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You have found 130 entries after clicking on a search link (usually the MORE information link) in a matrix cell. Sorted by the main topic addressed, the list shows in orange the type of entry, year the original document was published (or if one of our own documents, the year last updated), and the type of file you will download when you click on the title. In blue is the document’s title followed by a brief description.

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REVIEW 2008 HTM file
Psychosocial interventions for people with both severe mental illness and substance misuse

Latest update from the respected Cochrane review process still finds no reason to advocate replacing conventional care with specialised therapeutic approaches/teams when severe mental illness is complicated by substance use.

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
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.

DOCUMENT 2016 HTM file
Coexisting severe mental illness and substance misuse: community health and social care services

NICE guidance on health and social care for substance users with severe mental illness says that rather than creating specialist ‘dual diagnosis’ services, health and social care (including substance misuse) services should adapt to this caseload, and their care should be led by the mental health service.

DOCUMENT 2016 HTM file
Guidelines on the management of co-occurring alcohol and other drug and mental health conditions in alcohol and other drug treatment settings

Updated guidelines funded by the Australian government recommend universal mental health screening for people accessing substance use services, and say that mental health issues do not pose an “insurmountable barrier” to effective substance use treatment.

STUDY 1998 HTM file
Changing attitudes and beliefs of staff working in methadone maintenance programs

In Sydney in Australia an official campaign and educational efforts had the desired effect of shifting staff attitudes in methadone maintenance clinics away from achieving abstinence and withdrawal and towards long-term treatment aimed at reducing harm.

STUDY 2012 HTM file
Innovation adoption as facilitated by a change-oriented workplace

Message from this large US study is that 'bottom-up' practice improvements in treatment services initiated by counsellors are still strongly influenced by the climate-setting and support offered by an organisation's leadership and ethos, especially how far they foster professional development.

REVIEW 2011 HTM file
Implementation of evidence-based substance use disorder continuing care interventions

As this review comments, people treated for substance use often remain precariously balanced between recovery and relapse. Widely seen as valuable if not essential, aftercare is nevertheless more the exception than the rule. How to reverse that ratio is the issue addressed by these leading US analysts.

REVIEW 2011 HTM file
Integration of treatment innovation planning and implementation: strategic process models and organizational challenges

This review encapsulates the range of treatment assessment and improvement tools developed over decades by the Texas Christian University, widely recognised as the most comprehensive and systematic attempt to map the processes involved in treatment and to link these to interventions to improve outcomes for the client.

MATRIX CELL 2017 HTM file
Drug Treatment Matrix cell C2: Management/supervision; Generic and cross-cutting issues

Key studies on the role of management and supervision across psychosocial and medical treatments of problem drug use. Highlights that “Manners Matter”, asks, “Is there anything more instructive than being the patient?”, explores the role of patient choice and preferences in treatment planning, and queries the ubiquitous stages of change model. See the rest of row 2 of the matrix for more on features common to psychosocial and medical treatments.


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