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IN PRACTICE 2005 PDF file 813Kb
Wet day centres in Britain part 2: Care Control Challenge
Part 2 of our mini-series on wet day centres in Britain will ring bells not just for alcohol workers but also for drug workers in needle exchanges and drop-in services. Maureen Crane and Tony Warnes analyse what it takes to work productively in one of the most challenging of settings.
SERIES OF ARTICLES 2005 PDF file 1935Kb
Wet day centres in Britain
In drug and alcohol services, it doesn't get more difficult than this – offering street drinkers a place where they can start to reverse years of deterioration, without having first to stop drinking.
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 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 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 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 1997 HTM file
Performance contracting for substance abuse treatment
This US study finds that performance contracting may be associated with improvements in service utilisation and treatment outcomes, but does not appear to increase engagement with under-served populations.
STUDY 1992 HTM file
Health promotion in the general practice consultation: a minute makes a difference
‘A minute makes a difference in primary care consultations’, was the finding of a 1992 study about improving the capacity of general practitioners to screen for problems such as heavy drinking, smoking, and high blood pressure. But is extra time on the clock enough to secure routine (as opposed to more frequent) delivery of health promotion and brief intervention?
STUDY 1980 HTM file
The attitudes of helping agents toward the alcoholic client: the influence of experience, support, training and self-esteem
Seminal English study which turned the spotlight on organisational factors in the development of a positive attitude to working with problem drinkers, in particular the availability of experience in working with these patients and the support of experienced colleagues. Without these the effects of training are less and less well sustained.
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