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You have found 131 entries after clicking on a search link (usually the MORE information link) in a matrix cell. Starting with analyses of the most recently published documents, the list shows in orange the type of entry, year the original document was published (or if one of our own documents, the year last updated), and the type of file you will download when you click on the title. In blue is the document’s title followed by a brief description.

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STUDY 2008 HTM file
Reducing alcohol harm: health services in England for alcohol misuse

Official audit of work by the Department of Health and NHS to address the health effects of alcohol misuse. Describes a system whose infrastructure is clearly inadequate compared to the size of the task, but one recently taking steps in the right direction.

STUDY 2008 HTM file
Screening, brief interventions, referral to treatment (SBIRT) for illicit drug and alcohol use at multiple healthcare sites: comparison at intake and 6 months later

This huge US study set out to test whether widespread screening and brief intervention for illegal drug use (not just heavy drinking) could be implemented in a variety of general medical settings and whether it was effective. Both tests seem to have been passed, but with some important caveats.

REVIEW 2008 HTM file
Critical issues in the treatment of hepatitis C virus infection in methadone maintenance patients

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.

REVIEW 2008 HTM file
Effective services for substance misuse and homelessness in Scotland: evidence from an international review

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.

REVIEW 2008 HTM file
Effective dissemination: a systematic review of implementation strategies for the AOD field

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.

STUDY 2008 HTM file
Does following research-derived practice guidelines improve opiate-dependent patients’ outcomes under everyday practice conditions? Results of the Multisite Opiate Substitution Treatment study

In everyday practice at methadone maintenance clinics and with the full range of patients, does implementing clinical guidelines lead to better outcomes for patients? Two sets of US clinics selected for high versus low adherence to guidelines provided evidence that the recommended high doses and intensive psychosocial services really do make the intended difference.

STUDY 2007 HTM file
Measuring performance of brief alcohol counseling in medical settings: a review of the options and lessons from the Veterans Affairs (VA) health care system

Having mandated universal screening for alcohol problems, the US health system for ex military personnel here thoughtfully addresses how to measure the degree to which this led to appropriate implementation of brief interventions.

STUDY 2007 HTM file
The impact of screening, brief intervention, and referral for treatment on emergency department patients' alcohol use

Just a few minutes with specially hired screening and intervention staff can make a difference to emergency patients' drinking, but in the real world the hospital's own staff will usually do this work. A US study tested this real-world scenario and still found (modest) drinking reductions.

STUDY 2006 PDF file 171Kb
Matching resources to needs is key to achieving 'wrap-around' care objectives

Linking treatment intake assessments to a computerised guide to local welfare and medical services transformed the assessments from redundant paperwork into a practical route to the reintegration services being advocated in Britain – and treatment completion rates doubled.

STUDY 2006 HTM file
Effectiveness of nurse-led brief alcohol intervention: A cluster randomized controlled trial

Interventions delivered by nurses did lead to a reduction in excessive drinking in their patients, but there seemed to be no advantage of a structured brief intervention over standard advice.


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