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HOT TOPIC 2017 HTM file
Promoting recovery through employment
One of our hot topics offering background and analysis on important issues which sometimes generate heated debate. Employment is seen as the key to lasting recovery, but how realistic is it for people whose lifestyles have revolved around using and obtaining drugs?
Review finds multidimensional family therapy more effective than group therapies and other psychosocial therapies, particularly among adolescents with severe substance use and other behavioural problems.
For the first time in a prison setting a randomised trial rigorously compared intensive residential therapeutic community treatment to outpatient counselling. Confounding expectations, the US prison for problem drug users which hosted the study gained nothing in terms of preventing recidivism by allocating even high-risk prisoners to the more intensive treatment.
The diminishing youth treatment caseload in England is increasingly dominated by under-18s primarily being treated for cannabis use problems as the numbers of primary problem drinkers falls away to just 15% of the caseload.
For the second time the annual accounting of the treatment caseload in England combines records of drug and alcohol use treatment, registering a continuing fall in total numbers and decreasing success with opiate users, while the treatment of drinkers appears to be improving.
STUDY 2016 HTM file
After FDAC: outcomes 5 years later (final report)
Five-year follow-up of London families finds better outcomes among those in the Family Drug and Alcohol Court than ordinary care proceedings.
12-step fellowships offer a way to reconcile shrunken resources with the desire to get more patients safely out of treatment. Accounting for the self-selection bias which has obscured AA’s impacts, this synthesis of US trials finds that attending more meetings after treatment boosts abstinence. Why then is research equivocal on whether promoting attendance improves drink-related outcomes?
Early US study uncovered for the Alcohol Treatment Matrix found a Rogerian client-centred therapy characterised by non-directive, empathic listening beneficially changed self-perceptions of alcohol-dependent patients and reduced relapse compared to approaches based on learning theory or psychoanalysis.
STUDY 2008 HTM file
Still hard to find reasons for matching patients to therapies
The UK Alcohol Treatment Trial has confounded expectations that a motivational approach would be preferable for unmotivated or hostile patients, while supportive social networks would be particularly important for patients lacking these to begin with.
For the first time the annual accounting of the treatment caseload in England combines both drug and alcohol use patient records, registering a continuing trend down in total numbers due mainly to falls in users of heroin and other opiate-type drugs.
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