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 791 documents.
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Brennan A., Meng Y., Holmes J. et al.
BMJ: 2014, 349, g5452.
When for England the UK government reverted from a proposed minimum unit price for alcohol to a ban on pricing below duty plus VAT, they abandoned a policy that would probably have had 40–50 times the impact on consumption and reaped correspondingly greater health gains.
REVIEW 2013 HTM file
Meta-analysis of the effects of MI training on clinicians’ behavior
De Roten Y., Zimmermann G., Ortega D. et al.
Journal of Substance Abuse Treatment: 2013, 45, p. 155–162.
The first analysis to amalgamate findings on training clinicians in motivational interviewing finds training does develop competence, especially when reinforced by supervision or coaching based on feedback on trainees’ actual performance. For some trainees there may be no need for initial training to be face-to-face; books and videos may do as well.
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.
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.
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.
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.
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.
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