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You have found 239 entries after clicking on a search link (usually the MORE information link) in a matrix cell. Starting with the most recently added or updated entries, the list shows in orange the type of entry, year the original document was published (or if one of our own documents, the year last updated), and the type of file you will download when you click on the title. In blue is the document’s title followed by a brief description.

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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.

REVIEW 2012 HTM file
BAP updated guidelines: evidence-based guidelines for the pharmacological management of substance abuse, harmful use, addiction and comorbidity: recommendations from BAP

Practitioner-friendly review from the British Association for Psychopharmacology on drug-based treatments for substance dependence offer authoritative, evidence-based guidance to prescribers and others; they also demonstrate the limitations of trying to cure over-use of drugs with drugs.

REVIEW 2010 HTM file
Gamma-hydroxybutyrate (GHB) for treatment of alcohol withdrawal and prevention of relapses

Can one of the UK’s most notorious ‘club drugs’ help alcoholic patients withdraw from and stay away from alcohol? The answer from this authoritative review is that probably it can, but not well enough to displace safer and less abuse-prone alternatives.

REVIEW 2011 HTM file
A systematic review and meta-analysis of health care utilization outcomes in alcohol screening and brief intervention trials

Screening for risky drinking and offering brief advice slightly reduces later emergency department visits was the main finding of this review, suggesting these programmes can help ease pressure on overloaded departments. Adding to their attraction, some of the evidence comes from studies in the services set to benefit.

DOCUMENT 2013 HTM file
Alcohol treatment in England 2012–13

In England nearly 110,000 patients were in specialist alcohol treatment in 2012/13 and over a third left as planned free of dependence. These numbers probably mean most dependent drinkers who could benefit from treatment do without it, perhaps partly because so few find their way to treatment via their GPs and other medical services.

DOCUMENT 2013 HTM file
Rewarding virtue

Can we dispense with counselling, therapy, treatment as we know it, and just punish or deprive patients of rewards when they use substances in undesired ways, and reward them when they behave as we/they would wish? British services are trialling an approach about which many clinicians express major ethical concerns – contingency management.

REVIEW 2011 HTM file
A meta-analysis of the efficacy of nonphysician brief interventions for unhealthy alcohol use: implications for the patient-centered medical home

It works when the doctor does it, but what if the nurse or other primary care staff counsel risky drinking patients? It still works – maybe not as well, but perhaps more patients can be reached more cheaply.

REVIEW 2012 HTM file
Integrated programs for mothers with substance abuse issues: a systematic review of studies reporting on parenting outcomes

The first systematic review of whether integrated substance use/parenting programmes improve the parenting of problem substance using mothers found remarkably few quality studies, but enough to suggest that such programmes can improve the prospects of often highly at-risk children.

REVIEW 2012 HTM file
Lysergic acid diethylamide (LSD) for alcoholism: meta-analysis of randomized controlled trials

Could a single LSD trip precipitate such a radical re-evaluation of their lives that it proves a turning point for dependent drinkers? According to this synthesis of the research, across six randomised trials it can and it has, and the results rival approved medications. Nevertheless, LSD seems unlikely to be welcomed in to the alcohol treatment pharmacopeia.

STUDY 2010 HTM file
Naltrexone and combined behavioral intervention effects on trajectories of drinking in the COMBINE study

Reanalysis of the largest US study of medication-based alcoholism treatment confirms that either naltrexone or psychological therapy improved outcomes more than medical care and placebos, while the two in combination or acamprosate added little. It also revealed previously invisible benefits when certain types of patients received certain treatments.


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