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Effectiveness bank home page. Opens new window Hot topic search results

You have found 84 entries after clicking the GO button or a search link in a hot topic. Sorted by the main topic addressed, 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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HOT TOPIC 2016 HTM file
Prizes for not using drugs?

‘Hot topics’ offer background and analysis on important issues which sometimes generate heated debate. Contingency management programmes reward patients for complying with treatment or not engaging in undesired substance use. It works, but often only temporarily – and perhaps at the cost of eroding the patient’s confidence and motivation.

STUDY 2008 HTM file
Concern over abstinence outcomes in Scotland's treatment services

A study of drug (mainly heroin) users starting treatment in 2001 in Scotland revealed what the researchers believed were worryingly low rates of abstinence nearly three years later, but the findings have been widely misinterpreted.

STUDY 1999 PDF file 217Kb
Major national treatment study suggests British drug services deliver net cost savings

Influential results from the national English drug treatment evaluation included a cut in the crime rate to a third of pre-treatment levels, leading to an estimate that every extra £1 spent on treatment saved over £3 in the costs of crime alone.

STUDY 2001 PDF file 193Kb
Lasting benefits of drug treatment in England

The NTORS study shows that substantial improvements in crime and drug use seen by the end of the first year after starting drug dependence treatment persisted to five years, though a large minority of the sample were still regularly using illegal drugs.

STUDY 2009 HTM file
The Drug Treatment Outcomes Research Study (DTORS): final outcomes report

Over 10 years since the last attempt, in 2006 a national study assessed the progress of patients starting drug treatment in England. A year later drug use and crime were down and social costs saved, but wider life improvements were minor compared to treatment costs.

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.

STUDY 1999 PDF file 1044Kb
NTORS: the most crucial test yet for addiction treatment in Britain

FINDINGS analysis of the influential national English drug treatment evaluation study questions the key estimate that every extra £1 spent on treatment saved over £3 in the costs of crime alone.

STUDY 2004 PDF file 118Kb
Drug courts can work in Britain

Early studies from Scotland provided affirmative answers to the first two questions about drug courts in Britain – whether they can be made to work and whether offenders can be retained on the court orders.

STUDY 2004 PDF file 156Kb
Prison treatment in Scotland fails to impress

The first published findings from the national Scottish drug treatment evaluation highlighted the relative inadequacy and ineffectiveness of treatment inside as opposed to outside prison.

DOCUMENT 2013 HTM file
Community loses from failure to offer maintenance prescribing in prisons

An international team of experts has argued that failure to implement effective opioid maintenance programmes in prison represents an important missed opportunity to engage high-risk drug users in treatment, at possibly substantial costs to the individuals and to the community. Is Britain too losing out, and how does the future look?


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