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REVIEW 2006 PDF file 174Kb
Antidepressants curb depression but add little to strong 'talking therapies'
A trio of reviews of trials of antidepressants in the treatment of depressed alcohol or drug dependent patients have clarified that they do help the severely depressed, but also that they add little to psychosocial approaches such as cognitive-behavioural therapy.
STUDY 2006 PDF file 171Kb
Matching resources to needs is key to achieving 'wrap-around' care objectives
Linking treatment intake assessments to a computerised guide to local welfare and medical services transformed the assessments from redundant paperwork into a practical route to the reintegration services being advocated in Britain – and treatment completion rates doubled.
STUDY 2006 PDF file 199Kb
A&E units save health service resources by addressing drinking
This US study estimated that each $ spent screening for and offering advice to heavy drinking emergency patients would save nearly $4 in health care costs due to reduced hospital re-attendance. A British trial suggests similar savings might be found in the UK.
STUDY 2006 PDF file 264Kb
Ongoing support encourages GPs to advise heavy drinkers
Screening and brief intervention for risky drinking is a major plank in the English alcohol strategy. A WHO trial in six countries including England has shown that personal contact and ongoing support are needed to encourage even modest levels of intervention by GPs.
REVIEW 2009 HTM file
Traditional medicine in the treatment of drug addiction
A China-North America funding and authorship collaboration has assessed the evidence for the main traditional herbal remedies in addiction treatment, and made a new assessment of the role of acupuncture; generally, 'promising' was most positive verdict it could reach.
REVIEW 2008 HTM file
Identifying cost-effective interventions to reduce the burden of harm associated with alcohol misuse in Australia
Comprehensive calculations from Australia offer clues to what in countries like the UK would make the biggest dent in alcohol-related harm at the lowest cost; top of the list were alcohol tax rises, advertising bans, licensing controls, and random breath testing.
REVIEW 2009 HTM file
The state of pharmacotherapy for the treatment of alcohol dependence
Review finds some but inconsistent and often modest support for each of the four medications approved by the US administration for the treatment of alcohol dependence: disulfiram; acamprosate; oral naltrexone; and once-monthly, injectable, extended-release naltrexone.
REVIEW ABSTRACT 2009 HTM file
Continuing care research: what we have learned and where we are going
Are alcohol and drug dependence best treated as chronic conditions needing extended care, or should we expect patients to recover and leave treatment? Whatever the answer, this review finds that generally the offer of long-term continuing care leads to better outcomes.
STUDY 2005 PDF file 153Kb
Communities can reduce drink-driving deaths
A multi-million dollar attempt to equip US communities to tackle substance misuse only succeeded in reducing alcohol-related traffic deaths when treatment initiatives were supplemented by measures to limit the availability of alcohol.
STUDY 2005 PDF file 172Kb
Naltrexone specially helps poor prognosis patients avoid relapse to heavy drinking
Two European studies confirm that the opiate-blocking drug naltrexone particularly helps alcohol-dependent patients who respond least well to therapy (marked partly by early onset drinking problems), elevating in-treatment outcomes to those of more promising clients.
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