You have found 81 entries after clicking the GO button or a search link in a hot topic. Starting with analyses of the most recently published documents, 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 2011 HTM file
Performance-based contracting within a state substance abuse treatment system: a preliminary exploration of differences in client access and client outcomes
In 2007–08 the US state of Maine introduced a new scheme directly linking funding for outpatient treatment services to performance in terms of waiting times and retention, but financial and service delivery impacts were negligible. Were the incentives too weak, or were services already doing as well as they could?
DOCUMENT 2011 HTM file
Substance misuse among young people: 2010–11
England's National Treatment Agency for Substance Misuse documents trends in England towards quicker and more often successful treatment of children aged under 18 with alcohol or drug problems, while numbers have fallen in line with developments among the general population and among young adults in treatment.
REVIEW 2011 HTM file
Motivational interviewing for substance abuse
Across the most rigorous studies, this synthesis of the research finds therapies based on motivational interviewing better than doing nothing, but no more effective than usual/other treatments for problem drinkers and drugtakers – powerful further support for the 'Dodo bird' verdict that all bona fide therapies are equivalent.
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.
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?
US research led by the programme’s developers has found that a family therapy which intervenes across a child’s social environment is more effective than alternatives for problem substance using teenagers, but this independent Dutch study found one-to-one cognitive-behavioural therapy just as effective, a finding at odds with the five-nation European study of which it formed a part.
REVIEW 2010 HTM file
A meta-analysis of motivational interviewing: twenty-five years of empirical studies
Better than 'treatment as usual' but not than other specific therapies are the headlines from the most comprehensive synthesis of motivational interviewing studies to date. Along the way are insights in to the equivocal value of manuals and of feeding back assessment results to patients.
REVIEW 2010 HTM file
Systematic review of prospective studies investigating 'remission' from amphetamine, cannabis, cocaine or opioid dependence
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.
STUDY 2010 HTM file
Project SUCCESS' effects on the substance use of alternative high school students
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.
STUDY 2010 HTM file
A long term study of the outcomes of drug users leaving treatment
Support for the argument made by England's National Treatment Agency for Substance Misuse that relapse is less likely if patients leave treatment after having successfully completed the programme rather than dropping out – but maybe staying in treatment for at least a few years is even better.
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