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DOCUMENT 2010 HTM file
Drug Strategy 2010. Reducing Demand, Restricting Supply, Building Recovery: Supporting People to Live a Drug Free Life
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."
REVIEW 2006 PDF file 856Kb
Case management
An expert Euro-US collaboration led by Wouter Vanderplasschen from Belgium examines what in Britain is now seen as the core mechanism for transforming isolated episodes of care into coherently staged and comprehensive reintegration programmes.
STUDY 2006 PDF file 114Kb
Self-help groups: transformation from helped to helper promotes recovery
Two US studies of drinkers and cocaine dependents respectively suggest that an identity transformation from someone capable only of receiving help to someone who makes a contribution by helping others is key to the impact of 12-step mutual groups.
STUDY 2006 PDF file 108Kb
1 in a 100 chance of dying after treatment with heroin-blocking drug
In Australia heroin-addicted patients trying to avoid relapse by taking the opiate-blocking drug naltrexone had at least a 1 in a 100 chance of dying within three months, usually from overdose in the weeks after treatment ended; the true figure may have been as high as 8 in a 100.
STUDY 2006 PDF file 111Kb
Lessons of failure of Scottish scheme to link released prisoners to services
From 2001 an innovative Scottish scheme aimed to seamlessly link problem drug users released from prison to the services they needed to stay out of trouble; its failure shows how intensive and systematic such attempts must be to overcome logistical barriers and motivate the offender.
OFFCUT 2006 PDF file 125Kb
Impulse smoking cessation resolutions twice as likely to stick as planned
The popular cycle of change model offers one way to envision intentional change but that is not the only or the most lasting way addiction is resolved; seemingly sudden conversions to abstinence are common and lead to more lasting remission.
STUDY 2006 PDF file 106Kb
Improving continuity of care in a public addiction treatment system with clinical case management
In Philadelphia intensive case management created the kind of post-detoxification continuity of care which dramatically cut repeated admissions for detoxification, increased the numbers able to be treated, and offered patients a better chance of gaining lasting stability.
STUDY 2006 PDF file 159Kb
Integrated care for dual diagnosis patients betters parallel provision
This rare test of truly integrated substance use and mental health care for severely mentally ill patients found it cut subsequent psychiatric and legal crises. Even where full integration is not possible, the same principles could improve the work of mental health and addiction services.
STUDY 2006 PDF file 145Kb
Stripped down methadone prescribing better than leaving patients to wait
What can you do if patients have to wait for a methadone slot? This US study found that offering a bare-bones substitute prescribing service during the waiting period meant patients felt better, used drugs less and were more likely eventually to enter the fully-fledged programme.
STUDY 2006 PDF file 279Kb
British study makes a case for buprenorphine as first line heroin detox option
Compared to a standard lofexidine regime, buprenorphine was preferred by opiate dependent patients and enabled more to complete outpatient detoxification.
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