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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Witbrodt J., Romelsjö A.
Addictive Behaviors: 2012, 37, p. 1122–1131.
Detailed examination of how differing welfare and treatment systems and understandings of dependence affect the alcohol caseloads of substance use treatment services in Sweden and the USA and how they fare in the year after starting treatment; reveals differences and similarities in what 'success' consists of and what seems to promote it.
Espada J.P., Griffin K.W., Pereira J.R. et al.
Prevention Science: 2012, 13(1), p. 86–95.
Uniquely this Spanish study eliminated either problem solving or social skills training from secondary school drug education to see if these really were active ingredients in reducing substance use. Probably they were was the conclusion, though there were no statistically significant differences between the full programme and the excised versions.
STUDY 2010 HTM file
Combining motivational interviewing with compliance enhancement therapy (MI-CET): development and preliminary evaluation of a new, manual-guided psychosocial adjunct to alcohol-dependence pharmacotherapy
Heffner J.L., Tran G.Q., Johnson C.S. et al.
Journal of Studies on Alcohol and Drugs: 2010, 71, p. 61–70.
Getting patients to take their medication is a major issue across medicine. This US alcohol treatment study enhanced compliance with treatment through a novel and manageable approach combining brief motivational interviewing with structured clinical counselling involving feedback on the patient's real-time pill-taking record.
Strang J., Hall W., Hickman M. et al.
BMJ: 2010, 341, c4851
Introduced in Scotland and England in the mid-late 1990s to prevent overdose, did supervised consumption of methadone really make methadone maintenance safer? After accounting for increased prescribing, this analysis concludes that it did curb methadone-related deaths.
Wright N.M.J., Sheard L., Adams C.E. et al.
British Journal of General Practice: December 2011.
Three English prisons hosted the first randomised trial of tapering doses of buprenorphine versus methadone to ease the withdrawal of opiate users entering prison. As outside prison, there was little difference in their effectiveness, and three months later just a fifth of the (former) prisoners were assessed as no longer using illegal opiates.
Crits-Christoph P., Gallop R., Temes C.M. et al.
Journal of Consulting and Clinical Psychology: 2009, 77(6), p. 1125–1135.
Rarely has counselling been so deeply analysed as in this US study of mainly alcohol and cocaine dependent patients. The far-reaching implications are that some counsellors generate relationships with clients which feed through to better outcomes – but also that the 'best' relationship builders are not on average the most effective.
Phillips R., Bourne H.
International Journal of Drug Policy: 2008, 19(1), p. 33–41.
From England, findings suggesting the intriguing but for the moment tentative possibility that non-conformist drug workers who value hedonism and stimulation help socially excluded clients improve most because their values match those of their clients.
STUDY 2012 HTM file
Innovation adoption as facilitated by a change-oriented workplace
Becan J.E., Knight D.K., Flynn P.M.
Journal of Substance Abuse Treatment: 2012, 42, p. 179–190.
Message from this large US study is that 'bottom-up' practice improvements in treatment services initiated by counsellors are still strongly influenced by the climate-setting and support offered by an organisation's leadership and ethos, especially how far they foster professional development.
Dennis M.L., Scott C.K.
Drug and Alcohol Dependence: 2012, 121(1–2), p. 10–17.
Chicago studies have shown that quarterly check-ups on former patients can identify need and pave the way for treatment re-entry. Though extra substance use/problem reductions were modest, these remained significant four years after the patients started treatment. Issue for the UK: how does this square with the stress on lasting treatment exit?
Manuel J.K., Hagedorn H.J., Finney J.W.
Psychology of Addictive Behaviors: 2011, 25(2), p. 225–237.
Does implementing evidence-based psychosocial therapies actually lead to the intended practice changes and do these make things better for the clients? From this review, most clearly when the whole organisation is enrolled in the effort and training is bolstered by systematic and expert continuing supervision.
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