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REVIEW 2004 PDF file 909Kb
The power of the welcoming reminder
Part 1 of the Manners Matter series. In seemingly mundane tasks like reminding patients of appointments and checking how they are doing after they leave, individualised and welcoming communications characterise retention-enhancing services.
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.
OFFCUT 2002 PDF file 237Kb
Audit Commission paints a stark picture of drug treatment in England and Wales
In 2002 an Audit Commission investigation of drug services and GP involvement in 11 drug action team areas in England and Wales found weak commissioning practices and the absence of management information and effective performance monitoring.
REVIEW 2000 PDF file 2709Kb
Overdosing on opiates part I: causes
The most thorough review to date of the greatest risk posed by illegal drug use in Britain. An international team of authors analyses the causes and finds they go way beyond just taking too much. Includes in the “The Swedish experience” on p. 6 of PDF early studies which established methadone’s lifesaving potential.
STUDY 2000 PDF file 148Kb
English residential rehabilitation services doing well but could do better
A report from the UK National Treatment Outcome Research Study (NTORS) spotlights the achievements of residential services for drug users but more could be done to improve retention and it is unclear how much the treatment had to do with the outcomes.
STUDY 2000 PDF file 111Kb
Careful induction prevents overdose deaths among methadone patients
Studies from Australia and Scotland both find that overdose death during methadone maintenance is closely related to continued illegal drug use in the early stages of treatment.
STUDY 2000 PDF file 104Kb
'Wet shelter' becomes home for street drinkers
After an uncertain start, an experimental project based in London's East End safely housed long-term rough sleepers unwilling to stop drinking, connecting them to medical and other services whilst allowing drinking on the premises.
STUDY 2000 PDF file 144Kb
Methadone's failures respond to heroin
A large-scale trial in Switzerland suggests that despite failures with other treatments, many long-term heroin addicts respond well to a treatment based on injectable heroin.
STUDY 1999 PDF file 255Kb
Methadone treatment cost-effective life saver
Three studies which show that getting in to and staying in methadone treatment cost-effectively saves the lives of heroin addicts. Conversely, being denied treatment or discharged for rule-breaking costs lives.
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.
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