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 2012 HTM file
Effectiveness of therapeutic communities: a systematic review

Malivert M., Fatséas M., Denis C. et al.
European Addiction Research: 2012, 18, p. 1–11
Methodological shortcomings in the original studies prevented this review from reaching a firm conclusion on the lasting benefits of residential therapeutic communities, though it was clear that while residents stayed, substance use was significantly reduced.

STUDY 2010 HTM file
A survey of community drug team prescribing policies and client views

Luty J., O'Gara C., Sessay M. et al.
Journal of Substance Use: 2010, 15(1), p. 51–59.
Contrary to national guidelines, in the mid-2000s in England and Wales, prescribed doses of the heroin substitute methadone were generally low, and often even new patients were not required to take it under supervision at the pharmacy. Patients in Essex also generally favoured low doses and opposed supervised consumption.

REVIEW 2011 HTM file
QT interval screening in methadone maintenance treatment: report of a SAMHSA expert panel

Martin J.A., Campbell A., Killip T. et al.
Journal of Addictive Diseases: 2011, 30, p. 283–306.
Concerned that this might on balance cause more deaths by limiting an effective treatment for opiate addiction, an expert panel convened by the US government has changed its mind on whether the risk of a fatal heart attack potentially posed by methadone justifies routine electrocardiogram screening of patients.

STUDY 2011 HTM file
Methadone maintenance, QTc and torsade de pointes: who needs an electrocardiogram and what is the prevalence of QTc prolongation?

Mayet S., Gossop M., Lintzeris N. et al.
Drug and Alcohol Review: 2011, 30(4), p. 388–396.
British guidelines suggest electrocardiogram screening of methadone patients at heightened risk of a form of possibly methadone-aggravated cardiac disorder which can result in sudden death. But a London clinic found this would still mean testing most patients, with huge resource implications yet uncertain benefits.

STUDY 2010 HTM file
Onsite QTc interval screening for patients in methadone maintenance treatment

Fareed A., Vayalapalli S., Byrd-Sellers J. et al.
Journal of Addictive Diseases: 2010, 29(1), p. 15–22.
Does the small risk of fatal heart attack potentially posed by methadone justify routine electrocardiogram screening of patients, or will this cause more deaths by limiting an effective treatment for opiate addiction? A US clinic tried it and found three at-risk patients in three years.

STUDY 2010 HTM file
A long term study of the outcomes of drug users leaving treatment

National Treatment Agency for Substance Misuse.
[UK] National Treatment Agency for Substance Misuse, 2010.
Support for the argument made by England's National Treatment Agency for Substance Misuse that relapse is less likely if patients leave treatment after having successfully completed the programme rather than dropping out – but maybe staying in treatment for at least a few years is even better.

STUDY 2012 HTM file
Estimating the crime reduction benefits of drug treatment and recovery

National Treatment Agency for Substance Misuse.
[UK] National Treatment Agency for Substance Misuse, 2012.
England's National Treatment Agency for Substance Misuse calculates the crime reduction dividend for society arising from effective addiction treatment at billions of pounds, meaning that any cuts in funding would be more than wiped out by the costs of increased crime.

STUDY 2012 HTM file
The impact of treatment on reconviction for drug-related offences

National Treatment Agency for Substance Misuse.
[UK] National Treatment Agency for Substance Misuse, 2012.
England's National Treatment Agency for Substance Misuse finds known offenders substantially less likely to be reconvicted after (re)starting addiction treatment, especially when they stay in treatment or complete it after overcoming their dependence.

DOCUMENT 2011 HTM file
Drug treatment and recovery in 2010–11

National Treatment Agency for Substance Misuse.
[UK] National Treatment Agency for Substance Misuse, 2011.
England's National Treatment Agency for Substance Misuse argues that the efforts of users, workers and service providers to put recovery at the heart of treatment are paying off in the form of more drug dependent patients successfully completing and leaving treatment and not having to return after relapse.

STUDY 2011 HTM file
The effect of using assessment instruments on substance-abuse outpatients' adherence to treatment: a multi-centre randomised controlled trial

Raes V., De Jong C.A.J., De Bacquer Dirk. et al.
BMC Health Services Research: 2011, 11:123.
Young adult multi-drug users in Belgium who often soon dropped out of treatment were much more likely to stay in counselling when their therapists structured sessions by feeding back assessments of their motivation and recovery resources.


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