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REVIEW ABSTRACT 2009 HTM file
The primary prevention of hepatitis C among injecting drug users

To curb hepatitis C, UK government advisers call for substantial expansion of needle exchange provision so that a new set of equipment is available for every injection and for methadone programmes to provide access to injecting equipment and vice versa.

REVIEW 2008 HTM file
Opioid substitution therapy in prisons: reviewing the evidence

Brief but thoroughly researched review commends prison methadone programmes as causing no substantial problems while improving the climate in prison, reducing drug use and infection risk behaviours, and improving post-release treatment uptake and recidivism rates.

REVIEW 2008 HTM file
Needle and syringe programs and bleach in prisons: reviewing the evidence

Brief but thoroughly researched review argues that prison needle exchange is among the best ways to contain the potential for rapid spread of HIV infection in prison and possibly too in the community after prisoners are released.

STUDY 2004 PDF file 164Kb
Female crack smokers respond well to standard HIV risk-reduction sessions

Outreach work among inner-city female drug users in Atlanta demonstrated the potential impact of just two standard sessions addressing the sex- and drug-related HIV risk of crack smokers, but also the utility of more customised help, especially for injectors.

STUDY 2004 PDF file 159Kb
Methadone maintenance as low-cost lifesaver

US studies find that even when slow methadone detoxification is bolstered by psychosocial therapy and aftercare, methadone maintenance does better at prolonging the lives of opiate-dependent patients at relatively little extra cost.

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.

OFFCUT 2003 PDF file 259Kb
Leading Australian treatment centre distills its experience in to practical guides

The Turning Point Centre has to date produced nine manuals distilling its considerable research and practice experience on among other topics, psychosocial therapies, harm reduction, managing withdrawal, and aftercare.

STUDY 2004 PDF file 607Kb
Opiate antagonist treatment risks overdose

The most comprehensive recent study of serious medical incidents during and after treatment for opioid dependence highlighted the risk of overdose death when patients stop taking opiate-blocking drugs. In comparison, substitute prescribing was safer even after the patient had left treatment.

STUDY 2008 HTM file
Syringe disposal bins: the outcomes of a free trial for city traders in an inner-city municipality Australia

What happens when city authorities ask retail and service premises to host syringe disposal bins in their toilets? There were misgivings, but when the bins meant customers and staff could avoid discarded syringes, they were welcomed and retained, safely disposing of over 2000 syringes a month.

STUDY 2009 HTM file
Methadone patients in the therapeutic community: a test of equivalency

Are therapeutic communities incompatible with methadone maintenance? Not when staff have been prepared to accept and work with methadone patients and programmes adapted to accommodate them. Then patients stay as long and sustain abstinence from illegal drug use just as well as other residents.


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