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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Drug Treatment Matrix cell D1: Organisational functioning; Reducing harm

Ashton M.
Seminal and key studies on the influence of the organisation on reducing drug-related harm.

HOT TOPIC 2017 HTM file
Substance use treatment as part of a ‘wrap-around’ package of care

Ashton M., Davies N.
One of our hot topic essays on important issues which sometimes generate heated debate. Asks whether supplementing addiction treatment with ‘wrap-around’ services is a distraction, or part of the core business of sustainably overcoming addiction. What’s for sure is that mental health, social and material resources, and the wherewithal for social inclusion, are all often lacking in addiction treatment caseloads; but does addressing these promote recovery?

Drug Matrix cell C1: Management/supervision: Reducing harm

Ashton M.
Seminal and key studies on the role of management and supervision in reducing harm associated with illegal drug use.

Drug Treatment Matrix cell B1: Practitioners; Reducing harm

Ashton M.
Seminal and key studies on the impact of the practitioner on harm reduction. Trust emerges as a fundamental ingredient to harm reduction work with users of illegal drugs. Reconceptualise needle exchanges as safe havens in a largely rejecting world, and explore why a Philadelphia methadone counsellor stood out – for the wrong reasons.

Drug Matrix cell A1: Interventions; Reducing harm

Ashton M.
Seminal and key studies on the effectiveness of harm reduction interventions such as needle exchanges.

HOT TOPIC 2017 HTM file
Hepatitis C ‘giant’ still growing

Davies N., Ashton M.
One of our selection of hot topics – important issues which sometimes generate heated debate. For a time it seemed impossible to reverse the epidemic of injecting-related hepatitis C infection. Now we know that aided by new treatments which clear the infection, it can be done – but will we?

Couples therapies

‘Collections’ are customised Effectiveness Bank searches not available via the standard options in the search pages. Entries on one of only two types of therapies recommended for alcohol and/or drug users by NICE, the UK’s official health intervention advisers. Best known of these in the substance use sector focuses on a daily ritual in which the couple reaffirm and reinforce the user’s intention to stay drug-free/sober.

DOCUMENT 2007 HTM file
Drug misuse in over 16s: psychosocial interventions

National Institute for Health and Care Excellence and National Collaborating Centre for Mental Health.
[UK] National Institute for Health and Care Excellence, 2007.
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.

STUDY 2017 HTM file
Acceptability of low dead space syringes and implications for their introduction: A qualitative study in the West of England

Kesten J.M., Ayres R., Neale J. et al.
International Journal of Drug Policy: 2017, 39, p. 99–108.
Lower-risk needle and syringe combinations seem acceptable to people who inject drugs in England, but given that a sudden change in equipment can be difficult to adjust to, their gradual introduction seems best, alongside an intervention to educate and support.

DOCUMENT 2017 HTM file
Drug misuse and dependence: UK guidelines on clinical management

Clinical Guidelines on Drug Misuse and Dependence Update 2017 Independent Expert Working Group.
London: Department of Health, 2017.
Last published in 2007, there is no more important document for UK clinicians involved in treating problem drug use than the so-called ‘Orange guidelines’. This major update offers detailed guidance on the range of problems, settings and patients clinicians encounter, substantially informing judgements of what constitutes good medical practice.

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