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You have found 81 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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REVIEW 2012 HTM file
BAP updated guidelines: evidence-based guidelines for the pharmacological management of substance abuse, harmful use, addiction and comorbidity: recommendations from BAP
Practitioner-friendly review from the British Association for Psychopharmacology on drug-based treatments for substance dependence offer authoritative, evidence-based guidance to prescribers and others; they also demonstrate the limitations of trying to cure over-use of drugs with drugs.
REVIEW 2010 HTM file
Testing for cannabis in the work-place: a review of the evidence
A review of 20 years of research on cannabis testing at work found that the patchy evidence permitted few strong conclusions about effectiveness. Given the lack of evidence, it seems wise for UK guidance to limit workplace testing to those who really warrant it because of their jobs, rather than advocating widespread testing as a deterrent.
STUDY 2013 HTM file
Drug treatment in England 2012–13
Agency responsible for addiction treatment in England argues that efforts to put recovery at its heart are paying off in the form of patients successfully completing treatment and not having to return, but warns that the older caseload is getting harder to move on. One concern: is treatment being de-individualised to generate a 'good news' story?
STUDY 2011 HTM file
A randomized trial of clozapine versus other antipsychotics for cannabis use disorder in patients with schizophrenia
Heavy cannabis use is particularly troubling in patients already struggling with schizophrenia. This study provides the first evidence from a randomised controlled trial that switching such patients to the antipsychotic clozapine may help reduce their cannabis use, but is this worth the extra risk of clozapine compared to the alternatives?
DOCUMENT 2013 HTM file
Rewarding virtue
Can we dispense with counselling, therapy, treatment as we know it, and just punish or deprive patients of rewards when they use substances in undesired ways, and reward them when they behave as we/they would wish? British services are trialling an approach about which many clinicians express major ethical concerns – contingency management.
REVIEW 2013 HTM file
Quitting drugs: quantitative and qualitative features
Innovative re-analysis of US national surveys reveals that no matter how long ago someone became dependent on an illegal drug or alcohol, their chances of achieving remission remain the same. The findings challenge models which assume that progressive neural, lifestyle or psychological changes increasingly lock someone in to addiction.
The largest recent US national survey of drink and drug problems shows that outside the addiction treatment clinic, remission is the norm and recovery common. After 14 years half the people at some time dependent on alcohol were in remission, a milestone reached for cannabis after six years, and for cocaine after just five.
Orchestrated by WHO, across all four countries this rare attempt at screening and brief intervention for problems arising from illegal drug use identified at front-line health care centres found modest reductions in use/risks, but there was a puzzling opposition between particularly positive results from Australia and seemingly negative ones from the USA.
Rare attempt at screening and brief intervention for actual or potential problems arising from illegal drug use among primary care patients suggests that screening itself reduces use levels and that further intervention might be worthwhile among high-risk populations.
STUDY 2012 HTM file
Brief intervention for drug-abusing adolescents in a school setting: outcomes and mediating factors
Aged 16 and smoking cannabis or drinking coming up to one day in three, US youngsters identified as substance users by their schools substantially cut back in response to just two motivational counselling sessions, and even more when a third session addressed the parents at home.
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