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MATRIX CELL 2021 HTM file
Alcohol Treatment Matrix cell B5: Practitioners; Safeguarding the community
Key studies on the impact of the treatment practitioner on safeguarding the community, families and children, and their influence in criminal justice contexts. Explores whether exceptional abilities are needed to forge productive therapeutic relationships in these situations, and invites you to ‘stress test’ a proposed universal rule: The trickier the situation, the more the worker matters.
OFFCUT 2003 PDF file 151Kb
Restricted view creates impression of 'chronic relapsing condition'
New studies suggest that the image of addiction as a 'chronic relapsing condition' is due to seeing it through the narrow slit of treatment populations who lack (or have been denied) the physical, psychological and social resources needed to recover.
Intensive, long-term case management coordinating treatment and other services helped US 'welfare mothers' overcome their drug problems and gain full time employment.
Comprehensive and thoughtful review of the UK-relevant literature warns that services which impose rigid and unrealistic expectations of abstinence or independent living on homeless addicts would deny treatment and housing to vulnerable adults with complex needs.
STUDY 2010 HTM file
Population estimates of alcohol misusers who access DWP benefits
Estimates the number of problem drinkers in Britain who draw the main unemployment and welfare benefits in order to assess how many claimants may need additional help for addiction and related problems before they can move into employment. Contrasts with similar figures for problem drug users.
In three high drug use urban areas in England, treatment staff were placed in job centres to facilitate the referral of unemployed substance users in to treatment. It worked, but not well enough to recommend a national roll out.
REVIEW 2012 HTM file
The meanings of recovery from addiction: evolution and promises
What is 'recovery' and what does it mean for the roles of treatment and of doctors? This analysis based on the last ten years' writings on the subject draws a parallel with mental health, where recovery in terms of a meaningful and self-directed life is reserved for persisting severe illness resistant to 'cure' via treatment.
A study exploring the challenges of defining and measuring ‘outcomes’ and ‘success’ in substance use treatment environments, from the perspective of staff and participants in two different US harm-reduction counselling programmes.
This intervention based on housing first led to significantly greater reductions in drinking problems after 14 months, but not in problems with other substances.
HOT TOPIC 2016 HTM file
‘Recovery’: meaning and implications for treatment
One of our selection of hot topics – important issues which sometimes generate heated debate. Since 2008 the “recovery” objective has been at the heart of British drug treatment policy. Where did it come from and what does it mean for treatment services?
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