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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 2019 HTM file
Efficacy and cost-effectiveness of an adjunctive personalised psychosocial intervention in treatment-resistant maintenance opioid agonist therapy: a pragmatic, open-label, randomised controlled trial

Instead of a set programme, a clinic in London tried offering methadone or buprenorphine patients still using heroin or cocaine a selection from a suite of well-supported psychological interventions tailored to the patient and then systematically re-tailored in the light of how they responded. It worked – but did it work well enough, and would the findings be replicated in more typical circumstances?

STUDY 2019 HTM file
Randomized controlled trial of harm reduction treatment for alcohol (HaRT-A) for people experiencing homelessness and alcohol use disorder

Heavy drinking is clearly problematic for homeless populations, but is the best way to tackle it to aim for abstinence, or to accept the reality of life on the streets and aim to reduce harm and improve lives in ways which make sense to the patient? This US study supports the latter, but without conclusively deciding the issue.

MATRIX CELL 2020 HTM file
Alcohol Treatment Matrix cell A4: Interventions; Psychosocial therapies

Key studies on the ‘common factors’ underlying psychosocial therapies for problem drinking and the effectiveness of specific approaches. Explores the famous ‘Dodo bird’ hypothesis that all bona fide therapies are equivalent, examines the legacy of the UK’s most ambitious treatment trial, asks whether therapy can really make things worse, and questions how research amalgamating impacts from many patients can be applied to the treatment of an individual in their individual circumstances.

STUDY 2004 PDF file 115Kb
Clues on to how to match clients to therapeutic styles

Convergent clues to how to match clients to therapist styles have emerged from research at a Philadelphia counselling service seeing poor black cocaine users and from an offshoot of Project MATCH involving mainly white, employed dependent drinkers.

ABSTRACT 2008 HTM file
An intervention for treating alcohol dependence: relating elements of medical management to patient outcomes in primary care

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.

STUDY 2005 PDF file 118Kb
Therapist directiveness is an important influence on outcomes

One of the few 'matches' found by the huge US Project MATCH alcohol treatment trial was that motivational therapy bettered CBT for clients prone to anger. One of the clinics has shown why – because motivational therapists were less directive.

REVIEW 2011 HTM file
Evidence-based psychotherapy relationships: Psychotherapy relationships that work II

Based on new meta-analytic reviews, a US task force has authoritatively assessed what makes for an effective therapeutic relationship. Though not specific to substance use, this work will be critical to the recovery agenda for addiction treatment.

STUDY 2006 PDF file 172Kb
Adjust therapist directiveness to client resistance

Persuasive evidence from the US Project MATCH alcohol treatment trial that a non-directive therapeutic style suits clients prone anger or defensiveness or who like to take control, and more structured and directive approaches suit those who welcome being given a lead.

REVIEW 2011 HTM file
Evidence-based psychotherapy relationships: Goal consensus and collaboration

This meta-analytic review commissioned by the American Psychological Association finds that outcomes improve the more clients and therapists agree on goals and methods and form collaborative working relationships to implement those agreements. The findings support deep patient involvement in deciding treatment goals and methods.

REVIEW 2011 HTM file
Evidence-based psychotherapy relationships: Cohesion in group therapy

This meta-analytic review commissioned by the American Psychological Association suggests that fostering cohesion between leaders and groups, and within groups, is often an important way to improve group therapy outcomes. Practice recommendations will help group leaders make the most of this common substance use treatment format.


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