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STUDY 2000 PDF file 148Kb
English residential rehabilitation services doing well but could do better
A report from the UK National Treatment Outcome Research Study (NTORS) spotlights the achievements of residential services for drug users but more could be done to improve retention and it is unclear how much the treatment had to do with the outcomes.
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.
Has enough high-quality evidence accumulated over the past five years to improve confidence in the effectiveness of residential treatment?
STUDY 1999 PDF file 228Kb
Shared care encourages GPs to treat addiction
In London access to good quality primary care opiate addiction treatment was expanded by a mixture of support from a local specialist GP, training, peer support, financial reimbursements, and shared care guidelines and protocols.
Amalgamated findings from studies of risky drinkers identified and counselled in primary care settings indicate that compared to screening and assessment only, brief counselling lead to greater reductions in drinking, gains reflected less strongly in some indicators of health. However, it is unclear whether the generally small impacts would be sustained in routine practice.
From France the first study to randomly allocate patients to start methadone maintenance either in primary care or at a specialist centre found primary care more attractive to patients, and no less effective at reducing street-opioid use and promoting engagement and retention.
STUDY 2010 HTM file
Effect of motivational interviewing on reduction of alcohol use
At Californian methadone clinics, group education sessions led by a nurse and focused on the risks of aggravating hepatitis infection led to the same substantial reductions in drinking as one-to-one or group motivational interviewing conducted by highly trained counsellors, offering a cost-effective means to reduce alcohol-related risks.
Injectors at risk of infection due to sharing equipment responded best to brief risk-reduction counselling based on motivational rather than educational principles, offering a way to augment the benefits of harm reduction services.
DOCUMENT 2007 HTM file
Drug misuse in over 16s: psychosocial interventions
After examining the evidence for psychosocial therapies for problem drug use, the UK’s official health advisers recommend behavioural couples therapy and contingency management, argue against cognitive-behavioural therapies, and pose residential rehabilitation as a last resort – in some respects surprising and controversial recommendations.
MATRIX CELL 2017 HTM file
Drug Treatment Matrix cell B1: Practitioners; Reducing harm
Seminal and key studies on the impact of the practitioner on harm reduction. Trust emerges as a fundamental ingredient to harm reduction work with users of illegal drugs. Reconceptualise needle exchanges as safe havens in a largely rejecting world, and explore why a Philadelphia methadone counsellor stood out – for the wrong reasons.
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