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It worked as well as somewhat longer and more elaborate experimental therapies, but how would a basic US programme for cannabis using youngsters fare when compared to much more extensive real-world therapies? On average at least as well if not better was the answer.
STUDY 2011 HTM file
Benefits of concurrent syringe exchange and substance abuse treatment participation
From Baltimore in the USA, evidence that encouraging syringe exchange participants to enter treatment will reduce their drug use, crime and injecting more than syringe exchange alone.
STUDY 2011 HTM file
Interim methadone treatment compared to standard methadone treatment: 4-month findings
Is regular counselling really essential to the effectiveness of methadone maintenance treatment, or are treatment entry and the power of high-dose methadone enough in themselves for many patients? At least in the first four months, this US study suggests the latter.
STUDY 2011 HTM file
Therapist effectiveness: implications for accountability and patient care
1 in 6 US therapists (mainly not specialising in substance use) typically ended up with clients whose substance use problems were significantly worse than when they started therapy, an indication perhaps that social workers and mental health counsellors find these issues especially hard to deal with.
STUDY 2011 HTM file
A good quality of life under the influence of methadone: a qualitative study among opiate-dependent individuals
Opiate dependent methadone patients in Belgium give their own accounts of what for them constitutes a good quality of life. Generally they want what other people want: a meaningful, independent life and supportive relationships. Methadone creates the preconditions for such a life at the same time as it limits its achievement.
STUDY 2011 HTM file
12-month follow-up after brief interventions in primary care for family members affected by the substance misuse problem of a close relative
In England a brief primary care counselling programme for family members living with a relative with substance use problems unusually aims primarily to improve the family's lives and coping rather than that of the substance user. Even a year later it seems to have succeeded, and the improvements accumulated rather than faded.
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.
STUDY 2011 HTM file
How does cognitive behaviour therapy work with opioid-dependent clients? Results of the UKCBTMM study
Compromised by an inability to interest enough patients, the only randomised UK trial of cognitive-behavioural therapy for methadone patients was unable to be definitive but did find some signs of benefit and that the therapy had pulled some of the intended psychological levers.
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.
REVIEW 2011 HTM file
Effectiveness of motivational interviewing interventions for adolescent substance use behavior change: a meta-analytic review
Not just for adults, but teenagers and young adults too, with this analysis motivational interviewing seems confirmed as the leading evidence-based approach to reducing possibly or actually risky substance use among non-clinical populations not seeking treatment.
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