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OFFCUT 2002 PDF file 237Kb
Audit Commission paints a stark picture of drug treatment in England and Wales
In 2002 an Audit Commission investigation of drug services and GP involvement in 11 drug action team areas in England and Wales found weak commissioning practices and the absence of management information and effective performance monitoring.
OFFCUT 2002 PDF file 239Kb
Remarkable confluence of views with profound implications for treatment
Leading US researchers argue that if addiction is a chronic condition (because the individual or the environment is difficult to change), then care should be spread thinly and extensively and assessed in terms of change during not after treatment.
STUDY 2002 PDF file 105Kb
Rapid opiate detox guarantees completion, but abstinence depends on what follows
Compared to a conventional inpatient programme, the worlds largest private provider of ultra-rapid opiate detoxification improved completion rates, but after leaving fewer patients remained abstinent. Extended text offers comprehensive review.
STUDY 2002 PDF file 164Kb
Still little evidence for matching client with same-gender or same-race therapist
Following negative findings for group therapy, a study of cocaine counselling found that even in one-to-one therapy, matching clients and therapists by gender or race does not improve retention or outcomes. Extended text includes comprehensive review.
STUDY 2002 PDF file 183Kb
No harm and some benefit in letting methadone patients choose their dose
US study shows that methadone maintenance patients allowed to set their own doses do not escalate excessively. Benefits may include improved patient-therapist relations and reduced illicit drug use. Extended text reviews other relevant studies.
STUDY 2002 PDF file 431Kb
For crack users, non-residential rehabilitation can match residential
US crack users with no pressing reasons to enter residential versus non-residential rehabilitation did as well in either. Residential care is still needed (see Extended text) for patients it is unsafe or impractical to treat as outpatients.
STUDY 2002 PDF file 209Kb
Holistic family therapy preferable to less comprehensive therapy for troubled teens
Family therapy orchestrating multiple dimensions of a child's life was more effective than group child or family approaches for US teen drug users. Extended text highlights main advantage – effects persist while relapse is the norm after other therapies.
REVIEW 2002 PDF file 160Kb
Community reinforcement approach to treatment comes of age
Signifying the therapy's new prominence, research on the community reinforcement approach has been gathered together in a prestigious book series. There also two readily available manuals, one covering alcohol treatment, the other cocaine.
STUDY 2008 HTM file
High risk of overdose death for opiate detoxification completers
Findings from Italy and Australia warn that detoxification without throughgoing stabilisation, preparation and aftercare is too often a band-aid measure which risks more harm then good.
STUDY 2001 PDF file 1065Kb
First test for the DTTO
Drug treatment and testing orders imposed by UK courts led the drive to cut drug-related crime, but a close inspection of the pilot study reveals that their own key indicator – test results – failed to demonstrate the orders' effectiveness.
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