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 767 documents.

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STUDY 2019 HTM file
Randomized controlled trial of harm reduction treatment for alcohol (HaRT-A) for people experiencing homelessness and alcohol use disorder

Collins S.E., Clifasefi S.L., Nelson L.A. et al.
International Journal of Drug Policy: 2019, 67, p. 24–33.
Heavy drinking is clearly problematic for homeless populations, but is the best way to tackle it to aim for abstinence, or to accept the reality of life on the streets and aim to reduce harm and improve lives in ways which make sense to the patient? This US study supports the latter, but without conclusively deciding the issue.

REVIEW 2019 HTM file
Family-based prevention programmes for alcohol use in young people

Gilligan C., Wolfenden L., Foxcroft D.R. et al.
Cochrane Database of Systematic Reviews: 2019, Issue 3. Art. No.: CD012287.
Findings of this comprehensive review seem to almost entirely deflate what in the mid-2000s was a bubble of enthusiasm for parental programmes as a way to prevent or reduce drinking among teenagers – but despite this overall verdict, some interventions have had remarkable results.

STUDY 2019 HTM file
Efficacy and cost-effectiveness of an adjunctive personalised psychosocial intervention in treatment-resistant maintenance opioid agonist therapy: a pragmatic, open-label, randomised controlled trial

Marsden J., Stillwell G., James K. et al.
Lancet Psychiatry: 2019, 6, p. 391–402.
Instead of a set programme, a clinic in London tried offering methadone or buprenorphine patients still using heroin or cocaine a selection from a suite of well-supported psychological interventions tailored to the patient and then systematically re-tailored in the light of how they responded. It worked – but did it work well enough, and would the findings be replicated in more typical circumstances?

STUDY 2011 HTM file
Long-term effects of a parent and student intervention on alcohol use in adolescents: a cluster randomized controlled trial

Koning I.M., van den Eijnden R.J., Verdurmen J.E. et al.
American Journal of Preventive Medicine: 2011, 40(5), p. 541–547.
In this Dutch study, promoting parental rule setting and classroom alcohol education together nearly halved the proportion of adolescents who went on to drink heavily. Rarely have such strong and sustained drinking prevention impacts been recorded from these types of interventions.

STUDY 2010 HTM file
Preventing drug abuse among adolescent girls: outcome data from an internet-based intervention

Schwinn T.M., Schinke S.P., Di Noia J.
Prevention Science: 2010, 11, p. 24–32.
In this US study a substance use prevention programme for adolescent girls accessed over the internet from home had effects comparable to school-based drug education, yet occupied no classroom or teacher time and could inexpensively be replicated across the internet-linked population. Also described are later reports from similar studies.

DOCUMENT 2019 HTM file
Prison Drugs Strategy

HM Prison and Probation Service.
HM Prison and Probation Service, 2019
National agency responsible for prison and probation services in England and Wales announces three-point plan for tackling the presence of drugs and drug use problems, based on the principles of restricting supply, reducing demand, and building recovery.

REVIEW 2018 HTM file
Doing time on a TC: how effective are drug-free therapeutic communities in prison? A review of the literature

Aslan, L.
International Journal of Therapeutic Communities: 2018, 39(1), p. 26–34.
Evidence gathered over the last decade affirms the greater effectiveness of therapeutic communities in prison versus other treatment models, and highlights improved recidivism and drug use outcomes when the prison regimen is reinforced by community aftercare on release.

REVIEW 2018 HTM file
Psychotherapy relationships that work III

Norcross J.C., Lambert M.J.
Psychotherapy: 2018, 55(4), p. 303–315.
Research findings amalgamated in 16 reviews for an American Psychological Association task force led them to authoritatively assess many dimensions of the client–psychotherapist relationship as important determinants of patients’ progress. “The relationship can heal,” is the overall conclusion – one likely to be highly relevant to recovery from addiction.

REVIEW 2018 HTM file
The real relationship and its role in psychotherapy outcome: a meta-analysis

Gelso C.J., Kivlighan D.M., Markin R.D.
Psychotherapy: 2018, 55(4), p. 434–444.
Findings amalgamated for the American Psychological Association indicate that patient progress and treatment quality are strongly related to the strength of the personal (‘real’) relationship between client and therapist – more strongly than the working relationship focused on the therapy. Showing that you like, value and care for someone may be therapeutic in itself.

REVIEW 2018 HTM file
The alliance in adult psychotherapy: a meta-analytic synthesis

Flückiger C., Del Re A.C., Wampold B.E. et al.
Psychotherapy: 2018, 55(4), p. 316–340.
Comprehensive review for the American Psychological Association concludes that the working relationship between clients and their counsellors or therapists is one of the largest and most consistent determinants of outcomes. Practice recommendations aim to help practitioners foster strong relationships.


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