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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STUDY 2010 HTM file
Supervised injectable heroin or injectable methadone versus optimised oral methadone as treatment for chronic heroin addicts in England after persistent failure in orthodox treatment (RIOTT): a randomised trial

Strang J., Metrebian N., Lintzeris N. et al.
Lancet: 2010, 375, p. 1885–1895.
Controversial and expensive it might be, but in the first British randomised trial, a continental-style heroin prescribing programme featuring on-site supervised consumption suppressed illegal heroin use much more effectively than oral methadone.

REVIEW 2009 HTM file
Prescription of heroin for the management of heroin dependence: current status

Lintzeris N.
CNS Drugs: 2009, 23(6), p. 463–476.
Should heroin prescribing be a mass treatment entry route or a niche option for the few who have not done well in optimised (but still cheaper) mainstream treatments? With nearly all the latest studies to hand, this review came down firmly on the 'niche' side of the debate.

REVIEW 2009 HTM file
Efficacy of opiate maintenance therapy and adjunctive interventions for opioid dependence with comorbid cocaine use disorders: a systematic review and meta-analysis of controlled clinical trials

Castells X., Kosten T.R., Capell D. et al.
American Journal of Drug and Alcohol Abuse: 2009, 35(5),p. 339–349.
About a third of Britain's heroin dependent patients also have problems with crack cocaine. Can opiate substitute prescribing help with both problems, and which special anti-cocaine therapies are worth adding on? This review trawled the international research for the answers.

STUDY 2009 HTM file
Review of the Glasgow & Fife drug courts

Scottish Government Community Justice Services.
Scottish Government, 2009.
For Britain, US-inspired drug courts seemed a way to meld justice with treatment in to a more powerful anti-crime force than looser liaisons. But this Scottish study found no detectable anti-crime benefit; instead the main impact seems to have been to substantially raise costs.

STUDY 2009 HTM file
The effect of marijuana scenes in anti-marijuana public service announcements on adolescents' evaluation of ad effectiveness

Kang Y., Cappella J.N., Fishbein M.
Health Communication: 2009, 24(6), p. 483–493.
The most effective anti-drug ads for teenagers show the targeted drug and mount strong arguments against its use. Sounds plausible, but this US study found that when it comes to cannabis and the youngsters most likely to use it, the reverse was the case.

REVIEW 2008 HTM file
Drug testing in schools evidence, impacts and alternatives

Roche A.M., Pidd K., Bywood P. et al.
Australian National Council on Drugs, 2008.
Australian review supports UK guidance indicating that testing school pupils for illegal drugs is a risky procedure of unproven effectiveness and questionable ethics which may backfire by alienating pupils.

REVIEW 2009 HTM file
Refocusing drug-related law enforcement to address harms

UK Drug Policy Commission.
London: UK Drug Policy Commission, 2009
'Target enforcement to reduce individual and community harm' is the premise of this report from a UK drug policy think tank, one which seems widely understood, though in some quarters, deeply contested.

DOCUMENT 2006 PDF file 1326Kb
The Rolleston legacy

Ashton M.
in the Drug and Alcohol Findings magazine
In British drug policy no document has more claim to the term 'classic' than the 1926 Rolleston report, which enshrined doctors' freedom to prescribe opiates to opiate addicts.

STUDY 2006 PDF file 113Kb
Recently attempting suicide one of the strongest indicators for residential treatment

Ilgen MA, Tiet Q, Finney JW, Harris AH
in the Drug and Alcohol Findings magazine
In this US study most patients benefited to roughly the same degree from residential and non-residential programmes, but those who had recently attempted suicide responded dramatically better to residential programmes, doing even better than the other patients.

STUDY 2006 PDF file 114Kb
Low threshold methadone extends life expectancy in Barcelona

Brugal M.T. Domingo-Salvany A. Puig R. Barrio Garca de Olalla P. de la Fuente L.
in the Drug and Alcohol Findings magazine
Largely due to the expansion of low threshold oral methadone maintenance programmes, in the '90s the life expectancy of heroin users entering treatment in Barcelona increased by 21 years. Protecting against overdose was the main way methadone saved lives.


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