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 770 documents.
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STUDY 2012 HTM file
Innovation adoption as facilitated by a change-oriented workplace
Becan J.E., Knight D.K., Flynn P.M.
Journal of Substance Abuse Treatment: 2012, 42, p. 179–190.
Message from this large US study is that 'bottom-up' practice improvements in treatment services initiated by counsellors are still strongly influenced by the climate-setting and support offered by an organisation's leadership and ethos, especially how far they foster professional development.
Manuel J.K., Hagedorn H.J., Finney J.W.
Psychology of Addictive Behaviors: 2011, 25(2), p. 225–237.
Does implementing evidence-based psychosocial therapies actually lead to the intended practice changes and do these make things better for the clients? From this review, most clearly when the whole organisation is enrolled in the effort and training is bolstered by systematic and expert continuing supervision.
DOCUMENT 2013 HTM file
Sometimes best to break the rules
Druglink: May/June 2013.
Motivational interviewing’s ‘Do not dos’ like avoiding confrontation were intended to sidestep the traps which provoke clients to dig in their heels or disengage. Imagine then the upset of discovering that in certain circumstances, the opposite is the case; the explanation appeared to lie in coming across as ‘genuine’.
STUDY 2010 HTM file
Social network effects in alcohol consumption among adolescents
Ali M.M., Dwyer D.S.
Addictive Behaviors: 2010, 35, p. 337–342.
Is the peer influence on which many substance use prevention programmes are based an illusion due to other factors like pupils sharing similar environments or choosing like-minded friends? Not entirely, finds this unusually rigorous US analysis; the chances of a given child drinking rise by 4% for every 10% more of their school year-mates who drink.
STUDY 1970 HTM file
Frontiers of alcoholism
Chafetz M.E., Blane H.T., Hill M.J. eds.
New York: Science House, 1970.
Later to become founding director of the US National Institute on Alcohol Abuse and Alcoholism, in the late 1950s Dr Morris Chafetz of the Massachusetts General Hospital conducted a remarkable series of studies which proved that an alcohol clinic's intake and performance can be transformed by the simple application of empathy and organisation.
REVIEW 2012 HTM file
The meanings of recovery from addiction: evolution and promises
Journal of Addiction Medicine: 2012, 6(1), p 1–9.
What is 'recovery' and what does it mean for the roles of treatment and of doctors? This analysis based on the last ten years' writings on the subject draws a parallel with mental health, where recovery in terms of a meaningful and self-directed life is reserved for persisting severe illness resistant to 'cure' via treatment.
STUDY 1981 HTM file
Interpersonal functioning of alcoholism counselors and treatment outcome
Journal of Studies on Alcohol: 1981, 42(9), p. 783–790.
Seminal US study which found that the therapy-related social skills of alcohol counsellors were strongly related to how many of their patients relapsed in the two years after leaving inpatient treatment.
British Journal of Addiction: 1980, 75(4), p. 413–431.
Seminal English study which turned the spotlight on organisational factors in the development of a positive attitude to working with problem drinkers, in particular the availability of experience in working with these patients and the support of experienced colleagues. Without these the effects of training are less and less well sustained.
DOCUMENT 2013 HTM file
When confrontation was challenged
Druglink: April/May 2013.
Focus is on a seminal study from motivational interviewing’s originator which more than any other heightened the profile of the therapist’s interpersonal style in substance use counselling, seeming to confirm that heavy drinkers react best to non-confrontational nudging rather than the more bludgeoning style typical of the time.
Edelen M.O., Slaughter M.E., McCaffrey D.F. et al.
Drug and Alcohol Dependence: 2010, 107, p. 62–68.
The title speaks of long-term effects but in fact there were none from sending young US substance users to a youth therapeutic community specialising in substance use problems compared to non-specialist group homes; early gains had all eroded, an instance of the general difficulty of sustaining youth treatment outcomes.
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