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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STUDY 2007 HTM file
Day hospital and residential addiction treatment: randomized and nonrandomized managed care clients

Witbrodt J., Bond J., Kaskutas L.A. et al.
Journal of Consulting and Clinical Psychology: 2007, 75(6), p. 947–959.
By selecting clients at the very edge of ethically requiring referral to residential care, this US study confirms that unless there are pressing contraindications, intensive non-residential options deliver equivalent outcomes. Often of course, there ARE pressing contraindications.

REVIEW 2008 HTM file
Distinctions without a difference: direct comparisons of psychotherapies for alcohol use disorders

Imel Z.E., Wampold B.E.
Psychology of Addictive Behaviors: 2008, 22(4), p. 533–543.
After combining results from studies comparing talking therapies for alcohol problems, this ingenious analysis finds any structured approach grounded in an explicit model as good as any other. We have, it's argued, been looking in the wrong direction for therapy's active ingredients.

REVIEW 2007 HTM file
Using correlational evidence to select youth for prevention programming

Derzon H.
Journal of Primary Prevention: 2007, 28, p. 421–447.
Is it best to focus prevention efforts on youngsters most likely to use substances - or will that miss out many future users who could have benefited from these efforts? This well informed and clear analysis concludes that we just can't predict well enough to risk leaving some youngsters out.

STUDY 2007 HTM file
The impact of screening, brief intervention, and referral for treatment on emergency department patients' alcohol use

Academic ED SBIRT Research Collaborative.
Annals of Emergency Medicine: 2007, 50(6), p. 699–710.
Just a few minutes with specially hired screening and intervention staff can make a difference to emergency patients' drinking, but in the real world the hospital's own staff will usually do this work. A US study tested this real-world scenario and still found (modest) drinking reductions.

STUDY 2008 HTM file
Screening, brief interventions, referral to treatment (SBIRT) for illicit drug and alcohol use at multiple healthcare sites: comparison at intake and 6 months later

Madras B.K., Compton W.M., Deepa A. et al.
Drug and Alcohol Dependence: 2008, in press.
This huge US study set out to test whether widespread screening and brief intervention for illegal drug use (not just heavy drinking) could be implemented in a variety of general medical settings and whether it was effective. Both tests seem to have been passed, but with some important caveats.

STUDY 2008 HTM file
Network support for drinking: an application of multiple groups growth mixture modeling to examine client-treatment matching

Wu J., Witkiewitz K.
Journal of Studies on Alcohol and Drugs: 2008, 69(1), p. 21–29.
Reanalysis of the huge US Project MATCH alcohol treatment trial confirms that patients with pro-drinking social circles gained greater remission in drink problems when 'matched' to a therapy focused on generating a social circle (in the form of AA) with the opposite characteristics.

STUDY 2008 HTM file
Reducing alcohol harm: health services in England for alcohol misuse

National Audit Office.
The Stationery Office, 2008.
Official audit of work by the Department of Health and NHS to address the health effects of alcohol misuse. Describes a system whose infrastructure is clearly inadequate compared to the size of the task, but one recently taking steps in the right direction.

STUDY 2007 HTM file
Measuring performance of brief alcohol counseling in medical settings: a review of the options and lessons from the Veterans Affairs (VA) health care system

Bradley K.A., Williams E.C., Achtmeyer C.E., et al.
Substance Abuse: 2007, 28(4), p. 133-149.
Having mandated universal screening for alcohol problems, the US health system for ex military personnel here thoughtfully addresses how to measure the degree to which this led to appropriate implementation of brief interventions.

STUDY 2004 PDF file 87Kb
First British study to tackle excessive drinking by methadone patients

in the Drug and Alcohol Findings magazine
English clinic challenged assumptions by patients and staff that excessive drinking was not a priority for patients dependent on opiates. A short programme of motivational interviewing, plus detox when needed, led many to curb their drinking.

STUDY 2004 PDF file 194Kb
Teachers can teach while nurses do prevention

in the Drug and Alcohol Findings magazine
Promising results from one-to-one brief drinking prevention advice by US school nurses offers a way to release teachers from the bind of objectively teaching about substance use while trying to prevent it.

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