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In Norway, long-term continuity of care by the same adults in a family-like setting outside the home (a specially funded foster home or residential centre) was the key to a better later life for severely troubled young teenage substance users.
This US-focused review calls for parents with substance use problems in the child welfare system to receive integrated services which comprehensively assess health and social problems and systematically match needs to problems in the context of a positive client-provider relationship.
STUDY 2011 HTM file
Prison health needs assessment for alcohol problems
What does the Scottish Prison Service need to do to adequately address alcohol problems among inmates? This needs assessment funded by the Scottish Government assesses the size of the problem, identifies the gaps, and recommends ways to plug them based on a review of relevant research.
Investigates what outside prison is being done in Scotland to meet the needs of problem drinking offenders by criminal justice and other services, and assesses whether local arrangements measure up to the size and nature of the task. Non-evidence based funding and the need to develop integrated care pathways emerged as key issues.
STUDY 2010 HTM file
Alcohol services in prisons: an unmet need
Prison inspections and surveys of prisoners and staff in England reveal a "depressing picture" of "very limited" services for problem drinking inmates, which leave them with poor prospects on release.
South Dakota appears to have achieved impressive results not by treating repeat drink-driving offenders but by requiring abstinence and enforcing this via frequent testing and the threat of immediate brief imprisonment; perhaps intensive intervention can be reserved for the few who do not comply.
REVIEW 2011 HTM file
A new paradigm for long-term recovery
On the basis of three innovative US programmes for offenders or doctors with substance use problems, this analysis concludes that many seriously dependent individuals stop using if non-use is enforced through intensive monitoring and swift, certain but not necessarily severe consequences.
STUDY 2009 HTM file
Setting the standard for recovery: physicians' health programs
US physician health programmes demonstrate that long-term intensive monitoring of substance use allied with swift and certain sanctions and abstinence-based mutual aid and treatment can enable seriously dependent individuals to stop using psychoactive substances.
STUDY 2009 HTM file
The 24/7 Sobriety Project
An account from the its originator of the genesis, working and impressive impacts of South Dakota's 24/7 Sobriety project; rather than treating repeat drink-driving offenders, the project enforces abstinence via frequent testing and the threat of immediate brief imprisonment.
STUDY 2007 HTM file
Analysis of South Dakota 24-7 Sobriety program data
Analysis of data routinely collected by South Dakota's 24/7 Sobriety project reveals that offenders test alcohol-free at 99% of the scheduled twice-daily tests intended to enforce abstinence via the threat of a bail violation leading to immediate brief imprisonment.
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