The Addiction archive
 The Addiction archive

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The Addiction archive

Analyses of articles in the journal Addiction published by our partner the Society for the Study of Addiction starting with the most recently published article, totalling today 84 documents.

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REVIEW 2012 HTM file
The effectiveness of opioid maintenance treatment in prison settings: a systematic review

Hedrich D., Alves P., Farrell M. et al.
Addiction: 2012, 107(3), p. 501–517.
Largely due to the treatment's health benefits, this review argues that failure to implement effective opioid maintenance programmes in prison represents an important missed opportunity to engage high-risk drug users in treatment, at possibly substantial costs both to individuals and to the community.

STUDY 2012 HTM file
Randomized trial of standard methadone treatment compared to initiating methadone without counseling: 12-month findings

Schwartz R.P., Kelly S.M., O'Grady K.E. et al.
Addiction: 2012, 107(5), p. 943–952.
Up to a year after starting methadone treatment US patients offered virtually no counselling for the first four months were still doing as well as those offered regular counselling. But there is a hint that intensive and high quality counselling enabled more to safely leave treatment.

STUDY 2012 HTM file
A randomized controlled trial of a brief intervention for illicit drugs linked to the Alcohol, Smoking and Substance Involvement Screening Test (ASSIST) in clients recruited from primary health-care settings in four countries

Humeniuk R., Ali R., Babor T. et al.
Addiction: 2012, 107(5), p. 957–966.
Orchestrated by WHO, across all four countries this rare attempt at screening and brief intervention for problems arising from illegal drug use identified at front-line health care centres found modest reductions in use/risks, but there was a puzzling opposition between particularly positive results from Australia and seemingly negative ones from the USA.

STUDY 2012 HTM file
Defining dosing pattern characteristics of successful tapers following methadone maintenance treatment: results from a population-based retrospective cohort study

Nosyk B., Sun H., Evans E. et al.
Addiction: 2012, 107(9), p. 1621–1629.
Based on detailed treatment records kept by the Canadian province of British Columbia, a slow taper liberally interspersed with stabilisation periods offers the best chance of sustainably withdrawing from methadone without severe relapse, but still very few manage to avoid this risk – an argument for careful consideration and informed consent before making the attempt.

REVIEW 2011 HTM file
A systematic and methodological review of interventions for young people experiencing alcohol-related harm

Calabria B., Shakeshaft A.P., Havard A.
Addiction: 2011, 106, awaiting print publication.
Though some studies may have been persuasive, this review of recent attempts to find which therapeutic approaches work best for young risky drinkers was unable to reach firm conclusions due to variability in the studies and methodological inadequacies. Still, the tentative conclusions accord with those in UK guidance.

REVIEW 2011 HTM file
Interventions for disorder and severe intoxication in and around licensed premises, 1989–2009

Brennan I., Moore S.C., Byrne E. et al.
Addiction: 2011, 106, p. 706–713.
Surprisingly, the big problem of disorder and violence associated with bars, clubs and pubs has not attracted a correspondingly large evidence base on how to prevent it. This review concludes that training bar staff to identify and respond to warning signs has some potential.

STUDY 2011 HTM file
The Örebro prevention program revisited: a cluster-randomized effectiveness trial of program effects on youth drinking

Bodin M.C., Strandberg A.K.
Addiction: 2011, in press.
When its developers tested it, in Sweden routine parent-school meetings including presentations encouraging parents to take a strong stand against underage drinking had a remarkable impact on adolescent drunkenness; why then did this Swedish trial by other researchers fail to replicate the original findings?

STUDY 2011 HTM file
Extended telephone-based continuing care for alcohol dependence: 24-month outcomes and subgroup analyses

McKay J.R., Van Horn D., Oslin D.W. et al.
Addiction: 2011, 106(10), p. 1760–1769.
At Philadelphia clinics seeing alcohol- (and often cocaine-) dependent patients, spending on average another nine minutes to offer counselling as well as progress checks during aftercare phone calls made the difference between a programme which did rather than did not consistently improve on usual arrangements, at least while it was operative.

REVIEW 2011 HTM file
A policy-oriented review of strategies for improving the outcomes of services for substance use disorder patients

Humphreys K., McLellan T.
Addiction: 2011, 106, p. 2058–2066.
Improving performance of substance use disorder treatment systems is no easy matter and one prone to unintended consequences. All the more welcome then is guidance from leading US experts with top-level experience in the UK and the USA; their favourite tactic, rewarding services for patient progress during treatment, is featured in UK payment-by-results schemes.

STUDY 2011 HTM file
The impact of needle and syringe provision and opiate substitution therapy on the incidence of hepatitis C virus in injecting drug users: pooling of UK evidence

Turner K.M.E., Hutchinson S., Vickerman P. et al.
Addiction: 2011, 106, p. 1978–1988.
Together studies recently conducted across the UK suggest that consistent participation in methadone maintenance treatment plus adequate access to fresh injecting equipment has prevented many hepatitis C infections, supporting calls for needle exchange to be expanded and methadone treatment sustained.


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