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STUDY 2010 HTM file
Effects of psychiatric comorbidity on treatment outcome in patients undergoing diamorphine or methadone maintenance treatment
In Germany, heroin-addicted patients suffering from mental disorders benefited more from being prescribed heroin than methadone and did so to almost the same degree as other patients, including greater remission in psychiatric symptoms.
STUDY 2010 HTM file
Is heroin-assisted treatment effective for patients with no previous maintenance treatment? Results from a German randomised controlled trial
Uniquely among modern heroin prescribing trials, the trial in Germany was not confined to heroin-addicted patients who had done poorly on methadone, offering the opportunity to assess whether heroin should be reserved for these patients. The conclusion was that other patients too benefit more from injectable heroin than oral methadone.
STUDY 2010 HTM file
The Andalusian trial on heroin-assisted treatment: a 2 year follow-up
Heroin/cocaine addicts in Granada in Spain who were being prescribed heroin made greater sustained improvements in their illicit heroin use, crime and psychological health and showed signs of more social reintegration than patients who nearly three years before had been randomly allocated to methadone.
STUDY 2011 HTM file
How does cognitive behaviour therapy work with opioid-dependent clients? Results of the UKCBTMM study
Compromised by an inability to interest enough patients, the only randomised UK trial of cognitive-behavioural therapy for methadone patients was unable to be definitive but did find some signs of benefit and that the therapy had pulled some of the intended psychological levers.
STUDY 2011 HTM file
A good quality of life under the influence of methadone: a qualitative study among opiate-dependent individuals
Opiate dependent methadone patients in Belgium give their own accounts of what for them constitutes a good quality of life. Generally they want what other people want: a meaningful, independent life and supportive relationships. Methadone creates the preconditions for such a life at the same time as it limits its achievement.
STUDY 2011 HTM file
Therapist effectiveness: implications for accountability and patient care
1 in 6 US therapists (mainly not specialising in substance use) typically ended up with clients whose substance use problems were significantly worse than when they started therapy, an indication perhaps that social workers and mental health counsellors find these issues especially hard to deal with.
STUDY 2011 HTM file
The effectiveness of supported employment in people with dual disorders
Compared to more gradualist approaches, with appropriate support targeted at rapidly achieving this objective, far more mentally ill problem substance users in the USA were enabled to find competitive employment in the open labour market rather than sheltered placements.
It worked as well as somewhat longer and more elaborate experimental therapies, but how would a basic US programme for cannabis using youngsters fare when compared to much more extensive real-world therapies? On average at least as well if not better was the answer.
STUDY 2010 HTM file
Long-term outcomes of office-based buprenorphine/naloxone maintenance therapy
Abstinence and recovery characterised by employment are priority UK policy objectives to which the extension of mutual aid is considered a major route. This US study illustrates that both the route and the objectives are not just compatible with, but may be promoted by opiate maintenance prescribing.
STUDY 2011 HTM file
Shared decision-making: increases autonomy in substance-dependent patients
An innovative Dutch study tested a way of involving substance users as equals in decisions over issues addressed in their treatment. The effect was to give these typically submissive personalities a greater sense of control over their lives. Just as influential was the lead offered by the clinician's personality.
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