Drugs: the complete collection
 Drugs: the complete collection

SnortingEffectiveness bank home page. Opens new window Collection
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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STUDY 2006 PDF file 114Kb
Harm reduction education successfully extended to illegal drugs

Christiane Poulin Jocelyn Nicholson
in the Drug and Alcohol Findings magazine
A small sample of Canadian schools generally endorsed the appropriateness of harm reduction education for older teenagers, and in the two which implemented the programme, substance use and related damage and risk were curbed compared to other local schools.

STUDY 2006 PDF file 159Kb
Integrated care for dual diagnosis patients betters parallel provision

Mangrum LF Spence RT Lopez M.
in the Drug and Alcohol Findings magazine
This rare test of truly integrated substance use and mental health care for severely mentally ill patients found it cut subsequent psychiatric and legal crises. Even where full integration is not possible, the same principles could improve the work of mental health and addiction services.

STUDY 2006 PDF file 145Kb
Stripped down methadone prescribing better than leaving patients to wait

Robert P. Schwartz David A. Highfield Jerome H. Jaffe Joseph V. Brady Carol B. Butler Charles O. Rouse Jason M. Callaman Kevin E. OGrady Robert J. Battjes
in the Drug and Alcohol Findings magazine
What can you do if patients have to wait for a methadone slot? This US study found that offering a bare-bones substitute prescribing service during the waiting period meant patients felt better, used drugs less and were more likely eventually to enter the fully-fledged programme.

STUDY 2006 PDF file 162Kb
Long-acting depot naltrexone extends opiate abstinence

Comer SD, Sullivan MA, Yu E, Rothenberg JL, Kleber HD, Kampman K, Dackis C, O'Brien CP
in the Drug and Alcohol Findings magazine
A long-acting version of the opiate blocking drug naltrexone nearly doubled the time heroin dependent patients were retained in abstinence-based treatment, creating an opiate-free space during which to begin the construction of non-addicted lifestyles.

STUDY 2006 PDF file 279Kb
British study makes a case for buprenorphine as first line heroin detox option

Duncan Raistrick David West Olwyn Finnegan Gill Thistlethwaite Roger Brearley Jo Banbery
in the Drug and Alcohol Findings magazine
Compared to a standard lofexidine regime, buprenorphine was preferred by opiate dependent patients and enabled more to complete outpatient detoxification.

STUDY 2010 HTM file
Counselor motivational interviewing skills and young adult change talk articulation during brief motivational interventions

Gaume J., Bertholet N., Faouzi M. et al.
Journal of Substance Abuse Treatment: 2010, 39, p. 272–281.
In the study of Swiss army conscripts, reflective listening emerged as possibly the key active ingredient in a brief alcohol intervention based on motivational interviewing.

REVIEW 2009 HTM file
Pharmacotherapies for the treatment of opioid dependence: efficacy, cost-effectiveness and implementation guidelines

Mattick R.P., Ali R, Lintzeris N.
Informa Healthcare, 2009. ISBN: 9781841844008
From some of the same Australian authors who produced classic texts on maintenance prescribing for heroin addiction, a major new text analysing research on all types of drug-based interventions including maintenance, opiate-blocking drugs, and managing withdrawal.

STUDY 2010 HTM file
Review of treatment for cocaine dependence

Penberthy J.K., Ait-Daoud N., Vaughan M. et al.
Current Drug Abuse Reviews: 2010, 3, p. 49–62.
This comprehensive review found strong evidence that some drugs can help treat cocaine dependence and that cognitive-behavioural therapy is a powerful tool to manage cravings and stresses, especially when allied with effective pharmacotherapies.

Cognitive-behavioral treatment with adult alcohol and illicit drug users: a meta-analysis of randomized controlled trials

Magill M., Ray L.A.
Journal of Studies on Alcohol and Drugs: 2009, 70, 516–527.
Cognitive-behavioural therapies are among the most widespread and influential approaches to substance use, yet this analysis found they conferred just a small advantage over other therapies. Perhaps other features are more important than the therapeutic 'brand'.

STUDY 2010 HTM file
HIV infection during limited versus combined HIV prevention programs for IDUs in New York City: the importance of transmission behaviors

Des Jarlais D.C., Arasteh K., McKnight C. et al.
Drug and Alcohol Dependence: 2010, 109, p. 154–160.
From New York, a success story of the reversal of a serious epidemic of HIV among injectors, with mass needle exchange in the starring role. It adds weight to studies which collectively indicate that multi-strand approaches featuring high-coverage syringe provision can curb the spread of HIV.

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