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STUDY 2005 PDF file 153Kb
Communities can reduce drink-driving deaths
A multi-million dollar attempt to equip US communities to tackle substance misuse only succeeded in reducing alcohol-related traffic deaths when treatment initiatives were supplemented by measures to limit the availability of alcohol.
REVIEW 2011 HTM file
A new paradigm for long-term recovery
On the basis of three innovative US programmes for offenders or doctors with substance use problems, this analysis concludes that many seriously dependent individuals stop using if non-use is enforced through intensive monitoring and swift, certain but not necessarily severe consequences.
STUDY 2009 HTM file
Setting the standard for recovery: physicians' health programs
US physician health programmes demonstrate that long-term intensive monitoring of substance use allied with swift and certain sanctions and abstinence-based mutual aid and treatment can enable seriously dependent individuals to stop using psychoactive substances.
DOCUMENT 2012 HTM file
Will intensive testing and sanctions displace treatment?
Enforce frequent drug or alcohol testing and levy swift, certain and meaningful sanctions for substance use, and many dependent users stop using without treatment. Is this increasingly how problem use will be dealt with, or just a niche option applicable to users over whom society can exert sufficient leverage?
DOCUMENT 2011 HTM file
Alcohol dependence and harmful alcohol use quality standard
From the UK health service standard-setting agency, a concise statement of 13 practices which constitute high quality health care for problem drinkers and good practice in identifying and advising hazardous drinkers - standards which may be used to assess and reward providers and health service commissioning authorities.
This impressive assessment of what evaluation research means for alcohol dependence treatment in Britain is distinguished by reviews of the latest literature on the sub-topics it covers; in some cases these starkly reveal the inadequacies of the evidence base.
STUDY 2014 HTM file
A ‘symptom-triggered’ approach to alcohol withdrawal management
Providing medication in response to symptoms of alcohol withdrawal instead of routinely improved the outcomes of patients in acute hospital settings – reducing the duration of treatment and the amount of medication used.
MATRIX CELL 2020 HTM file
Alcohol Treatment Matrix cell C2: Management/supervision; Generic and cross-cutting issues
Key studies on management and supervision across psychosocial and medical treatments of problem drinking. Highlights that “Manners Matter”, focuses on staff recruitment, queries the ubiquitous stages of change model, and details the fascinating history of the most controversial issue in alcohol treatment: whether to insist dependent drinkers try for abstinence. See the rest of row 2 of the matrix for more on features common to psychosocial and medical treatments.
As this review comments, people treated for substance use often remain precariously balanced between recovery and relapse. Widely seen as valuable if not essential, aftercare is nevertheless more the exception than the rule. How to reverse that ratio is the issue addressed by these leading US analysts.
MATRIX CELL 2019 HTM file
Alcohol Treatment Matrix cell C1: Management/supervision; Screening and brief intervention
Seminal and key studies on management and supervision in screening and brief interventions for risky drinking. Highlights UK guidance which insists health service managers “must” support this work and the quandary over whether to insist on these procedures (taking time which could have been used in other ways) or to let practitioners and patients decide their priorities. See the rest of row 1 of the matrix for more on screening and brief interventions.
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