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You have found 175 entries. Starting with analyses of the most recently published documents, the list shows in orange the type of entry, year the original document was published (or if one of our own documents, the year last updated), and the type of file you will download when you click on the title. In blue is the document’s title followed by a brief description.

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STUDY 2019 HTM file
Alcohol Abstinence Monitoring Requirement: A review of process and performance from Year 2

What difference could ‘court-ordered sobriety’ make to people committing alcohol-related offences? Two-year study in London boroughs gives a sense of what to expect before a national rollout of the programme in 2020.

STUDY 2018 HTM file
The impact of compliance with a compulsory model of drug diversion on treatment engagement and reoffending

Further evidence from England that schemes which force people arrested for certain offences to be tested for heroin or cocaine use and if positive to be assessed for treatment do not pay back in terms of treatment engagement or crime reduction.

STUDY 2018 HTM file
A randomized, open label trial of methadone continuation versus forced withdrawal in a combined US prison and jail: findings at 12 months post-release

From the USA, a rare randomised trial found in favour of continuing methadone maintenance when patients entered prison rather than compulsory withdrawal. The potential benefits were most apparent in the near-100% continuation of protective treatment during the highly overdose-prone weeks after leaving prison.

HOT TOPIC 2018 HTM file
Ethics and evidence on naltrexone treatment of offenders

‘Hot topics’ offer background and analysis on important issues which sometimes generate heated debate. Opinion is sharply divided on the ethics and effectiveness of pressuring opioid-dependent offenders to take the opiate-blocker naltrexone. Especially sharp is the controversy over long-acting products not approved for medical practice in the UK. Do they constitute an unacceptable infringement of autonomy, or is forcing them on some offenders as caring as holding back someone about to (by choice or not) walk off a cliff?

STUDY 2018 HTM file
Effect of initiating drug treatment on the risk of drug-related poisoning death and acquisitive crime among offending heroin users

At issue was whether by successfully referring heroin users to treatment, probation services in England would protect them from fatal overdose and prevent drug-related crime. Yes to one, but not the other, were the answers; in fact, crime went up.

REVIEW 2018 HTM file
Doing time on a TC: how effective are drug-free therapeutic communities in prison? A review of the literature

Evidence gathered over the last decade affirms the greater effectiveness of therapeutic communities in prison versus other treatment models, and highlights improved recidivism and drug use outcomes when the prison regimen is reinforced by community aftercare on release.

MATRIX CELL 2018 HTM file
Drug Treatment Matrix cell A5: Interventions; Safeguarding the community

Seminal and key studies shedding light on treatment’s contribution to safeguarding the community and preventing crime. Commentary addresses two highly controversial issues, asking, “Can it ever be safe to leave children with seriously problematic drug users?”, and examining the ethical considerations and evidence on pressuring opioid-dependent offenders to take the opiate-blocker naltrexone.

STUDY 2017 HTM file
Does paying service providers by results improve recovery outcomes for drug misusers in treatment in England?

Substance use treatment commissioned on a payment-by-results basis in England has been linked to higher rates of in-treatment abstinence and non-injecting than other commissioning models, but lower rates of treatment initiation and completion. Is this enough to support the policy?

REVIEW 2017 HTM file
An evidence review of the outcomes that can be expected of drug misuse treatment in England

English treatment systems perform at least as well as other countries on a number of measures, but have a considerably higher rate of drug-related deaths than elsewhere in Europe. As well as pursuing harm reduction and recovery, this report stresses the importance of social integration as an objective.

HOT TOPIC 2017 HTM file
Controlling alcohol-related crime and disorder

‘Hot topics’ offer background and analysis on important issues which sometimes generate heated debate. Within UK substance use policy alcohol-related violence and disorder has for decades been a high profile concern. For governments mindful of a drinking electorate, the conundrum is how to curb the fallout from drinking without being branded as a nanny-state killjoy.


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