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STUDY 2002 PDF file 1321Kb
The grand design: lessons from DATOS
US drug treatment was under fire, over-stretched and facing the new challenge of crack cocaine when the huge DATOS study set out to test whether it was still delivering benefits, how it worked, and how it could be made better. Truly essential reading.
STUDY 2008 HTM file
High risk of overdose death for opiate detoxification completers
Findings from Italy and Australia warn that detoxification without throughgoing stabilisation, preparation and aftercare is too often a band-aid measure which risks more harm then good.
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 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 2000 PDF file 581Kb
Force in the sunshine state
Early in the 1960s administrative blunders in California paved the way for what remains the most convincing test of court-ordered treatment. The mistakes created a near-perfect yet natural control group against which to compare outcomes.
STUDY 2000 PDF file 155Kb
Achievable and avoidable rewards and punishments improve methadone outcomes
Contingency management regimes which systematically reward abstinence or penalise drug use generally improve outcomes in methadone programmes, but there are considerable ethical and practical limitations to the applicability of this approach.
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 1999 PDF file 223Kb
Treatment staff matter as much as the drug
Three US studies prove there is more to methadone maintenance than the drug. The individual counsellor and whether they respond constructively to patient problems can dramatically affect retention and drug use outcomes.
STUDY 1999 PDF file 178Kb
Some counselling maximises methadone cost-effectiveness
Suggests that increasing availability of counselling modestly (to three times a week, uptake in practice under one a week) buys more abstinence per dollar than offering daily access plus other services.
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.
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