Alcohol: the complete collection
 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 partner Alcohol Change UK, starting with the analyses most recently added or updated, totalling today 762 documents.

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STUDY 2014 HTM file
Relative efficacy of mindfulness-based relapse prevention, standard relapse prevention, and treatment as usual for substance use disorders: a randomized clinical trial

Bowen S., Witkiewitz K., Clifasefi S.L. et al.
JAMA Psychiatry: 2014, 71(5), p. 547–556.
Promising signs – but from a single study at a single treatment agency – that integrating Buddhism-inspired mindfulness-based elements creates a more effective supplement to usual (in the US context) 12-step based aftercare than a purely cognitive behavioural approach, helping patients sustain gains from initial intensive treatment.

REVIEW 2014 HTM file
Interventions to reduce substance misuse among vulnerable young people

[UK] National Institute for Health and Care Excellence
Evidence Update April 2014
In this evidence update, the National Institute for Health and Care Excellence assess new evidence relevant to its earlier public health guidance on interventions to reduce substance misuse among vulnerable young people.

STUDY 2013 HTM file
An evaluation of the implementation of, and compliance with, the objectives of the Licensing (Scotland) Act 2005: final report

MacGregor A., Sharp C., Mabelis J. et al.
NHS Health Scotland, 2013
Scotland’s 2005 licensing reforms placed it in the vanguard across the UK, notably in adding public health to licensing objectives. There were important positives, but implementing this key measure foundered on the difficulty of relating decisions on individual licensed premises to health trends across an area.

REVIEW 2012 HTM file
Clinical recognition and recording of alcohol disorders by clinicians in primary and secondary care: meta-analysis

Mitchell A.J., Meader N., Bird V. et al.
British Journal of Psychiatry: 2012, 201, p. 93–100.
The policy emphasis on systematic screening to identify risky drinkers seems justified by this review, which found that without this GPs and other non-specialist doctors and nurses missed about half the risky drinkers they saw. However, that is better than in many screening programmes, prompting the reviewers to query whether these really do improve on clinical judgement.

STUDY 2008 HTM file
Final report on the evaluation of ‘Option 2’

Forrester D., Pokhrel S., McDonald L. et al.
Welsh Assembly Government, 2008.
This evaluation of an intensive child protection service for children with substance misusing parents was the first in Britain to recruit an adequate comparison sample, a vital step in assessing effectiveness. Main finding was reduced need for long-term removal from the home.

DOCUMENT 2012 HTM file
Practice standards for young people with substance misuse problems

Gilvarry E., McArdle P., O’Herlihy A. et al, eds.
[UK] Royal College of Psychiatrists, 2012.
Practice standards developed by the UK’s Royal College of Psychiatrists on working with young people aged 18 or under with substance misuse problems, intended (if followed) to promote high quality screening, assessment and treatment for these young people.

REVIEW 2012 HTM file
Are alcohol prices and taxes an evidence-based approach to reducing alcohol-related harm and promoting public health and safety? A literature review

Patra J., Giesbrecht N., Rehm J. et al.
Contemporary Drug Problems: 2012, 39, p. 7–48.
Review updating knowledge to mid-2011 confirms that alcohol-related harm and illness have been curbed by increasing alcohol prices or taxes, but what happens to overall mortality remains unclear – and there is more to why people do or do not drink than health and harm.

REVIEW 2012 HTM file
BAP updated guidelines: evidence-based guidelines for the pharmacological management of substance abuse, harmful use, addiction and comorbidity: recommendations from BAP

Lingford-Hughes A.R., Welch S., Peters L. et al.
Journal of Psychopharmacology: 2012, 26(7), p. 899–952.
Practitioner-friendly review from the British Association for Psychopharmacology on drug-based treatments for substance dependence offer authoritative, evidence-based guidance to prescribers and others; they also demonstrate the limitations of trying to cure over-use of drugs with drugs.

REVIEW 2010 HTM file
Effects of alcohol tax and price policies on morbidity and mortality: a systematic review

Wagenaar A.C., Tobler A.L., Komro K.A.
American Journal of Public Health: 2010, 100(11), p. 2270–2278.
For what seems the first time, this analysis combined results from relevant studies to test whether low tax/price levels on alcohol result in poorer health and higher death rates. It found the expected relationships, but based on only the partial accounting of the harms and benefits of drinking found in most studies.

REVIEW 2010 HTM file
Gamma-hydroxybutyrate (GHB) for treatment of alcohol withdrawal and prevention of relapses

Leone M.A., Vigna-Taglianti F., Avanzi G. et al.
Cochrane Database of Systematic Reviews: 2010, 2, art. no. CD006266.
Can one of the UK’s most notorious ‘club drugs’ help alcoholic patients withdraw from and stay away from alcohol? The answer from this authoritative review is that probably it can, but not well enough to displace safer and less abuse-prone alternatives.

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