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STUDY 2004 PDF file 140Kb
Crack: making and sustaining the break
The first UK follow-up study of service use by crack users revealed that after residential crisis intervention practically none avoided relapse without the aid of follow-on treatment, especially residential rehabilitation and attending mutual aid groups.
STUDY 2009 HTM file
Methadone patients in the therapeutic community: a test of equivalency
Are therapeutic communities incompatible with methadone maintenance? Not when staff have been prepared to accept and work with methadone patients and programmes adapted to accommodate them. Then patients stay as long and sustain abstinence from illegal drug use just as well as other residents.
STUDY 2007 HTM file
Day hospital and residential addiction treatment: randomized and nonrandomized managed care clients
By selecting clients at the very edge of ethically requiring referral to residential care, this US study confirms that unless there are pressing contraindications, intensive non-residential options deliver equivalent outcomes. Often of course, there ARE pressing contraindications.
STUDY 2008 HTM file
Self-financing resident-run houses maintain recovery after treatment
A US recovery model has proved its effectiveness in a rare randomised trial of a mutual aid intervention. The self-financing structure may help overcome restrictions on the supply and duration of residential rehabilitation in the UK.
REVIEW 2010 HTM file
Is the therapeutic community an evidence-based treatment? What the evidence says
By means of this review of prominent North American trials and meta-analyses, a leading researcher in to therapeutic communities tries to settle the issue of whether these effectively and cost-effectively treat addiction, so research can move on to how to make them more effective.
STUDY 2012 HTM file
The role of residential rehab in an integrated treatment system
An audit for England's National Treatment Agency for Substance Misuse finds residential services so entwined with non-residential in the treatment careers of residents that it is not possible disaggregate their contribution; since a few months of such care costs as much as five years of non-residential care, showing value for money is critical.
HOT TOPIC 2017 HTM file
Residential rehabilitation: the high road to recovery?
‘Hot topics’ offer background and analysis on important issues which sometimes generate heated debate. Asks whether residential rehabilitation is particularly suited to today’s abstinence-based recovery ambitions, and whether nevertheless these services are under threat, treated as a last resort rather than a front-line option.
REVIEW 2018 HTM file
Doing time on a TC: how effective are drug-free therapeutic communities in prison? A review of the literature
Evidence gathered over the last decade affirms the greater effectiveness of therapeutic communities in prison versus other treatment models, and highlights improved recidivism and drug use outcomes when the prison regimen is reinforced by community aftercare on release.
REVIEW 2019 HTM file
The effectiveness of residential treatment services for individuals with substance use disorders: a systematic review
Has enough high-quality evidence accumulated over the past five years to improve confidence in the effectiveness of residential treatment?
STUDY 2003 PDF file 193Kb
Engaging crack users in treatment: time is of the essence
In a deprived area of New Jersey, next-day appointments quadrupled initial attendance at a cocaine treatment service. More generally, rapid treatment entry means fewer clients drop out early without damaging longer-term retention.
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