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MATRIX CELL 2021 HTM file
Alcohol Treatment Matrix cell B5: Practitioners; Safeguarding the community
Key studies on the impact of the treatment practitioner on safeguarding the community, families and children, and their influence in criminal justice contexts. Explores whether exceptional abilities are needed to forge productive therapeutic relationships in these situations, and invites you to ‘stress test’ a proposed universal rule: The trickier the situation, the more the worker matters.
People with co-occurring mental health and substance use problems are often unable to access the care they need. This 2017 guide from Public Health England describes what better care would look like, underpinned by the principles that there is ‘no wrong door’ for accessing support, and it is ‘everyone’s job’ the other side of the door to help.
Amalgamation of research findings for the American Psychological Association finds that the relationship between therapists and young clients and their parents matters nearly as much as for adults. Practice recommendations will aid counsellors, therapists and mental health teams in their work with young substance users.
STUDY 2012 HTM file
An evaluation of the Option 2 intensive family preservation service
In Wales Option 2 works intensively over a few weeks with substance using parents whose children are at serious risk – serious enough for imminent care proceedings. This second evaluation confirmed that the cost-saving service helps keep children with their families without inadvertently harming the children.
STUDY 2010 HTM file
A randomized pilot study of the Engaging Moms Program for family drug court
US researchers may have found a better way to support mothers at risk of losing custody of their children so they engage in and benefit from substance use treatment and meet family court requirements, meaning more children can safely stay with their parents.
REVIEW 1999 HTM file
Barriers to implementing effective correctional drug treatment programs
Expertly describes and evaluates the difficulties of mounting drug treatment programmes in prisons, drawing on the pooled knowledge and experience of leading US researchers on why real-world programmes sometimes fail to live up to expectations based on more ideal-world trials. Though focused on prison, much is relevant also to community sentences.
Aged 16 and smoking cannabis or drinking coming up to one day in three, US youngsters identified as substance users by their schools substantially cut back in response to just two motivational counselling sessions, and even more when a third session addressed the parents at home.
DOCUMENT 2013 HTM file
Sometimes best to break the rules
Motivational interviewing’s ‘Do not dos’ like avoiding confrontation were intended to sidestep the traps which provoke clients to dig in their heels or disengage. Imagine then the upset of discovering that in certain circumstances, the opposite is the case; the explanation appeared to lie in coming across as ‘genuine’.
For the first time this Canadian randomised study has shown that training probation officers in the risk-need-responsivity model of offender supervision can not only improve their skills and sharpen their practice, but also reduce the recidivism of the offenders they supervise, among whom substance use was a major issue.
How to get parents more engaged in becoming a positive influence over their seriously delinquent drug abusing teenagers through family therapy integrated in to a US juvenile drug court. Some of the therapist tactics expected to work did deepen engagement, others did not.
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