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DOCUMENT 2017 HTM file
2017 Drug Strategy
Continuing in the vein of its precursor, the UK Government’s new drug strategy pledges to tackle drug use and dependence through reducing demand, restricting supply, and building recovery, and adds to this a further ambition to drive global action.
Though set up to determine whether the public purse would gain by sending more opiate-dependent clients to residential rehabilitation, this UK government report declared itself unable to conclude one way or the other, but did judge it “highly unlikely” that these treatments’ extra expense would be offset by extra savings.
STUDY 2012 HTM file
Drug system change pilots evaluation: final report
Based on the yardstick of successful treatment completions, government-funded research in England offers no assurance that recovery-oriented redesigns of local treatment systems have generated more or more rapid recovery from addiction than usual arrangements. Evidence was stronger for focused attempts to improve continuity of care for offenders.
Guidance to funding authorities on how to construct a local pattern of services from England's special health authority tasked to improve the availability, capacity and effectiveness of drug misuse treatment.
OFFCUT 2004 PDF file 104Kb
Positive Futures reconnects alienated British teenagers
The sports-based Positive Futures project aims to re-engage marginalised youngsters at risk of substance use problems in the most deprived or high-crime neighbourhoods in England and Wales. Early reports suggest this innovative Home Office initiative is working.
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 2006 PDF file 207Kb
Methadone maintenance: the original
In the mid-60s even its originators doubted whether methadone maintenance could work when everything else had failed, gnawing their nails as they waited for patients to return from the temptations outside the ward. What they saw instead was a 'miraculous' transformation.
Is regular counselling really essential to the effectiveness of methadone maintenance treatment, or are treatment entry and the power of high-dose methadone enough in themselves for many patients? At least in the first four months, this US study suggests the latter.
Opiate dependent methadone patients in Belgium give their own accounts of what for them constitutes a good quality of life. Generally they want what other people want: a meaningful, independent life and supportive relationships. Methadone creates the preconditions for such a life at the same time as it limits its achievement.
Abstinence and recovery characterised by employment are priority UK policy objectives to which the extension of mutual aid is considered a major route. This US study illustrates that both the route and the objectives are not just compatible with, but may be promoted by opiate maintenance prescribing.
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