All Effectiveness Bank analyses to date of documents related to alcohol compiled for our partner Alcohol Change UK, starting with the analyses most recently added or updated, totalling today 792 documents.
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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.
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.
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.
Schwan R., Di Patritio P., Albuisson E. et al.
European Journal of Emergency Medicine: 2012, 19, p. 384–388.
Brief interventions conducted by alcohol treatment specialists reduced alcohol-affected readmission rate by nearly half among patients admitted to a French emergency department when drunk or in need of withdrawal.
Gilburt H., Drummond C., Sinclair J.
Alcohol and Alcoholism: 2015, 50(4), p. 444–450.
Patient interviews provide insight into low levels of engagement and retention in alcohol treatment services, hindering the effective provision of treatment for dependent drinkers. Findings suggest that treatment pathways should better reflect the capacity and capabilities of people with alcohol dependence.
HOT TOPIC 2016 HTM file
Don’t treat, just test and sanction
One of our hot topics offering background and analysis on important issues which sometimes generate heated debate. Gaining influential support is the proposition that for problem substance users over whom leverage can be exerted, we can largely do away with treatment and just test for substance use and punish infringements. Is this really the way forward?
Fountain J., Ferri M., Bo A.
European Monitoring Centre for Drugs and Drug Addiction, 2015.
Scant research into brief interventions targeting harmful drug use in emergency departments prevents firm conclusions being drawn about their effectiveness. But, recognised benefits for alcohol, and likely cost-effectiveness, suggest that brief interventions may be appropriate within emergency care settings.
STUDY 2010 HTM file
South Dakota 24/7 Sobriety program evaluation findings report
Loudenburg R., Drube G., Leonardson G.
Mountain Plains Evaluation, LLC, 2010.
Drink-driving offenders on South Dakota’s 24/7 Sobriety project test alcohol-free at over 99% of the twice-daily breath tests intended to enforce abstinence via the threat of immediate brief imprisonment, and subsequent recidivism is lower than among other drink-driving offenders in the state.
Pepper M., Dawson P.
Mayor of London Office for Policing and Crime, 2016
London pilot of enforced sobriety offers useful insights to inform expansion of the Alcohol Abstinence Monitoring Requirement scheme.
Lloyd C., Wollny I., White C. et al.
[UK] Department for Education, 2011.
Family interventions were at the heart of the UK government’s ambition to ‘turn round’ the lives of 120,000 troubled families in England. In respect of drink and drug problems, substantial remission was seen, but the featured study could not show whether this was due to the interventions, and a report on a successor programme found no significant impacts.
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