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STUDY 2005 PDF file 102Kb
More patients drop out after long waits for methadone prescribing

Combined implications of two British studies are that the longer someone waits for methadone treatment, the less likely they are to start it, and even if they do, they will have spent longer at risk from dependent heroin use.

STUDY 2005 PDF file 112Kb
Pharmacotherapies which work with men do not help women

Emerging indications from studies of disulfiram treatment of cocaine dependence and sertraline for alcohol dependence that pharmacotherapies which work for men do not always help women.

STUDY 2005 PDF file 140Kb
Flexible DTTOs do most to cut crime

More flexible supervision requirements and more methadone treatment may account for why treatment-based court orders are completed far more often in Scotland than in England, improving recidivism rates.

ABSTRACT 2008 HTM file
Improving public addiction treatment through performance contracting: the Delaware experiment

Instead of telling addiction treatment providers what to do to qualify for funding, the US state of Delaware set recruitment and engagement targets and largely left the methods up to the services. Result: more and more engaging treatment without stifling innovation.

STUDY 2005 PDF file 175Kb
Match motivational interviews to the client

Motivational interviews are not universally beneficial or at worst neutral – sometimes they make things worse. In this US study they helped ambivalent patients make the most of their treatment but impeded the recovery of those already committed to change.

STUDY 2005 PDF file 149Kb
Addressing medical and welfare needs improves treatment retention and outcomes

In this US treatment study, receiving services matched to need was associated with greater reductions in illegal drug use, supporting calls for services to address not just dependence but also medical, psychological, social, housing, and vocational needs.

IN PRACTICE 2005 PDF file 927Kb
Barriers cleared in Endell Street

How a team in London's West End set about systematically overcoming the barriers which prevented the residents of a homelessness hostel getting the treatment they needed. The key step was simple – asking the residents just what it was which stood in the way.

REVIEW 2008 HTM file
Recovery management and recovery-oriented systems of care: scientific rationale and promising practices

Sweeping, learned but practice-oriented tour-de-force from the US recovery advocate who sees the creation of a recovery-friendly environment as the best way to ensure a lasting resolution of substance use problems with or without abstinence.

STUDY 2009 HTM file
Relating counselor attributes to client engagement in England

The most wide-ranging investigation of the organisational health of British treatment services found clients engaged best when services fostered communication, participation and trust among staff, had a clear mission, but were open to new ideas and practices.

STUDY 2008 HTM file
Coping skills training and contingency management treatments for marijuana dependence: exploring mechanisms of behavior change

Rare glimpse 'under the hood' of contingency management suggests that unless the patient sees themselves as having actively mastered their dependence and has developed anti-relapse strategies, effects of rewarding abstinence will be short-lived.

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