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MATRIX CELL 2021 HTM file
Alcohol Treatment Matrix cell B5: Practitioners; Safeguarding the community
Key studies on the impact of the treatment practitioner on safeguarding the community, families and children, and their influence in criminal justice contexts. Explores whether exceptional abilities are needed to forge productive therapeutic relationships in these situations, and invites you to ‘stress test’ a proposed universal rule: The trickier the situation, the more the worker matters.
How does an intervention designed to enhance coordination and continuity of services, known as ‘case management’, compare to treatment as usual? Is there any evidence to suggest that it can directly or indirectly improve recovery outcomes?
A study spotlights antenatal care in Scotland – one of three priority settings in a national programme to deliver screening and brief interventions. Implementation leaders discussed midwives’ roles in facilitating disclosures about drinking in pregnancy, and what happens when their professional opinions deviate from guidance.
DOCUMENT 2019 HTM file
Prison Drugs Strategy
National agency responsible for prison and probation services in England and Wales announces three-point plan for tackling the presence of drugs and drug use problems, based on the principles of restricting supply, reducing demand, and building recovery.
People with co-occurring mental health and substance use problems are often unable to access the care they need. This 2017 guide from Public Health England describes what better care would look like, underpinned by the principles that there is ‘no wrong door’ for accessing support, and it is ‘everyone’s job’ the other side of the door to help.
Has enough high-quality evidence accumulated over the past five years to improve confidence in the effectiveness of residential treatment?
STUDY 2019 HTM file
“We have to put the fire out first before we start rebuilding the house”: practitioners’ experiences of supporting women with histories of substance use, interpersonal abuse and symptoms of post-traumatic stress disorder
Within treatment systems that have tended to underestimate or overlook the importance of ‘trauma-informed’ practice, this study explores how practitioners in England respond to the needs of women with substance use problems, histories of abuse, and symptoms of post-traumatic stress disorder.
How do drug recovery wings in women’s prisons compare with best practice in Baroness Corston’s 2007 report to the Home Office?
STUDY 2019 HTM file
Efficacy and cost-effectiveness of an adjunctive personalised psychosocial intervention in treatment-resistant maintenance opioid agonist therapy: a pragmatic, open-label, randomised controlled trial
Instead of a set programme, a clinic in London tried offering methadone or buprenorphine patients still using heroin or cocaine a selection from a suite of well-supported psychological interventions tailored to the patient and then systematically re-tailored in the light of how they responded. It worked – but did it work well enough, and would the findings be replicated in more typical circumstances?
Evidence gathered over the last decade affirms the greater effectiveness of therapeutic communities in prison versus other treatment models, and highlights improved recidivism and drug use outcomes when the prison regimen is reinforced by community aftercare on release.
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