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 773 documents.

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STUDY 2012 HTM file
Does school ethos explain the relationship between value-added education and teenage substance use? A cohort study

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.

REVIEW 2012 HTM file
Universal alcohol misuse prevention programmes for children and adolescents: Cochrane systematic reviews

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.

STUDY 2012 HTM file
Delivering service quality in alcohol treatment: a qualitative comparison of public and private treatment centres by service users and service providers

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?

Ashton M.
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?

REVIEW 2011 HTM file
A systematic review and meta-analysis of health care utilization outcomes in alcohol screening and brief intervention trials

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.

DOCUMENT 2013 HTM file
Alcohol treatment in England 2012–13

Public Health England.
Public Health England, 2013.
In England nearly 110,000 patients were in specialist alcohol treatment in 2012/13 and over a third left as planned free of dependence. These numbers probably mean most dependent drinkers who could benefit from treatment do without it, perhaps partly because so few find their way to treatment via their GPs and other medical services.

REVIEW 2012 HTM file
Changing parental behaviour to reduce risky drinking among adolescents: current evidence and future directions

Gilligan C., Kypri K, Lubman D.
Alcohol and Alcoholism: 2012, 47(3), p. 349–354.
Should parents introduce their underage children to alcohol, and if they give their children alcohol, is it important that they supervise its consumption? Opinions and guidelines differ as do research findings, perhaps because much depends on the context.

DOCUMENT 2013 HTM file
Rewarding virtue

Ashton M.
Druglink: November/December 2013.
Can we dispense with counselling, therapy, treatment as we know it, and just punish or deprive patients of rewards when they use substances in undesired ways, and reward them when they behave as we/they would wish? British services are trialling an approach about which many clinicians express major ethical concerns – contingency management.

REVIEW 2013 HTM file
Quitting drugs: quantitative and qualitative features

Heyman G.M.
Annual Review of Clinical Psychology: 2013, 9, p. 29–59.
Innovative re-analysis of US national surveys reveals that no matter how long ago someone became dependent on an illegal drug or alcohol, their chances of achieving remission remain the same. The findings challenge models which assume that progressive neural, lifestyle or psychological changes increasingly lock someone in to addiction.


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