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From some of the same Australian authors who produced classic texts on maintenance prescribing for heroin addiction, a major new text analysing research on all types of drug-based interventions including maintenance, opiate-blocking drugs, and managing withdrawal.
New guidance on managing pregnant women dependent on heroin and allied drugs emphasises that maintenance prescribing is the core treatment but holistic, individualised care is essential; its warnings about the dangers of detoxification are not universally accepted.
Intensive, long-term case management coordinating treatment and other services helped US 'welfare mothers' overcome their drug problems and gain full time employment.
Based in Middlesbrough and winners of the Drug Team of the Year award in 2008, Families First's intensive short-term support meant that children of problem drug users on the verge of being removed from the family were safely able to stay with their parents or other relatives.
STUDY 2004 PDF file 947Kb
Doing it together strengthens families and helps prevent substance use
Origins and achievements of the US programme singled out by British reviewers as the most promising "effective intervention over the longer-term for the primary prevention of alcohol misuse".
In Australia a home-based child welfare intervention for methadone-maintained parents improved parenting and decreased the risks of child abuse or neglect, offering one way to address current concerns about the children of dependent drug users.
REVIEW 2006 PDF file 1464Kb
Motivational arm twisting: contradiction in terms?
Part 4 of the Manners Matter series asks whether motivational interviewing can overcome the hostile prison environment and the distrust of youngsters, drink drivers and other offenders pressured into counselling by the criminal justice system.
STUDY 2001 PDF file 97Kb
General practices can be trained to help families cope with drinkers and drugtakers
A UK pilot study demonstrated the feasibility and effectiveness of a treatment package to relieve stress and improve coping among primary care patients affected by problem drug and alcohol use in the family, but few practices implemented the intervention.
STUDY 2000 PDF file 147Kb
Constructive response to worried parents
Research on a community reinforcement approach shows that relatives can learn how to engage a problem drug user in treatment without resort to confrontation - and even if the user continues to resist, the relatives feel better and healthier.
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