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For the first time in a prison setting a randomised trial rigorously compared intensive residential therapeutic community treatment to outpatient counselling. Confounding expectations, the US prison for problem drug users which hosted the study gained nothing in terms of preventing recidivism by allocating even high-risk prisoners to the more intensive treatment.
The diminishing youth treatment caseload in England is increasingly dominated by under-18s primarily being treated for cannabis use problems as the numbers of primary problem drinkers falls away to just 15% of the caseload.
STUDY 1966 HTM file
Treatment of skid-row alcoholics with disulfiram
In the early ’60s in Atlanta in the USA, a pioneering trial tested whether faced with the alternative of another spell in jail, ‘skid-row’ repeat drunkenness offenders would take a drug which generates deterrent reactions to alcohol. Most did, belying their supposedly hopeless condition.
STUDY 2012 HTM file
An evaluation of the Option 2 intensive family preservation service
In Wales Option 2 works intensively over a few weeks with substance using parents whose children are at serious risk – serious enough for imminent care proceedings. This second evaluation confirmed that the cost-saving service helps keep children with their families without inadvertently harming the children.
HOT TOPIC 2017 HTM file
Protecting the children
One of our hot topic essays on important issues which sometimes generate heated debate. How to protect the children of problem substance users can hardly be a more emotive and – since a US-inspired project came to Britain offering to pay drug users to be sterilised – contentious issue. Despite the issue’s profile, truly informative studies are few.
STUDY 2016 HTM file
After FDAC: outcomes 5 years later (final report)
Five-year follow-up of London families finds better outcomes among those in the Family Drug and Alcohol Court than ordinary care proceedings.
HOT TOPIC 2016 HTM file
Don’t treat, just test and sanction
One of our hot topics offering background and analysis on important issues which sometimes generate heated debate. Gaining influential support is the proposition that for problem substance users over whom leverage can be exerted, we can largely do away with treatment and just test for substance use and punish infringements. Is this really the way forward?
STUDY 2010 HTM file
South Dakota 24/7 Sobriety program evaluation findings report
Drink-driving offenders on South Dakota’s 24/7 Sobriety project test alcohol-free at over 99% of the twice-daily breath tests intended to enforce abstinence via the threat of immediate brief imprisonment, and subsequent recidivism is lower than among other drink-driving offenders in the state.
Family interventions were at the heart of the UK government’s ambition to ‘turn round’ the lives of 120,000 troubled families in England. In respect of drink and drug problems, substantial remission was seen, but the featured study could not show whether this was due to the interventions, and a report on a successor programme found no significant impacts.
DOCUMENT 2016 HTM file
Modern Crime Prevention Strategy
This new strategy presents a vision for crime prevention in 2016, which includes greater partnership-working between government, the police, business and industry to prevent and tackle drug and alcohol-related crime and disorder, and greater personal responsibility for substance use and recovery.
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