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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 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.
STUDY 2004 PDF file 105Kb
British GPs as effective as specialist methadone clinics
A two-year follow-up of opiate dependent patients sampled by the national English NTORS study showed that experienced or supported GPs can provide methadone maintenance treatment at least as effectively as specialist clinics.
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 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 2003 PDF file 172Kb
Injury rate cut in heavy drinking accident and emergency patients
One of the few studies to have tried alcohol interventions in the emergency department rather than after admission was also the first to find a significant reduction in later injuries, but only if the initial approach had been reinforced with a booster.
OFFCUT 2003 PDF file 134Kb
Is your measure of success what matters to the client, or what matters to everyone else?
How a patient assesses their own well-being can be poorly related to conventional outcomes such as substance use. Using quality of life as a benchmark would often give a different impression of whether one treatment or service is better than another.
STUDY 2003 PDF file 208Kb
Ways to expand shared care for opiate addicts
Offering specialist support can transform the proportion of opiate users treated by GPs on a 'shared care' basis was the clear message of a randomised study in the north west of England.
STUDY 2003 PDF file 188Kb
Naltrexone helps heavy drinkers gain control
In Spain naltrexone helped young regular binge drinkers cut back, potentially extending its role from alcoholics seeking treatment at specialist clinics to problem drinkers identified in other settings such as primary care.
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.
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