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DOCUMENT 2012 HTM file
Will intensive testing and sanctions displace treatment?
Enforce frequent drug or alcohol testing and levy swift, certain and meaningful sanctions for substance use, and many dependent users stop using without treatment. Is this increasingly how problem use will be dealt with, or just a niche option applicable to users over whom society can exert sufficient leverage?
In 2007–08 the US state of Maine introduced a new scheme directly linking funding for outpatient treatment services to performance in terms of waiting times and retention, but financial and service delivery impacts were negligible. Were the incentives too weak, or were services already doing as well as they could?
This first major multi-modality test of a treatment engagement indicator widely used as a quality control yardstick in the USA found it was only very weakly related to patient improvement seven months after starting treatment, confirmation that simple measures of what happens during treatment struggle to capture what really makes treatment effective.
STUDY 2011 HTM file
Achieving positive change in the drinking culture of Wales
This research report usefully reflects evidence from reviews and recent and seminal studies, offering guidance not just on each intervention type, but on what the most effective mix might be in Wales and by extension in the UK as a whole if the aim is to affect drink-related harm at the level of the whole population.
Though drinking problems were widespread, Scottish probation and community service staff were unconvinced of the appropriateness of screening their offender clients for risky drinking and (if indicated) offering brief advice. Not a priority, was the common feeling.
STUDY 2012 HTM file
Screening for alcohol use in criminal justice settings: an exploratory study
At English prisons, police stations and probation offices, offenders and arrestees in this study usually scored as at least hazardous drinkers and over half as problematic on a drink problem survey; nearly all would have been identified by a much briefer screening method usually requiring just a single question.
Risky drinking was widespread among the disorder and assault suspects screened for alcohol problems and (as indicated) offered brief advice by civilian staff at a police station in north east England, but they constituted just a quarter of the arrestees intended to have been screened.
STUDY 2012 HTM file
Alcohol screening and brief intervention in primary health care
The primary health arm of the largest alcohol screening and brief intervention study yet conducted in Britain found that the proportion of risky drinkers fell just as much after the most minimal of screening and intervention methods as after more sophisticated and longer (but still brief) alternatives.
STUDY 2012 HTM file
Alcohol screening and brief intervention in probation
The probation arm of the largest alcohol screening and brief intervention study yet conducted in Britain found that the proportion of offenders drinking at risky levels fell just as much after the most minimal of screening and intervention methods as after more sophisticated and longer (but still brief) alternatives.
UK government-funded pilot schemes found no crime reduction benefits from brief alcohol counselling for arrestees under the influence of drink, disappointing hopes that arrest referral would help quell late-night alcohol-related disorder. The schemes did however uncover many dependent drinkers.
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