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STUDY 2006 PDF file 172Kb
Adjust therapist directiveness to client resistance
Persuasive evidence from the US Project MATCH alcohol treatment trial that a non-directive therapeutic style suits clients prone anger or defensiveness or who like to take control, and more structured and directive approaches suit those who welcome being given a lead.
NOTES 2002 PDF file 166Kb
Residential versus non-residential treatment
Notes on whether and for whom residential care improves on (generally intensive) non-residential alternatives.
STUDY 2005 PDF file 172Kb
Naltrexone specially helps poor prognosis patients avoid relapse to heavy drinking
Two European studies confirm that the opiate-blocking drug naltrexone particularly helps alcohol-dependent patients who respond least well to therapy (marked partly by early onset drinking problems), elevating in-treatment outcomes to those of more promising clients.
STUDY 2005 PDF file 180Kb
Aftercare calls suit less relapse-prone patients
An intensive US outpatient programme found that for less relapse-prone patients, a flexible aftercare regime mixing initial support groups with regular phone calls was at least as effective as entirely face-to-face contact, yet far less time-consuming.
IN PRACTICE 2005 PDF file 813Kb
Wet day centres in Britain part 2: Care Control Challenge
Part 2 of our mini-series on wet day centres in Britain will ring bells not just for alcohol workers but also for drug workers in needle exchanges and drop-in services. Maureen Crane and Tony Warnes analyse what it takes to work productively in one of the most challenging of settings.
SERIES OF ARTICLES 2005 PDF file 1935Kb
Wet day centres in Britain
In drug and alcohol services, it doesn't get more difficult than this – offering street drinkers a place where they can start to reverse years of deterioration, without having first to stop drinking.
Placing staff in the clients' shoes was the key tactic in this national US treatment improvement programme which more than halved waiting times and increased retention without limiting patient numbers.
REVIEW ABSTRACT 2009 HTM file
Peer-based addiction recovery support: history, theory, practice, and scientific evaluation
This monograph is likely to become the handbook for the growing peer-based recovery movement in the UK. For administrators, the approaches it reviews offer a way to reconcile decreasing per-patient resources with a policy agenda now focused on reintegration and recovery.
STUDY 2005 PDF file 118Kb
Therapist directiveness is an important influence on outcomes
One of the few 'matches' found by the huge US Project MATCH alcohol treatment trial was that motivational therapy bettered CBT for clients prone to anger. One of the clinics has shown why – because motivational therapists were less directive.
STUDY 2005 PDF file 112Kb
Pharmacotherapies which work with men do not help women
Emerging indications from studies of disulfiram treatment of cocaine dependence and sertraline for alcohol dependence that pharmacotherapies which work for men do not always help women.
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