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IN PRACTICE 2000 PDF file 665Kb
Oiling the wheels
From the south west of England, a frank account what it takes to get treatment services to accept the judgements of their peers and to make this an engine for improvement rather than a source of conflict.
STUDY 2000 PDF file 166Kb
Rare attempt to compare cost-effectiveness of different treatments for different clients
Studies of the cost-effectiveness of addiction treatment in Ohio suggest that per $, short intensive programmes deliver the best abstinence returns for severely addicted patients, less intensive outpatient programmes for patients using less frequently.
STUDY 2000 PDF file 167Kb
Cocaine treatment nets benefits for society
Major US national project shows that even the least promising of cocaine dependents can dramatically cut drug use and crime, though it often takes long-term residential care. Less problematic clients generally do just as well in non-residential settings.
STUDY 2000 PDF file 179Kb
Mutual support helps sustain treatment gains
Three reports from the Los Angeles Target Cities Project suggest that attendance at mutual aid groups acts in synergy with formal treatment for stimulant dependence to improve and sustain outcomes.
STUDY 2000 PDF file 150Kb
Quality drug counselling can be at least as effective as professional psychotherapy
A major US government attempt to refine drug-free treatments for cocaine addiction confounded expectations by showing that well structured counselling approaches can better professionally delivered psychotherapies.
STUDY 2000 PDF file 155Kb
Achievable and avoidable rewards and punishments improve methadone outcomes
Contingency management regimes which systematically reward abstinence or penalise drug use generally improve outcomes in methadone programmes, but there are considerable ethical and practical limitations to the applicability of this approach.
STUDY 2000 PDF file 147Kb
Constructive response to worried parents
Research on a community reinforcement approach shows that relatives can learn how to engage a problem drug user in treatment without resort to confrontation - and even if the user continues to resist, the relatives feel better and healthier.
STUDY 2000 PDF file 165Kb
Brief 12-step therapy can work for children too
The limitations of US health insurance permitted this rare quasi-random test of whether 12-step treatment is effective for adolescents dependent mainly on cannabis or alcohol and of whether doing this in a residential setting improves outcomes.
STUDY 2000 PDF file 147Kb
Throughcare fails to build on prison treatment
A UK Home Office report reveals that proactive organisation of post-release treatment following treatment in prison is the exception. Reductions in drug use and crime would probably be greater if the barriers to arranging throughcare could be overcome.
LETTER 2000 PDF file 163Kb
If longer is better for drug users, why not for drinkers?
Correspondents explore why brief interventions are so prominent in the alcohol field yet not in the drugs field and ask whether the evidence supports this divide.
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