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STUDY 2020 HTM file
Effective age-gating for online alcohol sales
How do online retailers seek to prevent underage alcohol sales in the UK, how effective are current methods, and how far short are they of a truly effective system?
Can a limited period of being prescribed opiate-type medications generate longer term reductions in the criminal behaviour of patients dependent on illegal opiates like heroin? And of the two main medications – buprenorphine and methadone – which performs best? It seems a key factor is how well they retain patients in treatment.
[Consultation draft subject to amendment and correction.] What difference could ‘court-ordered sobriety’ make to people engaged in alcohol-related offences? Two-year study in London boroughs gives a sense of what could be expected before a national rollout of the programme in 2020.
While drug recovery wings were specifically designed to facilitate recovery from drug and alcohol problems among prisoners, this small study found that the sharp drop-off in support when they returned to the community ended many recovery journeys prematurely.
DOCUMENT 2019 HTM file
Prison Drugs Strategy
National agency responsible for prison and probation services in England and Wales announces three-point plan for tackling the presence of drugs and drug use problems, based on the principles of restricting supply, reducing demand, and building recovery.
STUDY 2019 HTM file
Efficacy and cost-effectiveness of an adjunctive personalised psychosocial intervention in treatment-resistant maintenance opioid agonist therapy: a pragmatic, open-label, randomised controlled trial
Instead of a set programme, a clinic in London tried offering methadone or buprenorphine patients still using heroin or cocaine a selection from a suite of well-supported psychological interventions tailored to the patient and then systematically re-tailored in the light of how they responded. It worked – but did it work well enough, and would the findings be replicated in more typical circumstances?
Has enough high-quality evidence accumulated over the past five years to improve confidence in the effectiveness of residential treatment?
How does an intervention designed to enhance coordination and continuity of services, known as ‘case management’, compare to treatment as usual? Is there any evidence to suggest that it can directly or indirectly improve recovery outcomes?
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.
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.
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