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2010 English national drug strategy: "A fundamental difference [from] those that have gone before is that instead of focusing primarily on reducing the harms caused by drug misuse, [we will] go much further and offer every support for people to choose recovery as an achievable way out of dependency."
DOCUMENT 2015 HTM file
Online flowcharts from the UK National Institute for Health and Clinical Excellence guide planners and practitioners dealing with alcohol use disorders through choices of strategies and interventions on prevention, brief interventions, alcohol treatment, and treatment of associated medical conditions.
IN PRACTICE 1999 PDF file 292Kb
Are we right to spend more?
Commissioners in London wanted to know if they were getting value for money from extending residential and day care stays for substance dependent clients. To find out they trialed the Christo Inventory, a new quick and simple monitoring tool.
STUDY 1999 PDF file 175Kb
US study establishes optimal durations for drug detoxification and rehabilitation
A new computerised network which tracked clients across the Boston treatment system revealed cut-off points beyond which greater retention in residential or outpatient treatment was not associated with higher rates of treatment completion.
STUDY 1999 PDF file 224Kb
Stepped care for drinkers yet to prove itself
The first evaluation of 'stepped care' for heavy drinkers found no added benefit from offering further treatment to those who did not respond to initial therapy, but the study was not a definitive refutation of this cost-saving approach.
STUDY 2000 PDF file 166Kb
Rare attempt to compare cost-effectiveness of different treatments for different clients
Studies of the cost-effectiveness of addiction treatment in Ohio suggest that per $, short intensive programmes deliver the best abstinence returns for severely addicted patients, less intensive outpatient programmes for patients using less frequently.
Instead of telling addiction treatment providers what to do to qualify for funding, the US state of Delaware set recruitment and engagement targets and largely left the methods up to the services. Result: more and more engaging treatment without stifling innovation.
Placing staff in the clients' shoes was the key tactic in this national US treatment improvement programme which more than halved waiting times and increased retention without limiting patient numbers.
STUDY 2010 HTM file
Whole person recovery: a user-centred systems approach to problem drug use
Report on the first phases of the Whole Person Recovery Project in England which aimed to place drug and alcohol/service users at the centre of an approach to fostering holistic recovery from addiction based on the collective effort of 'recovery communities'.
If alcohol treatment is to compete for scarce healthcare resources, studies must adopt the same yardsticks of success as are used for healthcare interventions contends this team of UK-based health economists; prime amongst these are quality of life measures.
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