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STUDY 2009 HTM file
Relating counselor attributes to client engagement in England
The most wide-ranging investigation of the organisational health of British treatment services found clients engaged best when services fostered communication, participation and trust among staff, had a clear mission, but were open to new ideas and practices.
Using advanced methods, this US study asked what makes for an effective treatment agency. Being constrained by funders in terms of services and ability to individualise treatments was the clearest negative factor, quality accreditation the clearest positive.
STUDY 2004 PDF file 106Kb
Methadone programme loosens up, increases capacity, patients do just as well
Canadian study documents what happens when you 'deregulate' methadone prescribing and permit greater patient choice in treatment and treatment goals. Result: room for more patients, less conflict and no decrease in effectiveness.
STUDY 2004 PDF file 156Kb
Prison treatment in Scotland fails to impress
The first published findings from the national Scottish drug treatment evaluation highlighted the relative inadequacy and ineffectiveness of treatment inside as opposed to outside prison.
STUDY 2004 PDF file 159Kb
Methadone maintenance as low-cost lifesaver
US studies find that even when slow methadone detoxification is bolstered by psychosocial therapy and aftercare, methadone maintenance does better at prolonging the lives of opiate-dependent patients at relatively little extra cost.
IN PRACTICE 2004 PDF file 418Kb
Giving the silent majority a voice
Constrained by guidelines and standards, a UK prescribing service could do little to respond to user survey feedback.
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 2004 PDF file 105Kb
British GPs as effective as specialist methadone clinics
A two-year follow-up of opiate dependent patients sampled by the national English NTORS study showed that experienced or supported GPs can provide methadone maintenance treatment at least as effectively as specialist clinics.
STUDY 2003 PDF file 208Kb
Ways to expand shared care for opiate addicts
Offering specialist support can transform the proportion of opiate users treated by GPs on a 'shared care' basis was the clear message of a randomised study in the north west of England.
STUDY 2003 PDF file 148Kb
Arrest referral tackles drug-driven crime
Interim report of the first national evaluation suggests that voluntary arrest referral schemes in Britain reach many thousands of criminally active but previously untreated drug users and contribute to reductions in drug use and crime.
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