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SERIES OF ARTICLES 2001 PDF file 3944Kb
Overdosing on opiates
The most thorough review to date of the greatest risk posed by illegal drug use in Britain. An international team of authors analyses the causes and how to prevent opiate overdose deaths.
REVIEW 2001 PDF file 594Kb
Cycle of change
Its simplicity is beguiling, but does the ubiquitous Prochaska and DiClemente cycle of change model simply describe the change process, or help predict and accelerate it? Professor Robin Davidson casts a sceptical eye over the evidence.
STUDY 2001 PDF file 98Kb
Opiate detoxification: spending more may save long term
British study suggests that inadequately supervised outpatient programmes may be a waste of money and that costly specialist inpatient programmes are not necessarily more costly per abstinent outcome, but methodological flaws cloud the picture.
STUDY 2001 PDF file 112Kb
Treatment and testing orders should make a substantial dent in drug-related social costs
DTTOs were the UK's first borrowing from US drug courts with judges in the driving seat of treatment in sentences intended to avoid prison for drug-driven offenders. This evaluation reveals plusses but also minuses in the form of widespread breaches.
STUDY 2001 PDF file 161Kb
Under-dosing and poor initial assessment undermine success of British methadone services
Reports from the NTORS study in England confirm that the benefits of methadone prescribing persist to two years after treatment entry though nearly a fifth of patients do not respond well to an often ill-defined programme not delivered as intended.
STUDY 2001 PDF file 107Kb
Injectable methadone maintenance suitable for more severely affected heroin addicts
Conducted in London, the first study to randomise opiate dependent patients to injectable versus oral methadone maintenance suggested that the injectable option is preferable for addicts with relatively severe health and psychological problems.
STUDY 2001 PDF file 140Kb
Brief interventions help cannabis users cut down
Studies from Australia and the USA show that heavy, long-term cannabis users can be attracted into brief interventions which reduce consumption and improve quality of life and health prospects. For most, longer interventions are unnecessary.
STUDY 2001 PDF file 99Kb
How dependent drug users in Scotland avoided relapse
Scottish study provides valuable clues to where anti-relapse interventions might focus. Predated by many years the recovery era in British policy but laid some of the foundations for its shift in emphasis from the psychological or biochemical grip of addiction to lifestyle change which breaks with the past satisfyingly enough to forge a positive, non-addict identity and prevent relapse.
REVIEW 2000 PDF file 2709Kb
Overdosing on opiates part I: causes
The most thorough review to date of the greatest risk posed by illegal drug use in Britain. An international team of authors analyses the causes and finds they go way beyond just taking too much. Includes in the “The Swedish experience” on p. 6 of PDF early studies which established methadone’s lifesaving potential.
STUDY 2000 PDF file 581Kb
Force in the sunshine state
Early in the 1960s administrative blunders in California paved the way for what remains the most convincing test of court-ordered treatment. The mistakes created a near-perfect yet natural control group against which to compare outcomes.
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