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STUDY 2012 HTM file
Alcohol screening and brief intervention in emergency departments
The emergency department arm of the largest alcohol screening and brief intervention study yet conducted in Britain found that the proportion of risky drinkers fell just as much after the most minimal of screening and intervention methods as after more sophisticated and longer (but still brief) alternatives.
US trauma centres dealing with serious and often alcohol-related injuries ought to offer an environment conducive to brief alcohol interventions, but this first multi-site trial found motivational counselling more effective than minimal advice only when combined with a follow-up ‘booster’ phone call.
Analysis of the only four randomised trials of brief alcohol interventions among 18–24-years-olds seen at emergency departments after getting drunk tentatively suggested that booster sessions or later advice are needed to reduce drinking.
Swiss study of brief alcohol interventions with a representative sample of heavy drinking young men exposed the determining influence on later drinking of the practitioner’s competence in motivational interviewing and how they behave in the session.
Brief interventions conducted by alcohol treatment specialists reduced alcohol-affected readmission rate by nearly half among patients admitted to a French emergency department when drunk or in need of withdrawal.
The primary care arm of the largest alcohol screening and brief intervention study yet conducted in Britain found that the proportion of risky drinkers fell just as much after the most minimal of screening and intervention methods as after more sophisticated and longer (but still brief) alternatives.
STUDY 2006 PDF file 169Kb
Soup kitchen turned into therapeutic setting
A successful group therapy programme at a large New York soup kitchen shows that welfare services with high concentrations of problem substance users can be transformed from environments which impede recovery into ones which promote it.
This comprehensive US-focused review addresses the need to enrol more young problem substance users in treatment even if they at first refuse, validated methods for identifying such young people and engaging them in treatment with the help of family and others, and ethical and financial considerations involved in implementing these methods.
REVIEW 2000 PDF file 140Kb
Attending AA: encourage but don't coerce
A synthesis of studies which tested Alcoholics Anonymous groups or AA-based residential programmes against formal/no treatment suggests outcomes are similar to other treatments when the drinker chooses these options. Coercion may be counterproductive.
REVIEW ABSTRACT 2009 HTM file
Peer-based addiction recovery support: history, theory, practice, and scientific evaluation
This monograph is likely to become the handbook for the growing peer-based recovery movement in the UK. For administrators, the approaches it reviews offer a way to reconcile decreasing per-patient resources with a policy agenda now focused on reintegration and recovery.
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