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Comprehensive Australian review garners the lessons from across health promotion and medical care on how best to improve practice by introducing research-based innovations, and evaluates their applicability to substance misuse.
Comprehensive and thoughtful review of the UK-relevant literature warns that services which impose rigid and unrealistic expectations of abstinence or independent living on homeless addicts would deny treatment and housing to vulnerable adults with complex needs.
European and US studies show that methadone patients stick with therapy for hepatitis C disease and do as well as other patients, bolstering the case for drug services to encourage clients to consider diagnostic testing and therapy.
STUDY 2005 PDF file 102Kb
More patients drop out after long waits for methadone prescribing
Combined implications of two British studies are that the longer someone waits for methadone treatment, the less likely they are to start it, and even if they do, they will have spent longer at risk from dependent heroin use.
STUDY 2005 PDF file 154Kb
Hepatitis C therapy cost-effective for injectors
Two new analyses agree that despite relapse to drug use and imperfect adherence to a demanding medical regime, anti-viral therapy for hepatitis C infection in drug injectors cost-effectively prolongs and improves life.
STUDY 2005 PDF file 170Kb
'Real-world' studies show that medications do suppress heavy drinking
Three trials found that drugs commonly used to treat alcohol dependence improve outcomes for an appreciable minority of patients, even under conditions close to normal practice. Together they offer clues to who benefits most from each medication.
IN PRACTICE 2005 PDF file 927Kb
Barriers cleared in Endell Street
How a team in London's West End set about systematically overcoming the barriers which prevented the residents of a homelessness hostel getting the treatment they needed. The key step was simple – asking the residents just what it was which stood in the way.
STUDY 2004 PDF file 106Kb
Methadone programme loosens up, increases capacity, patients do just as well
Canadian study documents what happens when you 'deregulate' methadone prescribing and permit greater patient choice in treatment and treatment goals. Result: room for more patients, less conflict and no decrease in effectiveness.
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.
STUDY 2004 PDF file 159Kb
Methadone maintenance as low-cost lifesaver
US studies find that even when slow methadone detoxification is bolstered by psychosocial therapy and aftercare, methadone maintenance does better at prolonging the lives of opiate-dependent patients at relatively little extra cost.
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