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REVIEW 2006 PDF file 797Kb
My way or yours?
Do you bristle when someone else takes the lead or gladly take a back seat? In therapy too, directiveness matters, and in a surprisingly consistent way. Part 5 of the Manners Matter series unpicks the common thread from the literature.
STUDY 2006 PDF file 172Kb
Adjust therapist directiveness to client resistance
Persuasive evidence from the US Project MATCH alcohol treatment trial that a non-directive therapeutic style suits clients prone anger or defensiveness or who like to take control, and more structured and directive approaches suit those who welcome being given a lead.
STUDY 2006 PDF file 199Kb
A&E units save health service resources by addressing drinking
This US study estimated that each $ spent screening for and offering advice to heavy drinking emergency patients would save nearly $4 in health care costs due to reduced hospital re-attendance. A British trial suggests similar savings might be found in the UK.
STUDY 2006 PDF file 161Kb
Warning sign aftercare for drinkers improves attendance and avoids relapse
Graduates from a British intensive day programme for alcohol dependence were trained to analyse why they had last relapsed in order to recognise and cope with the warning signs. The result was fewer relapses without significantly increased health and treatment costs.
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.
STUDY 2006 PDF file 171Kb
Matching resources to needs is key to achieving 'wrap-around' care objectives
Linking treatment intake assessments to a computerised guide to local welfare and medical services transformed the assessments from redundant paperwork into a practical route to the reintegration services being advocated in Britain – and treatment completion rates doubled.
STUDY 2006 PDF file 113Kb
Recently attempting suicide one of the strongest indicators for residential treatment
In this US study most patients benefited to roughly the same degree from residential and non-residential programmes, but those who had recently attempted suicide responded dramatically better to residential programmes, doing even better than the other patients.
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 159Kb
Integrated care for dual diagnosis patients betters parallel provision
This rare test of truly integrated substance use and mental health care for severely mentally ill patients found it cut subsequent psychiatric and legal crises. Even where full integration is not possible, the same principles could improve the work of mental health and addiction services.
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.
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