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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.
STUDY 2009 HTM file
Randomized controlled pilot study of cognitive-behavioral therapy in a sample of incarcerated women with substance use disorder and PTSD
Seeking Safety is a prominent therapy for the common combination of substance dependence and post-traumatic stress disorder, yet in this study of imprisoned women in the USA it did not significantly augment outcomes from the prison's own substance use treatment. Asking 'Why not?' generates interesting explanations.
REVIEW 2011 HTM file
Integrated substance abuse and child welfare services for women: a progress review
This US-focused review calls for parents with substance use problems in the child welfare system to receive integrated services which comprehensively assess health and social problems and systematically match needs to problems in the context of a positive client-provider relationship.
DOCUMENT 2010 HTM file
Drug misuse statistics Scotland 2010
Statistical picture of drug misuse in Scotland in 2009 and 2010 including treatment and criminal justice caseloads and health impacts, plus trends over recent years.
STUDY 2010 HTM file
Race and the European criminal justice system: the position of visible minority drug users in the European criminal justice system
UK-based audit of race equality practice in seven European nations based on interviews with staff, service users and prisoners or ex-prisoners reveals that responses are 'colour-coded' even if not overtly racist. Recommendations are made for practice improvements.
DOCUMENT 2010 HTM file
The Patel report: Reducing drug-related crime and rehabilitating offenders
Investigation and recommendations from an expert group on drug treatment and interventions for people in prison in England calls for a clear focus on recovery and for the commissioning and coordination measures needed to improve outcomes without extra resources.
STUDY 2010 HTM file
Whole person recovery: a user-centred systems approach to problem drug use
Report on the first phases of the Whole Person Recovery Project in England which aimed to place drug and alcohol/service users at the centre of an approach to fostering holistic recovery from addiction based on the collective effort of 'recovery communities'.
STUDY 2010 HTM file
An in-depth survey of the screening and assessment practices of highly regarded adolescent substance abuse treatment programs
US substance use treatment programmes for adolescents which had been recommended by experts were nevertheless highly variable and inconsistent in the quality of their screening and assessment of the substance use, family circumstances and mental health of their patients.
STUDY 2006 PDF file 159Kb
Integrated care for dual diagnosis patients betters parallel provision
This rare test of truly integrated substance use and mental health care for severely mentally ill patients found it cut subsequent psychiatric and legal crises. Even where full integration is not possible, the same principles could improve the work of mental health and addiction services.
STUDY 2009 HTM file
Review of the Glasgow & Fife drug courts
For Britain, US-inspired drug courts seemed a way to meld justice with treatment in to a more powerful anti-crime force than looser liaisons. But this Scottish study found no detectable anti-crime benefit; instead the main impact seems to have been to substantially raise costs.
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