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People with co-occurring mental health and substance use problems are often unable to access the care they need. This 2017 guide from Public Health England describes what better care would look like, underpinned by the principles that there is ‘no wrong door’ for accessing support, and it is ‘everyone’s job’ the other side of the door to help.
How do drug recovery wings in women’s prisons compare with best practice in Baroness Corston’s 2007 report to the Home Office?
Heavy drinking is clearly problematic for homeless populations, but is the best way to tackle it to aim for abstinence, or to accept the reality of life on the streets and aim to reduce harm and improve lives in ways which make sense to the patient? This US study supports the latter, but without conclusively deciding the issue.
STUDY 2019 HTM file
Efficacy and cost-effectiveness of an adjunctive personalised psychosocial intervention in treatment-resistant maintenance opioid agonist therapy: a pragmatic, open-label, randomised controlled trial
Instead of a set programme, a clinic in London tried offering methadone or buprenorphine patients still using heroin or cocaine a selection from a suite of well-supported psychological interventions tailored to the patient and then systematically re-tailored in the light of how they responded. It worked – but did it work well enough, and would the findings be replicated in more typical circumstances?
REVIEW 2018 HTM file
Psychotherapy relationships that work III
Research findings amalgamated in 16 reviews for an American Psychological Association task force led them to authoritatively assess many dimensions of the client–psychotherapist relationship as important determinants of patients’ progress. “The relationship can heal,” is the overall conclusion – one likely to be highly relevant to recovery from addiction.
Review commissioned by the American Psychological Association suggests therapists should incorporate strategies to enhance the credibility of treatment when explaining its rationale and throughout therapy. The more a treatment ‘makes sense’ to a patient, the better outcomes tend to be.
Research findings amalgamated for the American Psychological Association show that outcomes are substantially better the more clients and therapists agree on goals and methods and form collaborative working relationships to implement those agreements. The findings support engaging patients as partners in setting treatment goals and methods.
REVIEW 2018 HTM file
Therapist empathy and client outcome: an updated meta-analysis
Review commissioned by the American Psychological Association finds that the more therapists empathically communicate their understanding of and compassion for clients, the better the outcomes. Recommendations will help counsellors, therapists, trainers and supervisors foster this important foundation for therapist–client relationships.
REVIEW 2011 HTM file
Adapting psychotherapy to the individual patient: Resistance/reactance level
Meta-analytic review commissioned by a US task force concludes that psychotherapy patients who characteristically exhibit low levels of resistance or reactance respond better to directive types of treatment, while reactive patients prone to resist direction respond best to non-directive approaches.
MATRIX CELL 2018 HTM file
Drug Treatment Matrix cell B4: Practitioners; Psychosocial therapies
Seminal and key studies on the impact of the practitioner in psychosocial therapies. Takes Carl Rogers’s seminal theories as its starting point and guides you through the complexities which obscure the impact of client-worker relationships despite their patent important to the clients.
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