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2010 English national drug strategy: "A fundamental difference [from] those that have gone before is that instead of focusing primarily on reducing the harms caused by drug misuse, [we will] go much further and offer every support for people to choose recovery as an achievable way out of dependency."
OFFCUT 2006 PDF file 125Kb
Impulse smoking cessation resolutions twice as likely to stick as planned
The popular cycle of change model offers one way to envision intentional change but that is not the only or the most lasting way addiction is resolved; seemingly sudden conversions to abstinence are common and lead to more lasting remission.
REVIEW ABSTRACT 2009 HTM file
Peer-based addiction recovery support: history, theory, practice, and scientific evaluation
This monograph is likely to become the handbook for the growing peer-based recovery movement in the UK. For administrators, the approaches it reviews offer a way to reconcile decreasing per-patient resources with a policy agenda now focused on reintegration and recovery.
In the USA two studies have shown that quarterly check-ups on former patients help identify the need for and motivate further treatment, but gains in substance use/problem reductions only became evident when improved procedures were introduced, and even then remained modest.
STUDY 2005 PDF file 170Kb
'Real-world' studies show that medications do suppress heavy drinking
Three trials found that drugs commonly used to treat alcohol dependence improve outcomes for an appreciable minority of patients, even under conditions close to normal practice. Together they offer clues to who benefits most from each medication.
Sweeping, learned but practice-oriented tour-de-force from the US recovery advocate who sees the creation of a recovery-friendly environment as the best way to ensure a lasting resolution of substance use problems with or without abstinence.
OFFCUT 2003 PDF file 149Kb
Untreated controls set benchmark for alcohol treatment
A compilation of drinking changes among untreated control groups in randomised alcohol treatment trials shows that at follow up on average about a fifth have become abstinent and that their consumption has been reduced by a statistically significant 14%.
OFFCUT 2003 PDF file 151Kb
Restricted view creates impression of 'chronic relapsing condition'
New studies suggest that the image of addiction as a 'chronic relapsing condition' is due to seeing it through the narrow slit of treatment populations who lack (or have been denied) the physical, psychological and social resources needed to recover.
REVIEW 2001 PDF file 594Kb
Cycle of change
Its simplicity is beguiling, but does the ubiquitous Prochaska and DiClemente cycle of change model simply describe the change process, or help predict and accelerate it? Professor Robin Davidson casts a sceptical eye over the evidence.
STUDY 2001 PDF file 99Kb
How dependent drug users in Scotland avoided relapse
Scottish study provides valuable clues to where anti-relapse interventions might focus. Predated by many years the recovery era in British policy but laid some of the foundations for its shift in emphasis from the psychological or biochemical grip of addiction to lifestyle change which breaks with the past satisfyingly enough to forge a positive, non-addict identity and prevent relapse.
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