrane Database of Systematic Reviews: 2013, 12, Art. No.: CD006318.
Is it better to prescribe pregnant opioid-dependent women methadone, buprenorphine or oral morphine? Just four randomised trials have addressed this issue and their findings are inconclusive, suggesting greater holding power for methadone but less severe neonatal withdrawal with buprenorphine.

DOCUMENT 2021 HTM file
Wound aware: a resource for commissioners and providers of drug services

Public Health England
Public Health England, 2021
People who inject drugs are at risk of serious and potentially life-threatening wounds. In new guidance, Public Health England describes how drug services can be ‘wound aware’ by adopting three key characteristics.

STUDY 2020 HTM file
Skin-cleaning among hospitalized people who inject drugs: a randomized controlled trial

Stein M.D., Phillips K.T., Herman D.S. et al.
Addiction: 2020, early view.
Serious bacterial infections are among the most common medical complications in people who inject drugs. Study asks whether an intervention targeting hand washing, injection site skin cleaning, and needle cleaning could reduce the burden, using as its key measure the rate of visits to the emergency department.

Drug Treatment Matrix cell B5: Practitioners; Safeguarding the community

Ashton M.
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.

Drug Treatment Matrix cell E4: Treatment systems; Psychosocial therapies

Ashton M.
Seminal and key studies on local, regional and national systems for effectively and cost-effectively providing psychosocial therapies and the place of those therapies within these systems. Asks whether mutual aid groups can bridge the widening gap between resources and recovery ambitions, whether residential rehabilitation should be a last resort, and how tightly commissioners should specify services.

STUDY 2019 HTM file
ACT pill testing trial 2019: program evaluation

Olsen A., Wong G., McDonald D.
Australian National University, 2019
Independent evaluation suggests reasons to have confidence in the harm reduction benefits of ‘pill testing’. However, the narrow scope of the drug testing service adopted at this Australian festival may not have been adequately understood by stakeholders.

STUDY 2019 HTM file
Syringe disposal among people who inject drugs before and after the implementation of a syringe services program

Levine H., Bartholomew T.S., Rea-Wilson V. et al.
Drug and Alcohol Dependence: 2019, 202, p. 13–17.
Did Florida’s first needle exchange programme result in fewer items of used injecting equipment being left in public places? The answer comes from a walkthrough of Miami neighbourhoods and interviews with people who inject drugs before and after the programme opened its doors.

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