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2010 English national drug strategy: "A fundamental difference [from] those that have gone before is that instead of focusing primarily on reducing the harms caused by drug misuse, [we will] go much further and offer every support for people to choose recovery as an achievable way out of dependency."
DOCUMENT 2015 HTM file
Online flowcharts from the UK National Institute for Health and Clinical Excellence guide planners and practitioners dealing with alcohol use disorders through choices of strategies and interventions on prevention, brief interventions, alcohol treatment, and treatment of associated medical conditions.
STUDY 1999 PDF file 224Kb
Stepped care for drinkers yet to prove itself
The first evaluation of 'stepped care' for heavy drinkers found no added benefit from offering further treatment to those who did not respond to initial therapy, but the study was not a definitive refutation of this cost-saving approach.
STUDY 2000 PDF file 166Kb
Rare attempt to compare cost-effectiveness of different treatments for different clients
Studies of the cost-effectiveness of addiction treatment in Ohio suggest that per $, short intensive programmes deliver the best abstinence returns for severely addicted patients, less intensive outpatient programmes for patients using less frequently.
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.
Evidence that in 2012 Scotland’s alcohol treatment caseload equated to about 1 in 4 of the country’s alcohol-dependent adults, over three times the 1 in 14 ratio in England, partly a consequence of extra funding accompanying Scotland’s 2009 national alcohol strategy. Evidence too of a peer-based recovery orientation taking root.
DOCUMENT 2017 HTM file
Commissioning impact on drug treatment: The extent to which commissioning structures, the financial environment and wider changes to health and social welfare impact on drug misuse treatment and recovery
Based on research, financial data and stakeholder surveys and testimonies, the UK government’s official drug policy advisers warn that without significant efforts to protect investment and quality, in England “loss of funding will result in the dismantling of a drug misuse treatment system that has brought huge improvement to the lives of people with drug and alcohol problems”.
From England’s gatekeeper to the public provision of health services, guidance for commissioners on how to organise and procure alcohol treatment and brief intervention services in an area which implement related national clinical guidance and satisfy policy requirements.
MATRIX CELL 2021 HTM file
Alcohol Treatment Matrix cell D5: Organisational functioning; Safeguarding the community
Key studies on organisational influences on alcohol treatment where the main aim or a major outcome is to reduce crime or otherwise safeguard the community. In the context of a market which drives treatment organisations to expand, asks, “Is small beautiful?”, explores the implications of focusing treatment on the family rather than the patient, and finds signs that control responsibilities can undermine therapeutic quality.
STUDY 2001 PDF file 384Kb
Mailshot triggers reduced drinking among concerned problem drinkers
From Canada, the first study to find that using inexpensive mass communication methods to challenge false beliefs that most other people drink more can cut drinking among heavy drinkers, in this case only those already concerned about the risks.
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