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 767 documents.

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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.

STUDY 2004 HTM file
An evaluation of workshop training in motivational interviewing for addiction and mental health clinicians

Baer J.S., Rosengren D.B., Dunn C.W. et al.
Drug and Alcohol Dependence: 2004, 73(1), p. 99–106.
US study suggests that when it comes to choosing therapists, choosing the 'right' people who have not been trained in motivational interviewing would be better than choosing the 'wrong' people who have been trained; the former not only start at a higher level, but are more able to benefit from and retain training.

DOCUMENT 2013 HTM file
Alcohol treatment in England 2011–12

National Treatment Agency for Substance Misuse.
[UK] National Treatment Agency for Substance Misuse, 2013.
More problem drinkers started specialist treatment in 2011/12 but more successfully completed it, slightly reducing the overall numbers; scope for more to benefit from treatment is indicated by the low levels of referrals from primary medical services.

STUDY 2011 HTM file
Quality concerns with routine alcohol screening in VA clinical settings

Bradley K.A., Lapham G.T., Hawkins E.J. et al.
Journal of General Internal Medicine: 2011, 26(3), p. 299–306.
In the US health care service for ex-military personnel, 61% of patients who screened positive when sent a postal survey did not do so when the same questions were asked by their clinics, casting doubt on the validity of the test in routine practice in a service where the emphasis was more on the quantity than the quality of screening.

REVIEW 2010 HTM file
Assertive outreach strategies for narrowing the adolescent substance abuse treatment gap: implications for research, practice, and policy

Ozechowski T.J., Waldron H.B. et al.
Journal of Behavioral Health Services and Research: 2010, 37(1), p. 40–63.
This comprehensive US-focused review addresses the need to enrol more young problem substance users in treatment even if they at first refuse, validated methods for identifying such young people and engaging them in treatment with the help of family and others, and ethical and financial considerations involved in implementing these methods.

STUDY 2010 HTM file
Evaluation of an electronic clinical reminder to facilitate brief alcohol-counseling interventions in primary care

Williams E.C., Achtmeyer C.E., Kivlahan D.R. et al.
Journal of Studies on Alcohol and Drugs: 2010, 71(5), p. 720–725.
When a patient has screened positive for risky drinking, up pops a computerised prompt to remind the clinician to consider counselling, yet at a service for US ex-military personnel the reminder was rarely used and made no difference to patients' drinking. Why were results so different from those at other clinics?

STUDY 2011 HTM file
Effect of the increase in 'alcopops' tax on alcohol-related harms in young people: a controlled interrupted time series

Kisely S.R., Pais J., White A. et al.
Medical Journal of Australia: 2011, 195(11), p. 690–693.
A tax rise on 'alcopops' was on the agenda in Britain until they fell out of favour among young drinkers. Australia did however increase tax by a huge 70%. This study found no impact on short-term alcohol-related harm among the young revellers of its Gold Coast district, but probably there were broader benefits from reduced drinking.

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