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You have found 446 entries after clicking on a search link (usually the MORE information link) in a matrix cell. Sorted by the main topic addressed, the list shows in orange the type of entry, year the original document was published (or if one of our own documents, the year last updated), and the type of file you will download when you click on the title. In blue is the document’s title followed by a brief description.

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STUDY 2011 HTM file
What is the role of harm reduction when drug users say they want abstinence?

A team including one of the researchers responsible for the original finding have queried the interpretation of the highly influential report from a national Scottish study that most drug users starting treatment wanted to become abstinent. On the basis of in-depth interviews, they caution that it is just not that simple.

HOT TOPIC 2016 HTM file
What do the patients want?

‘Hot topics’ offer background and analysis on important issues which sometimes generate heated debate. Focus is the apparently iconoclastic finding from a Scottish national treatment study that abstinence is the sole drug-focused goal for most patients in drug treatment: “At best these extrapolations were sloppy, at worst, deliberately misleading.”

STUDY 2013 HTM file
The assessment of recovery capital: properties and psychometrics of a measure of addiction recovery strengths

Testing in the UK suggested that a questionnaire assessing the ‘recovery capital’ resources which help overcome addiction might underpin more recovery-oriented assessments of services and of client progress and needs – but only a study which followed up patients could confirm this, and do some of the questions assess ability to recover, or recovery itself?

REVIEW 2016 HTM file
Patient preferences and shared decision-making in the treatment of substance use disorders: a systematic review of the literature

The first review to evaluate shared decision-making and patient preferences for substance use treatment finds evidence that greater patient involvement in decisions can improve outcomes and has no negative impacts.

HOT TOPIC 2016 HTM file
Individualising treatment: an obviously ‘good thing’?

‘Hot topics’ offer background and analysis on important issues which sometimes generate heated debate. Individualisation might seem an obvious and basic prerequisite to substance use treatment, but in fact services have often striven for uniformity.

HOT TOPIC 2018 HTM file
Cycle of Change: change promoter or benevolent fiction?

One of our hot topics – essays on important issues which sometimes generate heated debate over the facts or their interpretation. Its simplicity is beguiling, but does the ubiquitous cycle of change model simply describe the change process, or help predict and accelerate it?

STUDY 2015 HTM file
Emergency department-initiated buprenorphine/naloxone treatment for opioid dependence: a randomized clinical trial

Unique trial tests what emergency doctors should do when screening identifies opioid dependence. More effective at promoting treatment and curbing opioid use than referral and brief advice was, it seems, actually initiating treatment in the form of buprenorphine maintenance.

REVIEW 2011 HTM file
Adapting psychotherapy to the individual patient: Expectations

Meta-analytic review commissioned by a US task force concludes that patients who enter psychotherapy with positive expectations about outcomes tend to actually have better outcomes, suggesting that therapists should regularly assess expectations and take steps to enhance them if appropriate.

REVIEW 2011 HTM file
Adapting psychotherapy to the individual patient: Resistance/reactance level

Meta-analytic review commissioned by a US task force concludes that psychotherapy patients who characteristically exhibit low levels of resistance or reactance respond better to directive types of treatment, while reactive patients prone to resist direction respond best to non-directive approaches.

REVIEW 2018 HTM file
Collecting and delivering progress feedback: a meta-analysis of routine outcome monitoring

Findings amalgamated for the American Psychological Association show that outcomes usually improve when therapists are provided with real-time feedback from the client on their progress and on factors affecting it such as the client–therapist relationship. Especially among clients (including substance use clients) who would otherwise deteriorate or not improve, these systems are among the most effective ways available to services to improve outcomes.

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