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STUDY 2008 HTM file
Needle exchange coverage key to reducing infection risk

Californian research demonstrating that needle exchanges which prioritise giving out as much injecting equipment as needed have visitors who are more adequately supplied which in turn reduces the risk of transmitting blood-borne diseases.

IN PRACTICE 2004 PDF file 418Kb
Giving the silent majority a voice

Constrained by guidelines and standards, a UK prescribing service could do little to respond to user survey feedback.

STUDY 2008 HTM file
Adequate needle exchange helps prevent bacterial as well as viral infections

US study suggest that needle exchanges which make adequate supplies of injecting equipment plus advice easily accessible not only prevent viral infections but also bacterial infections and abscesses, relieving a major burden on health services.

STUDY 2000 PDF file 104Kb
'Wet shelter' becomes home for street drinkers

After an uncertain start, an experimental project based in London's East End safely housed long-term rough sleepers unwilling to stop drinking, connecting them to medical and other services whilst allowing drinking on the premises.

STUDY 2002 PDF file 1321Kb
The grand design: lessons from DATOS

US drug treatment was under fire, over-stretched and facing the new challenge of crack cocaine when the huge DATOS study set out to test whether it was still delivering benefits, how it worked, and how it could be made better. Truly essential reading.

OFFCUT 2002 PDF file 237Kb
Audit Commission paints a stark picture of drug treatment in England and Wales

In 2002 an Audit Commission investigation of drug services and GP involvement in 11 drug action team areas in England and Wales found weak commissioning practices and the absence of management information and effective performance monitoring.

STUDY 2003 PDF file 208Kb
Ways to expand shared care for opiate addicts

Offering specialist support can transform the proportion of opiate users treated by GPs on a 'shared care' basis was the clear message of a randomised study in the north west of England.

STUDY 1999 PDF file 223Kb
Treatment staff matter as much as the drug

Three US studies prove there is more to methadone maintenance than the drug. The individual counsellor and whether they respond constructively to patient problems can dramatically affect retention and drug use outcomes.

IN PRACTICE 2000 PDF file 665Kb
Oiling the wheels

From the south west of England, a frank account what it takes to get treatment services to accept the judgements of their peers and to make this an engine for improvement rather than a source of conflict.

STUDY 2003 PDF file 268Kb
DTTOs: the Scottish way cuts the failure rate

Though rare in Scotland, failure is the norm for drug treatment and testing orders (court-ordered treatment as an alternative to normal sentencing) in England and Wales, leading to high reconviction rates. Two studies help account for the difference.


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