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Young adult multi-drug users in Belgium who often soon dropped out of treatment were much more likely to stay in counselling when their therapists structured sessions by feeding back assessments of their motivation and recovery resources.
At Philadelphia clinics seeing alcohol- (and often cocaine-) dependent patients, spending on average another nine minutes to offer counselling as well as progress checks during aftercare phone calls made the difference between a programme which did rather than did not consistently improve on usual arrangements, at least while it was operative.
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
What is the role of harm reduction when drug users say they want abstinence?
A team including one of the researchers responsible for the original finding have queried the interpretation of the highly influential report from a national Scottish study that most drug users starting treatment wanted to become abstinent. On the basis of in-depth interviews, they caution that it is just not that simple.
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.
Guidance to funding authorities on how to construct a local pattern of services from England's special health authority tasked to improve the availability, capacity and effectiveness of drug misuse treatment.
REVIEW 2010 HTM file
Quality of life among opiate-dependent individuals: a review of the literature
The first systematic review of research on the quality of life of opiate users finds this generally improves once they enter substitute prescribing treatments, but that few studies have assessed what counts as a good life from the point of view of the patient.
Review synthesises evidence on how many people recover each year (with or without treatment) from their dependence on stimulants, heroin-type drugs or cannabis, providing a baseline against which to assess improvement efforts.
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'.
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