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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."
OFFCUT 2006 PDF file 137Kb
Gaps in British harm reduction defences permit minor resurgence in HIV infection
Gaps in harm reduction defences are permitting a minor resurgence in HIV infection in Britain and continued high rate of spread of hepatitis C; each year of the 2000s injectors were two to three times more likely to be infected with HIV than in the mid-90s.
From some of the same Australian authors who produced classic texts on maintenance prescribing for heroin addiction, a major new text analysing research on all types of drug-based interventions including maintenance, opiate-blocking drugs, and managing withdrawal.
From New York, a success story of the reversal of a serious epidemic of HIV among injectors, with mass needle exchange in the starring role. It adds weight to studies which collectively indicate that multi-strand approaches featuring high-coverage syringe provision can curb the spread of HIV.
REVIEW 2009 HTM file
Refocusing drug-related law enforcement to address harms
'Target enforcement to reduce individual and community harm' is the premise of this report from a UK drug policy think tank, one which seems widely understood, though in some quarters, deeply contested.
DOCUMENT 2006 PDF file 1326Kb
The Rolleston legacy
In British drug policy no document has more claim to the term 'classic' than the 1926 Rolleston report, which enshrined doctors' freedom to prescribe opiates to opiate addicts.
STUDY 2005 PDF file 153Kb
Anaesthesia during rapid opiate detox raises costs but not outcomes
Dutch study finds that anaesthetising patients during accelerated opiate withdrawal is expensive and introduces new risks, but does not help inpatients complete detoxification or sustain drug use reductions on discharge.
STUDY 2005 PDF file 180Kb
Aftercare calls suit less relapse-prone patients
An intensive US outpatient programme found that for less relapse-prone patients, a flexible aftercare regime mixing initial support groups with regular phone calls was at least as effective as entirely face-to-face contact, yet far less time-consuming.
US figures show that testing needle exchange users for hepatitis B and at the same time starting a short course of vaccinations (the UK model) saves lives and thousands of health service dollars, but UK exchanges have lagged behind in offering these services.
After needle exchanges started distributing crack smoking equipment, drug injectors in Ottawa shifted from injecting to smoking the drug and less often shared their smoking equipment. The result was safer drug use and greater service contact by crack smokers.
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