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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DOCUMENT 2011 HTM file
Substance misuse among young people: 2010–11
National Treatment Agency for Substance Misuse.
[UK] National Treatment Agency for Substance Misuse, 2011.
England's National Treatment Agency for Substance Misuse documents trends in England towards quicker and more often successful treatment of children aged under 18 with alcohol or drug problems, while numbers have fallen in line with developments among the general population and among young adults in treatment.
DOCUMENT 2012 HTM file
Cost-of-alcohol studies as a research programme
Nordic Studies on Alcohol and Drugs: 2012, 29, p. 321–343.
Prominent alcohol expert argues that estimates that drinking imposes billions of pounds of costs on society are so value-laden and imprecise that their main value is as propaganda. Policies like increasing the price of drink may be justified on other grounds, but not by a misleadingly appealing total cost or cost reduction figure.
Akhtar M., Boniwell I.
Groupwork: 2010, 20(3), p. 6–31.
Conducted in England, this first study to test positive psychology approaches focused on strengths and wellbeing in the treatment of substance use problems found that a small group of young drinkers and drug users responded well, with substantial remission in alcohol dependence despite the non-substance focus of the group therapy.
Psychology of Addictive Behaviors: 2012, in press.
The contemporary recovery movement in addictions and the positive psychology movement in the broader field of psychological health have recently grown in prominence but almost entirely in parallel streams, yet the overlaps and possible synergies between them suggest that an integration could be a step forward in recovery from addiction.
Crits-Christoph P., Ring-Kurtz S., McClure Bridget. et al.
Journal of Substance Abuse Treatment: 2010, 38, p. 251–262.
It should have improved relationships between counsellors and clients and between counsellors and their clinics, but a sophisticated system for feeding back client progress made no positive difference on any of these measures. A later study helped establish why: counsellors were not told which patient the feedback related to and what they might do about it.
Schmidt L.A., Rieckmann T., Abraham A. et al.
Journal of Studies on Alcohol and Drugs: 2012, 73(3), p. 413–422.
In the US homeland of competition and private health care, it was cooperation and coordination which led to the introduction of new medications and innovations to promote continuing care – plus the exercise of regulatory and financial muscle and the salutary experience of senior staff who placed themselves in the patient's shoes.
DOCUMENT 2012 HTM file
Will intensive testing and sanctions displace treatment?
Druglink: October/November 2012.
Enforce frequent drug or alcohol testing and levy swift, certain and meaningful sanctions for substance use, and many dependent users stop using without treatment. Is this increasingly how problem use will be dealt with, or just a niche option applicable to users over whom society can exert sufficient leverage?
Brucker D.L., Stewart M.
Journal of Behavioral Health Services and Research: 2011, 38(3), p. 383–397.
In 2007–08 the US state of Maine introduced a new scheme directly linking funding for outpatient treatment services to performance in terms of waiting times and retention, but financial and service delivery impacts were negligible. Were the incentives too weak, or were services already doing as well as they could?
Humphreys K., McLellan T.
Addiction: 2011, 106, p. 2058–2066.
Improving performance of substance use disorder treatment systems is no easy matter and one prone to unintended consequences. All the more welcome then is guidance from leading US experts with top-level experience in the UK and the USA; their favourite tactic, rewarding services for patient progress during treatment, is featured in UK payment-by-results schemes.
Harris A.H.S , Humphreys K., Bowe T. et al.
Journal of Behavioral Health Services and Research: 2010, 37(1), p. 25–39.
This first major multi-modality test of a treatment engagement indicator widely used as a quality control yardstick in the USA found it was only very weakly related to patient improvement seven months after starting treatment, confirmation that simple measures of what happens during treatment struggle to capture what really makes treatment effective.
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