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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.
DOCUMENT 2012 HTM file
Practice standards for young people with substance misuse problems
Practice standards developed by the UK’s Royal College of Psychiatrists on working with young people aged 18 or under with substance misuse problems, intended (if followed) to promote high quality screening, assessment and treatment for these young people.
Holistic family therapy helped younger teens and their families get back on track before problems escalate, but was substance use really their focal problem?
STUDY 2007 HTM file
Preventing alcohol-exposed pregnancies: a randomized controlled trial
Foetal exposure to alcohol is a leading cause of birth defects and developmental disabilities. Targeting interventions at women before they become pregnant – as with Project CHOICES – could shift the focus in clinical practice from treatment of substance-exposed pregnancies to prevention of a major (and costly) public health concern.
Compared to brief advice, the CHOICES Plus intervention significantly lowered the risk of alcohol- and tobacco-exposed pregnancies among women in a low-income primary care population. This US-based trial illustrates the efficacy of a bundle of ‘pre-conception’ services for risky drinking, smoking, and ineffective contraception.
Study set in Canada and the United States finds more than enough financial justification for expanding prevention of foetal alcohol spectrum disorders. But what does ‘expansion’ mean – universal prevention, or focusing resources on those most at risk?
STUDY 2010 HTM file
Offender alcohol interventions: minding the policy gap
Based on exhaustive consultations in the south west of England, this report diagnoses the blockages to providing adequate alcohol-related services to offenders and makes recommendations to improve commissioning, coordination and practice.
The DrinkThink screening and brief intervention for risky drinking was developed with young people (the intended beneficiaries), but not with professionals expected to deliver it. Despite the potential of the intervention, delivery was impaired by obstacles spanning training, working cultures, and attitudes about young people’s drinking.
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