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STUDY 2006 PDF file 207Kb
Methadone maintenance: the original
In the mid-60s even its originators doubted whether methadone maintenance could work when everything else had failed, gnawing their nails as they waited for patients to return from the temptations outside the ward. What they saw instead was a 'miraculous' transformation.
REVIEW 2010 HTM file
A meta-analysis of motivational interviewing: twenty-five years of empirical studies
Better than 'treatment as usual' but not than other specific therapies are the headlines from the most comprehensive synthesis of motivational interviewing studies to date. Along the way are insights in to the equivocal value of manuals and of feeding back assessment results to patients.
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.
REVIEW ABSTRACT 2009 HTM file
Continuing care research: what we have learned and where we are going
Are alcohol and drug dependence best treated as chronic conditions needing extended care, or should we expect patients to recover and leave treatment? Whatever the answer, this review finds that generally the offer of long-term continuing care leads to better outcomes.
STUDY 2005 PDF file 103Kb
Offenders do better in treatment if sanctions credible and clear
Offenders in New York ordered to the same residential therapeutic communities stayed longer and later committed fewer crimes if sent by criminal justice programmes which had credible sanctions and ensured offenders understand these and knew they were being monitored.
STUDY 2005 PDF file 166Kb
Continuity vital after prison treatment
Though the original treatments were diametrically opposed, two long-term follow-up studies have confirmed that post-release continuity is vital to sustain the benefits of treatment in prison.
REVIEW 2008 HTM file
Psychosocial interventions for people with both severe mental illness and substance misuse
Latest update from the respected Cochrane review process still finds no reason to advocate replacing conventional care with specialised therapeutic approaches/teams when severe mental illness is complicated by substance use.
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.
REVIEW 2005 PDF file 826Kb
Self help: don't leave it to the patients
Keith Humphreys and colleagues report on a workgroup of US experts on substance abuse self-help organisations. Main conclusion: self-help groups are too valuable to leave to chance. They should be actively promoted and facilitated by treatment services and policymakers.
STUDY 2009 HTM file
A randomized clinical trial of methadone maintenance for prisoners: results at 12 months postrelease
Starting methadone treatment in prison radically improves treatment uptake on release and reduces heroin and cocaine use over the following year, reports the first US randomised trial among formerly opiate dependent prisoners.
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