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REVIEW 2011 HTM file
A policy-oriented review of strategies for improving the outcomes of services for substance use disorder patients

Improving performance of substance use disorder treatment systems is no easy matter and one prone to unintended consequences. All the more welcome then is guidance from leading US experts with top-level experience in the UK and the USA; their favourite tactic, rewarding services for patient progress during treatment, is featured in UK payment-by-results schemes.

STUDY 2010 HTM file
Does meeting the HEDIS substance abuse treatment engagement criterion predict patient outcomes?

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 2012 HTM file
Randomized controlled trial of mailed personalized feedback for problem drinkers in the emergency department: the short-term impact

At Australian emergency departments, screening followed by written personalised feedback mailed to risky drinkers led to at least a short-term cutback in their drinking, but only when they saw or had cause to see drink as contributing to their medical misfortune. This low cost written option demanding little of staff may make intervention more feasible.

STUDY 2012 HTM file
The role of residential rehab in an integrated treatment system

An audit for England's National Treatment Agency for Substance Misuse finds residential services so entwined with non-residential in the treatment careers of residents that it is not possible disaggregate their contribution; since a few months of such care costs as much as five years of non-residential care, showing value for money is critical.

STUDY 2011 HTM file
South East Alcohol Innovation Programme: evaluation report

In the south east of England a bidding exercise spawned a spate of short-term innovative projects to reduce alcohol-related harm, from which five models were assessed as most promising and taken forward for further implementation and assessment the following year – a rapid and intensive test bed from which others can learn as well.

STUDY 2011 HTM file
Delivering alcohol brief interventions in the community justice setting: evaluation of a pilot project

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 2010 HTM file
Alcohol screening and brief intervention in a policing context: a mixed methods feasibility study

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.

STUDY 2011 HTM file
Modeling the cost-effectiveness of health care systems for alcohol use disorders: how implementation of eHealth interventions improves cost-effectiveness

Computer simulation suggests that health would improve and/or costs be reduced if on-line brief interventions and therapy were added to or replaced conventional alcohol-related health care; these results for the Netherlands are based on a simulation model applicable as an aid to national policymaking in other countries.

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