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DOCUMENT 2010 HTM file
The Patel report: Reducing drug-related crime and rehabilitating offenders

Investigation and recommendations from an expert group on drug treatment and interventions for people in prison in England calls for a clear focus on recovery and for the commissioning and coordination measures needed to improve outcomes without extra resources.

NOTES 2010 PDF file 239Kb
Preventing unauthorised use of medications prescribed for the treatment of opiate addiction

Detailed and fully referenced notes on preventing the diversion of maintenance medications like methadone on to the illicit market, with an emphasis on the pros and cons of supervised consumption.

STUDY 2006 PDF file 108Kb
1 in a 100 chance of dying after treatment with heroin-blocking drug

In Australia heroin-addicted patients trying to avoid relapse by taking the opiate-blocking drug naltrexone had at least a 1 in a 100 chance of dying within three months, usually from overdose in the weeks after treatment ended; the true figure may have been as high as 8 in a 100.

REVIEW 2009 HTM file
Pharmacotherapies for the treatment of opioid dependence: efficacy, cost-effectiveness and implementation guidelines

From some of the same Australian authors who produced classic texts on maintenance prescribing for heroin addiction, a major new text analysing research on all types of drug-based interventions including maintenance, opiate-blocking drugs, and managing withdrawal.

STUDY 2006 PDF file 114Kb
Low threshold methadone extends life expectancy in Barcelona

Largely due to the expansion of low threshold oral methadone maintenance programmes, in the '90s the life expectancy of heroin users entering treatment in Barcelona increased by 21 years. Protecting against overdose was the main way methadone saved lives.

STUDY 2006 PDF file 159Kb
No major 'honeypot' effect after injecting centre opens

Australia's only safer injecting centre did not (as feared before its opening) attract large numbers of drug users and dealers to the neighbourhood or aggravate associated local crime and nuisance.

STUDY 2006 PDF file 152Kb
Naltrexone implants prevent opiate overdose

Short-acting opiate blockers are associated with high overdose rates when heroin-dependent patients stop taking them. This Australian study suggests that a product intended to block opiates for six months can overcome that problem, though patients may resort to sedatives instead.

STUDY 2005 PDF file 166Kb
Continuity vital after prison treatment

Though the original treatments were diametrically opposed, two long-term follow-up studies have confirmed that post-release continuity is vital to sustain the benefits of treatment in prison.

STUDY 2008 HTM file
Mortality prior to, during, and after opioid maintenance treatment (OMT): a national prospective cross-registry study

Limited access to opiate substitute prescribing in Norway opened a window on its powerful lifesaving potential, a view obscured in countries where barriers create a confounding selection effect or where everyone who needs and wants this treatment can quickly get it.

OFFCUT 2004 PDF file 145Kb
European report says drug consumption rooms can work

Report surveys European facilities where drug users can consume (especially by injection) in safety, and collates the evidence on their effectiveness in reducing harm and improving the local environment. Benefits depend on sufficient coverage, access and support.


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