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REVIEW ABSTRACT 2009 HTM file
The primary prevention of hepatitis C among injecting drug users
To curb hepatitis C, UK government advisers call for substantial expansion of needle exchange provision so that a new set of equipment is available for every injection and for methadone programmes to provide access to injecting equipment and vice versa.
STUDY 2004 PDF file 159Kb
Methadone maintenance as low-cost lifesaver
US studies find that even when slow methadone detoxification is bolstered by psychosocial therapy and aftercare, methadone maintenance does better at prolonging the lives of opiate-dependent patients at relatively little extra cost.
IN PRACTICE 2004 PDF file 418Kb
Giving the silent majority a voice
Constrained by guidelines and standards, a UK prescribing service could do little to respond to user survey feedback.
STUDY 2007 HTM file
The costs and consequences of three policy options for reducing heroin dependency
Australian study addressing an issue greatly exercising the UK: do you get greater returns per £ from residential rehabilitation or from substitute prescribing? In terms of reduction in the frequency of heroin use, prescribing was one-and-a-half to three times more cost-effective.
STUDY 2004 PDF file 118Kb
Drug courts can work in Britain
Early studies from Scotland provided affirmative answers to the first two questions about drug courts in Britain – whether they can be made to work and whether offenders can be retained on the court orders.
STUDY 2004 PDF file 191Kb
Clinically relevant comparison supports buprenorphine as methadone alternative
A large scale Australian study which approximated recommended clinical procedures found buprenorphine roughly equivalent to methadone as a maintenance treatment for opiate dependence and also roughly as cost-effective.
REVIEW 2008 HTM file
International review and UK guidance weigh merits of buprenorphine versus methadone maintenance
Analysis which informed new UK guidelines on the maintenance treatment of opiate dependence concludes that buprenorphine has slightly less 'holding power' than methadone but equivalent suppression of opiate use.
REVIEW 2003 PDF file 925Kb
Role Reversal
Controversial, expensive, yet promising so much, interest is increasing in prescribing heroin to heroin addicts. Just five studies hold what answers there are to whether this can work, including a probably unrepeatable early British study.
STUDY 2002 PDF file 1321Kb
The grand design: lessons from DATOS
US drug treatment was under fire, over-stretched and facing the new challenge of crack cocaine when the huge DATOS study set out to test whether it was still delivering benefits, how it worked, and how it could be made better. Truly essential reading.
OFFCUT 2002 PDF file 237Kb
Audit Commission paints a stark picture of drug treatment in England and Wales
In 2002 an Audit Commission investigation of drug services and GP involvement in 11 drug action team areas in England and Wales found weak commissioning practices and the absence of management information and effective performance monitoring.
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