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HOT TOPIC 2017 HTM file
Residential rehabilitation: the high road to recovery?

‘Hot topics’ offer background and analysis on important issues which sometimes generate heated debate. Asks whether residential rehabilitation is particularly suited to today’s abstinence-based recovery ambitions, and whether nevertheless these services are under threat, treated as a last resort rather than a front-line option.

STUDY 2015 HTM file
Adult substance misuse statistics from the National Drug Treatment Monitoring System (NDTMS) 1 April 2014 to 31 March 2015

For the first time the annual accounting of the treatment caseload in England combines both drug and alcohol use patient records, registering a continuing trend down in total numbers due mainly to falls in users of heroin and other opiate-type drugs.

DOCUMENT 2016 HTM file
Coexisting severe mental illness and substance misuse: community health and social care services

NICE guidance on health and social care for substance users with severe mental illness says that rather than creating specialist ‘dual diagnosis’ services, health and social care (including substance misuse) services should adapt to this caseload, and their care should be led by the mental health service.

DOCUMENT 2012 HTM file
Quality standard for drug use disorders

Official UK quality standards on the treatment of adults for problems related to the use of illegal drugs, intended be used to plan and deliver services to provide the best possible care.

STUDY 2012 HTM file
Usefulness of brief intervention for patients admitted to emergency services for acute alcohol intoxication

Brief interventions conducted by alcohol treatment specialists reduced alcohol-affected readmission rate by nearly half among patients admitted to a French emergency department when drunk or in need of withdrawal.

STUDY 2012 HTM file
Randomized trial of standard methadone treatment compared to initiating methadone without counseling: 12-month findings

Up to a year after starting methadone treatment US patients offered virtually no counselling for the first four months were still doing as well as those offered regular counselling. But there is a hint that intensive and high quality counselling enabled more to safely leave treatment.

HOT TOPIC 2016 HTM file
Are the drugs enough? Counselling and therapy in substitute prescribing programmes

One of our hot topics offering background and analysis on important issues which sometimes generate heated debate. Explore the somewhat heretical proposition that the counsellor can virtually be dispensed with in opiate substitute prescribing programmes with little loss of impact. The gain would be that methadone could be spread ‘thin and wide’, reaching more potential patients.

HOT TOPIC 2016 HTM file
Don’t treat, just test and sanction

One of our hot topics offering background and analysis on important issues which sometimes generate heated debate. Gaining influential support is the proposition that for problem substance users over whom leverage can be exerted, we can largely do away with treatment and just test for substance use and punish infringements. Is this really the way forward?

STUDY 2009 HTM file
Managing drug involved probationers with swift and certain sanctions: evaluating Hawaii's HOPE

Intensive testing allied with swift and certain but not severe sanctions for non-compliance dramatically curbed drug use, prison time and re-arrest rates among a high risk group of drug using US offenders; most did not need treatment to help them comply with the court orders.

STUDY 2011 HTM file
Monitoring and evaluation of family intervention services and projects between February 2007 and March 2011

Family interventions were at the heart of the UK government’s ambition to ‘turn round’ the lives of 120,000 troubled families in England. In respect of drink and drug problems, substantial remission was seen, but the featured study could not show whether this was due to the interventions, and a report on a successor programme found no significant impacts.

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