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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REVIEW 2016 HTM file
How can contingency management support treatment for substance use disorders? A systematic review

Ferroni E., Minozzi S., Vecchi S.
European Monitoring Centre for Drugs and Drug Addiction, 2016.
Rewarding people dependent on illegal drugs for not using those drugs is a controversial tactic, one this review from the EU’s drug misuse centre found patchily effective in extending retention and reducing substance use as a supplement to medication-based treatments.

HOT TOPIC 2018 HTM file
Cycle of Change: change promoter or benevolent fiction?

Ashton M., Davies N.
One of our hot topics – essays on important issues which sometimes generate heated debate over the facts or their interpretation. Its simplicity is beguiling, but does the ubiquitous cycle of change model simply describe the change process, or help predict and accelerate it?

HOT TOPIC 2018 HTM file
Acupuncture: potential value of a ‘theatrical placebo’

Ashton M., Davies N.
One of our selection of hot topics – important issues which sometimes generate heated debate. Asks whether acupuncture helps treat substance use problems and, if it does, whether this is ‘just’ a placebo effect. Is there something valuable here which has not yet been proven to work, or is trying to find proof a dead end?

STUDY 2008 HTM file
Does following research-derived practice guidelines improve opiate-dependent patients’ outcomes under everyday practice conditions? Results of the Multisite Opiate Substitution Treatment study

Humphreys K, Trafton J.A., and Oliva E.M.
Journal of Substance Abuse Treatment: 2008, 34(2), p. 173–179.
In everyday practice at methadone maintenance clinics and with the full range of patients, does implementing clinical guidelines lead to better outcomes for patients? Two sets of US clinics selected for high versus low adherence to guidelines provided evidence that the recommended high doses and intensive psychosocial services really do make the intended difference.

HOT TOPIC 2018 HTM file
Can 12-step mutual aid bridge recovery resources deficit?

Ashton M., Davies N.
‘Hot topics’ offer background and analysis on important issues which sometimes generate heated debate. Can mutual aid groups based on AA’s 12 steps help bridge the gap between heightened ambition for recovery from addiction and diminished public resources. That largely depends on whether the worldwide popularity of the steps is matched by evidence of effectiveness.

MATRIX CELL 2018 HTM file
Drug Treatment Matrix cell D3: Organisational functioning; Medical treatment

Ashton M.
Seminal and key studies on how treatment organisations affect the implementation and effectiveness of medical interventions and treatment in medical settings. Focus is on UK and US understandings of what counts as a ‘recovery-oriented’ service and on US, Australian and Canadian studies which discovered and validated elements of these visions even before they were articulated.

HOT TOPIC 2018 HTM file
Computerised therapies: sacrificing effectiveness for wider access?

Ashton M., Davies N.
‘Hot topics’ offer background and analysis on important issues which sometimes generate heated debate. Among culturally accepted vehicles for delivering substance use interventions, computers, mobile phones and tablets are joining face-to-face work. Are we sacrificing effectiveness for convenience and economy?

MATRIX CELL 2018 HTM file
Drug Treatment Matrix cell C3: Management/supervision; Medical treatment

Ashton M.
Seminal and key studies on the role of management and supervision in medical interventions and treatment in medical settings. Commentary considers how medication-based treatment can be (re)oriented to long-term recovery, the importance of the right dose, and whether we can we dispense with all but minimal counselling and therapy and supervised consumption of medications like methadone.

REVIEW 2018 HTM file
A meta-analysis of the association between patients’ early treatment outcome expectation and their posttreatment outcomes

Constantino M.J., Coyne A.E., Vîsla A. et al.
Psychotherapy: 2018, 55(4), p. 373–485.
Review commissioned by the American Psychological Association found that clients who start psychotherapy expecting good outcomes tend actually to have better outcomes than other clients, raising the issue of whether therapists should regularly assess expectations and if needed take steps to enhance them.

STUDY 2014 HTM file
Methadone induction in primary care for opioid dependence: a pragmatic randomized trial (ANRS Methaville)

Carrieri P.M., Michel L., Lions C. et al.
PLoS ONE: 2014, 9(11): e112328.
From France the first study to randomly allocate patients to start methadone maintenance either in primary care or at a specialist centre found primary care more attractive to patients, and no less effective at reducing street-opioid use and promoting engagement and retention.


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