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You have found 294 entries after clicking on a search link (usually the MORE information link) in a matrix cell. Sorted by the main topic addressed, the list shows in orange the type of entry, year the original document was published (or if one of our own documents, the year last updated), and the type of file you will download when you click on the title. In blue is the document’s title followed by a brief description.

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STUDY 2007 HTM file
Day hospital and residential addiction treatment: randomized and nonrandomized managed care clients

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.

STUDY 2008 HTM file
Self-financing resident-run houses maintain recovery after treatment

A US recovery model has proved its effectiveness in a rare randomised trial of a mutual aid intervention. The self-financing structure may help overcome restrictions on the supply and duration of residential rehabilitation in the UK.

STUDY 2012 HTM file
The role of residential rehab in an integrated treatment system

An audit for England's National Treatment Agency for Substance Misuse finds residential services so entwined with non-residential in the treatment careers of residents that it is not possible disaggregate their contribution; since a few months of such care costs as much as five years of non-residential care, showing value for money is critical.

REVIEW 2018 HTM file
Doing time on a TC: how effective are drug-free therapeutic communities in prison? A review of the literature

Evidence gathered over the last decade affirms the greater effectiveness of therapeutic communities in prison versus other treatment models, and highlights improved recidivism and drug use outcomes when the prison regimen is reinforced by community aftercare on release.

STUDY 2003 PDF file 162Kb
Health funders cut their own costs by commissioning substance use treatment

A large US health provider found that outpatient treatment for substance dependence saved it money by reducing future inpatient stays and emergency attendances. For the health service, providing this treatment can be considered spending to save.

REVIEW 2012 HTM file
Behavioral counseling after screening for alcohol misuse in primary care: a systematic review and meta-analysis for the U.S. Preventive Services Task Force

Amalgamated findings from studies of risky drinkers identified and counselled in primary care settings indicate that compared to screening and assessment only, brief counselling lead to greater reductions in drinking, gains reflected less strongly in some indicators of health. However, it is unclear whether the generally small impacts would be sustained in routine practice.

STUDY 2001 PDF file 300Kb
Brief motivational therapy minimises health care costs except among more problematic drinkers

In the US Project MATCH alcohol treatment trial, relatively brief motivational interviewing resulted in lower health care costs overall but costs incurred by poor prognosis patients were reduced most by the two more intensive (CBT and 12-step) therapies.

STUDY 2008 HTM file
Network support for drinking: an application of multiple groups growth mixture modeling to examine client-treatment matching

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.

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.

REVIEW 2010 HTM file
A meta-analysis of motivational interviewing: twenty-five years of empirical studies

Better than 'treatment as usual' but not than other specific therapies are the headlines from the most comprehensive synthesis of motivational interviewing studies to date. Along the way are insights in to the equivocal value of manuals and of feeding back assessment results to patients.


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