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ABSTRACT 2011 HTM file
Guidance for the use of substitute prescribing in the treatment of opioid dependence in primary care
Evidence-based guidance for British GPs on how to withdraw heroin and other opioid addicts from opiate-type drugs or to maintain them by long-term prescribing of legal substitutes, with a focus on the use methadone and buprenorphine, the main medications used for these purposes in the UK.
REVIEW 2012 HTM file
Behavioral counseling after screening for alcohol misuse in primary care: a systematic review and meta-analysis for the U.S. Preventive Services Task Force
Amalgamated findings from studies of risky drinkers identified and counselled in primary care settings indicate that compared to screening and assessment only, brief counselling lead to greater reductions in drinking, gains reflected less strongly in some indicators of health. However, it is unclear whether the generally small impacts would be sustained in routine practice.
STUDY 2014 HTM file
Methadone induction in primary care for opioid dependence: a pragmatic randomized trial (ANRS Methaville)
From France the first study to randomly allocate patients to start methadone maintenance either in primary care or at a specialist centre found primary care more attractive to patients, and no less effective at reducing street-opioid use and promoting engagement and retention.
STUDY 2000 PDF file 117Kb
Sympathetic ear helps clients overcome dependence on amphetamine
A British study highlights the role of the counselling relationship in the treatment of amphetamine dependence, a drug whose use and transition to non-use seems intimately bound up with social relationships.
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 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 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.
REVIEW 2010 HTM file
A meta-analysis of motivational interviewing: twenty-five years of empirical studies
Better than 'treatment as usual' but not than other specific therapies are the headlines from the most comprehensive synthesis of motivational interviewing studies to date. Along the way are insights in to the equivocal value of manuals and of feeding back assessment results to patients.
STUDY 2006 PDF file 114Kb
Self-help groups: transformation from helped to helper promotes recovery
Two US studies of drinkers and cocaine dependents respectively suggest that an identity transformation from someone capable only of receiving help to someone who makes a contribution by helping others is key to the impact of 12-step mutual groups.
STUDY 2011 HTM file
Shared decision-making: increases autonomy in substance-dependent patients
An innovative Dutch study tested a way of involving substance users as equals in decisions over issues addressed in their treatment. The effect was to give these typically submissive personalities a greater sense of control over their lives. Just as influential was the lead offered by the clinician's personality.
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