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IN PRACTICE 2005 PDF file 1242Kb
Wet day centres in Britain part 1: planning and setting up
Solid guidance based on a detailed analysis of UK centres offering street drinkers a place where they can start to reverse years of deterioration without having first to stop drinking. In this extraordinarily difficult task, good planning is key.
IN PRACTICE 2005 PDF file 813Kb
Wet day centres in Britain part 2: Care Control Challenge
Part 2 of our mini-series on wet day centres in Britain will ring bells not just for alcohol workers but also for drug workers in needle exchanges and drop-in services. Maureen Crane and Tony Warnes analyse what it takes to work productively in one of the most challenging of settings.
SERIES OF ARTICLES 2005 PDF file 1935Kb
Wet day centres in Britain
In drug and alcohol services, it doesn't get more difficult than this – offering street drinkers a place where they can start to reverse years of deterioration, without having first to stop drinking.
REVIEW 2003 PDF file 665Kb
Interesting times in the pharmacotherapy of alcohol dependence
A trio of US experts led by Hugh Myrick guide you through the pharmaceuticals now making the headlines in alcohol withdrawal and anti-relapse therapy.
Clinical guidance developed for the National Institute for Health and Clinical Excellence (NICE) on the medical care of patients suffering acute alcohol withdrawal or alcohol-related lack of thiamine, liver disease, or inflammation of the pancreas.
STUDY 2012 HTM file
Audit of alcohol detoxification at Leeds Addiction Unit
In a specialist hospital unit in Leeds, virtually all the alcohol dependent outpatients completed detoxification and all but a few went on to try to sustain their drinking reductions using the aversive medication disulfiram, indicative of what can be achieved in these settings.
On the important national indicator of completing treatment and not returning for treatment in the following six months, inpatient and residential treatments for alcohol use disorders in England appeared to be effective half the time. Longer duration of treatment and ongoing care were associated with a greater likelihood of successfully completing treatment.
STUDY 2001 PDF file 763Kb
Disulfiram treatment of alcoholism
A reminder of the landmark study which galvanised researcher to investigate how disulfiram can be made to work and pioneered methodologies capable of delivering clinically useful answers. Expert commentary plus the reflections of the original researcher.
STUDY 2010 HTM file
Disulfiram in severe alcoholism – an open controlled study
From Denmark a randomised trial of disulfiram in the treatment of alcohol dependence reveals the major weakness of the treatment - that among some sets of patients, few will consistently take tablets they know will cause unpleasant effects if they drink.
REVIEW 2011 HTM file
The efficacy of disulfiram for the treatment of alcohol use disorder
Given effective supervision from family or clinicians to help ensure patients keep taking the tablets, this first systematic synthesis of research finds that on average the drug disulfiram, which produces an unpleasant physical reaction to drinking, does act as an aid to abstinence in the treatment of alcohol dependence.
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