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STUDY 2004 PDF file 153Kb
Naltrexone helps GPs and practice nurses manage alcohol dependence
Further indications that naltrexone can aid the treatment of dependent drinkers in primary care settings have come from a US trial which tested the efficacy of the drug allied with the kind of consultations normally undertaken by GPs and practice nurses.
STUDY 2007 HTM file
The impact of screening, brief intervention, and referral for treatment on emergency department patients' alcohol use
Just a few minutes with specially hired screening and intervention staff can make a difference to emergency patients' drinking, but in the real world the hospital's own staff will usually do this work. A US study tested this real-world scenario and still found (modest) drinking reductions.
STUDY 2008 HTM file
Screening, brief interventions, referral to treatment (SBIRT) for illicit drug and alcohol use at multiple healthcare sites: comparison at intake and 6 months later
This huge US study set out to test whether widespread screening and brief intervention for illegal drug use (not just heavy drinking) could be implemented in a variety of general medical settings and whether it was effective. Both tests seem to have been passed, but with some important caveats.
STUDY 2008 HTM file
Reducing alcohol harm: health services in England for alcohol misuse
Official audit of work by the Department of Health and NHS to address the health effects of alcohol misuse. Describes a system whose infrastructure is clearly inadequate compared to the size of the task, but one recently taking steps in the right direction.
STUDY 2008 HTM file
Primary care intervention to reduce alcohol misuse: ranking its health impact and cost effectiveness
In this comprehensive analysis, screening for risky drinking and brief advice was estimated to be among the most cost-effective preventive services GPs could offer, ranking alongside common interventions such as screening for high blood pressure or immunisation against influenza.
STUDY 2007 HTM file
Measuring performance of brief alcohol counseling in medical settings: a review of the options and lessons from the Veterans Affairs (VA) health care system
Having mandated universal screening for alcohol problems, the US health system for ex military personnel here thoughtfully addresses how to measure the degree to which this led to appropriate implementation of brief interventions.
STUDY 2004 PDF file 87Kb
First British study to tackle excessive drinking by methadone patients
English clinic challenged assumptions by patients and staff that excessive drinking was not a priority for patients dependent on opiates. A short programme of motivational interviewing, plus detox when needed, led many to curb their drinking.
STUDY 2004 PDF file 194Kb
Teachers can teach while nurses do prevention
Promising results from one-to-one brief drinking prevention advice by US school nurses offers a way to release teachers from the bind of objectively teaching about substance use while trying to prevent it.
STUDY 2004 PDF file 99Kb
How to transform a poor aftercare attendance record into an excellent one
Through a series of inexpensive or cost-free initiatives each building on the other, researchers at the US Salem Veterans Affairs medical centre transformed its aftercare attendance record and improved substance use outcomes.
STUDY 2004 PDF file 129Kb
Working with couples helps client and family
The latest in what experts have called an "impressive" series of studies systematically involving a patient's partner in their treatment for substance dependence found that the benefits extended to naltrexone treatment of opiate dependence.
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