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 2005 PDF file 826Kb
Self help: don't leave it to the patients
in the Drug and Alcohol Findings magazine
Keith Humphreys and colleagues report on a workgroup of US experts on substance abuse self-help organisations. Main conclusion: self-help groups are too valuable to leave to chance. They should be actively promoted and facilitated by treatment services and policymakers.
Kinlock T.W., Gordon M.S., Schwartz R.P. et al.
Journal of Substance Abuse Treatment: 2009, 37, p. 277–285.
Starting methadone treatment in prison radically improves treatment uptake on release and reduces heroin and cocaine use over the following year, reports the first US randomised trial among formerly opiate dependent prisoners.
Hoffman K.A., Ford J.H., Choi D. et al.
Drug and Alcohol Dependence: 2008, 98, p. 63–69.
Placing staff in the clients' shoes was the key tactic in this national US treatment improvement programme which more than halved waiting times and increased retention without limiting patient numbers.
Bearn J., Swami A., Stewart D. et al.,
Journal of Substance Abuse Treatment: 2009, 36, p. 345–349.
From south London, one of only a handful of randomised studies trialling acupuncture for opiate detoxification adds to the accretion of 'ineffective' verdicts, raising the question of why the treatment continues to be popular.
Bywood P.T., Lunnay B., Roche A.M.
Adelaide: National Centre for Education and Training on Addiction, 2008
Comprehensive Australian review garners the lessons from across health promotion and medical care on how best to improve practice by introducing research-based innovations, and evaluates their applicability to substance misuse.
Scottish Government Social Research, 2008.
Comprehensive and thoughtful review of the UK-relevant literature warns that services which impose rigid and unrealistic expectations of abstinence or independent living on homeless addicts would deny treatment and housing to vulnerable adults with complex needs.
REVIEW ABSTRACT 2009 HTM file
Peer-based addiction recovery support: history, theory, practice, and scientific evaluation
Chicago, IL: Great Lakes Addiction Technology Transfer Center and Philadelphia Department of Behavioral Health and Mental Retardation Services, 2009.
This monograph is likely to become the handbook for the growing peer-based recovery movement in the UK. For administrators, the approaches it reviews offer a way to reconcile decreasing per-patient resources with a policy agenda now focused on reintegration and recovery.
Schottenfeld R.S., Chawarski M.C., Mazlan M.
Lancet: 2008, 371, p. 2192–2200.
This unique randomised trial tested what would happen if detoxified opiate addicts were then maintained on a substitute drug, on an opiate-blocking medication, or simply counselled. The results led to the introduction of methadone prescribing programmes in Malaysia.
REVIEW 2008 HTM file
The search for medications to treat stimulant dependence
Addiction Science and Clinical Practice: 2008, 4(2), p. 28–35.
Expert and accessible review of the state of play in finding effective and (to the patients) acceptable medications to initiate or sustain abstinence from cocaine or methamphetamine. Though extensive, the results of this US-led search have so far been disappointing.
Spoth R.L., Randall G.K., Trudeau L. et al.
Drug and Alcohol Dependence: 2008, 96(1–2), p, 57–68.
Two of the most widely recommended US school and family prevention programmes retarded growth in some forms of substance use, especially among youngsters who had already used by their early teens, but there are some methodological concerns over the findings.
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