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STUDY 2011 HTM file
Therapist effectiveness: implications for accountability and patient care
1 in 6 US therapists (mainly not specialising in substance use) typically ended up with clients whose substance use problems were significantly worse than when they started therapy, an indication perhaps that social workers and mental health counsellors find these issues especially hard to deal with.
In the English Midlands, problem-drinking offenders who agreed to be ordered in to alcohol treatment by the courts had a worse prognosis than comparable previous offenders but slightly fewer reoffended; also their drinking was reduced but for many remained excessive.
In Lancashire in northern England, problem-drinking offenders who agreed to be ordered in to alcohol treatment by the courts dramatically cut their drinking and offending and experienced improved health and wellbeing.
Draws conclusions and makes recommendations based on research syntheses commissioned by the American Psychological Association on effective therapeutic relationships and how to match therapeutic style to different patients. Though not specific to substance use, this work will be critical to the recovery agenda for addiction treatment.
REVIEW 2011 HTM file
Evidence-based psychotherapy relationships: Repairing alliance ruptures
This meta-analytic review commissioned by the American Psychological Association finds that repairing breakdowns in the alliance between therapist and client improves outcomes, and that 'rupture repair' training makes a difference, especially in the cognitive-behavioural approaches commonly used in addiction treatment.
REVIEW 2011 HTM file
Evidence-based psychotherapy relationships: Collecting client feedback
This meta-analytic review commissioned by the American Psychological Association finds outcomes improve (and clients doing poorly can be 'rescued') when therapists get real-time feedback on patient progress and the client-therapist relationship. Providers may want to consider one of the evaluated systems or an alternative.
Investigates what outside prison is being done in Scotland to meet the needs of problem drinking offenders by criminal justice and other services, and assesses whether local arrangements measure up to the size and nature of the task. Non-evidence based funding and the need to develop integrated care pathways emerged as key issues.
DOCUMENT 2010 HTM file
Drug misuse statistics Scotland 2010
Statistical picture of drug misuse in Scotland in 2009 and 2010 including treatment and criminal justice caseloads and health impacts, plus trends over recent years.
South Dakota appears to have achieved impressive results not by treating repeat drink-driving offenders but by requiring abstinence and enforcing this via frequent testing and the threat of immediate brief imprisonment; perhaps intensive intervention can be reserved for the few who do not comply.
REVIEW 2011 HTM file
A new paradigm for long-term recovery
On the basis of three innovative US programmes for offenders or doctors with substance use problems, this analysis concludes that many seriously dependent individuals stop using if non-use is enforced through intensive monitoring and swift, certain but not necessarily severe consequences.
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