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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 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.
IN PRACTICE 2004 PDF file 418Kb
Giving the silent majority a voice
Constrained by guidelines and standards, a UK prescribing service could do little to respond to user survey feedback.
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.
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.
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.
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.
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