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For the first time regular checkups to promote treatment re-entry have been tried with an all-female problem substance user caseload, and one leaving prison rather than community-based treatment. Over the first three months more returned to treatment more promptly. Previous studies suggest this will lead to reduced substance use, crime and HIV infections.
Further demonstration from a US research team that relatively intensive case management support does help welfare applicants overcome substance use problems, but in this case only those not already managed through substitute prescribing.
REVIEW 2006 PDF file 856Kb
An expert Euro-US collaboration led by Wouter Vanderplasschen from Belgium examines what in Britain is now seen as the core mechanism for transforming isolated episodes of care into coherently staged and comprehensive reintegration programmes.
STUDY 2006 PDF file 106Kb
Improving continuity of care in a public addiction treatment system with clinical case management
In Philadelphia intensive case management created the kind of post-detoxification continuity of care which dramatically cut repeated admissions for detoxification, increased the numbers able to be treated, and offered patients a better chance of gaining lasting stability.
In New York intensive case management coordinating multiple sources of support helped resolve the substance use problems of welfare applicants, but only among the women – who faced the greatest barriers to working – did this promote employment. Perhaps men would have done better being helped to rapidly enter the job market.
How does an intervention designed to enhance coordination and continuity of services, known as ‘case management’, compare to treatment as usual? Is there any evidence to suggest that it can directly or indirectly improve recovery outcomes?
REVIEW 2002 PDF file 160Kb
Community reinforcement approach to treatment comes of age
Signifying the therapy's new prominence, research on the community reinforcement approach has been gathered together in a prestigious book series. There also two readily available manuals, one covering alcohol treatment, the other cocaine.
REVIEW 2004 PDF file 967Kb
Take the network into treatment
Distinguished US authors summarise the evidence for a new direction in the treatment of substance abuse problems - harnessing friends, lovers, sons, daughters and workmates to reconstruct the incentives in a client's life.
How to get parents more engaged in becoming a positive influence over their seriously delinquent drug abusing teenagers through family therapy integrated in to a US juvenile drug court. Some of the therapist tactics expected to work did deepen engagement, others did not.
Family interventions were at the heart of the UK government’s ambition to ‘turn round’ the lives of 120,000 troubled families in England. In respect of drink and drug problems, substantial remission was seen, but the featured study could not show whether this was due to the interventions, and a report on a successor programme found no significant impacts.
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