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 1980 HTM file
The attitudes of helping agents toward the alcoholic client: the influence of experience, support, training and self-esteem

Cartwright A.K.J.
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

Ashton M.
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.

STUDY 2010 HTM file
Long-term effect of community-based treatment: evidence from the adolescent outcomes project

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.

DOCUMENT 2012 HTM file
Improving outcomes and supporting transparency part 1: A public health outcomes framework for England, 2013–2016

Department of Health.
[UK] Department of Health, 2012.
Sets out the structure and objectives of the public health system for England effective from April 2013 and how progress against these objectives will be measured, including addiction treatment completions, alcohol-related hospital admissions, and prisoners identified as needing treatment for alcohol/drug problems.

REVIEW 2011 HTM file
Behavioral couples therapy for substance abusers: where do we go from here?

Klostermann K., Kelley M.L., Mignone T. et al.
Substance Use & Misuse: 2011, 46, p. 1502–1509.
Problem drinkers and drug users in a persisting if distressed relationship with a partner do better when the focus is at least partly shifted from the patient to working with the couple to foster sobriety-encouraging interactions. Benefits for patients and the broader society can be remarkable.

STUDY 2010 HTM file
Effect of motivational interviewing on reduction of alcohol use

Nyamathi A., Shoptaw S., Cohen A. et al.
Drug and Alcohol Dependence: 2010, 107(1), p. 23–30.
At Californian methadone clinics, group education sessions led by a nurse and focused on the risks of aggravating hepatitis infection led to the same substantial reductions in drinking as one-to-one or group motivational interviewing conducted by highly trained counsellors, offering a cost-effective means to reduce alcohol-related risks.

REVIEW ABSTRACT 2008 HTM file
Behavioral couples therapy (BCT) for alcohol and drug use disorders: a meta-analysis

Powers M.B., Vedel E., Emmelkamp P.M.G.
Clinical Psychology Review: 2008, 28(6), p. 952–962.
For the minority of patients for whom it feasible, acceptable and safe, this meta-analytic review of behavioural couples therapy suggests it reduces substance use relative to other therapies, and the benefits are more likely to extend to the whole family.

STUDY 2012 HTM file
Text-message-based drinking assessments and brief interventions for young adults discharged from the emergency department

Suffoletto B., Callaway C., Kristan J. et al.
Alcoholism: Clinical and Experimental Research: 2012, 36(3), p. 552–560.
For the first time this US study tried mobile phone text messaging as a way to moderate the hazardous drinking of young adults screened at emergency departments. Compared to merely monitoring, text-based advice did cut drinking – but why did the monitoring-only patients actually start to drink more?

STUDY 2010 HTM file
Gender differences in client-provider relationship as active ingredient in substance abuse treatment

Marsh J.C., Shin H-C, Cao D.
Evaluation and Program Planning: 2010, 33(2), p. 81–90.
From the comprehensive treatment process data collected by a major national US study emerges the important lesson that retention in itself is not an active ingredient in post-treatment outcomes but reflects influences such having one's needs met (especially important for women) and developing a good relationship with the service and your key worker.

STUDY 2005 HTM file
How does motivational interviewing work? Therapist skill predicts client involvement within motivational interviewing sessions

Moyers T.B., Miller W.R., Hendrickson S.M.L.
Journal of Consulting and Clinical Psychology: 2005, 73(4), p. 590–598.
Analysis of counselling session recordings from therapists trained in motivational interviewing suggests that the important quality of seeming 'genuine' can suffer if training mandates unnaturally withholding normal responses; however, departing from these tenets is risky unless done by a socially skilled therapist.


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