Alcohol: the complete collection

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Alcohol: the complete collection

All Effectiveness Bank analyses to date of documents related to alcohol compiled for our supporter Alcohol Change UK, starting with the analyses most recently added or updated, totalling today 777 documents.

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HOT TOPIC 2017 HTM file
Should dependent drinkers always try for abstinence?

Ashton M., Davies N.
One of our hot topics offering background and analysis on important issues which sometimes generate heated debate. For decades no issue has been hotter than whether dependent drinkers should always be advised to aim for abstinence rather than controlled drinking. We detail the fascinating background to this question faced on entering treatment by every drinker and their counsellor.

STUDY 2006 HTM file
Effectiveness of nurse-led brief alcohol intervention: A cluster randomized controlled trial

Lock C.A., Kaner E., Heather N. et al.
Journal of Advanced Nursing: 2006, 54(4), p. 426–439.
Interventions delivered by nurses did lead to a reduction in excessive drinking in their patients, but there seemed to be no advantage of a structured brief intervention over standard advice.

Alcohol Matrix cell D3: Organisational functioning; Medical treatment

Ashton M.
Selected studies and reviews on how treatment organisations affect the implementation and effectiveness of medical interventions and treatment in medical settings. One of 25 cells in the alcohol matrix.

STUDY 2015 HTM file
Adult substance misuse statistics from the National Drug Treatment Monitoring System (NDTMS) 1 April 2014 to 31 March 2015

Public Health England.
Public Health England, 2015.
For the first time the annual accounting of the treatment caseload in England combines both drug and alcohol use patient records, registering a continuing trend down in total numbers due mainly to falls in users of heroin and other opiate-type drugs.

DOCUMENT 2016 HTM file
Coexisting severe mental illness and substance misuse: community health and social care services

National Institute for Health and Care Excellence (NICE).
[UK] National Institute for Health and Care Excellence, 2016.
NICE guidance on health and social care for substance users with severe mental illness says that rather than creating specialist ‘dual diagnosis’ services, health and social care (including substance misuse) services should adapt to this caseload, and their care should be led by the mental health service.

Alcohol Matrix cell C3: Management/supervision; Medical treatment

Ashton M.
Seminal and key studies on the impact of management in medical interventions and treatment in medical settings. Asks how we can identify effective clinicians and effective medications, and highlights the remarkable transformation brought about in the 1950s at a Massachusetts clinic.

STUDY 1987 HTM file
Evaluation of a controlled drinking minimal intervention for problem drinkers in general practice (the DRAMS scheme)

Heather N., Campion P.D., Neville R.G. et al.
Journal of the Royal College of General Practitioners: 1987, 37, p. 358–363.
Uncovered in our search for seminal studies for the Alcohol Treatment Matrix, a piece of old gold … Hampered by problems with implementation, this evaluation of an early controlled drinking brief intervention showed no advantage for patients over basic advice (or no intervention at all), prefiguring later findings from larger trials.

Alcohol Matrix cell B3: Practitioners; Medical treatment

Ashton M.
The most important seminal and key studies and reviews shedding light on the impact of the practitioner in medical interventions and treatment for alcohol problems in medical settings.

Alcohol Matrix cell A3: Interventions; Medical treatment

Ashton M.
Seminal and key studies and reviews on the effectiveness of medical interventions and treatment in medical settings.

REVIEW 2013 HTM file
Metaanalysis of naltrexone and acamprosate for treating alcohol use disorders: when are these medications most helpful?

Maisel N.C., Blodgett J.C., Wilbourne P.L. et al.
Addiction: 2013, 108(2), p. 275–293.
Naltrexone and acamprosate both modestly curtail drinking among alcohol-dependent patients, but which is best in which circumstances and for which treatment goals? To find out this review compared the medications’ performance when separately benchmarked against a placebo, bringing to bear much more data than is available from the few trials which directly compared the two drugs.

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