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It worked as well as somewhat longer and more elaborate experimental therapies, but how would a basic US programme for cannabis using youngsters fare when compared to much more extensive real-world therapies? On average at least as well if not better was the answer.
STUDY 2010 HTM file
Long-term outcomes of office-based buprenorphine/naloxone maintenance therapy
Abstinence and recovery characterised by employment are priority UK policy objectives to which the extension of mutual aid is considered a major route. This US study illustrates that both the route and the objectives are not just compatible with, but may be promoted by opiate maintenance prescribing.
STUDY 2011 HTM file
Cluster randomised trial of the effectiveness of motivational interviewing for universal prevention
Compared to basic drug education, it should at least have moderated current use, but this attempt to deploy motivational interviewing as an across-the-board prevention strategy among college students in London neither did that, nor did it prevent non-users starting to use, negative findings which raise interesting questions.
STUDY 2010 HTM file
Brief counseling for reducing sexual risk and bacterial STIs among drug users. Results from project RESPECT
Across this large US study, injectors responded to sexual risk-reduction counselling as well as non-injectors; the evidence was there a year later in fewer infections. But why was what should have been the strongest intervention actually the weakest among this group, yet not among non-injectors?
STUDY 2011 HTM file
Shared decision-making: increases autonomy in substance-dependent patients
An innovative Dutch study tested a way of involving substance users as equals in decisions over issues addressed in their treatment. The effect was to give these typically submissive personalities a greater sense of control over their lives. Just as influential was the lead offered by the clinician's personality.
STUDY 2009 HTM file
Randomized controlled pilot study of cognitive-behavioral therapy in a sample of incarcerated women with substance use disorder and PTSD
Seeking Safety is a prominent therapy for the common combination of substance dependence and post-traumatic stress disorder, yet in this study of imprisoned women in the USA it did not significantly augment outcomes from the prison's own substance use treatment. Asking 'Why not?' generates interesting explanations.
ABSTRACT 2011 HTM file
Evidence-based therapy relationships: research conclusions and clinical practices
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 – work critical to recovery from addiction.
REVIEW 2011 HTM file
Evidence-based psychotherapy relationships: Goal consensus and collaboration
This meta-analytic review commissioned by the American Psychological Association finds that outcomes improve the more clients and therapists agree on goals and methods and form collaborative working relationships to implement those agreements. The findings support deep patient involvement in deciding treatment goals and methods.
REVIEW 2011 HTM file
Evidence-based psychotherapy relationships: Positive regard
This meta-analytic review commissioned by the American Psychological Association finds outcomes improve the more therapists are consistently warm and show high regard for clients. Given the stigma and low regard attached to addiction and addicts, these findings have important implications for promoting recovery.
REVIEW 2011 HTM file
Evidence-based psychotherapy relationships: Cohesion in group therapy
This meta-analytic review commissioned by the American Psychological Association suggests that fostering cohesion between leaders and groups, and within groups, is often an important way to improve group therapy outcomes. Practice recommendations will help group leaders make the most of this common substance use treatment format.
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