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STUDY 2010 HTM file
Gender differences in client-provider relationship as active ingredient in substance abuse treatment
From the comprehensive treatment process data collected by a major national US study emerges the important lesson that retention in itself is not an active ingredient in post-treatment outcomes but reflects influences such having one's needs met (especially important for women) and developing a good relationship with the service and your key worker.
DOCUMENT 2013 HTM file
Alcohol treatment in England 2011–12
More problem drinkers started specialist treatment in 2011/12 but more successfully completed it, slightly reducing the overall numbers; scope for more to benefit from treatment is indicated by the low levels of referrals from primary medical services.
STUDY 2011 HTM file
Quality concerns with routine alcohol screening in VA clinical settings
In the US health care service for ex-military personnel, 61% of patients who screened positive when sent a postal survey did not do so when the same questions were asked by their clinics, casting doubt on the validity of the test in routine practice in a service where the emphasis was more on the quantity than the quality of screening.
STUDY 2010 HTM file
Evaluation of an electronic clinical reminder to facilitate brief alcohol-counseling interventions in primary care
When a patient has screened positive for risky drinking, up pops a computerised prompt to remind the clinician to consider counselling, yet at a service for US ex-military personnel the reminder was rarely used and made no difference to patients' drinking. Why were results so different from those at other clinics?
STUDY 2012 HTM file
A pilot randomised controlled trial of brief versus twice weekly versus standard supervised consumption in patients on opiate maintenance treatment
What happens when opiate-addicted patients are suddenly no longer required to take their methadone under supervision but can take it away from the pharmacy? In Scotland this was tried in the first UK randomised trial; patients stayed longer in treatment and there was no dramatic escalation in heroin use.
STUDY 2010 HTM file
A comparison of two single-item screeners for hazardous drinking and alcohol use disorder
Can you get away with asking just a single question to identify risky drinkers and even dependent drinkers? When the thresholds are suitably adjusted, asking either about frequency of heavy drinking or maximum single-occasion consumption worked remarkably well in the US general population.
STUDY 2011 HTM file
An evaluation to assess the implementation of NHS delivered alcohol brief interventions: final report
In three years from 2008 Scottish national policy drove delivery of nearly 175,000 brief alcohol interventions, testament to what can be done when policy is backed by funding and infrastructure and incentive payments contingent on implementation. Leverage and acceptance were greatest in primary care, where the vast majority of the work took place.
DOCUMENT 2012 HTM file
Cost-of-alcohol studies as a research programme
Prominent alcohol expert argues that estimates that drinking imposes billions of pounds of costs on society are so value-laden and imprecise that their main value is as propaganda. Policies like increasing the price of drink may be justified on other grounds, but not by a misleadingly appealing total cost or cost reduction figure.
STUDY 2012 HTM file
Advancing recovery: implementing evidence-based treatment for substance use disorders at the systems level
In the US homeland of competition and private health care, it was cooperation and coordination which led to the introduction of new medications and innovations to promote continuing care – plus the exercise of regulatory and financial muscle and the salutary experience of senior staff who placed themselves in the patient's shoes.
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.
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