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 785 documents.
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STUDY 2006 PDF file 172Kb
Adjust therapist directiveness to client resistance
in the Drug and Alcohol Findings magazine
Persuasive evidence from the US Project MATCH alcohol treatment trial that a non-directive therapeutic style suits clients prone anger or defensiveness or who like to take control, and more structured and directive approaches suit those who welcome being given a lead.
Lundahl B.W, Kunz C., Brownell C. et al.
Research on Social Work Practice: 2010, 20(2), p. 137–160.
Better than 'treatment as usual' but not than other specific therapies are the headlines from the most comprehensive synthesis of motivational interviewing studies to date. Along the way are insights in to the equivocal value of manuals and of feeding back assessment results to patients.
BMC Psychiatry: 2009, 9(6).
Most patients at drug and alcohol services suffer depression and/or anxiety, far too many and usually not severely enough to engage mental health services. Faced with this huge problem, should services offer special mental health therapies, or is substance-focused treatment sufficient?
Adamson S.J., Heather N., Morton V. et al.
Alcohol and Alcoholism: 2010, 45(2), p. 136–142.
Data from Britain's largest alcohol treatment trial is used to address possibly the most contentious issue in the field – whether services should offer moderation as well as abstinence goals to dependent clients. 'Let the patient choose' seems the general conclusion.
United Nations Office on Drugs and Crime, 2009.
UN-commissioned guidance from international experts on how to mount prevention programmes based on family skills training involving parents and children in a joint effort to improve family dynamics and child development. Engaging parents seems the major barrier.
REVIEW 2009 HTM file
Traditional medicine in the treatment of drug addiction
Lu L., Liu Y., Zhu W. et al.
American Journal of Drug and Alcohol Abuse: 2009, 35(1), p. 1–11.
A China-North America funding and authorship collaboration has assessed the evidence for the main traditional herbal remedies in addiction treatment, and made a new assessment of the role of acupuncture; generally, 'promising' was most positive verdict it could reach.
NOTES 2002 PDF file 166Kb
Residential versus non-residential treatment
Notes on whether and for whom residential care improves on (generally intensive) non-residential alternatives.
McCrady B.S., Epstein E.E., Cook S. et al.
Journal of Consulting and Clinical Psychology: 2009, 77(2), p. 243–256.
Alcohol dependent women experienced more lasting improvements when couples-based therapy embedded therapeutic processes in a lasting relationship with a willing husband or partner, extending an impressive research portfolio for the therapy.
Litt M.D., Kadden R.M., Kabela-Cormier E. et al.
Journal of Consulting and Clinical Psychology: 2009, 77(2), p. 229–242.
Treatment services do not have to adopt, or ask patients to adopt, the belief system on which 12-step groups are founded in order to effectively encourage patients to tap in to the social support offered by these groups and improve their chances of sustained abstinence.
Campbell C.A., Hahn R.A., Elder R. et al.
American Journal of Preventive Medicine: 2009, 37(6), p. 556–569.
The review which led a national US task force to recommend limiting the concentration of retail alcohol outlets as an important public health measure to curb excessive alcohol use and related harms. In much of the UK though, licensing law severely limits the scope for action.
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