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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.

REVIEW 2008 HTM file
Effective dissemination: a systematic review of implementation strategies for the AOD field

Comprehensive Australian review garners the lessons from across health promotion and medical care on how best to improve practice by introducing research-based innovations, and evaluates their applicability to substance misuse.

REVIEW 2008 HTM file
Effective services for substance misuse and homelessness in Scotland: evidence from an international review

Comprehensive and thoughtful review of the UK-relevant literature warns that services which impose rigid and unrealistic expectations of abstinence or independent living on homeless addicts would deny treatment and housing to vulnerable adults with complex needs.

STUDY 2008 HTM file
Economic evaluation of delivering hepatitis B vaccine to injection drug users

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.

STUDY 2009 HTM file
A practical clinical trial of coordinated care management to treat substance use disorders among public assistance beneficiaries

Further demonstration from a US research team that relatively intensive case management support does help welfare applicants overcome substance use problems, but in this case only those not already managed through substitute prescribing.

STUDY 2005 PDF file 102Kb
More patients drop out after long waits for methadone prescribing

Combined implications of two British studies are that the longer someone waits for methadone treatment, the less likely they are to start it, and even if they do, they will have spent longer at risk from dependent heroin use.

OFFCUT 2005 PDF file 151Kb
Hepatitis C is spreading more rapidly than was thought

From the early 2000s in Britain there was clear evidence from research and routine monitoring that drug policy was failing to contain hepatitis C infection among injectors, and worrying signs of a trend upwards in HIV infection.

STUDY 2005 PDF file 154Kb
Hepatitis C therapy cost-effective for injectors

Two new analyses agree that despite relapse to drug use and imperfect adherence to a demanding medical regime, anti-viral therapy for hepatitis C infection in drug injectors cost-effectively prolongs and improves life.

STUDY 2009 HTM file
Drug and alcohol services in Scotland

Scotland's national audit body assesses value for money from drug and alcohol services. It found systems poorly informed by the problems to be addressed and what works in addressing them, and in respect of drugs, unclear about what 'value' consists of.

IN PRACTICE 2005 PDF file 927Kb
Barriers cleared in Endell Street

How a team in London's West End set about systematically overcoming the barriers which prevented the residents of a homelessness hostel getting the treatment they needed. The key step was simple – asking the residents just what it was which stood in the way.

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