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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 2003 PDF file 151Kb
Drug education: inspections show that tick box returns are no guarantee of quality
On-the-ground inspections in England and Scotland reveal that impressive returns to national monitoring systems can obscure poor quality practice in schools; lack of interactivity in teaching methods is a major gap.
IN PRACTICE 2003 PDF file 601Kb
Much more than outcomes
The principles behind this treatment monitoring system developed in Leeds remain relevant: grounded in a theory of addiction, it can accommodate the shifting priorities of politicians or commissioners without threatening its scientific integrity.
STUDY 2003 PDF file 162Kb
Health funders cut their own costs by commissioning substance use treatment
A large US health provider found that outpatient treatment for substance dependence saved it money by reducing future inpatient stays and emergency attendances. For the health service, providing this treatment can be considered spending to save.
STUDY 2003 PDF file 177Kb
Systematic but simple way to determine who needs residential care
In this US study the criteria and the methods used to develop them offer a way to reserve expensive residential rehabilitation for those who need it and to improve treatment completion rates in both residential and non-residential settings.
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.
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 2000 PDF file 166Kb
Rare attempt to compare cost-effectiveness of different treatments for different clients
Studies of the cost-effectiveness of addiction treatment in Ohio suggest that per $, short intensive programmes deliver the best abstinence returns for severely addicted patients, less intensive outpatient programmes for patients using less frequently.
IN PRACTICE 2000 PDF file 414Kb
Gone but not forgotten
Two small British alcohol projects overcame the obstacles and tested their performance against the bottom line - what happens to clients when they leave. Their experience is a challenge to others; it can be done, so why do so few agencies do it?
IN PRACTICE 1999 PDF file 292Kb
Are we right to spend more?
Commissioners in London wanted to know if they were getting value for money from extending residential and day care stays for substance dependent clients. To find out they trialed the Christo Inventory, a new quick and simple monitoring tool.
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