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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.

STUDY 2008 HTM file
Organizational- and individual-level correlates of posttreatment substance use: a multilevel analysis

Using advanced methods, this US study asked what makes for an effective treatment agency. Being constrained by funders in terms of services and ability to individualise treatments was the clearest negative factor, quality accreditation the clearest positive.

ABSTRACT 2008 HTM file
Improving public addiction treatment through performance contracting: the Delaware experiment

Instead of telling addiction treatment providers what to do to qualify for funding, the US state of Delaware set recruitment and engagement targets and largely left the methods up to the services. Result: more and more engaging treatment without stifling innovation.

STUDY 2008 HTM file
Replication and sustainability of improved access and retention within the Network for the Improvement of Addiction Treatment

Placing staff in the clients' shoes was the key tactic in this national US treatment improvement programme which more than halved waiting times and increased retention without limiting patient numbers.

STUDY 2012 HTM file
The commissioning and provision of advocacy for problem drug users in English DATS: a cross-sectional survey

The first investigation of the commissioning and provision of advocacy services for problem drug users in England comes to the disappointing conclusion that far from being seen (as per national guidance) as "essential", in practice it is usually an optional extra which gives way to competing priorities.

STUDY 2010 HTM file
Whole person recovery: a user-centred systems approach to problem drug use

Report on the first phases of the Whole Person Recovery Project in England which aimed to place drug and alcohol/service users at the centre of an approach to fostering holistic recovery from addiction based on the collective effort of 'recovery communities'.

STUDY 2012 HTM file
Advancing recovery: implementing evidence-based treatment for substance use disorders at the systems level

In the US homeland of competition and private health care, it was cooperation and coordination which led to the introduction of new medications and innovations to promote continuing care – plus the exercise of regulatory and financial muscle and the salutary experience of senior staff who placed themselves in the patient's shoes.

STUDY 2010 HTM file
Does meeting the HEDIS substance abuse treatment engagement criterion predict patient outcomes?

This first major multi-modality test of a treatment engagement indicator widely used as a quality control yardstick in the USA found it was only very weakly related to patient improvement seven months after starting treatment, confirmation that simple measures of what happens during treatment struggle to capture what really makes treatment effective.

STUDY 2017 HTM file
Does paying service providers by results improve recovery outcomes for drug misusers in treatment in England?

Substance use treatment commissioned on a payment-by-results basis in England has been linked to higher rates of in-treatment abstinence and non-injecting than other commissioning models, but lower rates of treatment initiation and completion. Is this enough to support the policy?

STUDY 2015 HTM file
Understanding the costs and savings to public services of different treatment pathways for clients dependent on opiates

Though set up to determine whether the public purse would gain by sending more opiate-dependent clients to residential rehabilitation, this UK government report declared itself unable to conclude one way or the other, but did judge it “highly unlikely” that these treatments’ extra expense would be offset by extra savings.

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