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REVIEW ABSTRACT 2009 HTM file
Continuing care research: what we have learned and where we are going

Are alcohol and drug dependence best treated as chronic conditions needing extended care, or should we expect patients to recover and leave treatment? Whatever the answer, this review finds that generally the offer of long-term continuing care leads to better outcomes.

STUDY 2010 HTM file
Long-term outcomes of aftercare participation following various forms of drug abuse treatment in Scotland

On several measures, the few drug dependent patients who accessed aftercare after treatment in Scotland in the early 2000s did better than the majority who chose to or were left to fend on their own – but could this be attributed to the aftercare, or would they have done well anyway?

STUDY 2011 HTM file
Transitioning opioid-dependent patients from detoxification to long-term treatment: efficacy of intensive role induction

The drive in Britain to increase drug treatment exits will mean more patients detoxifying and in need of being linked to effective follow-on care to safeguard their lives and their recovery. Evidence from the USA that a simple counselling intervention can help make that vital link.

STUDY 2011 HTM file
Extended telephone-based continuing care for alcohol dependence: 24-month outcomes and subgroup analyses

At Philadelphia clinics seeing alcohol- (and often cocaine-) dependent patients, spending on average another nine minutes to offer counselling as well as progress checks during aftercare phone calls made the difference between a programme which did rather than did not consistently improve on usual arrangements, at least while it was operative.

STUDY 2012 HTM file
Four-year outcomes from the Early Re-Intervention (ERI) experiment using recovery management checkups (RMCs)

Chicago studies have shown that quarterly check-ups on former patients can identify need and pave the way for treatment re-entry. Though extra substance use/problem reductions were modest, these remained significant four years after the patients started treatment. Issue for the UK: how does this square with the stress on lasting treatment exit?

STUDY 2012 HTM file
The first 90 days following release from jail: Findings from the Recovery Management Checkups for Women Offenders (RMCWO) experiment

For the first time regular checkups to promote treatment re-entry have been tried with an all-female problem substance user caseload, and one leaving prison rather than community-based treatment. Over the first three months more returned to treatment more promptly. Previous studies suggest this will lead to reduced substance use, crime and HIV infections.

STUDY 2015 HTM file
Maintenance check-ups following treatment for cannabis dependence

Arranging aftercare check-ups to see how cannabis-dependent patients were doing and whether they needed to return to treatment helped sustain cannabis use reductions – but why did this advantage emerge even before the first check-up?

STUDY 2017 HTM file
The evaluation of the Drug Recovery Wing pilots: Final report

The final piece of the Drug Recovery Wing evaluation jigsaw, focusing on the process and impact of implementing the model in eight men’s and two women’s prisons in England and Wales.

STUDY 2019 HTM file
Capital depreciation: the lack of recovery capital and post-release support for prisoners leaving the Drug Recovery Wings in England and Wales

While drug recovery wings were specifically designed to facilitate recovery from drug and alcohol problems among prisoners, this small study found that the sharp drop-off in support when they returned to the community ended many recovery journeys prematurely.

STUDY 2009 HTM file
A practical clinical trial of coordinated care management to treat substance use disorders among public assistance beneficiaries

Further demonstration from a US research team that relatively intensive case management support does help welfare applicants overcome substance use problems, but in this case only those not already managed through substitute prescribing.

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