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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Kunøe N., Lobmaier P.P., Vederhus J.K. et al.
Addiction: 2010, 105, p. 1633–1639.
Despite being motivated to sustain abstinence and implanted with a drug which should have blocked the effects of opiates, in Norwegian studies most opiate-dependent patients used opiates and about a quarter did so repeatedly.
STUDY 2010 HTM file
Retention in naltrexone implant treatment for opioid dependence
Kunøe N., Lobmaier P.P., Vederhus J.K. et al.
Drug and Alcohol Dependence: 2010, 111, p. 166–169.
In Norway over half the opiate dependent patients implanted with the opiate blocking drug naltrexone opted for another implant after six months when the first had worn off, giving themselves a year in which to construct a life no longer reliant on the effects of heroin.
Amundsen E.J., Ravndal E.
Drugs: Education, Prevention and Policy: 2010, 17(1), p. 42–54.
Intriguing suggestion from a Norwegian study that taking measures to effectively reduce bullying in schools (including improving the social climate and setting clear and consistently enforced boundaries) also curbs the development of forms of substance use most associated with disturbed child development.
STUDY 2011 HTM file
The NTA overdose and naloxone training programme for families and carers
National Treatment Agency for Substance Misuse.
National Treatment Agency for Substance Misuse, 2011.
Up to 18 lives were known (and more perhaps unrecorded) to have been saved after the National Treatment Agency in England piloted training for the carers of opiate users on how to administer the overdose-reversing drug naloxone. But how does catering for relapse in this way square with the optimism of the recovery movement?
REVIEW 2008 HTM file
Offender coercion in treatment: a meta-analysis of effectiveness
Parhar K.K., Wormith J.S, Derkzen D.M. et al.
Criminal Justice and Behavior: 2008, 35(9), p. 1109–1135
This comprehensive synthesis of 129 studies of offender treatment for problems such as substance use found increasing treatment impact as the degree to which the offender was free to choose the treatment increased. At the bottom end, mandated treatment in custody appeared a waste of time and money.
Strang J., Manning V., Mayet S. et al.
Addiction: 2008, 103(10), p. 1648–1657.
As concern mounts about Britain's failure to reverse the recent growth in drug-related deaths, the first large-scale UK follow-up study has assessed the impact of training in overdose recognition and management featuring the opiate blocking drug naloxone.
Jensen C.D., Cushing C.C., Aylward B.S. et al.
Journal of Consulting and Clinical Psychology: 2011, 79(4), p. 433–440.
Not just for adults, but teenagers and young adults too, with this analysis motivational interviewing seems confirmed as the leading evidence-based approach to reducing possibly or actually risky substance use among non-clinical populations not seeking treatment.
Anthony G.B., Matheson C., Holland R. et al.
Drug and Alcohol Review: 2011, online pre-print.
Survey responses from clinicians prescribing methadone at Scottish addiction treatment clinics show how the requirement that patients be observed taking the medication involves striking a balance between safety, individualising treatment, and attracting and retaining patients.
Stead M., Stradling R., MacNeil M. et al.
Drugs: Education, Prevention and Policy: 2010, 17(1), p. 1–20.
An audit of school drug education in Scotland in the early 2000s found that in key respects lessons departed from what research had shown was effective prevention and that despite national guidelines, there was no consistent national or even local approach.
Katz E.C., Brown B.S., Schwartz R.P. et al.
Drug and Alcohol Dependence: 2011, 117, p. 24–30.
The drive in Britain to increase drug treatment exits will mean more patients detoxifying and in need of being linked to effective follow-on care to safeguard their lives and their recovery. Evidence from the USA that a simple counselling intervention can help make that vital link.
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