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 789 documents.
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REVIEW 2013 HTM file
Meta-analysis of the effects of MI training on clinicians’ behavior
De Roten Y., Zimmermann G., Ortega D. et al.
Journal of Substance Abuse Treatment: 2013, 45, p. 155–162.
The first analysis to amalgamate findings on training clinicians in motivational interviewing finds training does develop competence, especially when reinforced by supervision or coaching based on feedback on trainees’ actual performance. For some trainees there may be no need for initial training to be face-to-face; books and videos may do as well.
Bowen S., Witkiewitz K., Clifasefi S.L. et al.
JAMA Psychiatry: 2014, 71(5), p. 547–556.
Promising signs – but from a single study at a single treatment agency – that integrating Buddhism-inspired mindfulness-based elements creates a more effective supplement to usual (in the US context) 12-step based aftercare than a purely cognitive behavioural approach, helping patients sustain gains from initial intensive treatment.
Palmateer N.E., Taylor A., Goldberg D.J. et al.
PLoS ONE: 2014, 9(8): e104515.
A combination of needle exchange, methadone maintenance and a shift away from injecting meant that between 2008 and 2012, 1000 fewer Scottish injectors had to face chronic infection with the potentially deadly hepatitis C virus.
REVIEW 2014 HTM file
Interventions to reduce substance misuse among vulnerable young people
[UK] National Institute for Health and Care Excellence
Evidence Update April 2014
In this evidence update, the National Institute for Health and Care Excellence assess new evidence relevant to its earlier public health guidance on interventions to reduce substance misuse among vulnerable young people.
STUDY 1995 HTM file
An evaluation of private methadone clinics
Bell J., Ward J., Mattick R.P.. et al.
[Australian] National Drug Strategy Research Report no. 4. Australian Government, 1995.
Comparison of three Australian clinics highlights the importance of good organisation and an ethos of individualised treatment and care for patients, rather than acting as a more or less efficient ‘methadone dispensary’.
Garner B.R., Godley S.H., Dennis M.L. et al.
Archives of Pediatric and Adolescent Medicine: 2012, 166(10), p. 938–944.
How can it be that incentives to therapists improve implementation of a therapy without further helping patients overcome substance use problems? In this US study of young substance users, disappointing results may reflect the inability of time-limited programmes to make an impression on the lives of youngsters subject to powerful influences, including criminal justice intervention.
Cornish R., Macleod J., Strang J. et al.
British Medical Journal: 2010, 341:c5475.
This British study concluded that it takes extended opiate substitute prescribing to realise the treatment's life-saving potential. The implication is that the current push to get people off methadone sooner could cost lives.
STUDY 2008 HTM file
Final report on the evaluation of ‘Option 2’
Forrester D., Pokhrel S., McDonald L. et al.
Welsh Assembly Government, 2008.
This evaluation of an intensive child protection service for children with substance misusing parents was the first in Britain to recruit an adequate comparison sample, a vital step in assessing effectiveness. Main finding was reduced need for long-term removal from the home.
DOCUMENT 2012 HTM file
Practice standards for young people with substance misuse problems
Gilvarry E., McArdle P., O’Herlihy A. et al, eds.
[UK] Royal College of Psychiatrists, 2012.
Practice standards developed by the UK’s Royal College of Psychiatrists on working with young people aged 18 or under with substance misuse problems, intended (if followed) to promote high quality screening, assessment and treatment for these young people.
Lingford-Hughes A.R., Welch S., Peters L. et al.
Journal of Psychopharmacology: 2012, 26(7), p. 899–952.
Practitioner-friendly review from the British Association for Psychopharmacology on drug-based treatments for substance dependence offer authoritative, evidence-based guidance to prescribers and others; they also demonstrate the limitations of trying to cure over-use of drugs with drugs.
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