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 777 documents.
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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.
Havard A., Shakeshaft A.P., Conigrave K.M. et al.
Alcoholism: Clinical and Experimental Research: 2012, 36(3), p. 523–531.
At Australian emergency departments, screening followed by written personalised feedback mailed to risky drinkers led to at least a short-term cutback in their drinking, but only when they saw or had cause to see drink as contributing to their medical misfortune. This low cost written option demanding little of staff may make intervention more feasible.
Koelewijn-van Loon M.S., van der Weijden T., Ronda G. et al.
Preventive Medicine: 2010, 50, p. 35–44.
Dutch general practice patients at risk of cardiovascular disease did not further reduce their risks (including drinking and smoking) in response to motivational counselling from the practice nurse. Why did a well worked out, multi-session intervention fail to better usual care? The probable answer is among the common factors which transcend therapies.
Werch C.E., Moore M.J., Bian H. et al.
Preventive Medicine: 2010, 50, p. 30–34.
At a US university students at first cut back their drinking and cannabis use in response to a brief face-to-face fitness consultation, but the gains were no longer apparent a year after intervention. Yet still at that time they had at least experienced more positive trends in how they felt than students who had just read a fitness brochure.
STUDY 2010 HTM file
A brief image-based prevention intervention for adolescents
Werch C.E., Bian H., Moore M.J., et al.
Psychology of Addictive Behaviors: 2010, 24(1), p. 170–175.
Across the sample, a brief face-to-face consultation highlighting how substance use might stop them becoming the sort of young adults they wanted to be generally did not prevent substance use among US high school pupils, but those already using substances were significantly more responsive, suggesting a selective if not a universal prevention role.
STUDY 2012 HTM file
The role of residential rehab in an integrated treatment system
National Treatment Agency for Substance Misuse.
[UK] National Treatment Agency for Substance Misuse, 2012.
An audit for England's National Treatment Agency for Substance Misuse finds residential services so entwined with non-residential in the treatment careers of residents that it is not possible disaggregate their contribution; since a few months of such care costs as much as five years of non-residential care, showing value for money is critical.
REVIEW 2011 HTM file
Universal multi-component prevention programs for alcohol misuse in young people
Foxcroft D.R., Tsertsvadze A.
Cochrane Database of Systematic Reviews: 2011, 9, Art. No. CD009307.
In theory implementing alcohol use prevention tactics in a coordinated manner on several fronts at once – school, family and perhaps too the broader community – ought to maximise impacts, but this authoritative review found only patchy support for applying such programmes across the board to all school-age children.
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