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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National Institute for Health and Clinical Excellence
National Institute for Health and Clinical Excellence, 2010.
In these UK national prevention guidelines, experts prioritised population-wide changes like price rises and outlet restrictions which affect everyone, independent of the choices they make. But in England government prefers to target what they see as the troublesome minority, not the responsible majority.
REVIEW 2009 HTM file
Alcohol and drug screening of occupational drivers for preventing injury
Cashman C.M., Ruotsalainen J., Greiner B.A. et al.
Cochrane Database of Systematic Reviews: 2009, 2, Art. No.: CD006566.
Exhaustive search finds just two rigorous studies of workplace testing for alcohol and/or drug use of people employed as drivers. For drugs there was some evidence of a long-term effect in averting injuries and deaths but in respect of both drugs and alcohol the evidence was too thin to support any particular policy.
DOCUMENT 2014 HTM file
Should dependent drinkers always try for abstinence?
Druglink: March/April 2014.
For many alcohol treatment services in the past and now, the only acceptable and feasible drinking goal for alcoholics is abstinence. That mould was decisively cracked when in 1973 researchers showed that even physically dependent drinkers could learn to drink in moderation. Controversy was fierce, reaching to the US Congress, TV networks and the courts.
Delcher, C., Maldonaldo-Molina, M.M., Wagenaar, A.C.
Addictive Behaviours: 2012(37) p.783–789
Changing alcohol tax rates in New York state mostly did not significantly affect the number of people who died from alcohol related diseases, perhaps as overall tax rates were still very low, and increases or decreases not always applied to all types of alcohol at once.
Markham W.A., Young R., Sweeting H. et al.
Social Science and Medicine: 2012, 75, p. 69–76.
Intriguing findings from Glasgow on what it is about a school which helps protect pupils from less socially accepted substance use: in this case, engaging schools with good teacher-pupil relationships but, unlike in England, not those which (given their pupils and areas) excel academically and in eliminating truancy. Connection is it seems the key.
Foxcroft D.R., Tsertsvadze A.
Perspectives in Public Health: 2012, 132(3), p. 128–134.
The reviewers here helpfully amalgamate the findings of their three authoritative reviews of alcohol prevention programmes in the school, among families and parents, and combining these and/or other components. Some programmes they say work, but why and in what contexts remains unclear.
Resnick S.M., Griffiths M.D.
International Journal of Mental Health and Addiction: 2012, 10, p. 185–196.
This small English study poses fundamental questions about alcohol treatment services: whether private services suffer from an ‘empathy gap’ and NHS services from poor systems; whether opening up treatment choice to patients with a record of bad decision-making is a good thing; and whether there can be universal criteria for what counts as quality provision.
DOCUMENT 2014 HTM file
How many drinkers should be in treatment?
Druglink: January/February 2014.
Depending on the criteria, Britain’s performance in ensuring needy drinkers enter treatment can look anywhere from an abysmal 7% to an excellent 40%. Does where you draw the line depend on how you want to portray Britain’s performance?
Bray J.W., Cowell A.J., Hinde J.M.
Medical Care: 2011, 49(3), p. 287–294.
Screening for risky drinking and offering brief advice slightly reduces later emergency department visits was the main finding of this review, suggesting these programmes can help ease pressure on overloaded departments. Adding to their attraction, some of the evidence comes from studies in the services set to benefit.
STUDY 1992 HTM file
Disulfiram treatment of alcoholism
Chick J., Gough K., Falkowski W. et al.
British Journal of Psychiatry: 1992, 161, p. 84–89.
Still relevant today, from the early 1990s this UK randomised trial of disulfiram in the treatment of alcohol dependence found that, given daily supervision to make sure patients took tablets they knew would cause unpleasant effects if they drank, the effect was to significantly reduce drinking.
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