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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.
STUDY 2005 PDF file 142Kb
Anti-alcohol drug also reduces cocaine use
US trial shows that when cocaine dependence and heavy drinking are intertwined, prescribing the anti-alcohol medication disulfiram helps resolve both problems, unless patients are so wedded to drink that they stop taking the pills.
STUDY 2005 PDF file 170Kb
'Real-world' studies show that medications do suppress heavy drinking
Three trials found that drugs commonly used to treat alcohol dependence improve outcomes for an appreciable minority of patients, even under conditions close to normal practice. Together they offer clues to who benefits most from each medication.
IN PRACTICE 2005 PDF file 1242Kb
Wet day centres in Britain part 1: planning and setting up
Solid guidance based on a detailed analysis of UK centres offering street drinkers a place where they can start to reverse years of deterioration without having first to stop drinking. In this extraordinarily difficult task, good planning is key.
Sweeping, learned but practice-oriented tour-de-force from the US recovery advocate who sees the creation of a recovery-friendly environment as the best way to ensure a lasting resolution of substance use problems with or without abstinence.
In a programme intended to simulate primary care management of alcohol dependence, what made the difference to patients was how far the clinician maintained confident optimism and responded to the patient rather than strictly adhering to the treatment manual.
Intensive, long-term case management coordinating treatment and other services helped US 'welfare mothers' overcome their drug problems and gain full time employment.
By selecting clients at the very edge of ethically requiring referral to residential care, this US study confirms that unless there are pressing contraindications, intensive non-residential options deliver equivalent outcomes. Often of course, there ARE pressing contraindications.
Just a few minutes with specially hired screening and intervention staff can make a difference to emergency patients' drinking, but in the real world the hospital's own staff will usually do this work. A US study tested this real-world scenario and still found (modest) drinking reductions.
Reanalysis of the huge US Project MATCH alcohol treatment trial confirms that patients with pro-drinking social circles gained greater remission in drink problems when 'matched' to a therapy focused on generating a social circle (in the form of AA) with the opposite characteristics.
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