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You have found 95 entries after clicking the GO button or a search link in a hot topic. Starting with the most recently added or updated entries, 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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STUDY 2009 HTM file
A practical clinical trial of coordinated care management to treat substance use disorders among public assistance beneficiaries

Further demonstration from a US research team that relatively intensive case management support does help welfare applicants overcome substance use problems, but in this case only those not already managed through substitute prescribing.

STUDY 2005 PDF file 115Kb
Simple interventions cut hepatitis C risk

In Australia a detailed assessment of an injector's risk of becoming infected with hepatitis C was followed by substantial risk reductions not improved on by individualised advice.

STUDY 2005 PDF file 140Kb
Flexible DTTOs do most to cut crime

More flexible supervision requirements and more methadone treatment may account for why treatment-based court orders are completed far more often in Scotland than in England, improving recidivism rates.

STUDY 2009 HTM file
Drug and alcohol services in Scotland

Scotland's national audit body assesses value for money from drug and alcohol services. It found systems poorly informed by the problems to be addressed and what works in addressing them, and in respect of drugs, unclear about what 'value' consists of.

STUDY 2005 PDF file 149Kb
Addressing medical and welfare needs improves treatment retention and outcomes

In this US treatment study, receiving services matched to need was associated with greater reductions in illegal drug use, supporting calls for services to address not just dependence but also medical, psychological, social, housing, and vocational needs.

IN PRACTICE 2005 PDF file 927Kb
Barriers cleared in Endell Street

How a team in London's West End set about systematically overcoming the barriers which prevented the residents of a homelessness hostel getting the treatment they needed. The key step was simple – asking the residents just what it was which stood in the way.

ABSTRACT 2008 HTM file
An intervention for treating alcohol dependence: relating elements of medical management to patient outcomes in primary care

In a programme intended to simulate primary care management of alcohol dependence, what made the difference to patients was how far the clinician maintained confident optimism and responded to the patient rather than strictly adhering to the treatment manual.

REVIEW 2009 HTM file
A meta-analysis of retention in methadone maintenance by dose and dosing strategy

For the first time an analysis of relevant studies has assessed the relative contributions of higher doses and flexibility in setting doses to improving retention in opiate substitute prescribing programmes. Both it seems help retain patients in treatment.

STUDY 2008 HTM file
Organizational- and individual-level correlates of posttreatment substance use: a multilevel analysis

Using advanced methods, this US study asked what makes for an effective treatment agency. Being constrained by funders in terms of services and ability to individualise treatments was the clearest negative factor, quality accreditation the clearest positive.

STUDY 2004 PDF file 106Kb
Methadone programme loosens up, increases capacity, patients do just as well

Canadian study documents what happens when you 'deregulate' methadone prescribing and permit greater patient choice in treatment and treatment goals. Result: room for more patients, less conflict and no decrease in effectiveness.

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