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DOCUMENT 2011 HTM file
Drug treatment and recovery in 2010–11
England's National Treatment Agency for Substance Misuse argues that the efforts of users, workers and service providers to put recovery at the heart of treatment are paying off in the form of more drug dependent patients successfully completing and leaving treatment and not having to return after relapse.
Not just for adults, but teenagers and young adults too, with this analysis motivational interviewing seems confirmed as the leading evidence-based approach to reducing possibly or actually risky substance use among non-clinical populations not seeking treatment.
For US problem drinkers and drug users not at the severest end of the spectrum, four sessions of group were as effective as four of individual therapy but took much fewer therapist hours per patient. The little research we have suggests this a common finding, commending group approaches on cost-effectiveness grounds.
STUDY 2011 HTM file
Using a cross-study design to assess the efficacy of motivational enhancement therapy-cognitive behavioral therapy 5 (MET/CBT5) in treating adolescents with cannabis-related disorders
It worked as well as somewhat longer and more elaborate experimental therapies, but how would a basic US programme for cannabis using youngsters fare when compared to much more extensive real-world therapies? On average at least as well if not better was the answer.
Offering valuable clues to how best to do motivational interviewing, this London study of cannabis-using students found they were most likely to stop using after brief interventions which embodied the spirit of the approach and featured responses from the counsellor reflecting back and elaborating on the student's comments.
Compared to basic drug education, it should at least have moderated current use, but this attempt to deploy motivational interviewing as an across-the-board prevention strategy among college students in London neither did that, nor did it prevent non-users starting to use, negative findings which raise interesting questions.
Study published by UK government estimates that every £1 spent on specialist substance misuse treatment for under-18s in Britain averts social costs totalling £4.66–£8.38.
In what is becoming a pattern, this rigorous, real-world test of a prevention programme conducted by an independent researcher rather than the developer failed to replicate earlier positive results – in this case, in respect of an education/counselling programme for US teenagers diverted from mainstream schooling.
REVIEW 2011 HTM file
A meta-analysis of interventions to reduce adolescent cannabis use
The first synthesis of research on therapeutic interventions for adolescent cannabis users highlighted the relative success of family and multi-component approaches, but the evidence base was too narrow to securely determine what works best.
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.
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