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National UK policy recommendations for pre-school initiatives to forestall later problems including those related to substance use, based partly on a review of the most promising programmes.
REVIEW 2010 HTM file
Is the therapeutic community an evidence-based treatment? What the evidence says
By means of this review of prominent North American trials and meta-analyses, a leading researcher in to therapeutic communities tries to settle the issue of whether these effectively and cost-effectively treat addiction, so research can move on to how to make them more effective.
Review concludes that neither confrontation nor disengagement from a family member work as well at engaging them in treatment as an approach based on systematically organising the intended patient's social environment to reward treatment entry.
STUDY 2010 HTM file
Alcohol misusers’ experiences of employment and the benefit system
Substantial barriers to employment were revealed by interviews with alcohol service clients in Britain and with staff working in or with treatment agencies. Holistic recovery rather than just completing treatment was the key. Reviews relevant international research.
2010 English national drug strategy: "A fundamental difference [from] those that have gone before is that instead of focusing primarily on reducing the harms caused by drug misuse, [we will] go much further and offer every support for people to choose recovery as an achievable way out of dependency."
REVIEW 2006 PDF file 856Kb
An expert Euro-US collaboration led by Wouter Vanderplasschen from Belgium examines what in Britain is now seen as the core mechanism for transforming isolated episodes of care into coherently staged and comprehensive reintegration programmes.
STUDY 2006 PDF file 196Kb
Patient-focused alcohol treatment aids wives and children too
Whether families benefit from alcohol treatment as well as the patients has rarely been studied. This US analysis demonstrated that they do, positioning alcohol treatment as also contributing to child and family welfare objectives.
STUDY 2006 PDF file 159Kb
Integrated care for dual diagnosis patients betters parallel provision
This rare test of truly integrated substance use and mental health care for severely mentally ill patients found it cut subsequent psychiatric and legal crises. Even where full integration is not possible, the same principles could improve the work of mental health and addiction services.
STUDY 2006 PDF file 198Kb
Drink-driving cut by 30-minute talk with hospital patients
Patients admitted to a US hospital following a traffic accident had fewer arrests for drink-driving after a short talk with hospital staff about their drinking, the first such finding and one which reinforced the case for hospital-based brief interventions.
This report on work in England and Wales describes a system creatively grappling with a huge drink problem among offenders, but one undermined by lack of evidence about what works and by under-resourcing linked to a dispute over whether health or probation should bear the core funding burden.
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